9301 NE 9 Pl (3)Al- a / &8
Disapproved
(Signed)
Building Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby wade for the approval of the detailed statement or we plans and specifications herewith submitted for the build
inc 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...Z. f? rL?� ?_ �. ....c ���� -� A _ No.» .Q.I��Street� cam... ���? �4, ��
Registered Architect and /or Engineer
I kirs
Name and address of licensed contractor.ti�O�L� /..... (� _._."�. d. 1 (
Location and legal description of lojto be built on:
STATE OF FLORIDA, ss a - 70 _ 7 gs
COUNTY OF DADE. I
ez:rG .
Lot....Q 14 e , ,'S - 4"er4Ilock Subdivision (oz. ''--.4'..t! _.._..»_..! :9 ,74" - 7 eoie._l."
Street and Number where work is to be done 9 - 2 Li'/ 47 ' _ 2. P `4 ..__ ...._.____ _
p g( Y floors) _ /. .e
State rk to be done and purpose of building b floors ..� .d�r� .. �� .l.Q J... ,. � ✓ - :.1..P.f_?�r_...� :_ .�.: c..._._
4/.t.... .. ;?z..„ ...r,.6 ... .(0177 _..- - _
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Rood hovering
Estimate Total cost of improvements $..c..3.6.a.
Chairman
Member
Member .. _....._......_..._._...._....._
Council Approved Date
NOTE: A charge of $1.00 will be made for making corrections
the PIannir.;.; hoard.
A re- inspection fce of SI.00 will be charged
materials anti /or workmanship.
Date -
Amount of Permit t.. .4I
...._........ for no other purpose.
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 Snp r leent,
anti 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 work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks
(Signed) 7 �
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 than all facts
therein by him statue w
Permit No.._... ‘4' � 1 ' Date / lc 6' Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
PLANNING BOARD DATE
My Commission
Member. ......_. ........_....._....._._ ._...._....
Member _
Member �.._._.. »... ».__._
Disapproved
or changes to this application after approval
Date
has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
STATE OF FLORIDA
COUNTY OF DADE.
Disapproved
(Signed)
} SS.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Owner's Name and Address Dr. Andrew Berman
Registered Architect and/or Engineer Samuels/Richter
James Dentico Contracting, Inc.
Remarks (Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared
James L. Dentico
Building Inspector
Date
PLANNING BOARD
756 -ass
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.
Date August 24 19 87
No. 9301 Street 9th Place
Name and address of licensed contractor J ames Dentico Contracting , Inc.
Location and legal description of lot to be built on: /1 /--
Lot Block Subdivision f �, • 4 / // 3 65"
Street and Number where work is to be done 9301 N . E . 9th lace
State work to be done and purpose of building (by floors), state exterior colors (submit samples)
INSTAlilHG C &MAL iIC - S Tt210P .- 7 / W/
and for no other purpose.
New Building Remodeling Addition X Repairs No. of Stories one
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 1 OW Amount of Permit S 5(i d'115
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
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 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 ag{ees to employ pply such subcontractors. on work to be performed
under this permit, as are licensed by Miami Shores Village.
e
F r: James Denticc Contracting, Inc.
MGO /r972r
to me well known.
and who, being by me first duly sworn. upon oath deposes and says that he is the mechanic 2.1 contractor
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. .2 14 k Date I Read, Swor and Subscrib
Notkersr l3 Plis, tt at Largo
My Commission Expires May 20, 1990
My Commission Expire
tbtyey Insurance and Solids, Inc.
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of 525.00 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 and/or workmanship.
Owner's Address
Contracting Co.
Qualifier
WORK DESCRIPTION
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Owner/Lessee / Tenant A 6/ /9 x / f ,4 L. / IA. /A
? l L N• ? ' Tax Folio
Legal Description Historically Designated: Yes No
;off 9 ,OL
Aoo/ acon)77 /(
t etc ,BAD
State # C- 61S Municipal # Competency # Ins. Co.
Architect/Engineer Address
B C Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
4 /hr //.4 -7 ) c / c f9C 1 •
C0N(r) 11) ji (. Mi1/4
Square Ft. Estimated Cost (value) .6000. 00
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 r. will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contracto the work stated.
Signature of owner and/or Condo President
Date
Signature
Notary as to Owner and/or Condo President Date otary as ■to Co tra'?ire
My Commission Expires: My ComnifissiotilE ` `+ "'riffs:'
C.C.F. °�— NOTARY
Master Permit # C-? J 9'7 AA
Phone ll
Address 5 7 C. CJ(J
SS# -� — 243 V OU
er- Builder
er- Builder Date
T
_) - 0
BOND /
TOTAL DUE
// - e
Date
APPROVED:
Zoning Building Electrical
Mechanical �� � Plumbing Engineering
ITEM
BATH TLB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIOET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WINO)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL) ( QNir5 )
70d
U ii 4
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
OUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNOERGROUTO TANKS
LAVATORY
_
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
MOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MIOTCRS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIOENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MDTCRS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SLPPLY TO:
AIR CONDITIONERS
•
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
_ GENERATORS TRANSFORMERS
•
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER- REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMIMERCIAL
WATER SERVICE
,
SIGN TUBES
SEWER CONNECTIONS _
SIGN TRANSFORMERS
UTILIrf-SEWER
SIGN TIME CLOCK(
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
.
ORAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
L, ,
CATCH BASIN
�°
l°61
DISCHARGE WELL
-
OOMESTIC WEL
o
AREA GRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
(-)
POOL PIPING
LAWN SPRINKLER SYSTEM
.
GAS RANGE
METER SET (GAS)
GAS PIPING
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL