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1125 NE 91 Terr (4)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date / 5 Time Type Insp'n fi4t4 Permit No. Bp cu® a- - /42 Name ity-fPir Address ,//i - /V Company elnllit -e / Phone # 3O." 02/5"- 74 26 For Inspector: Name & Approved Correction ❑ Re- Insp'n Fee ❑ Zn a,� 4_ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date $30 - OZ Time Type Insp'n Permit No. A 7 oleo z - AS-7 Name YC5S Address /' 4 VreAA Company s.:# ` ol5 Phone # For Inspector: S -D Name & Date Approved Correction Re- Insp'n Fee o Date 0'02,5'00 Time Type Insp'n L,cu /a4,47 Permit No. /3/ " 757 Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request 3 ®S'‘3 /7e0 For Inspector: 1 °02 Nam Approved Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date `'/,,W67... Time Type Insp'n d 4: 1 -"/(k Permit N f ' 'J` ) 0 a �J Name g , 5.c Address /f p /4d 9/ 7.2W Company $1 Phone # � t s 7'o For Inspector: 9` /P, Name a Approved Lj Correction ❑ Re- Insp'n Fee ❑ f ��� ' C € / ( /Y' Location and legal description of lot to be built on: Lot Street and Number where work is to be done STATE OF FLORIDA COUNTY OF DADE. Permit No. Disapproved (Signed) J SS. 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 building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address M4 a,46ST4 am. w.400 Date � /5 0 19 ? No. /1 Street 7) Registered Architect andior Engineer n / p J Name and address of licensed contractor 4 ��`* kr A � Q ° p `6 e Block Subdivision State work to be done and purpose of building (by floors). state exterior colors (submit samples) a i Vaths1 r4)17 / '' 45 4 c.7° S di,e AS PHA and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Ro f Covering Estimated Iota] cost of improvements S 150.00 Amount of Permit S y t 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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to -di 4 109 01, 416 f.95),S / F 23/V_, The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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 s> to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersign- - :gre•. a loy onl�r s trot . . on work to be performed under this permit, as are licensed by Miami Shores Village. OrAi Remarks (Si • ed) - t= Before me, the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments, pers .peered 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 foregoin_ application, and that he did sign the same. and that all facts therein by him stated are true. Date Date cro Read. Sworn to and Subscribed before me. Notary Public. State of Florida to me well known. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials andor workmanship. fr I, IN NA W a J (06 - DIKa!?,0 (U - 4 4 . 010H- , hereby apply for a certificate to re- occupy the single family residence known as: (address) i) a we q l STr 'TERRA-cc , Miami Shores, Florida. Legal description: Lot: ,Block: ,PB &PG: I hereby certify that I understand that the zoning of the property is for single- family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, Florida, certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. Applicant: Contact Name: Comments: APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY Print Name: W I t,li I lanki 1-41 n IN ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For the purposes of conducting the inspection required by Section 902 of the Miami Shores Development and Zoning Code, contact: Telephone: iq T 7 4 Bu Buyer: Seller: Realtor: Company Name: O -3112 $ �� 7 Y _ _ � P Y Application Fee ($50) Paid: Cash: Check:,'Number: 19 Inspection: By: Approved: Denied: Date; 7 CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the application has been inspected for the purposes of re- occupancy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the applicant for single - family residential purposes. MIAMI SHOLS VILLAGE, FLORIDA By: Date of Certification; THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE - FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PARTIES ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION THEREOF. — " 9 87. 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. 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: f ,7, `" - `` G ` Lot - .- ___ /_t_.1 Block- ._.. ". -...._ "Subdivision Street and Number where work is to be done E State work to be done and purpose of building (by floors) New Building L Remodeling Addition To be constructed of.__ ?