BUILDING PERMIT(i(vC
6R22-
Chairman
Member
Member .
New Building Remodeling._ Addition
STATE OF FLORIDA,
COUNTY OF DADE. Ss '
Before me,
peared
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Applit4tion is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build-
ing or otheil structure herein described This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Villate. 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. I $62, ,
Owncr's Name and Address._ s • No ?•- Street. 1.--Le 4 4 4 -
Registered Architect and/or Engineer
Name and address of licensed contractor:5 -S ROe4S• C.-AC- r-efi Di
Location and legal description of lot to be built on:
Lot_ Block Subdivision
Street and Number where work is to be done 3 Z. -a t,..te Q
State work to be done and purpose of building (13514leers)__ 1. 1`.- c--
^7. 1UcTf Pt--A.4-D g.
and for no other purpose.
PLANNING BOARD DATE
Member
Member
Member
Repairs No. of Stories
•ven
To be constructed of Kind of foundation__
°_5.). 10. 00
Estimated Total cost of improvements $ 00 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__
11 hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may
be sent to..
The undersigned applicant for this building pennit doc hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen s Compensation Act. being Sec:ion 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 ins ection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subco act pr on ork to • - performed under this
permit, as are licensed by Miami Shores Village. 1 i
t '
Remarks. (Sig .- • .4.,...0t- . dis) !if
undersigned authority, a notary public, duly authorized to administer oaths and take aLkoowledgments, personally ap-
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 Cvi iLei.,v
Date_ Read, Sworn to and Subscribed before me.
Disapproved
(Signed) W
Building Iqector My Commission Expires__
Notary Public, State of Florida
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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE, ..FLORIDA
DATE __— 19
PERMIT NPIJ
Architect
Contractor
or Builder
Legal Lot
Description
B1
CONTRACTOR OR BUILDER BY
Work to be performed under this Permit —__
Contractor's
License No.
AUTHORITY
Subdi-
vision
Address of Value of II Amount of
Building Project $ 11 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 l'ermit 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: . • - INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordin2rizeeo.aad regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
A.BOT 1414'
Company_
job_
•
Address_
Inspection_
Time Ready_
Date Ready_
REQUEST FOR INSPECTION
6,;)
A.M.
PHONE
P.M.
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
wit
s ibili
In consideratio .f the issuance
pert thereto an in strict conform
In )c. ng it I assume res
CONTRA
12"
1 PERMIT N° 10854
MIAMI SHORES VILLAGE, FLORIDA
LDER
„i';'
Signed • ( 7 , r
BY
DATE
Work to be performed under this Permit
Owner of
Building
Contractor's
License No
• sy^ - 40.4,
Subdi-
Legal Lot BL vision
Description /
41". $4*.e1446"
Address of Value of , Cr Amt. of
Building Project 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 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 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 responsibility for work
done by his agents, servants or employees.
••• BY
l
4-1
permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
e plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
for al work done by either, myself, my agent, servant or employee.
•
AUTHORITY
1954_
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building f'. t
Architect
Contractor
or Builder
Legal
Description
Lot
".)
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 7620
Work to be performed under this Permit
f
Bl.
t
Subdi-
vision
DATE 194
Contractor's
License No.
f
Address of ,... ; z Value of `--.�. -,"' Amt. of` �--
Building ' _ - .' , t. ' ,�' ✓ ___. Pro ?� `" Permit 7" +
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 appli-
cation 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- , _'4 G ,. — .l B �
INSPECTOR r
;t ., .5)
In consideration of the issuance to m¢ "qf this permit I agree to perform the work covered hereunder in compliance with alt ordina ce9and 'regulations
pertaining thereto and in strict conformit with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In acceptirlg )his pe I assume respon iity for all work done by either myself, my agent, servant or employee.
.z
d
; f ,� ft .. / s
CONTRACTOR O4 BUILIIR BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot Bl.
Description
Address of ,
Building J '
MIAMI SHORES VILLAGE, FLORIDA
DATE 194_
PERMIT N° 3991 Contractor's t �
License No.
