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BUILDING PERMITi Shores Village 2nd Avenue ruone: 305 - 795 -2204 Printed: 5/12/2005 Applicant: CLEMENTE Owner: PORRATA JOB ADDRESS: 324 NE 91 Parcel # 1132060190240 Signed: (INSPECTOR) Building Permit Permit Number: BP2005 -586 PORRATA CLEMENTE ST Contractor YAMILL GLASS & WINDOW INC Contractor's Address: 480 W. 84 St. #107 Local Phone: (305) 826 - 2121 Page 1 of 1 Legal Description: EL PORTAL PB 9 -101 LOT 9 & W1/2 LOT 8 BLK 2 LOT SIZE 75.000 X 135 Fees: Description Amount FEE2005 -5884 Building Fee $140.00 FEE2005 -5885 CCF $4.20 FEE2005 -5886 Training and Education Fee $1.40 FEE2005 -5887 Notary Fee $5.00 FEE2005 -5888 Technology Fee $3.50 FEE2005 -5889 Scanning Fee $15.00 FEE2005 -5890 Submittal Fee ($50.00) Total Fees: $119.10 Total Fees: $119.10 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 10/19/2005 Construction Value: $6,205.55 Work: REMOVE AND REPLACE EXISTING FRENCH DOOR WITH SIDELITES, KITCHEN, FRONT DOOR AND WINDOW WITH IMPACT 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: Miami Shores Village Bt � 7 d/ &Th/ PI FB' '40 k-6.(sL kU I u Per Owr Own City . Ten- Total Fee Now Due $ (Continued on opposite side) City Miami Shores Vi11ag Architect/Engineer's Name (if applicable) Zg Department �4p-- 6 venue, Miami Shores, Florida 33138 795 fax: (30-5) 756.8972 a- cal ' lumbing g Zip a 3 ( Phone # 1 . Job Address (where the work is being done) 00.. U l L ' Is Building Historically Designated YES NO City (-W A \-\ State \ l. $ Value of Work For this Permit tcv l D Submittal Fee $ � F-' Permit Fee $ Notary $ County Miami -Dade Contractor's Company Name N, 4 tIV \ C Contractor's Address 4 VD \7 SA Training/Education Fee $ Scanning $ / '" Radon $ Code Enforcement $ Structural Plan Review. $ Zoning Master Permit No. Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zip 3.3 \ 3 K Permit No. f.'6) f) Mechanical Roofing Phone # t1/4 1,t 4i;',),), Phone # 2.i L k ` qk1 A -\ �v L' D4 :,,; Zip 6 3 Z>0 -1 Qualifier State Certificate or Registration No. Certificate of Competency No. Phone # Type of Work: ['Addition ❑Alteration ['New ®, Repair/Replace ['Demolition Describe Work: ti\i�U . \s 3 ae ��a� �wiv w� �.K�S ■uc C-Vs-'LLedr\ O'r k-\\'‘ S I C)C :' t�t (1' CCF $ V'*/ 02 0 CO /CC •' Technology Fee $ "), L3 c: Bond $ �" Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature NOTARY Sign: Print: The fore day of who is My Commissi . n Expires: nstrument w edged before me this The foregoing instrument was acknowledged before me this .` b I111b,k1 , 20 _ by — APPLICATION APPROVED'BY: Chc 05/13/03 Owner or Agent / Contractor n to me or who has produced As identification and - no. did take an oath. Mabel •11isslon X0231984 ' xptreq Ju 3 2007 )n ded 77tru mut Bonding Co. , **************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Signature _ who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Zoning ****************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. :3P05 TAX FOLIO NO. t 320(::, 4 O I i 02M,D STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE U' 1DERSIGNED 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 Commencement. 1. Legal description of property and street/address: �. P ar rc \ b — l \ Lict c + u) Yz, L t 6JLk a L k I 2e, ' - `F.ro X 1<36 a`1 Ik c \A .C\.ov- es VL 2. Description of improvement: ' iZe,i'vV0Vo• 0.uti ( ' ) •- 2Q \aO€Alv\av �><�5���� \ vein / 6cnkr L 3 e) \j3 1tDcL) O ex S;0 VOaK t N- , i r 3. Owner(s) name and address: .kw A',a1 \ Wkr n cL rAck \ C= c (K. A INO C•3& Interest in property: 0 tu0 N G R Name and address of fee simple titleholder: NJ( A 4. Contractor's name and address: 1i\ 4\M L L o, SS Q.) t t 5. Surety: (Payment bond required by owner from contractor, OF FLORIDA. COUKT ®W DADE 0 IA Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner up provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: it1 8. In addition to himself, Owners 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 different date is.specifie ) Signature of Owner Print Owner's Namee_`Q., o,u e I 'P w! o, Sworn to and subscribed before me thisa2i day of I-Qcs -ck Notary Public` Print Notary's : me Ro SQ. E\°. My commission expires: )a - D9 - 0 123.01 -52 PAGE 4 8/02 b HEREBY CERTIFY Pod Prhk rs tI o rig 0 61 6 t P ^i oPPiCo - ... r• :r A D 111111111111111111111111111 111111111111111111 (11- 200E R 03n 1L 266 OR Ek 23210 Ps 2415; (fps RECORDED 03/28/2005 15 :42 :54 HARVEY RUVIN1 C :LERIK. OF iCOURT MIAMI- CAE COUNTY? FLORIDA 1f6 F:A „: iil►. 1 Y � I •_ `� o e r . o. • : nts may be se • as date is 1 year from the date of recording unless a , 20 Prepared by deter,}€ Po( i'a. . Address: C-tern crt4e Por talk, 3D' NE 9 t 1 Qnnn rE FL 331.38 APPROVED: Zoning Mechanical FEES: PERMIT Owner's Address L(399 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 1 (0 Job Address, y yJ . L. , 9) e Tax Folio Legal Description Historically Designated: Yes �Owner/Lessee / Tenant .�' `e �` e S` �� ter Permit # 1 9 1 17 c(,( — Phone `J ( a Contracting Co. OW J 1\'P 1� Qualifier SS# State # Municipal # Competency # Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): ILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION QC. atC� �d'O�'C<©� � PS P.1.■1\1\ c-K a cQkk) Q - Q., aa.x\i) ba Vbsst Vo . �e ��� C e . Wo R F \lryT Square Ft. k _�►i _•�, 1 Estimated Cost (value) a00 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. 1. . ? Si Signature of owner and/or Condo President Date Lure of Contractor or Owner- Builder .i ,11 .b:, _ ,r • 1 Notary as to Owner and/or Condo President Date otary as ii• Contra or or • er- Builder • ate My Commission Expires: RADON Building Electrical Plumbing TA ' YIN 4p, a- F• C.C.F. 4 v NOTARY5,0 - b 'Y ° : . , 'BOND Address Address My Commission Expires: Phone Ins. Co. TOTAL DUE 6 Structural Engineer &. 0 PERMI T APPLICATION FOR MIAMI SHORES VILLAGE Datee / Job Address -3C / 39- Lt f1 E q ( St Tax Folio Legal Description 1 Historically Designated: Yes No Owner/Lessee / TenantX PO r'rQ L 4,,Ze Master Permit # 4/6,1/3 U Owner's Address Phone 5 - ? ' c 4 C ; Contracting CoX A Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTIO Gtr 5 27re S nT• D C-- hpk)Se_ Square Ft. Estimated Cost (value) 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 ( 3 /0,Z C;� . �' Si tune of owner an or Condo President Date Signature of Contractor or Owner - Builder Date APPROVED: Zoning "finical Notary as to Owner ; /or Condo President Date Building *Iffi&T Address Notary as to Contractor or Owner - Builder Date My Commission Expires: My Commission Expires: 7j. ,R � P:y CO;a:aSSIONEXPIRES OF FVO DEC. 17,2002 FEES: PE • i N C.C.F. ' ‘C NOTARY BOND Electrical TOTAL DUE Plumbing Structural Engineer MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed statciin•ne 01 rue 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. Owner's Name and Address 7-0),, ` J 4 .� Ac— <s �"' = L�— No...3 _. Street�!� _ 4) -e, Registered Architect and /or Engineer. / ii/Y-c- " ' U.' ... III •••II? ^.er1nnvwe•v•»ia.ntttttt. 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 ' _........_. _...._.._ ...._...._..__........