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BUILDING PERMITLOCATION MAP 3cAL : I o d SKETCH OF SURVEY LEGAL DESCRIPTION: LOT 17 and the West half (1/2) of Lot 18, of Block 48 of "AN AMENDED PLAT OF MIAMI SHORES, SECTION NO. 1 ", according to the Plat thereof recorded in Plat Book 10 at Page 70 of the Public Re- cords of Dade County, Florida; being located in the Village of Miami Shores, Florida. SURVEYOR'S NOTE: This property also referred to as: All of Lot 17 and 18, LESS the East 10 feet and the East 15 feet of the West 40 feet, Block 48, of said Plat. WE HEREBY 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 Phone (305) 891 -7340 BY: 1Ala C. Vice President HOWARD C. GAMBLE 1GISTERED LAND SURVEYOR NO. 1683 (FLORIDA) N ORDER NO. 11205 FIELD BOOK #435 PAGE NO. 38 SCALE: AS SHOW O. I . P. . — I SET CAP DATE: January 31,1996 - 0 CONC .` FooTING 3.4 13.?' Q6o .-. C o.44 L. 0.22 ENCR. n' 23. IG' 0 • ' CO N G. 0 N 6 ALL 5.001 - 0 in o ' 5' c.(L. PENCE ON LIN r J S\T/K . _ i a1 .A N• . D ST. 18' p' / Z Ric)At ' .r-ON UN OMB SCALD • 1. — CL. is IN S> 1 NA t L_ RL.,S DISC, SET CAP „ „ 1t ,1 h 11 11 • 1, 56 SS. J� N _56z1 t\ 10 ( V S 1 S 4 3 2 1 N 2.2 23 h n 4 AA . 1. I' LOCATION MAP 3cAL : I o d SKETCH OF SURVEY LEGAL DESCRIPTION: LOT 17 and the West half (1/2) of Lot 18, of Block 48 of "AN AMENDED PLAT OF MIAMI SHORES, SECTION NO. 1 ", according to the Plat thereof recorded in Plat Book 10 at Page 70 of the Public Re- cords of Dade County, Florida; being located in the Village of Miami Shores, Florida. SURVEYOR'S NOTE: This property also referred to as: All of Lot 17 and 18, LESS the East 10 feet and the East 15 feet of the West 40 feet, Block 48, of said Plat. WE HEREBY 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 Phone (305) 891 -7340 BY: 1Ala C. Vice President HOWARD C. GAMBLE 1GISTERED LAND SURVEYOR NO. 1683 (FLORIDA) N ORDER NO. 11205 FIELD BOOK #435 PAGE NO. 38 SCALE: AS SHOW O. I . P. . — I SET CAP DATE: January 31,1996 - 0 CONC .` FooTING 3.4 13.?' Q6o .-. C o.44 L. 0.22 ENCR. n' 23. IG' 0 • ' CO N G. 0 N 6 ALL 5.001 - 0 in o ' 5' c.(L. PENCE ON LIN r J S\T/K . _ i a1 .A N• . D ST. 18' p' / Z Ric)At ' .r-ON UN OMB SCALD • 1. — CL. is IN S> 1 NA t L_ RL.,S DISC, SET CAP yr- , I N r �'6Z1 14 IS 16 e lo = 1v 20 21 2.2 23 h n v AA . 1. I' h 11 .01 LOCATION MAP 3cAL : I o d SKETCH OF SURVEY LEGAL DESCRIPTION: LOT 17 and the West half (1/2) of Lot 18, of Block 48 of "AN AMENDED PLAT OF MIAMI SHORES, SECTION NO. 1 ", according to the Plat thereof recorded in Plat Book 10 at Page 70 of the Public Re- cords of Dade County, Florida; being located in the Village of Miami Shores, Florida. SURVEYOR'S NOTE: This property also referred to as: All of Lot 17 and 18, LESS the East 10 feet and the East 15 feet of the West 40 feet, Block 48, of said Plat. WE HEREBY 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 Phone (305) 891 -7340 BY: 1Ala C. Vice President HOWARD C. GAMBLE 1GISTERED LAND SURVEYOR NO. 1683 (FLORIDA) N ORDER NO. 11205 FIELD BOOK #435 PAGE NO. 38 SCALE: AS SHOW O. I . P. . — I SET CAP DATE: January 31,1996 - 0 CONC .` FooTING 3.4 13.?' Q6o .-. C o.44 L. 0.22 ENCR. n' 23. IG' 0 • ' CO N G. 0 N 6 ALL 5.001 - 0 in o ' 5' c.