Subdi-
vision
Value of
Project
Th Cons-v. may
War Pioou::ric Spar+ t: , .
Yns■ aft . 2111'C I:1(1 1G CC ;—,q 18,
Board ofl,ce before s a il i; k "0 : <. a'i . 'J' Z'11 it
Otis permit.
Amt. 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
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 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 responsibility for work done by his agents, servants or employees.
Signed• By
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 regula-
tions 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 responsibility for all work done by either myself, my agent, servant or employee.
f
i
CONTRACTOR OR BUILDER BY AUTHORITY
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
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A
plans and specifications must be kept at building during progress of the work.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
the bi'
Date / ,7
Owner's Name and Address —
=--- --- ------- --- - -- - -- _ No Street -
Registered Architect and /or Engineer
•
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot / ' Block Subdivision
Street and Number where work is to be done r '
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 Covering
Estimated Total cost of improvements $ 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 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.
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 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 Read, Sworn to and Subscribed before me.
Disapproved Date
( Signed)
Notary Public, State of Florida
Buildinginspector My Commission Expires
e-%
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.
ZONE
RICHARD S. PIPER
323 N.E. 91st. St.
GENERAL CONTRACTOR
R.C.Fishor
JOB LOCATION (ST. OR AVE.)
BUILDING PERMIT NO. 6668
DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY:
NEW CONSTRUCTION
REPAIRS
ALTERATION
ADDITION
Additi on
REQUIREMENTS CU. FT.
SUBMITTED TO PLANNING BOARD
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
OWNER'S NAME PRESENT ADDRESS
TYPE
CBS
DATE
APPROVED
7 -22 -65
STORIES
one
323 N.E. 9ls . St.
LOT BLOCK
15 & 16 1 48
Screen porch addition to res.
REJECTED
Built up
ADDRESS
7349 S.W. 41st. St
PERMIT FEE $
26.
T.V. = )i1
PLAN CUBE 822) CU. FT.
W.R. Bradf ord
DESCRIPTION
DESCRIPTION
REMARKS
CERTIFICATE OF OCCUPANCY NO. I& I g I ISSUE j I - -1 9 4,�I BY f: Se TO 0'tAS'vi $L>/
BUILDING PERMIT AND INSPECTION RECORD — MIAMI SHORES VILLAGE
LICENSE NO.
SUBDIVISION
PHONE NO.
Miami Shores Sect. T
REFERRED TO COUNCIL REASONS
PHONE NO. LICENSE NO.
EST. COST S
1 Garage bedroom
8035
BUILDER'S BOND
NO. DATE
DATE
7 •22 ■6
INTERIOR CONSTRUCTION
2 6. 0 0
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
7
FOUNDATION
S
SEPTIC TANK
ROOF
ROUGHING
$
BEAMS & LINTELS
TUB & TOP OUT
POOL
SOLAR HEATER
FRAMING
$
GAS
AIR COND.
$
FINAL
Q
CLEAN UP
SEPTIC TANK
SLAB
FIXTURES & FINAL
SOLAR HEATER a
SLAB
,
SPECIALS PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
RE- INSPECT
BY
S
SEPTIC TANK
ROUGHING
$
SEWER
TUB & TOP OUT
$
SOLAR HEATER
$
GAS
SEWER
$
,
Q
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
ROUGHING
TUB & TOP OUT
H. W. HEATER CONN
SEWER
,
SEPTIC TANK
FIXTURES & FINAL
SOLAR HEATER a
,
FIXTURES
GAS
,
PERMITS & INSPECTIONS
pp ELECTRICAL
CONTRACTOR , vy� ( 2? --•
PHONE
PERMIT NO. r ri G I DATE g- 1.6 _ 6 S
�O
FEE $ 7 �.
NEW BLDG. 1 ALTFRATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
R
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT BY
TFMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
BUILDING INSPECTIONS t 6 7 d
CONTRACTOR
PERMIT NO.