-.... State work to be done and purpose of building (by floors d/��� /� � '= C C and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of t:U Kind of foundation l le S 2 A/ C - "Y,/r n=�� Roof Covering ........... Estimated Total cost of improvements $ ' ' �� Amount of Permit S- lone 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 Leber under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied ssith 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 subcon •. ctors, on 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 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 .._........_........._ Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member \Icrrmber Member \(ember .. .. _....._......_..._._ ...._....... 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 hoard. A re - inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection otr faulty materials and /or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE D a t e I )-1 19 Job Address 324 NIPS 91 Sc- Tax Folio Legal Description Historically Designated: Yes No >/ Owner/Lessee / Tenant O h C L c, (e n- . � � Le ricri Master Permit # Phone 11 r "" ga 14 Owner's Address 24 NC'''. 1 sa— q c3 .- ' 111 Contracting Co. f l ' 5`-i\\ C r r . t c. a o•-• Tr+ . Address 3 � � 3 t�' G+rr•t c 3 jAJ e C nV� O� a - Cr ?Y) Qualifier 404 O n 1 1, ON • � o " SS# no Phone • � � Z ( , State #C0Coc6O 6 Architect/Engineer Bonding Company Address Mortgagor — Address WORK DESCRIPTION Signature of own Municipal # an or Condo President Notary as to Owner and/or Condo President My Comm issio nE �ue- kO P , OFFICIAL NOTARY SEAL !, SANDRA M MONTIEL 0 • COMMISSION NUMBER • CC40126 MY COMMISSION .EXP. AUG. 17 1998 FEES: PERMIT b • a g RADON APPROVED: Zoning Mechanical '2. /1 47 ate Date /oL //Q 792 Competency # Ins. Co. Address Permit Type (circle on : BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN 1ZCQ << C4 r1C 4Cr- =t��_ .�. ►�1 S quare Ft. Estimated Cost (value) S . : 00 0 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. Signature pftractor or Owner - Builder ) Date Date lot Notary as to Contractor or Owner - Builder My Commission Expires: ,11:>,11 V (/ OFFICIAL NOTARY SEAL (ten SANDRA M MONTIEL * COMMISSION NUMBER 1 9 � � �� MV COMMISSION , EXP. OF FL" AUG. 17.1999 C.C.F. 3 NOTARY (4 BOND TOTAL DUE Building t ' 1 q) '77 Electrical Plumbing Engineering 40 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: 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 Commencement. 1. Legal description of roperty and street address: C$, 0& 3) NC J( - Sit FL 33 I' 2. Description of improvement: '^ Icr 3. Owner(s) name and ddress: (1011.PANZ. Q^AD J � ` ) 1�� wr VV1 / Ft- K .PAArf1_ Interest in property: c Name and address of fee simple title older 4. Contractor's name and address: 10 a -A.re_ No. 6 -31 Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida by Section 713.13(1)(a)7., Florida Statutes. Name and address: Notary P Print Notary's GilaPVCONA m rNOw I , CaI4At auk 5. Surety:(Payment bond required by owner from contractor, if any) 8. In addition to himself, Owner designates the followi Section 713.13(1)(b), Florida Statutes. Name and address: designated by Owner upon whom np� an "M � uments may be G3(AYE �E �a �q of oafic0 4 {o o Qrdo o�V doy t 14grieV CC tr tS o n ( Fa 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) 111111 414./ • lit me Est • JACQUELINE PARADOA MY COMMISSION it CC 429323 EXPIRES: December 26, 1998 Bonded Thru Notary Public Underwriters Ye S ,� !4 A , l /' s.gnature of Owner � ►^ r r C>DA-�6 S /� Print Owners Name l .1I ' - )ar 1-e me- m a` (' ( ' Sworn to and subscribed before me this l 'day of, eZ Zet9 9 Sao. Q Q rail, - • • 3S3S eeJQ 1 (r-/- 33133 6 avtk._ lam n 97R571392 1997 DEC: 16 13:24 e Lienor's Not Address: J?" 3 0 CO 0 _Iv O 0 CE co co (n tnter N N CO 0 J O T m CC 0 ❑ ❑ ❑ CO ( -4N / a) 0 / 0 (�) N CO O coo cc W (o 2 T CO co W 0 u_ U CC 0) O Design 11/2419' I Dwg no 11/ Dale 24/9' Al dimensions & size des- :ions groen are subject to verai;s n on job sae and adiustmera is `t o condaions. T HE HOME DEPOT This is an original design and must not be released or copied unless applicable tee has been paid or job order placed AW MILFORD CATH NATUR4 JOHN PACE NTI 324 N.E 91ST. ST. MIAMI SHORES FL. 3313E Scale : maximum Designer LESLIE GUDIEL PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 8 6 Job Address 3 24 N i! 0 s a- Tax Folio Legal Description Historically Designated: Yes No i'✓ Owner/Lessee / Tenant G n 6 - 0, 1., a, e \ v., sl y ?0%, C N n1/44" 1 Master Permit # 4224 Owner's Address 3 Q4 N i °) 1 Phone 0C 1 —5 Contracting Co. f_ ey c T 1 C G a-- J C Address Qualifier N y e i 1 Pe 4- C r S ®a1 SS# Phone e. C ` (,i64 State # ir Municipal # ) 994- 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 K I 1 y N C IA/ l h IA/6- Square Ft. Estimated Cost (value) 4 0 0 0 0 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. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT g5 �d RADON /2e,Le Signature of Contractor or Owner- Builder Notary as to Contractor or Owner - Builder My Commission Expires: * COMMISSION NUMBER RY Pv OFFICIAL NOTARY SEAL 0 B pi SANDRA M MONTIEL >� y 6, CC401261 ' Q. BdY MM of p. 0 AU CO 17 ISSION .EXP. j C.C.F. NOTARY BOND Date Date /- 8 5' e TOTAL DUE 4/0 APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES 10 A/C (WIND) DISPOSAL SERVICE TEWORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/1€TER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS, PROCESS AND PRESS PIPING INTERCEPTOR RANGE IC( UNDERGROUND TANKS LAVATORY _ OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER ' MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 14' TRANSPORTING ASSEh6L1ES SINK, SLOP MOTORS OVER 8- 10 If ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET _ MOTORS OVER 10- 25 HP _ FIRE SPRINKLER SYSTEMS URINAL _ MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIM&ING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFOAA€RS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELO, 4' TILE/RES. 1 VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN ' DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER _ FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL 0 m m v 0 y ig 3 3 C 109 22 38 48 B LW24/273 112 936 R BLB45/ H \1 DB15 BSer 8L W1536R 69 W3336 B15L 1061 14 0 o. O *N.1 c' DISH. 24" C 'HA N G1 TB9 L ;c1. 01Z-00 3024 1801 W 1536 R DB15 33 -- 7 L ' C{ J] 40 40 W4) D .7(k \ K /1 )1c M1AM!DACE MIAMI- DADECOUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAGLER STREET, SUITE 1603 PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130 - 1563 (305) 375.2901 FAX (3U5) 375-2908 NOTICE OF ACCEPTANCE (NOA) PGT Industries P.O. Box 1529 Nokomis, FL 34274 SCOPE: This NOA is being issued undcr the applicablc rules and regulations governing the use of construction matcrials. The documcntation submitted has been reviewed by Miami -Dadc County Product Control Division and acccptcd by thc Board of Rules and Appcals (BORA) to be uscd in Miami Dadc County and othcr arcas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. Thc Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in arcas other than Miami Dadc County) rcscrvc thc right to have this product or,material tested for quality assurance purposes. If this product or matcrial fails to perform in the accepted manncr, the