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934 NE 91 Terr (5)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date J r7 Job Address 7 3/ Ai L C7 L Tax Folio Wei 7. )=r t a� kor ¢ aari• Legal Description �5 7 ,� y ,1 e La*: 2_ s Riat6rically Designated: Yes No (/I,essce / Tenant JQ HA" L, > /C/<& j Master Permit # Owner's Address T.31- � _ � � �l 71-= 1 / 4 A W4 ,511/2P S Phone - 7. cg - $ s' Contractor Co. ' a s C j f^' (' t ! r t7` -_ / Contracting •• :�.�.f- ��sii1/�C1 ' I �4U Address c �l,jc 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 IW 5,19L t 9N'1L TO 1 roc(I a '4 (/ X J ' AY niet i 1) /71-i T)/ 1 4 , 5 1) 5E 1 Pin(' I l ` = / . ) M , i • h 5 " / k _ & & P z - i ff ,, (S ( - .s y) Square Ft. 00 # . Estimated Cost (value) i (2O 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 contractor to do the work stated. L i 7/p+117b Sr ature of owner and/or Condo Pr p ident Date f Signature of Contractor or Owner Builder Date Notary as to Owner and/or Condo Presi dent Da e ��� My Commission Expires: ' ' ''' LORETTA KUSHNER :.: :.. MY COMMISSION r CC280248 EXPIRES '•.��. of Aplil26,1997 • a ,.•` BONDED MU TROY FAIN INSURANCE, INC. FEES: PERMIT e J-L t r 9:6, RADON APPROVED: Zoning Building Mechanical Plumbing Notary as to Contractor or Owner- Builder Date My Commission Expires: C.C.F. NOTARY TOTAL DUE J I<< 14 �% f Electrical Engineering .�, 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 14 11/4) c .. S To IICS136 Date atii l 19S_0 No. ?3 4 , t Street Na' 7l Male, Registered Architect and/or Engineer "ame and address of licensed contractor f tltRk Dove: Q y uJ ale_ Location and legal description of lot to be built on: Lot / wQ it / oCk Subdivision P1 /Ll c....-Street ?`' 'V 'W �j yJ Street and Number where work is to be done 93 E ' 7 2 R i ' t it9 5 0465 PL • 33 / 3 i" Mate work to be done and purpose of building (by floors). state exterior colors (submit samples) CONS rRVCP 6-1eo JI Wck sAl DEcIt. BtJ WEElll • 4 6- Poo[. P4770 4Afb / G aj9/ (.cuE wir (SEE Peor PGAAI) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation ` Roof Covering L.--Estimated Total cost of improvements $ / 5 Ci/tf./fb)d td9A/a5C»ff /4!).ount of Permit $ J750 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 /I ‘00/1 0,$ ey�f 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 agrees to emp; y only such subcontractors. on w.rk to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. } SS. Before me. the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared 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. 3 '3Ys' Date Permit No. Disapproved S Date Notary Public. State of Florida (Signed) Read. Sworn to and Subscribed before me. 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. 53.0' X 10 53.d • A P (4 9 v 8 • N °f 7 • • 0 g 7,6 • I S SO 4 53.d '3 53.06' 125.0' 2 125.13' ORDER NO. 9150 670.20' 53.03' 53.06' 169 1- 3.45 5 N.E. 91 TERRACE 4 L OCATION MAP SCALE : 1. =100' SKETCH OF SURVEY A. R. TOUSSAINT & ASSOCIATES INC. LAND SURVEYORS 620 N.E. 126 Street, North Miami, Florida By: , C. Al- V. HOWARD C . GAMBLE Registered Land Surveyor No 1683 State of Florida SURVEY of the West 7.56 feet of Lot 6 and all of Lots 7 and 8, Block 2, of "BISCAYNE RIDGE ", according to the Plat thereof recorded in Plat Book 39 at Page 41 of the Public Records of Dade County, Florida, being sit- uated in the Village of Miami Shores, Florida. DATE: June 22, 1988 FIELD BOOK No. 354, Pages 66,67 SCALE: As shown • WE HEREBY CERTIFY: that the attached SKETCH OF SURVEY is true and correct to the best of our knowledge and belief as surveyed and platted under our direction in June, 1988. We further certify that this survey complies with the Minimum Technical Standards for Land Surveying in the State of Florida, Chapter 472, of Florida Statutes. Pres. 35 I. 4 FD. I.P. • 0.01' CLR. r>' • 0.05' CLR. 0.20 CLR x FND. I.P. 0.45' N. PIPE SIGHTED 0.70' CORAL WALL WOOD POLE . _. 129,15' S 0.75' 0.7d CORAL • WALL 129.41' SCALE : 1 1 = 20 TERR. / j N b W/M. •0 3 :C.B.S. WALL 50.32' IS''13' woof) 40.32' 41.30' E3.