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BUILDING PERMITSOWNER'S NAME EI 57-.J. 0. PRESENT ADDRESS 700 S. 7W. 12th Avenue LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 102 N. E. 91st Street LOT 1 & Wi 2 BLOCK 7 SUBDIVISION El Portal Section 2, GENERAL CONTRACTOR E. D. Jones ADDRESS 6875 N. W. 2nd Avenue PHONE NO. 8 9 - 3 8 97 LICENSE NO. 3891 �pJ� BUILDING PERMIT NO. 9949 DATE 8 /3 1 ✓5 o PERMIT FEES 2 4. 00 BUILDER'S BOND NO. 10 DATE 8 /3 1 /5 0 ZONE R EQUIREMENTS 17,500 CU. FT. PLAN CUBE 26 ,5 6 4 CU. FT. EST. COST S 20,000.00 DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: nil p DATE 8/5/30 X NEW CONSTRUCTION TYPE CBS STORIES 1 ROOF CONSTRUCTION Tile INTERIOR CONSTRUCTION 1 .ed Oak Floors - Plaster Walls REPAIRS DESCR IPTION Liv Ftm - Music Rm - Din Rm - Liv Porch i. Dinett - Kit - Util Rm w /bath ALTERATION DESCRIPTION 2 Bed Rns - 1 Bath - Areaway - 1 car gar. ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE-SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NJ A 6 I ISSUED / � � 1 BY �I !� // TO 1 (" _ C.iG /e�+c 1 BUILrDING PERMIT AND INSPECTION R .CORD -MIAMI SHORES VILLAGE r INSPECTIONS DATE BY RE- INSPECT BY RE-INSPECT BY FOUNDATION 1 1 - .5 , 0 \', FEE TEMPORARY SERVICE $ BEAMS & LINTELS 9/22/50 10021. /29 50 JDH SEWER FRAMING 10/23/ -,0 TP 1 G TT JDH ! ,, $ -100 GAS FINAL SiCe) Dry Well Fla tter] 10182 11/1/50 $ 1.00 INSPECTIONS DATE CLEAN -UP RE- INSPECT BY RE- INSPECT BY ROUGHING 10/10/50 CONTRACTOR F. B. M Gowan PHONE PERMIT NO. 10019 1 DATE 9/ FEE $ r .50 NEW BLDG. X 1 ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO.' DATE FEE TEMPORARY SERVICE $ $ SEPTIC TANK Flattery 10021. 9/21/50 s 1.00 SEWER $ $ SOLAR HEATER $ $ GAS $ $ Dry Well Fla tter] 10182 11/1/50 $ 1.00 INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING 10/10/50 JDH GAS 10/23/50 JDH SEWER SEPTIC TANK 9/22/50 PG SOLAR HEATER FIXTURES /OZ -k-- O / f piN w' ' 1 1' Per CONTRACTOR Rosse Electric Co. PHONE PERMIT NO. 101 5 DATE 10/17 5 FEES 1 59 0 NEW BLDG. X 1 ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING 10/23/50 JDH H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL 9�-�=�l1 /- ph. fl BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE G .4U BY Ph Memo 3wn2 Frank J. LuBien 1/24/00 go CODE COMPLIANCE RE: 102 N.E. 91 ST. I INSPECTED THIS LOCATION AND FOUND AN INCOMPLETE ROOM.ADDITION. IT IS OBVIOUS THAT THIS WORK STOPPED MORE THAN 180 DAYS AGO. THEREFORE, .A NEW PERMIT MUST BE OBTAINED, AND WORK COMMENCED, OR THE STRUCTURE MUST.BE REMOVED AFTER OBTAINING A DEMOLATION PERMIT. MIAMI SHORES VILLAGE 10050 N. E. 2nd Ave. MIAMI SHORES, FL 33138 304.3 (c) If the work covered by the permit has commenced, is in progress, has not been completed and is being carried on progressively in a substantial manner in accordance with Paragraph 304.3(0 hereinbelow, the permit may be in effect until completion of the job. SOUTH FLORIDA BUILDING CODE (REVISED 1994) (d) If work has commenced and the permit becomes null and void or expires • • because of lack of progress or abandonment, a new permit covering the proposed .. construction shall be obtained before preceding with the work. (e) If a new building permit is not obtained within 180 days from the date the initial permit became null and void, the Building Official shall require that any work which • • has been commenced or completed be removed from the building site; or he may issue a new permit, on application, providing the work in place and required to complete the structure meets all applicable regulations in effect at the time the initial permit became null and void and any regulations which may have become effective between the date of expiration and the date of issuance of the new permit. (1) Work shall be considered to have commenced and be in active progress when, in the opinion of the Building Official, a full complement of workmen and equipment is present at the site to diligently incorporate materials and equipment into the structure throughout the day on each full working day, weather permitting. This provision shall to be applicable in case of civil commotion or strike or when the building work is halted due to legal action. (g) The fee for renewal, reissuance and extension of a permit shall be as set forth by the administrative authority. 