manufacturcr will incur thc expense of such tcsting and the AHJ may immcdiatcly revoke, modify, or suspend thc use of such product or matcrial within their jurisdiction. BORA reserves thc right to rcvokc this acceptance, if it is determined by Miami-Dadc County Product Control Division that this product or matcrial fails to mcct thc requirements of the applicablc building codc. This product is approved as described herein, and has been designed to comply with thc High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Series SWD -101 Outswing Aluminum Frcnch Door - Impact APPROVAL DOCUMENT: Drawing No. 971, titicd "French Door -X, XX ", sheets 1 through 4 of 4, prcparcd, signed and scaled by Robert L.Clark, P.E., dated 4/13/01, bearing thc Miami -Dadc County Product Control Revision Stamp with thc Notice of Acceptance number and expiration date by thc Miami -Dadc County Product Control Division. MISSILE IMPACT RATING: Largc and Small Missile Impact LABELING: Each unit shall bear a permanent labcl with thc manufacturer's name or logo, city, statc and following statement: "Miami -Dade County Product Control Approved ", otherwise noted hcrcin. RENEWAL of this NOA shall be considered after a renewal application has bccn filcd and there has bccn no change in thc applicablc building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after thc expiration date or if there has bccn a rcvision or change in thc matcrials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for salts, advertising or any othcr purposcs shall automatically terminate this NOA. Failure to comply with any section of this NOA shall bc cause for tcrmination and removal of NOA. ADVERTISEMENT: The NOA numbcr prcccdcd by thc words Miami -Dade County, Florida, and followed by thc expiration date may bc displaycd in advertising literature. If any portion of the NOA is displaycd, then it shall bc done in its entirety. INSPECTION: A copy of this entire NOA shall bc provided to thc user by thc manufacturer or its distributors and shall bc available for inspcction at the job sitc a This NOA revises NOA It 01- 0417.04 and, consist, Thc submitted documentation was rcvicwcd by T c request of the Building Official. this pagc 1 as wcll as approval documcnt mcntioncd above. � preBe rri2n, .�. 1? NOA No 02- 0701.12 xpiration Date: November 22, 2006 Approval Datc: July 12, 2002 Page 1 6 MIAMIOADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 NOTICE OF ACCEPTANCE (NOA) PGT Industries P.O. Box 1529 Nokomis, FL 34274 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Series FD -101 Outswing Aluminum French Door w/ Sidelites - Impact APPROVAL DOCUMENT: Drawing No. 972, titled "Aluminum French Door w/ Sidelites", sheets 1 through 8 of 8, prepared by manufacturer, dated 7 -12 -99 and last revised on 01- 17 -03, signed and sealed by Robert L. Clark, P.E., bearing the Miami -Dade County Product Control Renewal stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: Large and Small Missile Impact LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. • ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, thcn it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises & renews NOA # 02- 0702.01 and, consists of this page 1 as well as approval document mentioned above. The submitted documentation was reviewed by Ishaq I. hands P. NOA No 02- 0927.13 on Date: February 13, 2008 ate: February 13, 2003 Page 1 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque 0 Time Type Insp'n Permit No Name Address Company Phone # For Inspect Approved Correction Re- Insp'n Fee ,JtL, vv\ 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 