-8.0. PIT r 0 0 END. I.P. J0.10' E. 0.2d N. 7.56' 7.56' SET CONC NAIL MIAMI SHORES VILLAGE BUILDING [NSPECTION 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 Jam' " V Li v ` 6 K&= c 51 � -5 e ey Date /06e - 1968 No. 9 3 4 Street AT q/ Registered Architect and/or Engineer Name and address of licensed contractor � // Location and legal description of to be built on: Lot 9 ItW 7 (BI ck Subdivision g e � // 0,7G6 D /e0 �treet and Number where work is to be done 9 f N C 9/ /G J • / //9/4/ 'SIva,ES f t!' ` 331 3 " 1/ tate work to be done and purpose of building (by floors), state exterior colors (submit samples) RR /$6 '/9U- )A) EAST $ /DE O/ HOvvG Pe-01 - 3 / To 1 /N57 64ie. REP1f3c& c�, t and GUEST $ii <5# 17,01) RND /N.S rq4 cf3 rE and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering �� �YStimated T 00 'natal cost of improvements S _Amount of Permit 5 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 agrees to em.loy only such subcontractors, on � ork to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared to me well known. }SS. 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. 7 "1 �� Date Read, Sworn to and Subscribed before me. r � Disapproved Date (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE 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. Notary Public. State of Florida • 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 V e ---C7"D A /45 0 3 te Date 19/Z No. 9J / Street /Pot V / r( Registered Architect and /or Engineer Name and address of licensed contractor v v / / 4 /1 ✓ /G nA1 S P Location a d legall description f lot to be built on: y/ /f Lot/ /' q i 'lock 4 Subdil jsion Oki;e4O I // l ae 45 Di Street and Number where work is to be done fig •r` State work to be done and purpose of building (by floors), state exterior colors (submit samples) /06 vc /4/. i 7 GNM /A/ "f-t. ; v/.( ,F/,v (X — r, /iie -/ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering t/ Estimated Total cost of improvements S 6 ete Amount of Permit S k gDkteO 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 agrees to employ only such subcynfractors. on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) a t ' " •• c f .e ..*t.� -v-� STATE OF FLORIDA COUNTY OF DADE. Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally' appeared to me well known. } SS. 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. c3 l Disapproved (Signed) Building Inspector i) Date /2 7 Y' Date Read, Sworn to and Subscribed before me. � O 3 8J/ Notary Public, State of Florida 19 CJ g 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 825.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. 61.2 w II 53.0 IC 125' 61.42 53f 165 5 I . 0 9 53.03' 53.06' �i X23.45 n v 7 ORDER NO. 915C FIELD BOOK Nc. 354, Pages 66,67 670.20' r 0 ,;46 5 4 N.E. 91 TERRACE 4 • LOCATION MAP SCALE': I' =100 SKETCH OF SURVEY 53.d 3 53.06' 55.06' 3 55.0 125.0 2 1 125.13' 125.13' 2 125.01' SURVEY of the lest 7.56 feet of Lot 6 and all of Lots 7 and 8, Block 2, of "BISCAYNE P. :DGE ", according to the Plat thereof recorded in Plat Book 39 at Paae 41 of the Public Records of Dade County, Florida, being sit- uated in the Village of Miami Shores, Florida. DATE: June 22, 1988 SCALE: As shown 3S WE HEREBY CEPT:FY: that the attached SKETCH OF SURVEY is true and correct to the best of our knowledge and belief as surveyed and platted under our direction in June, 1988. We further certify that this survey complies with the Minimum Technical Standards for Land Surveying in the State of Florida, Chapter 472, of Florida Statutes. A. R. TOUSSAINT & ASSOCIATES INC. LAND SURVEYORS 620 N.E. 126 Street, North Miami, Florida B 0, V. Pres. HOWARD C. GAMBLE Registered Land Surveyor No. 1683 State of Florida FD. I.P. L • 0.01' CLR.