304.4 REVOCATION OF PERMIT: (a) The Building Official may revoke a permit or approval issued under the provisions of this Code in case of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. (b) Whenever the Building Official reasonably believes the work for which a permit has been issued is not being performed in conformity with plans, specifications or descriptions, or approved plans are not being kept at the site, it shall be the duty of the Building Official to notify the contractor, or owner, or their agent, in writing, that the permit is suspended. Written notice shall be mailed or given to the permit holder or his agent, and it shall be unlawful for any person or persons to perform any work in or about the building or structure except such work as may be required for the correction of the expressed violations. And if, in the judgment of the Building Official, there is imminent danger that requires immediate action, the permit may be revoked or suspended verbally and written notice served later. 3-14 c Cj .Q. 2.•13..51 PAID BY T .O.E11is (o) Y EAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER 9 . d 19 s / i - 6 : - . i - / ' 5 / / a. eb -a i -si / 0 4 (?,C)- ka — .� - (3,? / - Y /a / °I f - . - ",,l_. o6 s 7 7 ADDRESS 102 N. E. 91st Street Lots 1 & WW 2 Block 7 LEGAL El Portal Sec. #2 RECORD GARBAGE TAX APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY I, f "'PAi e_ L'iV S S - , hereby apply for a certificate to re- occupy the single family residence known as ` . (address) /0.2 /U / Sf • , Miami Shores, Florida. Legal Description: Lot: 1 4 Pt/ 12. Block PB & PG: q - 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, 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 Print Name Inspected by: Comments: Dc r (e■ne **************************************_******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Contact Name: - ba r k' Ledo SSA' Telephone: 30 i 7 Buyer Seller Realtor 'V Company Name >i4 t' ack .l `y v Application Fee ($50) paid: Cash Check No. / / q(-/(,0 Approved Denied Date 2-1 Li t PAGE 1 OF 2 Date 5 /2 //O CERl 1FICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for 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 above applicant for single- family residential purposes. PAGE2OF2 MIAMI SH�, Date of Certification: AGE, FLORIDA THIS CER 1 i1- ICATE 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- FAMELY 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 HEREL t, OR ANY ASPECT OF SUCH CONDITION, AND INTERES PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building =` y. 1 - Architect Contractor or Builder r • `t ;- v e MIAMI SHORES VILLAGE, FLORIDA DATE i " ` - 19 o PERMIT N9 5944 Contractor's y 1 E ,,, License No. ❑ Work to be performed under this Permit Legal Lot Description CONTRACTOR OR BUILDER B1 f) •••••' tom.,•. BY t o ..4 Subdi- vision Address of t ' ` Value of I Amount of „ - Building 1 ` t r ` , 1 Project $ 1 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 applica- tion 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. Signed. , # t ' i i. . , 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY - $ mr-ar mo b, rb4 ■9 1066 Remarks: CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Owner, Agent or Tenant of Building Lot f • W i1ock Street Address. J ti _ Approved use by, occupancy 1" --- ezt,e Miami Shores Village, Fla., I� r ubdivision Ca --� 3- !'J 2. 