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: RERL.GIG1 . REAL T'Y,
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Mar 05 02 01:29p PURCHASEPRO 7023167660 p.1
Date: Marcn 5, 2002
To,
Adrian's Accessories
This letter is to advise that we have accepted your sigr for the store in our
property.
Should you have any question, please call me at 702 -21 -7643.
Good kick with your business.
Sincerer )
Abu M
Managing Partner
Saieha Investments, LLC
FROM : RERL. x161
P NE NO. : 305
Mar. 11 2•,22 :0: 5, :T'1 P2
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Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 5/23/2002
Applicant: (
Owner:
JOB ADDRESS: 9710 NE
Contractor CS,
Local Phone:
Parcel # 1132060132350
Signed: ,
2
ulldin 'ermit
Permit Number: BP2002 -973
AVE
Contractor's Address:
Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 3 -4 & 5 BLK 18 LOT
Fees:
FEE2002 -2923
FEE2002 -2924
Description
Building Fee
CCF
Total Fees:
Amount
$60.00
$0.60
$60.60
Total Fees: $60.60
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 11/18/2002 Construction Value: $300.00
' Work: OUTSIDE SIGN
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances
pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the
• proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon
which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work
covered hereby whether shown on the plans or drawing or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees.
(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 pertaining thereto and in strict conformity with the
plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent,
servants or employes.
Signed: (Contractor or Builder) BY:
ti
PROPERTY OWNER
New Construction
Name ALEHrl -ENv S-IMEN S, LL.0
Address 1 o
1,1S
J TBc>N
b GIps,
CENTE(a 1 --t#aoc
NV rii
Home Telephone
-77 2 — T-3 4 — V 63
Business Telephone
- 7€ _
10 - 76 3
Fax
56 f— Sq2 ° 01f9c
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'l Attachment
Other
Add'l Detachment
Other
Step 1.
Job Address:
Folio Number
s" avE
Address
Lot 3.— q Block
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other ■/
INSTRUCTIONS - The following steps must be taken to obtain a permit from tt a Miami Shores Village:
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.
APPLICATION
C n
I
Apt.
I �— 3�— o5-- X13 —a3 O
Subdivision PB PG
Current Use of Property C(4,-ley
Proposed Use of Property � 9 COM
Tenant Information Ad 1 O m'-:'s A PB'? SSo eS
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Subsidiary Permit Noo
7,11 SA owl i
City
FL
PERMIT APPLICATION
Master Permit No.
State
Description of Work
Zip
Zoning Linear Feet
Square Feet Units Floors
Value of Work a ®p Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
Name
License Nb.
Address
Telephone
Fax
Qualifier Name
Page 2
IMPORTANT NOTICES
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.
1.
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.
Abu An IMA rrt AN) , morn.
Sale T■vi. We •
Sworn to and subscribed before me this / 7 of a0.4.c f - >
aoa .
attiLia J-eitevnt44)
Signature of Notary Public - State of Flefa f1/t ///3D/9 Signature of Notary Public - State of Florida
SEAL:
Signature of Contractor / Qualifier
PERMIT APPLICATION
STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Print Name
Sworn to and subscribed before me this day of
SEAL:
Personally known f • , ' o e. • Personally known OR, Produced Identification
Type of Identification Produced: Type of Identification Produced:
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer
QTY.
TYPE
Outlet, Appliance
QTY.
TYPE
Service Repair
Q1Y.
A/C Central 1 -3 Ton
- Heating Strips, each
Fan
Outlet, Wall
Service, Temporary
- Paint Booth
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
- Piping, Flammable Liquid
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
- Process/Pressure Piping
Oven
Space Heater (kw)
A/C Central 16-20 Ton
- Pressure Vessel
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 Ciose1
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
1
QTY. TYPE
Generator
QTY. TYPE
Refrigeration, Tons
1
QTY.
A/C Central, Tons
ITN
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
Pump and Abandon
Bath Fan - Vented, #
Fireplaces, Number of
- Pressure Vessel
Gas - Appliance
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QT Y.
TYPE
Miscellaneous Fixture
QTY.
TYPE
Soakage Pit
ITN
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 I4asin
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 Weill
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
(Belay Repair
Vacuum Pump
(Disposal
Interceptor
IBooff Inlet
Water Ciose1
Domestic Wel"
Laundry Tray
Septic Connection
Water Heater
Drain ieid, 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
DATE
,�` ,3��.
Zoning
,GT-P /3.l,
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
rO
./
Building Official
...!%
EX.
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi- family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
O PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
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
7
REVIEWED AND PREPARED BY:
(sq.ft. = x/1000
x t.60)
(¢.005 /sq.ft.)