(L. PENCE ON LIN r J S\T/K . _ i a1 .A N• . D ST. 18' p' / Z Ric)At ' .r-ON UN OMB SCALD • 1. — CL. is IN S> 1 NA t L_ RL.,S DISC, SET CAP N° 1480 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla , 1 " Owner, Agent or Tenant of Building Lot ' 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 pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUILDING DIVISION is l iMiMi`f ii i;i IMitco m =`&IMIWc =t` l ci00. o �ri 'tc 'fi l lfW • THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE A Penalty is imposed for failure to keep this license exhibited at your establishment or place of business '1' HIPLICA'I'F VILLAGE LICENSE This License Expires OS tober 21, 1952 In consideration of the sum of '1nfiy fire and nn/ 100•- --- 40...4.0.■.41►....«.......... Dollars $ N° 6422 25•OU K :C Paid to Miami Shores Village, Dade County, State of Florida, o 333 &Z. 91st Street Geri J. fioe es Address 1 is hereby licensed to engage in or operate the business of Ovlser.bailidar lion expires nix matte from data of iasuanss K1 .... .April 21, 1952 Ostober 31, 152 94 For the period beginning subject to the Provisions of all ordinances. and ending r^ (SEAL) April 21, 1952 Date Issued "••$ THIS LICENSE NOT TRANSFERABLE WITHOUT APPROVAL OF THE VILLAGE MANAGER ti� eptQ't;ep�lf�p}� 1 t i i ` • °4° r r: � +•ep�ti'f+ +4 +1 ^ +r CD a'ltedy+4'it�+�n r t n n rl a... r r t {i �r�'�` ° • ' ii ' i'ir '• ii•.:. ;i•� ° •�r• .�?.��r• :ri 'MIei)44 MIAMI SHORES VILLAGE, FLORIDA VILLAGE MANAGER • ��3 BUILDING ELECTRICAL PLUMBING ROOFING Owner of e Building n CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 13099 fl Work to be performed under this Permit Architect Contractor or Builder Legal ' ^Lot' II Bl. Description. Address of Building Subdi- vision Value of Project $ 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 responsibi, for work done by his agents, servants or employees. Signed ` �- BY In consideration of the issuance to me of this permit I agree t 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 responsibility for all work done by either, myself, my agent, servant or employee. h R � lV INSPECTOR BY DATE 195 Contractor's License No Amt. of Permit AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of ' Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA DATE °, ' , r, 195 1 n PERMIT N? 13074 ❑ Work to be performed under this Permit d CONTRACTOR OR BUILDER BL . Subdi- vision Contractor's License No Value of Amt. of i t \ a , y T � : ` o „ Proje $ n , � Permit $ ,t 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. i a, C Signed � _ ' INSPECTOR � � In consideration of the issuance to me of this permit I agree to perform' the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot PERMIT N? 13104 I MIAMI SHORES VILLAGE, FLORIDA [l Work to be performed under this Permit Bl. ' .. CONTRACTOR OR BUILDER Subdi- vision Value of Project $ BY DATE 4 Contractor's License No Amt. of Permit $ 195 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- INSPECTOR In consideration of the issuance to me of this permit I agree to pe the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, s ents 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. AUTHORITY 4 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 State work to be done and purpose of building (by floors) Disapproved ( Signed) s BUILDING INSPECTION DEPARTMENT Date ding Inspec MIAMI SHORES VILLAG 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 n? > No. of Stories oof Covering '"°/ z.._ New Building odeling Addition To be constructed of_ Kind of f lation Estimated Total cost of improvements $_____ r Amount of ermit $ Zone cubage required __Plan Cubage , o Distance to next nearest building _,.;Z Size of Building Lot 7 X 1!