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BUILDING PERMIT
BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building ❑ PERMIT N9 7952 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. BI. FLORIDA DATE I Contractor's License No 195` Work to be performed under this Permit_______ Subdi- vision Sq. Ft Value of Project $ ? Amt. of Permit $ r/ 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 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 AUTHORrrY MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. $.4.\-7\--- 9- L. 19..� Date °v r O � c Owner's Name and Address._. - (ANN A. .; `7EN:He �._° No �_r��_ Street H.�..- --�.� °° 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 4 5;5' _'3' (,_sA i. " ° off ` __% m _. \ 'Au-5 't- " State work to be done and purpose of building (by floors) 5 g_zr f d fl_,r_ , d = cS i� (, i3 ■ c.( . 1) L� V C--) - F ? - 6 -- t - C.,. ..g D.. _.t ' 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,im� psernersts $ .0 c ` C str IDAmount of Permit $ .ID 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 sue subcontractors, . , ork to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Disapproved (Signed) / Buig Inspector Date 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. �I Permit No Date 1 Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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. 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 a'. building during progress of the work. Owner's Name and Address JO I{ N A 1 Si ETT Registered Architect and /or Engineer .. _. Name and address of licensed contractor CA I:LSON ►KS/' . Location and legal description of lot to be built on Lot Block Subdivision Q Street and Number where work is to be done.-- . 3 SI.a. -�, E. _ l t Sr T ' State work to be done and purpose of building (by floors) --- -I.L.E- Z A ILI 146 Per IRS PA 11 D A i# 6r .1 Nr!"4STgg_ 4 5 r uc co - e— .QLfh[-� 4 46 ca c - �km.) T A t - 4... SMOK g-A•S + o o and for no other purpose. New Building Remodeling. Addition Repairs., �� No. of Stories To be constructed of Kind of foundation Roof Covering v a ., 0 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 al ontractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted .r i tion on the site o the wo such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such �� b. . ctor or wor 47� be formed under this permit, as are licensed by Miami Shores Village. Remarks (Sign Permit No Disapproved (Signed) GA, MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date Date ' 2 3 No. 35 Street 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. �/ Date /c - 2 3' - J O Read, Sworn to and Subscribed before me. Notary Public, State of Florida uilding Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member .... _ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 wilt be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Client: Arguelles & Arguelles 9455 S. W. 78th Street Miami, Florida 33173 Att. Mr. Dan Arguelles mil Emi l I::: TESTWELL CRAIG LABORATORIES & CONSULTANTS, INC. 3731 B.W. 47th Ave. #401, Davie, Florida 33314 Phone: (954) 584 -4475 - Fax: (954) 584 -3887 Tile /Manufacturer: Artezanos, clay, 2 piece barrel Project Description Test Procedure CERTIFICATE OF TEST AND ANALYSIS Date: 8/27/96 Lab #: ABM -36 Project: 353 N.E. 91st Street Tech. R. Binns Miami, Shores, Florida Test Required: South Florida Building Code Protocol PA 106 -95 The private residence is located at the above listed address. The roof had been set with approximately 21 squares of roof tile. Tile Description The tiles were a mortar set, clay, barrel, roof tile manufactured by Artezanos, product control approval # 95- 0317.11. The roof was first examined for loose tile by hand lifting seventy five (75) field tiles and seventy (70) corner and perimeter tiles. Forty five (45) single tiles, were randomly selected and tested. twenty five (25) tests were conducted in the field area, ten (10) in the perimeter area, and ten (10) in the corner areas. The single tiles were subjected to a concentrated uplift force measured with a manually operated, Chatillon mechanical dial push /pull gauge, series DPPH. The gauge was connected to a steel "L" shaped angle that was inserted under the nose of the tile and gradually pulled upward until reaching the required test pressure of 35 lbs. +/- 5 lbs. As the load was applied, observations for failure of the component and the attachment, if any, were recorded. Tests were performed in respective order as illustrated on the attached sketch. Field Tests Field Tests Perimeter Tests Corner Tests 1. pass 16. pass 1P. pass 1C. pass 2. pass 17. pass 2P. pass 2C. pass 3. pass 18. pass 3P. pass 3C. pass 4. pass 19. pass 4P. pass 4C. pass 5. pass 20. pass 5P. pass 5C. pass 6. pass 21. pass 6P. pass 6C. pass 7. pass 22. pass 7P. pass 7C. pass 8. pass 23. pass 8P. pass 8C. pass 9. pass 24. pass 9P. pass 9C. pass 10. pass 25. pass 10P. pass 10C. pass 11. pass 12. pass 13. pass 14. pass 15. pass '1°EBTWELL CRAIG LABORATORIES & CONSULTANTS, INC. Client: Arguelles & Arguelles Project: 353 N.E. 91st Street Miami Shores, Florida Permit #: 39959 Completion Date: 7/22/96 Required Testing Force: 35.0 ± 5 lbf. Date: 8/27/96 Lab #: ABM -36 Tech. R. Binns Comments: The above listed test meets the South Florida Building Code Protocol PA 106 -95 static uplift test criteria. Anthony . Porcello President / s '•erto amirez, P.E. Reg. State of Florida # 23976 , TESTO'ELL CRAIG LABORATORIES & CONSULTANTS, INC. Client: Arguelles & Arguelles Project: 353 N.E. 91st Street Miami Shores, Florida Permit #: 39959 • 4 . 1P fi .. . .. : I ' : I s 4mc : ..... Lil .. .. 4. lx , x 117 • > f i SSP i 1 '1 to' x ... Date: 8/27/96 Lab #: ABM-36 Tech. R. Binns 2.; • • X I N IOC • STATE OF FLORIDA DEPARTMENT OF STATE Division of Archives, History and Records Management DS•HSP -3AAA Rev. 3.78 FLORIDA MASTER SITE FILE Site Inventory Form FDAHRM 802= _ 1009= = Site No. Site Name 830 = Survey Date 8505 820 = = Address of Site 353 NR 91 St,, Miami Shores, Fla, 33138 905= _ Instruction for locating on N side of NE 91 St.1etween NE 3rd Ave. &NE 4 Ave. 813= = Location Miami Shores Sec. 1, Amd. 48 East 1 /2Iot , Mit868= = subdivision name block no. lot no. County Dade 808= = Owner of Site: Name: Howard, Paul E. r Address 35"1 NE 91 St., Miami Shores, Fla. 33138 902= = Type of Ownership Private , 848= = Recording Date Recorder: Name & Title Stofik, Marty Address MSHPR Condition of Site: Integrity of Site: Check One Check One or More ❑ Excellent 863= = EAltered, 858= = Good 863= = ❑ Unaltered 858= = ❑ Fair 863= = Original Site 858 = = ❑ Deteriorated 863 = = ❑ Restored( ) (Date: )( ) 858 = = ❑ Moved( ) (Date: )( )858= = NR Classification Category: Building Threats to Site: none Check One or More ❑ Zoning( )( )( )878= = ❑ Transportation( )( ❑ Development( )( )( )878= = ❑ Fill( )( ❑ Deterioration( )( )( )878= _ ❑ Dredge( )( El Borrowing ( )( )( )878= _ ❑ Other (See Remarks Below): 878 = = Areas of Significance Architecture 911 == 832= = 818= = Original Use private resid. 838= = Present Use private resid. 850= _ Dates: Beginning + 1928 844= = Culture /Phase American 840= = Period 20th century 845= = 916= = )( )878 = = )( ) 878 = = )( )878= = 910= = Significance: Structure is a fine example of Mediterranean Revival architecture popular in the 1920s development of the Miami Shores subdivision. It is in style and character with the neighborhood. Its most noteworthy features are the two -story entry tower set at an angle on the W facade, and French doors on the 2nd story S facade with wrought iron balconette. 1 . Township Range Section 812 = = 53S 42E 6 AHCHITECT Nieder& Seiler 872= = BUILDER Raymond, P. T. 874= _ STYLE AND /OR PERIOD Mediterranean Revival 964 = = PLAN TYPE irregular; irregular 966 = = EXTERIOR FABRIC(S) rough textured stucco 854 = = STRUCTURAL SYSTEM(S) concrete block 856 = = PORCHES enclosed FOUNDATION: concrete block ROOF TYPE: gable 942 = = SECONDARY ROOF STRUCTURE(S): cross gable, flat tile 942 = = CHIMNEY LOCATION: W, ext.by entry tower /fcenter, lateralslope 942= = WINDOW TYPE: casement CHIMNEY: CBS, bellcote ROOF SURFACING: flat tile ORNAMENT EXTERIOR: masonry 882 = = 882 = = NO. OF CHIMNEYS 2 952 = = NO. OF STORIES 2 950 = = NO. OF DORMERS none 954 = = Map Reference (incl. scale & date) Miami Shores Village Plat 1980 Latitude and Longitude: Site Size (Approx. Acreage of Property): LT1 LOCATION SKETCH OR MAP N NrEg2 5 // 2 mm may modmis : mio� 353 L-1 qi sr' 0 0 UTM Coordinates: Photographic Records Numbers 85N102HG02; 85N102HG03 Contact Print Tone 74 942 = = 942 = = 942 = = 882 = = 809 = = 800 = = 833 = = 890 = = 860 = = STATE OF FLORIDA QEPARTMENT OF STATE *Division of Archives, History and Records Management i ` DS HSI 3E 9 - 74 • CONTINUATION SHEET Physical Description: Structure is a two -story Mediterranean Revival design. It is a large home situated on 22 lots. 1st story N facade has window with fixed plate and fanlight. The entry tower, set at an angle on the W facade has the original vertical wood slat door with six lights in a symmetrical pattern. The W facade also has several arched windows. 2nd story S facade has French doors leading to masonry balcony-with wrought iron railing. Masonry wall with pedestrian arched gate extends from W. Detached one -story garage on NW of property. MSHPB USE ONLY Original owner: Floyd L. Knight Some alterations due to damage from 1958 fire Swimming pool added 1955 Site No, Site Name .55.5 NE 91st Street Miami Shores El ES NE Ind its t z► Ir 9= ' z ama� wing ; ✓ :r oI, I :n l r�ll NE . 0 1 1 1 1! 1 1 to 1t r, 5 T. IM11®1110 mm111111 mmmmmmi multijmus EMI EM ME 11111 /11111 oun pug amm •= am ®m alagago 01flmdmlll 4NImmdmm ii11111 0001 1111 - mmmmmm 1--0 3 W 8 0111111 o mmi�i�O ga,� mm� ©p mt v • 1111111111 =r alPlf� mpg gg_ e 40.14 11011 t Q simoo�a "s,=b���!0�tRmmad 1111115810B1 4mmm mm M OM l EV vougas Eligidep 15 1®1 1 I N W- Ir N. 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I . , • • ' J Y • fli ti •- •;.'r.o+7j4, P TO E IAN • 'Inspection Number: INSP -13204 Inspection Date: 03/28/2006 Inspector: Grande, Claudio Owner: TRUJILLO, NICOLAS Job Address: 353 91 Street NE Miami Shores Village, FL Project: <NONE> Contractor: PADRON BRICK SALES INC Building Department Comments Monday, March 27, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: 05)795 -2204 Fax: (305)756 -8972 CL- Block: Permit Number: DS -12-05 -1069 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Phone Number (305)756 -7845 Parcel Number 1132060136520 Lot: Phone: 305 - 378 -1000 Page 1 of 2 Passed 01 Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until P TO E IAN • 'Inspection Number: INSP -13204 Inspection Date: 03/28/2006 Inspector: Grande, Claudio Owner: TRUJILLO, NICOLAS Job Address: 353 91 Street NE Miami Shores Village, FL Project: <NONE> Contractor: PADRON BRICK SALES INC Building Department Comments Monday, March 27, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: 05)795 -2204 Fax: (305)756 -8972 CL- Block: Permit Number: DS -12-05 -1069 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Phone Number (305)756 -7845 Parcel Number 1132060136520 Lot: Phone: 305 - 378 -1000 Page 1 of 2 I TALKED TO A GETLEMAN OF COMPANY ABOUT THE WIREMESH AND HE TOLD ME IT WAS CHICAGO BRICK PAVERS AND DIDN'T NEED ANY WIREMESH. Passed Inspector Comments 0 i i. 61 j f � /,, r f r /, ' L 0 Failed . Correction Needed Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid. until M nspection Number: INSP -445 Inspection Date: 03/13/2006 Inspector: Grande, Claudio Owner: TRUJILLO, NICOLAS Job Address: 353 91 Street NE Project: <NONE> Contractor: PADRON BRICK SALES INC Building Department Comments Friday, March 10, 2006 Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: DS- 12 -05 -1 069 Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Final Work Classification: New Block: Phone Number (305)756 -7845 Parcel Number 1132060136520 Lot: Phone: 305 - 378 -1000 Page 2 of 2 BASE PAVERS Passed fr X Inspector Comments I /LC. /lied& m/ S ia1 0 / fie,-(fr 6 / ' D ,a. r ' Failed , Correction Needed / Re-Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -442 Inspection Date: 02/07/2006 Inspector: Grande, Claudio Owner: TRUJILLO, NICOLAS Job Address: 353 91 Street NE Miami Shores Village, FL Project: <NONE> Contractor: PADRON BRICK SALES INC Building Department Comments Monday, February 6, 2006 Inspection Worksheet Miami Shores Village 10050 .E. 2nd Avenue Miami Shores, FL Ph : (305)795 -2204 Fax: (305)756 -8972 Permit Number: DS -12 -05 -1069 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Foundation Work Classification: New Block: Phone Number (305)756 -7845 Parcel Number 1132060136520 Lot: Phone: 305 - 378 -1000 Page 1 of 2 Owner's Address Square Ft. \ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE • / r Date Tax Folio / Historically Designated: Yes No V Legal Description /Tenant v �/>o C. / 353 N6 9/ ftU7t r � { ,g Contracting Co. r 5pti,g3,11/54). t, 45w:141;��4�e� 1 �, 1 7 Address 50 .S `12 ,f3v, / i/� /4i Al 1, 1,3_3/3Y Qualifier y r c v._ ;� s -I • State # Municipal # Competency # Address Address OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work construction and zoning. Furthermore, I authorize the above -named contractor to do the wor Signature of tary as to Owner and/or Commission Expires: ! FEES: PERMIT APPROVED: Zoning B lding Mechanical Plumbing D e ate of JULIA M. WOLSON A MY COMMISSION # CC 807870 •o ` EXPIRES: July 6, 2002 yf .k; Bonded Thru Notary Public Underwriters Master Permit # Phone 3ar 75 =Phone 05 M- V J Estimated Cost (value) No : as to o : ct My ommission Expi Ins. Co. Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN 9 ) +. I , , WORK DESCRIPTION A� �a Yi N c\ l 4 e ; ' . , E, , e : N i `* k c.5 C.:' / it�1 ! i. Ni:. 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. n compliance with all applicable laws regulating / Builder Date or Owne ::sY:,.' " R7 NO. a:Cf :f: fr, ' 4 . :cl'i e2�,:;�� - . ,�� Y. • xl.'JA. RADON C.C.F. 3 NOTARY J BOND / • Date i TOTAL DUE Electrical Structural Engineer a7 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 57.c 9 Job Address 35? NC 9 /SA Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant � J//q /a i--C/se Master Permit # Phone Op i) 759 -2137 ir 401 T 6 /6 Contracting Co. 44 u 2 ] _S ?•t( -e 1 -77,1/ C Address (o,4- r W P.rT d ? S 7 f P ' Owner's Address) Alf 9/ ,Li g , Qualifier 7 / A State # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one ' BUILDIN WORK DESCRIPTION /e,4 lec/it.-LO copfPmt do / /,l Pa / 4; & e 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 construe on and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signatur= of owner and/or / undo President Notary as to Owner and/or Condo President Date My Comrission Expires ,S llll All/ Illlll' llll lllll7Ullllllll.'NlllllMllll� ti 't' Colleen A. Murton Notary Public, State of Florida (a Commission No. CC 609929 F`.o My Commission Exp. 12/25;2000 I -800.3- NOTARY - Fla Notary Service & Bonding Co. I' )1)111)1)))))))):•)15'. 