(¢.01 /sq.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $
ISSUING OFFICIAL
DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building
or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores
Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and re;ula-
tions 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 "
Registered Architect and /or Engineer_—__
Name and address of licensed contractor
Location and legal description of lot to be bu�Ir t on
MIAMI SHORES VI LLAG E
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date_
Lot Block_ Subdivision
Street and Number where work is to be done` \
State work to be done and purpose of building (by floors)
STATE OF FLORIDA,
COUNTY OF DADE.
Building Inspector My Coramission Expires
/'
S^.reet—_
Notary Public, State of Florida
__and for no other pzrF ose.
New Building_ Remodeling __ Addition____ ______ Repairs No. of Stories__
To be constructed of_____________________ Kind of foundation , ____________________________W__ Roof Covering__ ______ __________
_______ —__
Estimated Total coat of improvements 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 be 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) d �'
Before rte, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, 15en:cn -lly
appeared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No Date / Read, Sworn to and Subscribed before me.
Disapproved _____________ Date
(Signed)
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved. Date Disapproved ____Dste
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
ELECTRICAL
PLUMBING
•
Owner of
Building
Architect
Contractor
or Builder
MIAMI SHORES VILLAGE, FLORIDA
DATE 194
PERMIT Nh 5811
Work to be performed under this Permit
Legal Lot Bl. Subdi-
Description vision
Address of y Value of f %_ t _ �'' Amt. of
Building . . < ,, Project , . Permit 1'
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 appli-
cation 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.
Signet ; ' By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with,u and
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorifik of Miami Shires Village.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. 1
' � y. ■ A,k
CONTRACTOR OR B Rle BY AUTHORITY
Contractor's
License No.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
Work to be performed under this Permit
CONTRACT • OR :UILD
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N2 4261
Bl.
Subdi-
vision
DATE
Contractor's
License No.
194 `-*
Value of
Project
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 ap i-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with ny
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be e ked
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 wh 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: B
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinanc s and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Shores Village.
In accepting this permit I assume responsibility for all work done by either myse y,agent, seriant or employee. . t !'
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
1•
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N2 5811
Work to be performed under this Permit_
DATE 194
Contractor's
License No.
Architect — -
Contractor
or Builder
Legal Lot BI. Subdi-
Description vision
Address of Value of Amt. of
Buildin g Project Permit
--
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation 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 he revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which This
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed: By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all w9rk done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILPSYi - BY AUTHORITY
Lot
Owner ' s
Heater
Motors
Misc t1
New Construction
P1ta,ibing Inspection
Roughing
Fixtures
So'.;'sr
Septic Tank
olar Heater
Phial Certificate
Block
Name
Contractor
Subdivision
Lic.No.
General
Zone Req.Cu.Ft. Cu.Cont. By
Plat Restriction Checked by
To Planning Board Approved
Lic.No.
Rejected
Re- Submitted to P.B. Approved Rejected
Plans & Spec. Checked by
To Council Approved
Bldg. Permit No. i Date Fee
Type Stories Roof
New Construction Alterations Repairs
Plumbing Permit Nog Date _�� = Fee
Septic Tank n n
Sewer n - t►
Mis c s 1 ft tt
New Const. Alteration Repairs
'Electrical Permit No. Fee
Fixtures u - n
ft
It
Building Inspection Date By He -insp By Re -Insp By
Foundation
Beams & Lintels
Final
Final Clean -Up
ft
_ tt it
Alteration Repairs
No.
Street
Add. or Phone
Add. or Phone
Cost
ervice O.ha to tower Cos CertoOccup.Issued
Rejected_____
Date By , Re- inisp By Re -Insp By
E'e,c�_�ical Tnspecton Dace By Re -nup By Re -Insp By
p.ous Zing
Fixtures
Final
rime 3_ 001
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 '
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built
Loth 7 Block
Street and Number where work is to be done
State work to be done and purpose of building (by floors)_ ___ _________
,
New Building Remodeling
To be constructed of :_ Kind of foundation
Estimated Total cost of improvements $____________
Zone cubage required - __
Distance to next nearest building
Maximum live load to be borne by each floor
be sent to
peared
Permit No
Disapproved
(Signed)
MIAMI SHORES VILLAGE
- 1
".>
Subdivision .z
Date
Date
Building Inspector
PLANNING BOARD
- - - - - -- --Da
1
Addition
Amount of Permit $
Cubage
Date
Size „of Building Lot
19 %'
Street
ReadSworn to and Subscribed before me.
and for no other purpose.
Repairs No. of tories -
Roof Covering /.
Remarks_ -- (Signed)
I hereby submit all the plans and specifications for said building. All notices with reference to the building an its construction may
Y
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.
STATE OF FLORIDA.
