1069 NE 91 TerrOwner/Lessee / Tenant lu % k.o 4--cro l i p e Sum 9 Master Permit #
Owner's Address / 0 b 9 t I c
Contracting Co. C tq-4 -6 5 41 • Y o c-o �•►�
Qualifier e l` R ¢- 4e 5 W- y p c o ►�,
State # C P L o 510 Municipal # Competency # Ins. Co.
Architect(Engineel) linrnlp r Co kl.Sv! t IN 6 • Address S Po ur e r 61 n/ /fd t G,quce 333 ° p
Bonding Company Address
Mortgagor Address
Permit Type (circle on :: BUILDIN t ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Zvi
Square Ft. Estimated Cost (value) o? ) 0 0 0
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be perfonned to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. F: •.. • ore, I authorize the above -named contractor to do the . r sta hy. Cc. )
/ATM i/
a : ,weer 5 10' 4 : 4 .. •
1 1 11 " 7 ' , as to • ; er an
3/"2/0
Building
rb C.C.F.
y Commission Expire
3
Date Job Address Tax Folio
O Ior-K /
Legal Description Lo 4- 9 -t-W es - % o p Go f / O
o0
FEES: PERMIT
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Zoning
l�� w PAL ( (7
'dent
Plumbing
Historically Designated: Yes
Phone 3o5 — 75 9 — 02 5
Address 7/ D A/ 7 o
SS# P hone 95 96 / — /{a
ivy`' ° Angela M Becker
My Commission DD150048
a n Expires N 1y
NOTARY b 2) BOND CJ CJ
)OOS (l- 43 pi!
OT AL
Electrical
j 2&'
)I
Structural Engineer 3/r/0
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2003 -470
Printed: 3/25/2003
Applicant: JULIET SUZMAN
Owner: SUZMAN JULIET
JOB ADDRESS: 1069 NE 91 TERR
Contractor YOCOM, CHARLES WILLIAM
Local Phone: 954 - 961 -1424
Parcel # 1132050010080
If there is no permit packag
fee is $50.00, which must be F
This Permit is granted to the contract
ordinances pertaining thereto and with t
and approved by the proper municipal a
authorization. A further condition upon
ordinances and regulations pertaining t<
by his agents, servants or empl. ees.
Signed:
In consideration of the issuance to ml
with the plans, drawings, statements or
myself, my agent, se mploye:
Signed:
Y All�na.p
20,X$
=PO HONVUB
OL9 /99£1.-£9
Elves
savlloa
Building Permit
Contractor's Address: 710 N 70 TERRACE
Legal Description: WATERSEDGE PB 9 - 141 LOT 9 & W1/2 LOT 10 BLK 1 LOT SIZE 75.000 X
Fees: Description Amount
FEE2003 -1725 CCF $13.20
FEE2003 -1726 Radon $4.61
FEE2003 -1727 Inpector State Educational Fund $2.30
FEE2003 -1728 Builder's Bond $300.00
FEE2003 -1731 Building Fee $680.00
FEE2003 -1732 Notary Fee $5.00
$1,005.11
Total Fees:
TsdaletrO411,005.11
Total Receipts: — $30.00
G l ?
s - O - - r 31Va
ineevanlinna Sta_inencontinn
2116 bb bt :i`i95Ft 0690:1 .ut EE500.0
Page 1 of 2
� '' " 7 : J -41 vl C•'^l u and
CZO C 11 'P
YN Nog9 BIAI9
VIAOII wAt
5r / 704// W 1 0 ? HMI! JO 1:130:10
3H101
AVd
t'ZOCC ld 'OOOMAIIOH
1I31H1OLN
tPZt I-1d
S1OOd INO.LSf10
WOOOA 'M S31HVHO
PERMIT NO. •
ADDRESS: .
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT •
SECTION
BY
DATE
ZONING •
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
.
STRUCTURAL
BUILDING OFFICIAL
1. Subject to compliance with alt Federal, State.
County. Village rules end regutatlons. Village assumes
no responsibility for accuracy otter resutts from
these puns.
2. Thls copy of plans moat be available on
building site or co Inspection will be conducted.
JOB ADDRESS l t 1-2A4
APPLICANT S.GL/`t,
PHONE €t
APPLICATION re) d � -
SHEET OF
& , 1 66
DATE
C d )-end 3 \q o
1 57/ 84-tirc4A
V /• 6A
ZONING
CRITIQUE SHEET
MISCELLANEOUS
COMMENTS
1)1i (03 '0 0 PRgFc -r1 tic foot. FcNc€
POOL REQUIREMENTS:
SELF- CLOSING/ SELF- LOCKING
GATES REQUIRED
FENCE: 4' HIGH (MIN.)
AND NON CLIMBABLE
IF NEIGHBORS REMOVE FENCE/
WAII . [OWNER MUST REPLACE
WITH A 4' FENCE ON
f
eJt:Lj
1
•
G.%) r 5 c 7
INITIALS
f 4exy
• MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
.Application is hereby uinde 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.. _,/.p.1 law- 19.L
Owner's Name and Address .....M jes..... , Q � _ No../.0 •.. __. Str e 2. T- �-L..
Registered Architect and /or Engineer ,,:,. „... .,,.,, „ „n,„,,,,,,,,,,,,,
Name and address of licensed contractor
Location and legal description of lot to be built on: -�—
Lot tic2 Block / g Subdivision. Z
Street and Number where work is to be done ....7Q..Io.
Disapproved
(Signed)
Date
Building Inspector
NUTE: A charge of $1.00 will be made for
the I'lannir,;; hoard.
A r1- inspection fce of $1.00 will be charged
materials anti /or workmanship.
Chairman
Member
Member ..
Council Approved Date
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to adrnini
7 91. — z
State work to be done and par osc of bu' ing (by floors)..._
"tee-4
and for no other purpose.
New Building Remodeling J Addition Repairs No. of Stories
To be constructed of Kind of Roof Covering
Estimated Total cost of improvements $ T C � 00 Amount of Permit S... r
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 Snpfdement,
and has complied %kith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
perinit, as are licensed by Miami Shores Village.
Remarks..._ (Signed)
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 y ttrue. .
Permit No.._.._ \ r ✓ t i / 1 Date
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
®. 1 o GA'R /
r oaths and take acknowledgments, personally ap-
to me well known,
Member
Member
Member ...._ __.. ...._
Disapproved Date
making corrections or changes to this application after approval has hero obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
- 11EIC041.1•
• v; ?Leta 0
• —".• ••
; Oe
0.1
3 8•
b
0
"TcP07,
qt.".1'- '
L. v.
,. •
•
4."
0
-
Ln
la ft-Sit
•
A
17 '.. o•
t7;--Ya-ett -,$/c)742,
i
.
•
A.
8
e
1-
----,
•
R
x
i--,4,,a.
"
ciiiiglp;1—
,
..
w
-{,:g'
1
,
e-di
, .'
,
.
.
/2.0,
.,
I
,., ,,
��
ilialill
-
1
1/
11 /'TI' 7-1
..
/
•
/
��
.
'lifted?:
b�I 1'L
.
P
k
- \
• ai/pf+aN
a/XV t
, 2
6
• •
,
0
•
�
:Pro*
i
I
,t'
1- / - hu'r9 I
jai
I.
metifof-mv.
Nb94
a il
-:;:-
,_
p
1
If"