_ Kind of foundation (ln - Estimated Total cost of improvements $ - " :� Zone cubage required Disapproved i ' Date- -- (Signed) L "� e: Building Inspector Chairman Member Member ..._ _ Member Date v No 1 >t PLANNING BOARD DATE -1 - Street Repairs No. of Stories Roof Covering___L:.r' 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 specification for said construction_ m - ing. All notices with reference to the building and its construction y be sent to -�• i ' � ��!-.-;:--•_..._ '� 4 - Z - L�" _.,' , — , �i rl o -C -- V--1 - r. a _, and for no other purpose. 9 � The undersigned applicant 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 ; Remarks (Signed) ,'y ;LJ 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 stated are true. Permit No 3' Gj__ G Date —� — j Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires 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. OWNER'S NAME /I D ‘ .09- C.... S 7477c'# f!d_ PRESENT ADDRESS LICENSE NO. ILHONE NO. //Zs JOB LOCATION (ST. OR AVE.) W .. S/ '` 7c- 1 LOT /6 -/7 BLOCK / SUBDIVISION /4J4 -?mss e -.,. GENERAL CONTRACTOR Q- +;4 -st-sC- - 49 K-- C:il Q , / ADDRESS / /oJ 5. 4..7 isz4e.„ Re PHONE NO, LICENSE , c C �-/ BUILDING PERMIT NO. dtT ' ' DATE 6- 47 _ /foCC cela04� PERMIT FEE $ BUILDER'S BOND NO. 2 3S . " '" DATE nn ZONE K - ZO REQUIREMENTS �...J o-- CU. FT. PLAN CUBE ,• '. 47 CU. FT. .Td EST. COST S 2 1, 0 J o DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: Q - - ° - , nn4 /4 -/L(d_, L, �„� I DAT= b' - — 17 NEW CONSTRUCTION TYPE a lb S STORIES �� ROOF CONSTRUCTION INTERIOR CONSTRUCTION - 7 , `` _ I. , ��,...,. - 2 REPAIRS DESCRIPTION 2c-7 . ag - ALTERATION DESCRIPTION ADDITION "Z9 * T.el.7s? - 77 (-C S <Ccs $ 0 ." -��-5- SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS r CERTIFICATE OF OCCUPANCY NO. ¥+ I ISSUED BY TO' D • '- 9 -t �- BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION PERMIT NO. S ROOF I S BEAMS & LINTELS I S POOL DATE BY FRAMING BY RE- INSPECT AIR COND. ROUGHING FINAL S FIXTURES CLEAN UP TUB & TOP OUT „ SLAB. eF /� �I s : D 3 - ��O , c..1: et, �/7 ,J _// SLAB SEWER TEMPORARY SERVICE 1 1 S SEPTIC TANK ,_ ? ��.,.> %'.. - �_, �r ,� ._ 'G - -° 15; SEWER I S SOLAR HEATER PERMIT NO. S GAS I S C, .,.. y y TEMPORARY I S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING S FIXTURES TUB & TOP OUT „ /p7 Q /J;3 /� �I S FIXTURES & FINAL SEWER SEPTIC TANK «k / ,..441.„‘ -- - -/2 E -p9 SOLAR HEATER FIXTURES GAS CONTRACTOR C + . c. E -Fc7�j C. PHONE � PERMIT NO. / K 1 DATE je+ d / FEE S NEW BLDG. )( 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE a SERVICE �`� �� �._ :- ��i,�. -'s C, .,.. y y TEMPORARY H. W. HEATER CONN. H. W. HEATER CONN S RANGE CONN. S MOTORS S FIXTURES S S INSPECTIONS DATE BY RE - INSPECT BY RE- INSPECT BY TFMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL lb k //l / l BUILDING INSPECTION Q • • CONTRACTOR PERMIT NO. NEW BLDG. SPECIALS PERMITS PLUMBING PERMITS & INSPECTIONS DATE - 1 ALTERATION I ADDITION PERMIT NO. ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE DATE BY PHONE FEE S REPAI RS 6-30 FEE ; k tIr ° ) C . .0 !loPtr 1 /5 ;i7, p. c - . i , . , '. • .- - - / --1-- , - - i .)‹ ,!-- _ p - .... , ,, ; :, . ,,,,, ._ 7 , .., • , .. — le - - ',17 — U — .—. a-7 r ' s \t'' '• / 9 — ' — __L■____11_,_7 "F - 1 Q a `,"., • p " - _ :4; x ,z5 • r i lv.}14-14-ft 1 ' MARK SECTIONAL AREA SQ. INCH *9C% Co rce Aggregate Fracture SAMPLE PROJECT LOCATION OF POUR CLASS OF CONCRETE SLUMP OF CONCRETE . CONTRACTOR ADMIXTURE SUPPLIER • PITTSBURGH TESTING LABORATORY 3281 N.W. .7th STREET MIAMI 35, FLORIDA AS A MUTUOTECTION TO CLIENTS, THE PUBLIC AND OURSELVES. ALL REPORTS ARE S D AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AND AUTHORIZATION 507 B I AT�CI�.1 DFSTATEMENTS. CONCLUSIONS OR EXTRACTS FROM OR REGARDING REPORTS 1S RESERVED PENDING OUR WRITTEN APPROVAL. i n �, LABORATORY NO. 3 e � ' 5 / 73765 JOB NO. FILE NO. CUSTOMER'S ORDER (.. ,yve 1� Q.', t�..,r:p simod'..y.•'�,.�� pie:) `i�'n<') ' ...... :. ✓�.- .. :J.� -�'� Note: Above reported strength of concrete @2 8 days by d ot :: :;t meet the rec as set fo Buii,_;io4, Officials Committee of South Florida, Policy on Handling &. Testing Concrete. COMPRESSION TEST CRUSHING LOAD LBS. 68 , 000 70,25o 67,250 OATE REPORT OF TEST OF 6" x 12" CONCRETE CYLINDERS 138th FOR q C,( :g �1 �-> !: cc��`8 Ci `i,I 96 CRUSHING STRENGTH LBS. PER SQ. INCH Sept.10, 1959 (28) 2410 2 2 21120 r;.r 1� ..' E .• .ism 3 _.'0 ti" ` QUANT ITY TRUCK NO. TICKET NO. TSBURGH TESTING LABORATORY MIXING TIME BLDG. PERMIT NO. . AVER. DISTRICT MANAGER FORM 1221 -MA ^vN AG E DAYS