ith the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances mi Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether )1 rein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. • D Owner's Name and Address e Registered Architect and /or Engineer Name and address of licensed contractor___ 1 _ / A Locati n�l ega des of lot to be hilt on: Lot__ Block ©4 Street an Numb wher ✓work is to be done P\r t State work to be done and purpose of building (by floors )___ v _ __ . �_{ and for no other purpose. No. of Stories New Building Remodeling A pairs c3 v 1y- L L To be constructed of C-°55 Kind of foundation )/ Cts7t1c , R Estimated Total cost of improve ents $ /0 0 �d7 Amount of Permit $ Zone cubage required / l 5;9 c:)__ • _ _Plan Cubage Distance to next nearest building o' — _Size of Building Lot ig>e Maximum live load to be borne b each floor Permit No. ° ;_ —_ Date (Signed) Notary Public, State of Florida Read, Sworn to and Subscribed before me. Y 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 subcor tors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks____ 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, bein by m first dul sworn, upon o?th deposes and says that he is the of the above escribe constr tion, that he as carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated Building Inspect•? — J �'�✓ U 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. 7 '•■••• " .4% . • r . , „; • 4 ! • • 4 7 13 % 4 4 t, L,t ca . 4 cf1; Z„ 4 ftt•44-4 . • . 4 , 6 , 4 4 • ' 3' ' 3 L T 7 1 -- M . (" \ \ , [ 1_ 4 -1 f I I 4 • f 4 r • 1.1 • I, - - h 11 UILDING LECTRICAL LUMBING 'wner of wilding t 1 rchitect / / f / 1 . ontractor f r Builder 1 e l/ l ! ! .egal Lot / /f Bi. Subdi- )escription 1 ' / J =� vision Lddress of 1" � . Value of Amt. of uilding 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 appli- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any tans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked 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 e rmit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and , gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the { { aterpents or specifications and t ►at he assumes respon- bility for work done by his agents, servants or employees. /. Signed li a, e r " By 1 , INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordi lances and regulations ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. a accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. 'r. PERMIT N? 8509 Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 1 < • BY Contractor's License No. ( f 1 AUTHORITY 7, 194.L. i �1f'''aggV ==f 1�i�fiaifitfi�mi a ir aic ism Mi mt�c r sce u�o •.i ► cc ag mc m�rce ai�o .. %U . � al• -..... ir ,. ...., .....•ar r .. a , r ,.... 0 .,ar.......ir,......airc• a ar ...... r. J Issued 19_ tigl iami =bores tt age F L O R I D A 1' ��vT ? 911 s No. Houses BUILDER'S BOND ~ 4,:, „),.. KNOW ALL MEN BY THESE- PRESENTS, that I, F F4 Address F. in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or buildings at the following addresses:y - Amount— 1 ` ., t do hereby deposit with Miami Shores Village, Florida, the sum of , and I agree with said Village that, when such construction shall have used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the F . completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me, completion of such construction within the meaning of such ordinances, the Village may clear and repair the same and pay the costs of such clearance and repairs out of the aforesaid '`, <> p' i , and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then