--.r 0.05' CLR. 35 X r in O 0.20 CLR FND. I.P. 045 N. — PIPE SIGHTED . _ . /P Q N.E. 0.70 CORAL WALL WOOD POLE 3 B -BQ 129.15' 94 St 0 r H O co N 129.41' SCALE I" = 20' TCRR. ASPHALT C.fi UJ N 0.7d CORAL WALL 3 C.B.S. WALL 50.32' 40.32' 41.30' W /M. O B7130. PIT r ca 0 0 O O 7.56' FND. I.P. 0.10' E. 0.20 SET CONG NAIL THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT VARIANCE(S) LISTED IN "REMARKS" MIAMI SHORES BUILDING AND ZONING UNLESS SPECIFICALLY LISTED BELOW. AND COUNTY LAWS MUST BE COMPLIED Aut'iori7ed Signrture Date • WITH NO VARIANCES ❑ WITH NO OTHER DEVIATIO"'•S FROM THE ORDINANCES WILL BE PERMITTED, ALL OTHER APPLICABLE STATE WITH BY ALL PARTIES. FIRE DEPARTMENT PUBLIC WORKS POLICE DEPARTMENT ` BUILDING DIRECTOR �� PLANNING & ZONING COAGU VILLAGE COUNCIL APPROVAL PRELIMINARY: FINAL: REMARKS: COMPLIAECE WITH TF E SCUTH FLORIDA BUII.DL G CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS RF_QUikED. PE ARCHITECT, BUILDER & SUB CONTRACTORS APE ' •:' , .' '1: • • '," , 7 'I E M'F ':;- A!! RNIII D- ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. 4 • peared r, y APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or tore 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. Estimated Total cost of improvements $ ' i.3 0 OCR Disapproved Date (Signed) Building Inspector Chairman \1cmbcr sfember . Council Approved Date NOTE: A charge of $1.00 will be made for making MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 6 2 3 eees Date ..._... °� f f Owner's Name and Address ....... ..QtIN....S1QACESB7 {_BY _ No.. Streeti�i„E,...91_. FR13Ari . Registered Architect and /or Engineer DON FELICELLAN Name and address of licensed contractor ACTIQN ...P!JQL..B1I.��+ AEI, iS..... ID1C .h....[SZ�.�.J:.Sd/1iL�.Y. ►7 Location and legal description of lot to be built on: G 815. — Lot 7 & 8 Block 2 Subdivision PLOT 4E. .. IS.CAYN 11 E. ,I,144 .o,3 O. ' O Street and Number where work is to be done 934 N.E. 91 TERRACE State work to be done and purpose of building (by floors) SWIMMING POOL AND PATIO and for no other purpose. Ncw Building Remodeling Addition Repairs No. of Stories To be constructed of , Kind of foundation Roof Covering Amount of Permit $.71/_4' -S o 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.. ACTION POOL BUILDERS, INC., 5832 FUNSTON ST. HOLLYWOOD, FL 33023 The timierigned 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 59G6, Compiled General Laws of Florida, Permanent Stipplcment, and has complied sith the provisions thereof, and will require similar compliance from al .ntractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for i . • tion on the site .f t c work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such su•.. • actors, on wo j t be performed 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- STEVE GRECO 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 ata2sZ.f Date 0 .[.rl. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Member Member Member Disapproved corrections or changes to this application after approval the Pl.tnnir.;.: l:o.rrd. A re fee of $1.00 will be charged when such re- inspection is made necessary by improper notice materials and /or worktnanship. e f to me well known, Date has been obtained from for inspection or faulty C LO[Ra B ATH TU B[ SNOW [RB LA VA. TORI[B 61NKB SLOP KINK[ LAUNDRY TUB[ URINALB CATCH eABIN FLOOR DRINKING DRAIN FOUNT'HB I TOT,.L FI[Tl RIM CONTN. LI T CHICK l _ SEPTIC TANK SIWIR CONN. DRAIN FIILD 6OAKAOI PIT G TRA• SOLAR HI DRUM WILL 8r'RKLR. 6YBTIM SWIM'O POOL ^^ CLI r LI BT ,--,-- - __ CHICK Penn,. No. .O'.I a °? 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT :Ippllr.etum Is hereby made for the approval of the detailed statement of the plans and specifications herewith subr u :r.. l for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Min f Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic of the Building Division of Atlami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec fications must be kept it wilding during progress of work. `.hvner's Name and Address JOHN STOKESBERRY _.___.__. No. �— __._.__.._._ Street...1N•E. 9 1.. -TEL ;RACE .egistsred Architect and /or Engmees DON FELICELLA ` employing Plumber's Name Location and Legal Description Lot_ 7 & 8 Block 2 SubdlvWon-- BrSCAYNE— RIDGE" Street and Number where work is to be performed —No N.E. 91 TERRACE Street State work to be performed and purpose of building (By Floors) SWIMMING POOL AND PATIO New Building Remodeling_ _....._._ Addition..._ ..... Repairs No of Stones Size Septic Tank_..