NEW BLDG.
PLUMBING PERMITS & INSPECTIONS
PHONE
t� C,
6, L 1 b I DATE 5? — Cj _ S FEE $
ALTERATION 1 ADDITION REPAIRS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
MIAMI SHORES VILLAGE, FLA. No 2438
JOB
ADDRESS
. ; )6 L J
TIME READY
7fie / -
INSPECTION
REMARKS:
INSPECTOR DATE
NATHAN S. LEE
OWNER•S NAME
JOB LOCATION (ST. OR AVE.)
323 W. E. 91st Street
OWNER RLTILD2R
BUILDING PERMIT NO.
ZONE
REPAIRS
ALTERATION
GENERAL CONTRACTOR
; -954
REQUIREMENTS CU. FT.
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:
NEW CONSTRUCTION
SUBMITTED TO PLANNING BOARD
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
TYPE
DATE
APPROVED
2-8-51
323 N. E. 91st Street
158c 16
LOT BLOCK
323 N. E. 91st Street
PLAN CUBE
PRESENT ADDRESS
4
4
ADDRESS
PERMIT FEE $ 5.00
DH
STORIES f ROOF CONSTRUCTION
X ADDITION Addition of Utility Roan
DESCR IPTION
DESCRIPTION
REJECTED REFERRED TO COUNCIL
CU. FT.
REMARKS
"Jeri Shores
EST. COST $
f' I
r =.
CERTIFICATE OF OCCUPANCY NO. i : ISSUED (7 1,G`� ' BY � i TO
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
LICENSE NO.
SUBDIVISION
PHONE NO.
BUILDER'S BOND
NO. DATE
REASONS
200.00
INTERIOR CONSTRUCTION
PHONE NO.
LICENSE NO.
DATE
2-8-51
INSPECTIONS
DATE
BY
RE- INSPECT BY RE- INSPECT
BY
FOUNDATION
-_
DATE
-_-
TEMPORARY SERVICE
BEAMS & LINTEIB
FRAMING '` ` Ill
M'rijI
$
H. W. HEATER CONN.
-_-
$
RANGE CONN.
��
$
MOTORS
FINAL AIIIIIIi
CLEAN-UP •,41k'-'IM_
-_
$
FIXTURES
AC AaT' G PERMITS & INSPECTIONS
CONTRACTOR a'�4 li j'_._ � 4 1 / illi
PHONE
PERMIT NO. MEM DATE _ , /Ma,
FEE $
NEW BLDG.
gla ALTERATION , ADDIT •N
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
,3• a-
�. 7
$
SEPTIC TANK
$
SEWER
$
SOLAR HEATER
H. W. HEATER CONN
$
GAS
$
RANGE CONN.
$
INSPECTIONS
DATE
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
!�rr/I
��//BBYY�
FIXTURES & FINAL
GAS
OM
MI
SEWER
SEPTIC TANK
TANK
-_
-_-
SOLAR HEATER
-S
-_-
FIXTURES '
-_
-_-
CONTRACTOR �4 � A „" yv ,, C _
PHONE
PERMIT NO. /// DATE 6_3 -
FEES pR . ‘ 5
REPAIRS
NEW BLDG. ALTERATION I ADDITION
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
S
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
,3• a-
�. 7
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
BUILDING INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
31.3
LOCATION 3 ?lN •E • 91st :it •
;Lots 15 -16, Block 48, MSS Sec.* GARBAGE TAX RECORD
PAID BY
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
1940
1941
1942
•
1943
1944
1945
1946
/ /-7, .
A4410
.- /L,
1947
6 0
l..; 0-4/ 4I
/ L °�
? '/ /
ioo /(
1.
ee
♦ •
1948
1949
a
/ .1` 3 /- 'v?'