4P '"t3 This Certificate of Od is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or str tures. ILDING DIVISION ��/ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Z Date r / t1 Job Address / 0 NE 'f f Tax Folio (1 .f()/ 0/7 Diy O r Legal Description / 7 ' w Z 2 Historically Designated: Yes o Master Permit # 7 f b (4 1 ( "f Phone ( ° / " ^ 9 9 Owner/Lessee / Tenant ✓tf d H /t2 /, Ja IVY1tit! /Al/ to Owner's Address 0,57 ✓f t C/ Y BLV S ii 'f t (d, Contracting Co. Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION / AYE_ H ertv 1 r'LI 8tl f L4J 12 Square Ft. Estimated Cost (value) 3 O o a 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 OF 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 wor construction and zoning. Furthermore, I authorize the above -named contractor to d o the . �� Signature of owner and/or Condo President Notary as to Owner and/or Condo President Date Notary My Commission Expires: FEES: PERMIT APPROVED: Zoning Mechanical RADON Date Signature of Buildin Vt `d /lA a ' • . ct r r Own • -Bu • •h 1• . 0 YS GLADYS J VILLAR NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC:114103 MY COMMISSION EXP. MAR. 1 002 My Co to Contractor ssion Expire C.C.F. ' NOTARY BOND TOTAL DUE -S Electrical pliance with a pplicable laws regulating x/ 13-° 7 -(90 Date Plumbing Structural Engineer '‘• MIAMI SHORES VILLAGE r • BUILDING INSPE6TION DEPARTMENT PLICATION FOR BUILDING PERMIT .pplication u _ eu for the approval of the detailed statement of the plans and specifications herewith submitted for the build - g 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. Name and address of licensed contractor__________ ' (4' 3 ,19_x__ J Date Owner's Name and Address �" k A \' ` • ` 6 Registered n_ r:. and/or Engineer 1�� n�_� ._ r:T ,sr -a ? fl a ) e / ._ r No Street ? S J � . � ' �' v Location and legal description of lot to be built on: Lot 1 > t''' 2 Block '7 Subdivision_ ""°nom- • th%) \ `-^ 4 ''" q• Street and Number where work is to be done J 6 ...1, State work to be done and purpose of building (by floors) _ la _ t -, r- T--.-....\ :7?,... `"' -.4 STATE OF FLORIDA, COUNTY OF DADE. ss. New Building • Remodeling Addition Repairs No. of Stories__ To be constructed of C- ,3 5 Kind of foundation r ` Roof Goering Estimated Total cost of improvements $_____ ittti 1 ! ________ _Amount of Permitt�$� 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 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. 7 tea / 3 k ?-3-v , and for no other purpose. Remarks (Signed) 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 carefu read the foregoing application, and that he did sign the same, and that all facts therein by him stated aretrue. } �f Permit No Dat _ [ _ ead, Sworn to and Subscribed before me. i1 � p � Disapproved � ! ) Da ___ �_ ,� r� 1 Notary Public, State of Florida (Signed) �_� 1�. / 1 ildin� w'ct�� "CCJJJ � f My Commission Expires PLANNING BOARD DATE Chairman J Member Member Member 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 app ;oval 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. W 1J i ' 1` i t ge, '• t . ~ L. t_ t f 4 ��. ' ►V = l (1..00 o f S L o O .0 x 1, r6 = �' p 23, 0 )( 4- • c t' 2 - 39,3 x 3 .SZ = (34,<Z f -Lo 6.3 r- la 3,2 I fX10 \ 25 5C4. pn.ac ,„10 2QJ� 4- Lod 1- W � 1, f S - CC— 2e t Po rt. TA C o 4 '_))0:S" ti EL -83 v. �1,'3c 3c63. '" :1 3,5 = 5,'24 (225.3 - for4i- I P AC V -1..R-` 3 °F Fl_oort. To _ j Loor t : 2 ' � Is 3' r2 g`Z.. Miami Shores Village 10050 NE 2nd Avenue Printed: 8/31/2005 Applicant: Owner: JOB ADDRESS: 102 NE 91 Contractor ICOA CONSTRUCTION Local Phone: 786- 326 -4041 Parcel # 1131010190010 Signed: (INSPECTOR) Building Permit Phone: 305- 795 -2204 Permit Number: BP2003 -465 ST Contractor's Address: 1101 S.W 18 COURT Permit Status: CANCELLED Permit Expiration: 9/20/2005 Construction Value: $2,400.00 Work: STAMPED CONCRETE DRIVEWAY JOB WAS NEVER DONE SEE LETTER IN FILE Page 1 of 1 Legal Description: EL PORTAL SEC 2 PB 9 -115 LOT 1 & W1/2 LOT 2 BLK 7 LOT SIZE 76.800 X Fees: FEE2005 - 11864 Description Amount Building Fee $60.00 Total Fees: $60.00 Total Fees: $60.00 Total Receipts: $60.00 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: DELUXE TITLE AND ESCROW, INC. REAL ESTATE ESCROW ACCOUNT FILE #: 2005 -745 AMOUNT: $60.00 DATE: 08/16/05 CK #: 93950 PAYEE: -- Miami Shore Village SELLER(S) -- Andrew S. Tee and Berna Kahn Tee BUYER(S) -- Andrew S. Tee and Berna Kahn Tee PROPERTY LOCATION -- 102 NE 91 Street,Miami Shores, Florida 33138 Permit #BP03 -465 CODE: ALT: 093950 Repined From: unknown Page: 5/• Uate: / /21 /2UUS 4:4b:42 I'M ++1 rn r i anurc= V 1 L y310 5ti .eeiL•f'r ONE -STEP LIEN SEARCH, INC. 13155 SW 42 ST 202, MIAMI FL 33175 Phone: (305) 822 -9979 Fax: (305) 822 -9987 LIEN REQUEST FORM Attn: CL.ARA BENDER Miami Shore Village 10050 NE 2 AVE Date: 07 -15-05 Miami Shore, x'1331.38 Folio: 11-3101-019-0010 Prop: 102 NE 91 ST • Please provide us with the lien letter for the following property. Attached you will find a check for $25.00. Please fax it to the above fax number as soon as possible, or seed it by mail,. Thank you very mach. Sanitation As of today's date, 07-2.1-05, the above property is paid in full $174.63 for garb and stonnwat+es fees for the service period of 07 -01 -05 to 09 -30-05 with no balance due at tl s time. 'ease advise the efqrAgaerzt etfiafofforviv Mort payiotj s g vwst b� t to the 4irufer, imerferar property sates orerzensfet; itxr Irangjent-gg rercaireaofthesettforreta , +e` ' er, ar(305- 756m$9_T_2,j : te a the atte ntion,o, f "loam Ber sa Oder to Mate our le q:rtafiff Cede ignforeemet p There are ca rely no Code Enforoemeat violations on the property. Railing There is one enured permit #BP03 -465 for a driveway with a balance due of $60.00. Please contact Mabel at 305- 795 -2209 for more information on expired permits. To dam there bas not been a certificate of reoccupancy application which is required by the Village's Code prior to the sale of the property_ If the above described property is a vacant lot, eondoml or a townhouse,, a reoccupancy certificate is not needed. ..: ; 1- .f• Approved By: Madc Wolk, CFO Dete NQ.614 P002 August 18, 2005 Village of Miami Shores Miami Shores, Fl 33138 Dear Sirs, RE: open permit on property address. 102 N.E. 91 Street, Miami Shores. Further to my discussion with a member of your staff, Mable, I was asked to advise you of the following. 1. The proposed circular driveway project was never done. 2. We gave "ICOA Contructions" a check in the amount of $ 60 -00 around Dec of 2003, to obtain a permit, but then cancelled the job due to financial reasons. 3. We were never given our money back and did not know that your office had issued a permit. 4. Because we have just re- financed our home this matter came to Tight and as a result you have been paid the outstanding $ 60 by our "Title Co ". Please close out the permit on this matter. Yours faith ully l Andrew Tee ( home owner ) Andrew & Berna Tee 102 N.E. 91 Street Miami Shores FL 33138 . 86 fo— • 000000 • • • - - • . . .• A Q `" Ooh @ Seu4o0114, ki E� . ••: . . . 0 • • . • . • . • • • • • • • 0 • • • • • • . 0 • .. • • • , • • • . . . • ... • • ... • ST Oke):-E- : 30 neuz .• • • : • : • • •• • : • • 0 00 • JABIRU COMMUNICATIONS Andrew S. & Bema Tee 102 NE 91M St. Miami Shores, FL 33138 -2810 A rreWilot Met , �i 1) %tc 1 A'11 ( uILD1t-Jc �� 1 • • • • • • •• • • • ••• • • • • • • • • •••• • • • • • • •••• • • • •• •• •• •• • • • • • • • • • • • • •••• • •• • • • • • •••• •• • • • • • • •• • • • • • •• • • • • • • • • • • • •• Owner's Name and Address Name and address of licensed contractor STATE OF FLORIDA, COUNTY OF DADE. J ss Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT Application is hereby wade 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 prpgress of the work. Date.. / � � . I11� No..../. .. ...... Street-9 .. Registered Architect and /or Engineer Location a legal 2eri of lot to be 7 G - on: E f ez7 e --r Lot Block Subdivision. Street and Number where work is to be done / ? ° c C t ` > C; ` f_ . State work to be done and purpose of building (by floors) ___... _..._ ...