800 NE 91 Terr (10)3 , PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
t� - 1 I c0.6 D 7)5 a3q 0I,
Date , . J� � Address � i ■ . . Tax Folio � V
-1 1: v (five '
gal Description - ...,, t�K� .e "- ncally Designated: Yes No
Owner/Lessee / 7
Owner's Address
Address
Master Permit #
Phone 2(3 ®,J >,S 3J' 4t )
Contracting Co
Qualifier - Phone o 5 >,f $5
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one). ; UILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTIO
i F
Square Ft. Estimated Cost (valuer s7OP
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 all work will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date No
My Commission Expires:
FEES: PERMIT
APPROVED:
RADON
C.C.F. a NOTARY
Zoning 0, 4/6 Building
Mechanical Plumbing Structural Engineer
7—/c2
Date
4
Jr'
GLAIYYS; VILLAR
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC7 4103
MY CON MISSION F?CP. MAR. 1 002
i a
a e of Contractor or Owner- Builder
as to Contractor or Owner- Builder Date
My ommission Expi
/ie , 990 , 5 - 8K �y
� 9 -/2 -0/
Electrical
BOND
TOTAL DUE
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE:A
OWNER'S NAME: ' PHONE: k
ADDRESS X (\. .. -• r.'' -•
ADDRESS OF SITE:
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls o v a �' cl �1 �� a y S e
Fascia [Dv
Drip Cap/Drip Edge
Soffit W h P
Roof 'NA; )7 fi e
Flower Bins ■
Shutters
Awnings
Chimney
Doors and door jams
Garage Doors
Railings
Fences
Decorative Metal
All brick (simulated or regular)
Stucco Banding
Any other stucco features
Accessory Buildings
Other
Building Official Date
0
s
° c ot I
ger
0
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. I authorize the above -named contractor, if applicable, to
do the work stated. Furthermore , the paint colors will be as per the attached
samples.
Signature of Owner Date Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED: WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: 5 , , kk-1 c p /
OWNER'S NAME: P 5 j °, A '
ADDRESS: c8 co ,v . e Y /8 c9__
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE:
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls gl c 5 .`c /. E ?EC_
Fascia o
0
r
0
Drip Cap/Drip Edge ,J
Soffit J�-
Roof
;kz
Flower Bins
Shutters
Awnings
Chimney
Doors and door jams
Garage Doors
Railings
Fences
Decorative Metal
All brick (simulated or regular)
Stucco Banding
Any other stucco features
Accessory Buildings
Other
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. I authorize the above -named contractor, if applicable, to
do the work stated. Furthermore , the paint colors will be as per the attached
samples.
¶gnature of Owner d ate Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED:
Building Offal
of
Date
PHONE: kGS > .)Ws_y;
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date / 8 — N1 L,– Job Address $ 00 ME q/ 7 v7 €' , Tax Folio
Legal Description 4, 67 / J 1 L ` c k S
80 e ) -- K2A1A/2_,
Contracting Co. IQ IV
Owner/Lessee / Tenant F jA/1 ,) L
Owner's Address
Square Ft. 2
ax
Signature of owner and/or Condo President
Notary as to Owner and/or Condo President
My Commission Expires:
FEES: PERMIT 0 RADON
Date
C.C.F. 1-
Historically Design
ated: Yes
Master Permit #
Phone — 309q
/23s - 0 w)3%4
Address 2-O4 .. S°c-- / 7(
Qualifier EA ►2 L u i ka. .
state # Co Municipal # Competency # Ins. Co. / 1 Y. -
Architect/Engineer Address
Bonding Company 4 Address
Mortgagor Address
/(/
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL
; ROOFING PAVING FENCE SIGN
WORK DESCRIPTION i P 1i O �1 1" i epta
Estimated Cost (value) 7 0 3 °
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 work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named cons sr t• do th- •• . tated.
APPROVED:
Zoning Building
Mechanical Plumbing
No
Signature S+a or- o�$7(p�(Wpi1�PT�aiR ,�1
(in t- r..% -'LJ Ir �'IVIPYL aICiYLp • *; u,. *= Estela Regueira
My Commission Exprci
-,. .
;,f,‘" Commission ^r •
Notary as fbtontcactor or Owner - Builder
My Commission Expires:
Electrical
Date
6° NOTARY BOND .3190,
TOTAL DUE 3O- b
Engineering
1624 N.E. 151 ST. MIAMI, FL 33162 TEL: (305) 947 -5618
November 20, 1996
Miami Shores Building Dept.
10250 N.E. 2 Ave
Miami Shores, F1.33138
Re: Mr. Emile Saint Fleur
800 N.E. 91 Terr.
Miami Shores, Fl. 33138
Dear Sirs:
At the request of Mr. Saint Fleur, we conducted an
inspection at the above referenced address on November 19,
1996, this is a summary of our findings.