__ Feet of Drain Tile. Nature of Water Su ly: City — Well.._ _.__ ...... _ -..._._ _----•----_-- --..Size of Soakage Pit Amount of Permit $ s A Qp ACTION POOL BUILDERS , INC. N 5832 FUNS TON Si My Conuniasion Expires — - - .Type of Tank— Capacity _Dist. Feet of Tank or Drain Field from Well . (Sign (Signed)._ 44. Date ..-_ 4.4 Notary Public, State of Florida Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a i ,loyei of !oho under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent rum lement, and ilas Ian �• lied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed 1 y him in ' %I rk v b- perfenned under this permit; and will post or cause to be posted for inspection on the site of the work such, pl.: notice Y. no leer +s a' requ'red by t}ie Act. The undersigned agrees to employ only such sub - contractors, on qh e to be perfo '.n this ,nrl.ri., :r . licensed by Miami Shores Village. ', Mast a Plumber. 5 STATE OF FLORIDA, u. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, periona; ; , pp. aret. to me will known, and who, being by me first duly sworn, upon oath deposes and says that he is the . ................ . ......... .. .. of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and tnat all acts therein by him stated are true. NOTE: A re inspection fee of $1.00 will be nude when such re-inspection is made•necessary by improper notice for Wsplr:!on, its materials and /or workmanship. No. STREET PART OF LOT LOT BLOCK ROO 7r SUBDIVISION 'PERMIT FEE 0 e r `►.— • /� 9 a-!• , / ,' ' i Fre e, e Costcrete, Stucco Af t ,. • '.:21 Acr FRONT DEPTH HEIGHT STORIES TYPE OK, C BTRU ION ~ BUILDING TO BE USED FOR 1 1 i . g R Mence,Itits., Stores, Hotel ROO 7r COST OF BUILDING Y 'PERMIT FEE 0 e r `►.— • 7 ,,,,,,,,,, / ,' ' i Fre e, e Costcrete, Stucco Af t BUILDING PERMIT • Owner of Building Architect Contractor or Builder Mia i Shores Village, Fl ti * PROPOSED LOCATION DESCRIPTION OF BUILDING mu:., p .._ ...:.:.. :.....sa 71f, I ' i Ask...." /L .s'tp .4.. --244A .wI. ' _ 'f' r" - i the building above described, as per application, Plans an Specifications heretofore filed in this office. This permit is anted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning s of Miami Shores Village, and rules and lgulations of the building department of Miami Shores Village. This permit may be revoked at any ti pdn the violation of any provisions of said s, ordinances or rules and regulations, or upon any change in the plans and specifications u d r. M the.building inspector. MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws o the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the buildingllepartment of 'anti Shores Village. Dated l ". , 19 ��C/ sslr� ( , (SEAL) Fio ,193f N9 577 INSPECTOR REQUEST FOR INSPECTION Company ` Job tei PHONE Address ., f' 7 '',' 1 ..'t j4 Inspection - Time Ready A.M. Date Ready Permit No. _ 7,7 6V Application is hereby made for the approval of the detailed statement of the plans and specifications herewitl 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 work. Owner's Name and Address __ 1? • .r yet' 1 ' /---"' No / - ?_ Z Street � - . - �� . Registered Architect and /or Engineer Employing Plumber's Name - _.r.__ ' r el.s. I .L__________` No Street___. ? 2 j Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs ' No. of Stories Size Septic Tank Type of Tank Capacity Gals p� Feet of Drain Tile (!__ - Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well ( Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he dnderstands and accepts his ob ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 fcr 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Date / /.// ., ( Signed) .�1 M ter Plumber. CLOSETS BATH TUBS SHOWERS LAVA - TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK l/ Permit No. _ 7,7 6V Application is hereby made for the approval of the detailed statement of the plans and specifications herewitl 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 work. Owner's Name and Address __ 1? • .r yet' 1 ' /---"' No / - ?