COUNTY OF DADE. J
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
-- — — — --------------- - - - - -- to me well known,
and who being by me first duly sworn, upon oath deposes and says that he is p ae___ { ,�` ----------- -
of the above described construction, that he has carefully read the foregoing a hcation, and that he did s ign the sane an d that all facts
therein by him stated are true.
Notary Pub1i c.V= ---- - - - - --- —
M,Commission E ------ - - - - -- -
--------------------------- _DATE
---------------------------
Member — ---------------------------------- ---------------------------------------------------------
—
Member- - - - -- ------------------------------------------------
Disapproved -------------------------------------- -
-- ------ - - - - -- --- - - - - -- - - - - - -- --- - - - - -- - -- -
_Date
or changes to this application after approval i
Chairman --------------- - - --
Member --- - - - - --
Member _
Council Approved
NOTE: A charge of $1.00 will be made far making correptio notice for inspection or faulty
the Planning Board.
A re- inspection fee of $1.00 will be charged when sue!' re- inspection is made necessary by improper
materials and /or workmanship.
s been obtained from
BUILDING
ELECTRICAL
PLUMBING
Architect
e'
Contractor
or Builder
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 4478
Work to he performed under this Permit
Subdi-
vision
DATE
1]
Contractor's
License No.
tf j
194
Legal Lot BL
Description
Address of ; — w Value of Ai nt. of .. , (w..
Building _ , Project Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described cf e appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will he 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-
By
sibility for work done by his agents, servants or employees. �
Signed:
t
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 acce g this permit I, assume responsibility for all work done b' either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
C •
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
Application is hereby mode for the approval of the detailed statement or erne 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.
iviet
Owner's Name and Address an- e'CM .5 4'4,L,1 ...„sass ._ Nap'
o./ . Street J 12
Registered Architect and /or Engineer
Name and address of licensed contractor.... R O i e ! ) ... ...�
I! .911 re , a
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where. work is to be done isT .. � .._. $' .
State work to be done an purpose of building (by floors).
IV g .1!�. 1.1.6.6° A114 Asa. 4=4 .._
Disapproved
(Signed)
Building Inspector
BUILDING INSPECTION DEPARTMENT
Lie . gez.
t.tt. VII •••t.t•tt..ttflt..t•!
New Building modeling Addition Repairs No. of Stories
To be constructed of ..W.®.il.. nd of foundation
Estimated Total cost of improvements $ bo °,,ca Amount of Permit .. °
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
\faxitnum 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 \‘'orkrnen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup rleurent,
and has complied w ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such stibcorytractors, on work to be Performed under this
pennit, as are licensed by Miami Shores Village. (t r
}
Remarks
and for no other purpose.
Roof Covering 4
Notary Public, State of Florida
My Commission Expires _sass_
IC 0 01
i�
(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 \i Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
Chairman Member
\fcrr,ber Member
Member.. .. _.....__....._..._._ sass_ 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 Plannir.g 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.
-' :c ?ROV
DADE COULfl Y FIRE , ,FP,' , "..,, _.
Pit BLDG. PERMIT h-------C ;...
L liVA+TE e .'IAR■ fXTEtdSION
DATE / BY
I ' „ ^,7--, �7 n in'�
1
P0bE »( sT4 at p oFf(Ce.S _ /0 Ne 97e4 St )l /rr
INTERIOR FINISH REQUIREMENTS
NFPQ0 255
54
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rd SvR4-NCt .
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ah/suk• WCE
A
PA-EKI
_
gi7ktiSt
THESE PLANS ARE APPROVED FOR
ISSUANCE OF A BUILDING PERMIT
VARIANCE(S) LISTED IN "REMARKS"
MIAMI SHORES BUILDING AND ZONING
UNLESS SPECIFICALLY LISTED BELOW.
AND COUNTY LAWS MUST BE COMPLIED
Anthori'erl S'RnIure Dite
• WITH NO VARIANCES • WITH
NO OTHER DEVIATIONS FROM THE
ORDINANCES WILL BE PERMITTED,
ALL OTHER APPLICABLE STATE
WITH BY ALL PARTIES.
FIRE DEPARTMENT
PUBLIC WORKS
POLICE DEPARTMENT
BUILDING DIRECTOR
A \ . ' /
AP
PLANNING & ZONING BOARD
VILLAGE COUNCIL
I APPROVAL
PRELIMINARY: FONAL:
I
REMARKS:
COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CONE AS ADOPTED
BY MIAMI SHORES VILLAGE IS REQUIRED. T.:E ARCHITECT, BUILDER &
SUB CONTRACTORS ARE r."^.Prr'• -• . '.••0 Pm's n' ''' ;'r'!; D.