F es '
MAY V'/
42 - .1/ -6 0
0,
, '
11
Q l:. -/f j/' j
/- s '! �y
L1/- S 0
ti',
p
+ `� �J � -2--
/ V 7o
rf
'/
1/
//
1950
r r
31.3
LOCATION 3 ?lN •E • 91st :it •
;Lots 15 -16, Block 48, MSS Sec.* GARBAGE TAX RECORD
323 N. E. 91st St.
By
1 Nathan S. Lee
Year Annual Tax Period Used Amount Paid Date Paid Receipt #
is ego ///- � 1/6
/16 /a _d "d /1- 7•S/ Ga
�� /
49,
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
/c" - 4J .1 . 9? 57 / Tax Folio
Date � / Job Address 2 3
e — /// — • /— Cs Legal Descriptiot� l � � Gc � `� - w
Owner/Lessee / Tenant
Owner's Address = /1/1
Contracting Co. �-r�
f
Phone 4',=3 . - 5 �' 2 7,
Competency #4:35 4 96-) 62) Ins. Co.
-
Architect/Engineer — Address 7G per, f �� �s i d �'G t.4 �� / . . �
Bonding Company Address I te 73
Mortgagor Address
Permit Type (circle on4:.- BUILDING )LECTRICAL PLUMBING MEC CAA ROOFING PAVING FENCE SIGN
WORK DESCRIPTION = G L ' / -' " s '� • '� ` /
Qualifier
State # Municipal #
O
Square Ft. ->
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 contrpctor to do the work stated.
-1,
(t. -
Notary as to Owner a n ' J Q r Condo .'resident . - -- -Date
My Commission Ex . ires:
IA NOT
MARIA C RODRIGUEZ
NOTARY PUBLIC STATE OF FLORID,
COMMISSION NO. CC275403
MY COMMISSION EXP. APR. n107
7
owner and/or Condo Pre
ll'EES: PERMIT 1 ' ' RADON
APPROVED:
Zoning
Mechanical Plumbing
o7,-,/M r
Building
Date
j s e-444 4
3 .
C.C.F.
vilj\lIcK
Gl
7 /y
ated: Yes No 7 X Wei
g 6
P h o n e 75`x' 7 94 '
P
n
C
Master Permit #
Address / , )� , iep:9 . ".8 - 1 1/4:
Gam, .._ -` ` ,r
Estimated Cost (value) G — /'
Signat of Contractor or Owner- Builder
L.e-j 2 ■ J
Nchary as to Contractor or Owner - Builder
My Commission Expires:
NOTARY
Electrical
Date -
/-
Date
TOTAL DUE 1
Engineering
.PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date I G g?f fob Address ,6,,,2,... �V , 6 , 9/ gy p ./Tax Folio
Legal Description /d 1 /fin - ,1 h- 2,-``� 7fHisto'tf"cally Designated: Yes No
Owner/Lessee / Tenant , 2 2 2' /.,c Master Permit # J S y/6
Phone '7,1
�
Contracting Co. - '— ' C /9 2l l * e —2 Address i'' ' t • lZ •=-3 /2 7
Qualifier — J- c J. -' Jr k C C d'71. -7:1(r ? l; �'3_ - _ - i
./
State # Municipal #
Architect/Engineer c — 1 -� �� '' Address
Bonding Company Address
Mortgagor - ; ddress
Owner's Address
3 -2 3 4J z75
Permit Type (circle one): BUILD ' LUMBING ECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION / 7
Square Ft. Estimated Cost (value) ; l'e
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. /
4 el- / L c / -. ! ,' •
Si atur \ of owner and/or Condo President Date Si Itur o Contra t6 or or wner it - \ . Date
c
- /
'7) -.)v •
Notary as to Owner and/or Condo President Date
My Commission Expires:
•
FEES: PERMIT
APPROVED:
Zoning
Mechanical
RADON
- 2-
Competency # l / Ins. Co.
• - - - --a
Notary as to Cottactor_orOwner- Builder
My Commission Expires:
C.C.F. NOTARY TOTAL DUE 2 )
Date
Building Electrical
Plumbing Engineering
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF DADE:
9'5R517 184 1995 DEC 18 13:44
•THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commence nt.