An existing 6' -0" section of the overhang at the north
west corner of the building suffered some damages. Essentially,
all of the damage was localized at the tail ends of the
existing roof truss system. The existing roof trusses are a
custom built system made of 2 "x 10" members as bottom chord and
2 "x 8" rafters as top chord. The bearing points as well as the
connection to the existing tie beam are intact and have not
been affected in any visible way.
We recommend that the trusses be repaired by saw cutting
the tail ends and fastening new 2 "x 8" extensions to the
existing top chords as shown in our attached drawing. The
existing 1 "x 6" T &G sheathing system should be replaced with
same using 8d nails @ 4" o.c. as noted in our attachment.
It is my best professional judgment that this roof when
repaired according to the specified recommendations should
adequately carry the superimposed loads acting on the building.
This report addresses solely the structural integrity of a
region of the roof trusses and shouldn't be construed as a
warranty of any other part of this structure including any
roofing work (tile and covering) done by others.
If I can be of any further assistance do not hesitate to
contact me.
I D THONY 'f? . E .
a
FERNAND THONY, P.E.
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J. B. FORD CO.
1774 W. Flagler Street
MIAMI 35, FLORIDA
Phones: FR 9 -3508 FR 1 -0027
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aver of t.ar 13, BLACK 3,
•• GATE PARK ADDITION
ccording to the Plat thereof as recorded in Plat Book
Public Records of Dade County, Florida.
For JULIUS PETERSEN
a a l7C1_,g
DatedULT 34.9
7
, at Page 130
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50
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I i 17 i / l°i 20
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I HEREBY CE� IFY that the attached sketch represents a survey
made under my direction and is true and correct
There are no encroachments except as shown.
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F la at ` > ;lc j a 5 (.4 „—k S�
Plak d,S1 C;G 30
FiLld d1% (57o 42
S EhcA- r.
LOCATION SKETCH SCALE 1 • • 100 feet
LOT DETAILS SCALE 1w • 20 feet
REGISTERED LAND SURE ORS 427
STATE OF FLORIDA
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25
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MIAMI S H O R E S 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 :1liami Shore.. \ iilage shall' he complied with, whether herein specified or not. A copy of approved
plans and specifications must be kepi at building during progress of the work.
Date /;
.'
" . •• z. C .
Owner's Name and Address.___ L
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' ! , �!
Street and Number where work is to be done
State work to be done and purpose of building (by floors)___
New Buildin
To a constructed of
Estimated T ;tal cost of
Zone cubage required
Remodeling
-
Kind of foundation
improvements $!Zo -0- - ' 0
No
Amount c`. Permit $.
.Plan Cubage_ _.
Size of Building Lot
- ---- --- - - - - --
a t.c_c��ltr FI .:
. and for no other purpose.
Addition_.. _.__ _ -_ __ -- . -- Repairs_ _ . No. of Stories �!
Roof Covering./-0.L t :4(L' �. ®-9p-
i
c
Distance to next nearest building__ .... .
Maximum live load to be borne by each floor
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 lint he understands and accepts his obligations as an e mployer
of labor under the Florida Workmen's Compensation Act. being Suction 5966, Compiled General Laws of Florida. Perncancni Supplement.
and has complied with the provisions thereof, and will require similar comnlianc•e from all contractors or sub - contractors employed by hint
in the woak to he perf:,rmed under this permit: and will post or cause to be such for inspection on the
woe'� w o r kfs uc h du ,b l i( no
or r,oti:.es as are required by the Act. The undersigned agrees to employ ^
permit as are licensed by M•ami Shores Village.
AA
Remarks__ ( Signed /1�,t!' .e .C_ v " � '' z.'` G�.L -
STATE OF FLOBIDA, ss.
COUNTY OF DADE. 4
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
eposes and say th he is the
ally read the f,r ing application, and that he did sign the same, and that all facts
and who, being by me first my sworn, :) •
of th. abov. described , , ms uction, that,
therein by him stated are tru
�! It Permit No - 1, � Disapproved -
( t i ector i • (Signed) -- -- u • , ,
LAS '`ING BOARD __ - - - - -. ------- - - - - -- -DATE
________..--/ Member ..._ .
/
Chairman
Member -- /- - -- - - - - -- - ..
Member
Member ._I ..__ .. Member
Date
Council A`spr• #ed
Date Disapproved
NOTE: A charge of $1.00 will be wade for making corrections or changes to this application after approval his bee a obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is ma e necessary by improper notice for impe' t on or .v. ty
materials and /or workmanship.
ead, Sworn to and Subscribed before me.
Notary Public. State of Florida
My Commission Expires_
,196 -
to me well known,
ee