BRIG REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN.
a,
MAKE INSPECTION BETWEEN 11 AND 1 PM THANK
YOU. ADDRESS OF BUSINESS IS 159 NE 97TJH
STREET. BUSINESS NAME E.L.C.I. CONSTRUCTION
GROUP
2 1 Passed / I
I,
b
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: IN -927
Inspection Date: 12/06/2005
Inspector: Grande, Claudio
Owner: INVESTMENTS, LLC, SALEHA
Job Address: 9710 2 Street
Project: <NONE>
Contractor:
Miami Shores Village, FL
Building Department Comments
Monday, December 5, 2005
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Number: OL -12-05 -1108
Permit Type: Occupational License
Inspection Type: OCCUPATIONAL LIC INSP
Work Classification: New
Block:
Phone Number
Parcel Number 1132060132350
Lot:
Page 2 of 2
Issue Date: 12/5/2005 Expires: 01/01/2999
Owner's Name: SALEHA INVESTMENTS, LLC
Permit Type: Occupational License
Work Classification: New
Job Address: 9710 2 Street
Miami Shores Village, FL
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Contractor(s)
Phone Primary Contractor
Additional Information
Additional Info: OCCUPATIONAL
In consideration of the issuance to me of this permit, I agree to perform the work
covered hereunder in compliance with all ordinances and regulations pertaining
thereto and in strict conformity with the plans, drawings, statements or specifications
submitted to the proper authorities of Miami Shores Village. In accepting this permit I
assume responsibility for all work done by either myself, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that
all work will be done in compliance with all applicable laws regulating construction
and zoning. Futhermore, I authorize the above -named contractor to do the work
stated.
Permit Status: APPLIED
Permit Number: OL -12 -05 -1108
Phone:
Parcel #: 1132060132350
Block: Lot:
Section: PB:
Total Square Feet: 0
Total Valuation: $ 0.00
Required Inspections
OCCUPATIONAL LIC INSP
Fees Due Amount
Miscellaneous Fee $75.00
Total: $75.00
Invoice Number
OL - 12 - 05 - 22901
Total:
Amt Due
$75.00
Amt Paid
$75.00
$75.00
Building Department File Copy
Applicant Signature
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
.ev. 04/3/03)
OCCUPATIONAL LICENSE
CO SAFETY INSPECTION
APPLICATION
Building Owner's Name 6I4-o12.eS LA-ot i J((- Phone 78`(0
Owner's Address I
City ' L Sly State Zip
Business Owners Name
Business Name
Address 1 S
City Miami Shores State Florida Zip
q OE 'IO.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
The foregoin instrument was acknowledged before me this 2 day of /99/7 , 2005
, by O( -1 61.C141,66 , who is personally known to me or who has .
produced -
NOTARY PUBLIC:
Sign: /� l c�
Print: //Nab
0L
My Commission Exp es:
Building Officials Approval:
Miami Shores Village
Building Department
e.t -. , Con► c�lo4
E s t
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
)) Fag: (305) 756-8972
Permit No. O l.- °S 1 * ! O k
Loc ID
Phone # J t{S- S31) 1 COI)
Suite
as identification and who did take an oath.
MONICA LISSEIIfAZ
:#4 ' ' �'' MMISSION # DD 483995
0 EXPIRES: October 20, 2009
%tf, „Rr Bombe n,. M,e n,uc uraeon tars
Stzeet and Number where work is to be done
State work to be done and purpose of building (by floors)
New Building Remodeling
Disapproved
(Signed)
Building Inspector
MIAMI SHORES VILLAGE
BUILDING ONSPECTION DEPARTMENT
APPLICATION FOR PERMIT
Application is hereby mode for the approval of the detailed statement or ine plans and specifications herewith submitted for the build •
int; or other structure Herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the 13uikling 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 .. Sig= %1e tf$ _. No.... .. . Street__..
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision ... _..__�.._
157 No E 97 ... trop L shereg,c1p,
_. si J ] n. , .t! ached)
To be constructed of Kind of fo ation Roof Covering
Estimate Total cost of improvements $ A- Amount of Permit S..
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 ssith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint
in the work to be performed under this permit; and will post or cause to be posted for inspectio on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such s.1 bcontra rs, on rk be pe rformed under this
pcnnit, 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 _..
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 state
Permit No Date ' ! \ Read, Sworn to and Subscribed before me.
Date..
PLANNING BOARD DATE
Chairman Member
M1crr,ber Member
Member
kro' ? \1T
Notary Public, State of Florida
My Commission Expires
and for no other purpose.
Addition Repairs No. of Stories
to me well known,
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 1io.ud.
A re•in.pection fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection oe faulty
materials anti /or workmanship.
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