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2. Description of improvement: . / c '�C� - -t cG J
3. Owner(s) name and address: .7c ' �� -j 5 jc C r
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Interest in property: L ��
Name and address of fee simple titleholder:
4. Contractor's name and address: a' 'y c `GAL s e •
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5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
' Address:
OF CIA N 0 AR S
COLr•vi• 7*
NOTARY PUBLIC STATE Of FLORI
COMMISSION NO. CC507656
COMMISSION OW. NOV. 2,7'
Sig ot
Pr' wners Name
Sworn to and subscribed before me this,. /day of •
Notary Public �--
Print Notary's Name )/ 2/O
My Commission Expires:
19
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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 regula-
tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans
and specifications must be kept at building during progress of the work.
Owner's Name and Address
Registered Architect and /or Engineer_—__
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot__ h _
__ Block_
_�_�_ Subdivision e
Street and Number where work is to be done
State work to be done and purpose of building (by floo a
•- - - -- ---------------- ----- - ---
New Building____— __A_______ Remodeling_____ —__ Addition Repairs
To be constructed of_ _-_!, °. t____ Kind off -9 '� fonndation____ e' _ _— Roof Covering____` 2
Estimated Total cost of improvements $ b ' F
LP. • Amount of Permit $ _
Zone cubage required • 7 D 6 0 Plan Cubage______—__ f ,j
Distance to next nearest building_ —____/ '1 l —Size of Building Lot 1 01..x .)( / •.-
Maximum live load to be borne by each floor
I hereby submit the plans app spec' catpng for building. All notices with reference to the building and its construction may
be sent to C' !V� (� b !�
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.
Remarks (Signed) f1 ` /i�isrf / - s`
STATE OF FLORIDA, I
COUNTY OF DADE.
Before me, the
appeared
ndersigned autho 'ty, as notary public, duly authorized to administer oaths and take acknowledgments, personally
to me well known,
and who, being by me first du 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 that all facts
therein by him stated are true.
Permit No Date_
Disapproved ____________________________ Date
(Signed) ------ ---------- _________ Building Inspector
Inspector
PLANNING
Chairman
Member
Member
Council Approved
Rea orn to and Subscribed before me.
S_
Notary Public
My Commission Expires
BOARD DATE
Member
Member
Member —
Date Disapproved
191€1---
No,` ;17, Street " 6 ,
ate of Florida
__and for no other purpose.
No. of Storige
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.
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This property described as:
Lots 15 and 16, Block 48,
AN AMENDED PLAT OF MIAMI
SHORES SECTION NO. 1,
according to the Plat
thereof, as recorded in
Plat Book 10, Page 70
of the Public Records of
Dade County, Florida.
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SURVEY
I hereby certify that the survey repre-
sented hereon meets the minimum
technical standards set forth by the
Board of Land Surveyors pursuant to
Section 472.027. f la. Statutes. There are
no encroachments. overlaps, easements
appearing on the Plat. other than as
shown hereto. • /
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Mailing address: P.O. Box 561131, Miami, Florida 33156
DRAWN BY
E
PROPERTY OF: Staniski, Greg and Anna, 323 N.E. 91st Street, Miami Shorec*
oric a.
CANNES and GARCIA, INC.
ENGINEERS - LAND SURVEYORS - LAND PLANNERS
359 Alcaza.r. Avenue, Coral Gables, Fla.
Office address: 4138313 -S, W-84t1 -Avea ue, Miami,... Florida 31155
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CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N? 1618
Miami Shores Village, Florida, 11- 19...(
Owner, Agent or Tenant of Building Ri chard S. Pi Per
Lot 15 & 16 Block 48 Subdivisio
Street Address 323 N.T. 91 st. St.
Approved use by occupancy t'Y?r?ge bedroom ands
Remarks #6668
This Certificate of Occupancy is issued to the above named oimer
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 buildin structures.
ii
Plan cube = 822
Tax Value = $)i112
•3 • e
BUILDING DIVISION