__ ' ;Y' Maximum live load to be borne by each floor I hereby submit all the plans and ins 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, d 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. pairs Street r - 2 Remarks ( Signed Nost and for no other purpose. a 19 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 nstruction, that he has' carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated true. ‘o Permit No L __ Date < Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires LANNING BOARD DATE Chairman /' Member Member , Member Memter 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Carl oche$ PAID BY +21 + 52 YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID NUMBER ADDRESS 333 N.E. 91st St. LEGAL 17 7 `,718, bl. 48 sec. 1 RECORD GARBAGE TAX INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION •-' ' DATE FEE TEMPORARY SERVICE $ . BEAMS & LINTELS 5 9��Z SEPTIC TANK �� %�? - 1 SEWER FRAMING 5- i- ?/ $ SOLAR HEATER $ FIXTURES $ GAS $ $ $ INSPECTIONS FINAL �'�- J �✓ lam Pm BY RE- INSPECT BY REINSPECT CLEAN -UP ROUGHING , IIVJJJ 4C)', '. CONTRACTOR ' ° - PHONE 1 1 PERMIT NO. -y I DATE i�. - FEE $ °r® - NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ . H. W. HEATER CONN. $ SEPTIC TANK �� %�? - 1 SEWER $ MOTORS $ SOLAR HEATER $ FIXTURES $ GAS $ $ $ INSPECTIONS DATE INSPECTIONS DATE BY RE- INSPECT BY REINSPECT BY ROUGHING � ,1 4C)', '. ROUGHING GAS , H. W. HEATER CONN SEWER RANGE CONN. SEPTIC TANK 'Si, SOLAR HEATER FIXTURES & FINAL FIXTURES •- .. 7 / 'Si- r ,-,„ CONTRACTOR PHONE PERMIT NO. . ' DATE FEE $ 1 NEW BLDG. 1 ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE T..02. ..- i $ . H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING , H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS O APPROVAL TO POWER CO. FOR SERVICE DATE , BY OWNER'S NAME Carl T. Hoenes PRESENT ADDRESS 270 N.E. 111th St. LICENSE NO. 6422 PHONE NO. JOB LOCATION (ST. OR AVE.) 333 N.E: 91st Street LOT "; 17- wail$ _ ' ADDRESS BLOCK 48 • SUBDIVISION Sec. 1 PHONE NO. LICENSE NO. GENERAL CONTRACTOR owner- builder BUILDING PERMIT NO. 13047 DATE 4 PERMIT FEE S 22 6.3o -j'.- BU ILDER'S BOND NO. 1 DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE 2 1,43 6 CU. FT. EST. COST S 18,000 - DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: DATE X NEW CONSTRUCTION CBS CBS STORIES 1 ROOF CONSTRUCTION tile . INTERIOR CONSTRUCTION oak and tile floors.p1aster. REPAIRS DESCRIPTION walls and ceilings bdrm - • •_cam •' !S •.1IH • . t_ • •c . .. *ow ..., • (I -_- DES RIPTION ALTERATION • ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS ,�pp CERTIFICATE OF OCCUPANCY NO./ I� 6 / ] I ISSUED 6 ice °� BY )4[J- TO !1 ��l i�." cam. le.%. - x BUILDING PERMIT AND INSPECTION RECZSRD —MIAMI SHORES VILLAGE BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle : Building Owner's Name (Fee Simple 4 - • . e) I�s�TI�► M�SJ a Owner's Address 3 N. a • City k" i,j-t i S kot2t Tenant/Lessee Name —' Phone # Job Address (where the work is being done) 333 1■1 91 ' `3T. City Miami Shores Village County Miami -Dade Zip 33 t 3 e Is Building Historically Designated YES NO Contractor's Company Name b' J e ue:F_ Phone # Off - 7o 1 - U f `13 Contractor's Address City State Zip Qualifier Architec ngineets Name (if applicable) TlN l/N. (Li-t-3 Phone # 30 Z7' - 6.2_70 $ Value of Work For this Permit (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 State t. t- 35c; Type of Work: ❑Addition ❑Alteration DNew ❑ Repair/Replace 0 Demolition Describe Work: 1>e-Mb te-rCA4-e►a G�aiNE-TS a pu acS, 4 �� .p W w GreNI /Wei t c.A'+ F/ .M Ct vl f ilr , Submittal Fee $ 50 Permit Fee $ Notary $ Fee $ Scanning $ 3 '" Zip 33 t Permit No. OP 0264/0/ Master Permit No. Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** es * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Radon $ Mechanical Roofing . Phone # 505 - - 1421 0 CCF $ Technology Fee $ Bond $ Code Enforcement $ Structural Plan Review. $ /pf' /'L 1v1i 1.4e Total Fee Now Due $ �� . 6 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lenders>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 j ccurs seven (7) days alter the building permit is issued. • In the absence of such posted notice, the inspection will not be a pro,/ d and a reinspection fee will be charged. Signature Owne The foregoing instrument was NOTARY PUBL IC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: Chc 10/14/03 gent owledged before me this day of SOP dAI� - , 20 ()y , by nilitTli) 11 c1 I A , day of , 20 by who is personally known to me or who has produced F L Ian.(vE S who is personally known to me or who has produced as identification and who did take an oath. LICE N S t= As identification and who did take an oath. NOTARY PUBLIC: Rocio Sa .I ong.CC Expires Jan. 22,E •#.41, 1 oo Atlantic Bonding ri Signature Contractor The foregoing instrument was acknowledged before me this ommission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning n lla�e ited YES Me n 0 0 3 b WG1.l�� — County Miami -Dade NO bzi 4 8 7- 2 0 F0 2 0 1 Z � .nit No. , Z mit No. C) C=i hh C lechanical Roofing rn r -749t- ot?3 0 —0 Zip 33 Phone # 7C'l -- O ri • City State Zip Qualifier Archite ginee Name (if applicable) 1`464=1 "it- (1 --.3 Phone # 3e'S epZ7b b $ Value of Work For this Permit 350 °� Square Footage Of Work: Type of Work: ['Addition DAlteration ['New ❑ Repair/Replace g Demolition Describe Work: 1.•ae-tb ,6.N1r> + �'a- �, �eao� nom e $r, N K Ttetto usoR?N h kv\ch eAvec Gvwc? R - Q1aftl8t. 2rItgig ©17 pu w 2K tp G u✓! i , s *ss ** sass * * * * *aaaaaaassass* F ees *a ** * * *as * *s *a * * * ***** **** **s* OWNER 111N!!3d 0N183A0O 3ALL331011d H.IM JNIOwIf18 d0 33VA NO ADDRESS CONTRACTOR PERMIT TYPE a1:IV3 NO a3JYDIaNI SV DNIIDVB Ol N3ISV l a 0 OlAr li3N31SVd H LIM dVld N33f1OSIA ao 30031 3ALLO310Md „@ x „L DISPLAY THIS CARD ON FRONT OF JOB NOLLVI113N3d 1 @L NIW 1 1 3avW 38 11IM NOI103dSNI ON a0 SaoH13W DNIMO11O1 3H1 AO 3NO A8 801'' 3H1 i01NOU1J 3H1 NO a3AvldsIa 38 1Sf IN GEM II1NUl3d SIH1 MIAMI SHORES VILLAGE '08 0NI)1OV8 .. @L x "EL 'NM BUILDING PERMIT PERMIT # aP ( )9 .../ a DATE JAN - 8 200 / 1_37 ,frE •?_/ sr "WARNING TO OWNER: YOUR FAILURE TO RECORD A •TICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING CE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." MECHANICAL INSPECTION TYPE NSPECTOR DATE fitAndgr A/C Pipe ', 'i Slab condensate Slab Jenn -Aire Rough Duct r Tie Beam Rough Pipe Exhaust Fan Rough Rake Beam Hood Rough , Pool Heat Pump Fire Dampers , 2nd Floor Columns Fireplace Vent Vacuum Pipe Rough 2nd Floor Tie Beam Vacuum Pipe Final f. Equipment Anchor Suppression Test Wall Sheathing Tuct Detector < r Ventilation Floor Sheating Pressure