___.._ . and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation, Roof Coe1ing Estimated Total cost of improvements $ 4e -el ' Amount of Permit $. LO 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 pennit 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, Pennanent 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such s •ntractors, on work to be forme under this pennit, as are licensed by Miami Shores Village. Remarks..._ (Signed) 2 '4L-4 . L ° 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 stated are true. / / Permit No.____ _ 1 �� Date 1 1 / (e - gad, Sworn to and Subscribed before me. -7 ate Building Inspector F. Notary Public, State of Florida y Commission Expires to me well known, PLANNIN' t aARD _.._ DATE Chairinan Member Member Member ... - ..- 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 fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 14) , • MIAMI SHORES VILLAGE Owner's Name and Address 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. � Fl< <s Date q ` 9 [_(E. No 1 uZ— Registered Architect and /or Engineer .... Name and address of licensed contractor _�o,� Location and legal description of lot to be built on: 4-1--( d " Lot Block Subdivision 44 1 - 3____ �__.�� Street and Number where work is to be done State lc to be done and yiurpo of building ` (by fl ors) ,. Notary Public, State of Florida Stree 1 �7 19 4 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ 6 • 8-C) 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 specific ns for said building. All notic with reference to the building and its construction may sent to �` 1 o �- The undersigned applicant for this building pennit 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 -contr ors 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 • k such public notice or notices as are required by the Act. The undersigned agrees to employ only sue subcontractors, on work to - •-rformed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed) 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 Date CC _ �` Read, Sworn to and Subscribed before me. Disapproved Date ( Signed) R _.. Building Inspect My Commission Expires PLANNING BOARD DATE Chairman Member Member Member 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. MIAMI SHORES VILLAGE. FLA. JOB S ADDRESS 1 INSPECTION I T IME READY REMARKS : INSPEO INSPECTION TIME READY REMARKS : INSPECTO MIAMI, SHORES VILLAGE, FLA. jj0 6215 • JOB J d s E ' o f GAa ADDRESS t O ') fJ , 1 , 1,4 /I y DATE DATE is 1. BUILDING ELECTRICAL PLUMBING ROOFING 6 'fie Owner of Building Architect Contractor or Builder Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA 0 DATE E PERMIT NC' 5682 Contractor's . -- License No. I EL/ 2' Work to be performed under this Perini 3 1,-,, CI .. 1 CONTRACTOR OR BUILDER t t• ;. ; Address of Building V Bl BY t , ( Subdi- vision Value of Project $ Amount of 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 applica- tion 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. Signed. C.: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance With all ordi%elirand regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. AUTHORITY / itj 41110T lee*. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -22 Buil•'ng Inspection Request Date / °2 Type Insp'n 7� Permit No. ✓ 0 /3 LI Name -eA ''a Address Company Phone # For Inspector: Approved Correction Re -Insp' n Fee Time L3 Name & Date '7