_ Z Street � - . - �� . Registered Architect and /or Engineer Employing Plumber's Name - _.r.__ ' r el.s. I .L__________` No Street___. ? 2 j Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs ' No. of Stories Size Septic Tank Type of Tank Capacity Gals p� Feet of Drain Tile (!__ - Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well ( Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he dnderstands and accepts his ob ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied 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 fcr 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Amount of Permit $ STATE OF FLORIDA, t COUNTY OF DADE. ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Date / /.// ., ( Signed) .�1 M ter Plumber. BUILDING ELECTRICAL PLUMBING Owner of Building Contractor or Builder Legal Description. Lot Address of Building -' • MIAMI SHORES VILLAGE. FLORIDA DA PERMIT N° 9482 Work to be performed under this Permit Architect (- 6,4 'e ll Bl. Subdi visio Value of Project $ ._. r 195. Contractor's License No Amt. of Permit $ AUTHORITY This • 't Is ted to the contractor or budder named above to construct the budding or to instail the equipment or device described in the application 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 or a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statem or specifications and that he assumes responsibility for work done by his agents, servants or employees. l r I / Signed • ,rt ° -.. -, f -i _,.a, ' - -t .. t.,,r BY 'T"` - ` - j, INSPECTOR - In consideration of the issuance to me of this permit I agree t9/pi rform the work covered hereunder in compliance with all o inances and regulations thereto and in strict conformity with the plane, drawings, statements or specifications submitted to the proper authorities f Miami Shores Village. p 't I assume responsibility for all work done by either, myself, my agent, servant or employes --•r CONTRACTOR OR BUILDER BY BUILDING ELECTRICAL PLUMBING W orklo be performed under this Pe Owner of Building Architect Contractor or Builder Legal Lot Bl. Subdi- Description vision � �" ' V alue of Amt. of Address of 1> ..∎• • Project Permit , Building 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 application 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 ordinan r if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or b ld named above ssumes the responsibility fora tough knowledge of the ordinances and regulations pertaining to the work covered hereby whether o on the plansbr drawings or in the statement,' or $peci§cations and that he assumes responsibility for work done by his agents, servants or employe • t , j . y y r _i Signecj' f {_..r - - ''- ..'�, `'' " g..: W. +� / B \ } << INSPECTOR In consi ration of the iss‘ance me of this permit I agree to perform t he work covered hereunder in compliance with all ordinances and regula. tions per i thereto and in strict nformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. epting this permits sume responsibility for all work done by either myself, my agent, servant or employee. , ` y CONTRACTOR OR ILD MIAMI SHORES VILLAGE, FLORIDA DATE ~ 1 PERMIT N° 310$--) Contractor's Luse No. BY c 2 AUTHORITY 1 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. Date Owner's Name and Address_ ' No. Registered Architect and /or Engineer E *, Name and address of licensed contractor C 1[ t_.f_' Location and legal description of lot to be built on: Lot Block Subdivision _-- Street and Number where work is to be done __f - ___.._i__ __±_ State work to be done and purpose of building (by floors) 7 i • 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 $ � ' s Amount of Permit $ 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 ublic 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. Remarks (Signed) __ i . 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. ,y t 9 —Y' Permit No ''®' -T Date t / '! ' Read, Sworn to and Subscribed before me. Disapprove Date y r „ d a r Notary Public, State of Florida (Signed) - t . — Building Inspector 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.