Test Truss, Roof FINAL Truss, Floor STRUCTURAL INSPECTION TYPE lNSPEC R DATE DATI, . Footing Top Out Columns / Poured Cells t Tie Beam Condensate Drainfield Rake Beam Suppression Test , 2nd Floor Slab Sewer , 2nd Floor Columns Water Service L P Tank 2nd Floor Tie Beam Gas Rough f. Roof Sheating Irrigation Int: Ext: Wall Sheathing y < r Interceptor Floor Sheating Pressure Test Truss, Roof Pool Maindrain Truss, Floor Pool Piping Store Front FINAL Buck Lath Window Installation Door Installation Tin Cap ' Mop in Progress Tile In Progress PLUMBING INSPECTION TYPE NSPECTOR DATE Ground Rough Top Out 2nd Floor Rough 3rd Floor Rough Condensate Drainfield Suppression Test Septic Sewer Water Service L P Tank Gas Rough Gas Final Irrigation Int: Ext: Well Interceptor Pressure Test Fire Sprinkler Final Pool Maindrain Pool Piping FINAL NO INSPECTION WILL BE MADE UNLESS PERMIT CARD IS DISPLAYED AND APPROVED PLANS ARE READILY AVAILABLE WORK MUST BE COMPLETED PRIOR TO REQUESTING INSPECTIONS 24 HOUR NOTICE FOR ALL INSPECTIONS STRUCTURAL INSPECTION TYPE Shingle in Progress Framing Insulation rywall Sidewalk Driveway Form / Rock Storm Shutter Anchors Storm Shutter Final Patio / Deck Final Fence Final Pool Steel Pool / Patio Deck Screen Encl Final Pool Final Roof Final NSPECIOR DATE FINAL INSPECTION RECORD 0 J '1 A Ai. ELECTRICAL INSPECTION TYPE INSPECTOR DATE Temporary Pole Footer Grounding Slab Service Rough B. Alarm Prewire T.V. Prewire Intercom Prewire Phone Prewire B. Alarm Final T.V. Final Intercom Final Phone Final 30 Day Temp Power Pool Grounding Pool Slab FINAL FOR INSPECTIONS CALL 305 - 795 -2204 INSPECTION REQUESTS ARE ACCEPTED DURING THE HOURS OF 8:30 AM TO 3:30 PM FOR INSPECTIONS THE FOLLOWING BUSINESS DAY. CERTIFICATE OF OCCUPANCY MUST BE SECURED BEFORE THIS BUILDING CAN BE USED FOR ANY PURPOSE DO NOT REMOVE THIS CARD BEFORE COMPLETION OFFICE PHONE NUMBER: 305 - 795 -2204 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1/12/2004 Applicant: MARTIN Owner: MEJIA JOB ADDRESS: 333 Contractor Local Phone: Parcel # 1132060136510 Signed: (Contractor or Builder) NE 91 Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -10 MEJIA MARTIN ST Contractor's Address: Page 1 of 1 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 17 & W1/2 LOT 18 BLK Fees: FEE2004 -246 FEE2004 -247 FEE2004 -248 FEE2004 -249 FEE2004 -250 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $100.00 $0.60 $0.20 $2.50 $3.00 $106.30 Permit Status: Permit Expiration: 7/6/2004 Construction Value: $350.00 Work: DEMOLITION OF KITCHEN CABINETS, APPLIANCES AND WOODEN HANDICAPED RAMP FROM GARAGE. Total Fees: $106.30 a. oo C L Total Receipts: j0.00 0 JAIL 1 2 PAID 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. BY: Policy No. 6067712 No. 1377602 No. Kind Workmen's Compensation Public Liability Term 4/12/52 to 4/12/53 4/12/52 to 4/12/53 to Limits of Liability In conformance with the Com- pensation Law of the State of FlorlIAL _ LIMITS OF LIABILITY One Person - - $.].04;00,00 One Accident - - $ 20,000.00 Property Damage LIMITS OF LIABILITY One Person - - $_ ___ - One Accident - $ Aggregate Limit - $ Property Damage One Accident - - $___.1,Q0.Q.00 Aggregate Limit - $.10i000,.QQ..... One Accident - $_ Aggregate Limit - $ ._ Classifications and Locations Covered Masonry & Carpentry 100 N. E. 117th Street, Miami, Florida and else- where in the State of Florida_ Masonry & Carpentry 100 N. E. 117th Street, Miami, Florida and else- where in the State of fl erldst_ Assured... ci 4.4 INDEMNITY ^ ANY ST. PAUL„ MINN CERTIFICATE OF INSURANCE The SAINT PAUL - MERCURY INDEMNITY COMPANY hereby certifies that it has issued to Address_...