said shall be returned to me. WITNESS MY HAND and Seal at Miami Shores Village, Florida, this _ _day of 94. (Seal) s INSTRUCTIONS TO BUILDER —When above mentioned construction is completed and the premises are cleared and repaired take this bond to the ' C Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your money in accordance with the above agreement. VILLAGE BUILDING INSPECTOR'S APPROVAL I hereby certify that the construction contemplated under this Bond, has been completed and that the builder thereof has caused the surrounding premises to be cleared and repaired in as good condition as they were before commencing said construction. ::::~ WHEN CLEARED AND REPAIRED BY THE VILLAGE $ Amount of Bond Cost of clearing and repairs done by Village Balance due Builder Arajr`•°' °•'•ii °•'•iMr•°, °• M fir-`°�a' `•°°.•'•i'r •'• `•° '•ic `.`'ir`°.Q iz-g • ra"3 e0MM4re'•ii`•° ° ° `•° ° a• : o °•'•ii`• nL _3j 6 Cancelled Village Building Inspector, Miami Shores Village 19 By OWNERS NAME G 7iJ. 11. B•'_,.. L' PRESENT ADDRESS 271 N. W. n7th utreet c ""' LICENSE NO. A' PHONE NO. JOB LOCATION (ST. OR AVE.) 324 N. 1,'. 91st Street LOT ii.8 & 9 BLOCK 2 SUBDIVISION E]. Portal GENERAL CONTRACTOR Ralph N. Relay ADDRESS 819 N. '1. 54th. Street PHONE NO. 8 9 - 47 0 4 LICENSE NO. 3564 p t1 BUILDING PERMIT NO. 8 5 0 9 p DATE 11 / 1 7/49 PERMIT FEE $ 1 p BUILDER'S BOND NO. / DATE 11 / 17 /49 ZONE PEQUIREMENTS 17, 500 Cu. FT. PLAN CUBE 1 797 6 3 7 CU. FT. EST. COST $ 10 , 000 DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: MB' DATE Q 11/16/11.9 X NEW CONSTRUCTION CBS CBS STORIES 1 R00F CONSTRUCTION f Tile INTERIOR CONSTRUCTION Oak Floors - Plaster Malls REPAIRS DESCRIPTION Liv Rzn - Din Ran - Kit - 2 Bed 1 m - 1 Bath - 1 car attached paria ALTERATION ADDITION SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL APPROVED REJECTED DESCRIPTION REFERRED TO COUNCIL REMARKS REASONS C OCCUPANCY NO. �". ISSUED 2 / 1 O/ , 0 BY 44 -' •• TO ° •.:i .�.a�.E': ';I.?"ig BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 11/25/49 DEL; TEMPORARY SERVICE $ BEAMS & LINTELS 12/13/49 JDH $ SEWER FRAMING 1 /6 /50 T . DH $ GAS $ $ INSPECTIONS FINAL BY RE- INSPECT BY RE- INSPECT BY ROUGHING !CLEAN -UP J DH GAS CONTRACTOR Reynolds Bros. PHONE 4'ERMIT NO. 8560 DATE 1 1/ 3049 FEE $ 7 .75 NEW BLDG. X f ALTERATION II ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK $ SEWER $ SOLAR HEATER $ GAS $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING 11/30/49 J DH GAS 1/6/50 JDH SEWER SEPTIC TANK 1/6/50 JDH SOLAR HEATER FIXTURES 2/10/50 JDH CONTRACTOR Iro.ica1 Electric Inc. PHONE FEE $ • 20 ( PERMIT PERMIT NO. 8667 DATE12l2 3/49 NEW BLDG. X I r ALTERATION II ADDITION REPAIRS SPECIAL. PERMITS PERMIT NO. DATE FEE h TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING 1/6/50 JDH H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL 2/8/50 JDH BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE 2 / 8 /5 0 BY JDH ADDRESS3 ?4 N. B. ylst 5t. LEGALL+oLS vi V.".7, "' • 'C 9 'i rorLaRECORD GARBAGE TAX PAID BY ntf .nPQ. 2 -10 -50 YEAR 1950 ANNUAL TAX 012.00 PERIOD USED 12 -31 -50 AMOUNT PAID f , ;11.00 DATE PAID 2 - 22 - 50 RECEIPT NUMBER 1504 R. B. Guerin (o) i/ /9k 1;-/ "3 /'S/ /2.0,0 / /I'ji J ,/ ,',' r7rr N° 83G CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla Owner, Agent or Tenant of Building Lot i" Block Subdivision Street Address Approved use by occupancy Remarks • This Certificate of Occupancy 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 peAaining to the erection, construction, alteration or remodeling of buildings or structures. Jam, BUI DII�TG DI SION