-...__..._ LW N. E. 3.1.? h_.atnaet. _ i _ Flgrid& a policy or policies of insurance described as follows: Remarks: It is hereby understood and agreed that in the event these policies are canceled this Company will send by registered mail to the Building Department of the Village of Miami Shores, Florida at least ten (10) days before the effective date thereof, written notice of such cancelation. This certificate is issued at the request of the Building Department Address Village___nf ..Miami._Shs�re . Syt'4 .4�!!:l►.i `I r i d ' •1. ° :0� I:40.�4r'r1 :'i �:C'i}.1 �'.1' 1. �' � ha _ fit.- � \, •�. 't1'i�t:� ? . C•;� ;rQ :TIP DI) 1; ..i ?'R'1' . r ►; .'. �••...., .... •_ ... ,'... o:M,r •t;f.•.• r.4' .....; '.., '• I .. ,. L... 4'.- ..,..v;:gv;tp,l'a,l 1.,6 {;.' JJ.'.f;l: F's.4 p;r ..•4' Dated Apra 18 3.952 20485 -1 SAINT PA By. LON. CURY IND; i C e MPANY' ORTH CROW INSURANCE AGENCY, INC. STATE OF FLORIDA) SS COUNTY OF DATE ) And Further this Deponent says not: AFFIDAVIT of the Village of Shores, County of Dade and State of Florida, being duly sworn, doth depose and say, that under the provisions of Ordinance No. 185,, dated June 15, 1948, amend. ing paragraph (d) of Section B -368 of Ordinance No, 97 of the Building Code of Miami Shores Village, he desires to build a House on Lot 17 and of 1:. 48 of Sec. 1 Miami Shores Subdivision, that he is the owner of said property, and will be the owner of said House , that he wi 11 do the work personally, and that . he will, at such times as are required by the Zoning and Building Director:- 1, File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. 3. Pay the required fees. 4. Execute the work in accordance with the provisions of this Code. 5. Apply for inspections. 6. File with the Building Inspector certificates that provisioA has been made to carry the necessary Workmen's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certi- ficates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing other than properly licensed contractors by Miami Shores Village for any part or portion of the work. 9. Not set himself up as a "contractor". 10, Sign an affidavit before commencing work to the effect that he has read this Article and will do the work personally and observe all of the requirements of the Building, Electrical, Plumbing and Zoning Codes of Miami Shores Village. Such affidavit to be properly notarized upon blanks to be supplied by the Building Inspector. 11. In order to prevent abuses and subterfuge tIa right of such owner - builder as herein provided, ' is limited to but one owner- builder permit each 2 years, and where an owneri.builder- has once exercized the privilege herein conferred no second application for owner- builder permit shall be granted in less than 2 years, unless the applicant is qualified as a licensed General Contractor under the applicable Ordinances of said Village. SUBSCRIBED AND .SWC6iiv TO BEFORE ME this 191 day of NO 9 f. "y commission axpi.,s August _�, I; j5 :4ondod by American Surety C of N. Y. r - ury Public, Sure of f •Y, I�rrc :.iy commssion expiry, Aucusi "carlA by AmQrieya .ur ty Co. of '' A... De, • R t f^> • . - • w A 19 I_ 1 f y 1 1