111111111111)111)111111)1;" ¢u� FEES: PERMIT RADON (, Phone - O (0 7 .7 - Municipal # Competency # CC C. 0575 ) 7 Ins. Co. 6,7 ) // 4 I Ac c i y "� F Address Address Address ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN s/ I in- 7'4 6" FR � c,t ) t� �Fl tom. ? 041; arro✓ a ca !►"/l/9(a,, / c; dAtrA Pod lc v edG9h. Estimated Cost (value) Soo, O 0 6 D to C.C.F. 1" b Signature of Contractor or Owner- Builder Notary as to Contractor or Own My Commission Expires: NOTARY Date - ) WP..'lllr'llll/ .`l - iime et.: bt?, e1 . t ' c l' P c ` Colleen A. Murton, 'Votary Public, State of Florida 3 . Commission No. CC 609929 1.0 FL°Q My Commission Exp. 12/23/2000 , 1 - Seo-3- NOTARY • Fla N ' i 11)1))1))1))»N)1)%S)))) NNY f11W BOND TOTAL DUE ee p� APPROVED: �i. J �j 1 Zoning Building •5 / Z 7 ( ' Electrical Mechanical Plumbing 111 Engineering PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) "Date J /A -- ''Job Address c i 6 it/,4EF, / 5 • Tax Folio /// .S 1 A5 4-S�'/ Legal Description a M " � `711.9 i ! / Ii417 / Lessee / Tenant 2 aA/ / -- /44 WA'AN • Master Permit # // 6 Owner's Address / 3573 -Phone 2 5/-4,114 • Contracting Co. a/ /0 a /t • Address .Qualifier ;' SS# - - 'Phone /'State # • Municipal # 4 # "'Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address e Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIG' WORK DESCRIPTION U D 0/ ,0 / P(/` QA/ e%' /R -4,u cr- Square Ft. Estimated Cost(value) VW WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUF NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, an on the attached addendum (if applicable). I certify that all work will be performed to meet th standards of all laws regulating construction in this jurisdiction. I understand that separat, 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 wil: be done in compliance with all applicable laws regulating construction and zoning. Furthermore, authorize the above -named contractor to do the work stated. APPROVED: Fire Zoning Building �j h Other // ', 1 •'' Electrical Signature of owner and /or Condo President Signa re of Contractor or Owner- Builder Date: e' dy /Y /1 F d- a- (2 a, Notary as to Owner and /or Condo President Notary as to Contractor or Owner- Builder My Commission Expires: My Commission Expires: //e�c /4. G* /' NOTARY PUBLIC STATE OF FLORIDA ** * * * * * * * * * * * * MY OMMISSiON EXPI :S 5 /09 /Iir Bonded thru Stembler -Adams & Sweat FEES: PERMIT -31 '0 RADON C.C.F. •Ad NOTARY 1 TOTAL DUE 0 Mechanical Plumbing Engineering NOTICE OF COMMENCEMENT PERMIT NO. TAX FOLIO NO. i1.32040013&5-20 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 property and street address: 35.3 .N 9 / : gfY,ed • : .The &r f 1/ f. /e 000( All ey 1_. s I q cw?e/ 2h 1 ,61.0ek /I AHeN.D I!2.47" OF M 1r3M f Si4oga SKnaV No. / ACC04 /05 f'#u P /af reec asrecorckcl rn 1laf49ok 10 Pane ?o o cao /9 feeoords of bee Ca Fjaida . 2. Description of improvement: PO,/ / SCG/ r 3. Owner(s) name and address: 6 n / C / eZl- 3&3 ti. 9 / £fie ; Hi i Ekof'e FlOn'dA. 33 `JJ Interest in property: d6 Name and address of fee simple titleholder: Reef get (J /c eo>4 3/38 Ai/ /loauk 532,/.3139 4. Contractor's name and address: A 1O San /./ G 1/ 6 , M y - OJ = t14-L, - 0.2, �f SO/ s) 4 At�2 �qE l / 9 j'' F /an: 3313V 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: N/4 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: Signature of Owner Print Owners Name Sworn to and subscribe Notary Public Print Notary's Name My Commission Expires: 4/3 AvvR 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: /t,/ /4 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) '4 occaG P3 Commission # CC 769449 Expires NOV 13, 2002 JE. '��� BONDED THRU EN- ATLANTIC BONGING CO.. INC. .:,TATE OF FLORIDA, COUNTY OF DADE 1 HEREBY CERTIFY that this rs a true eQ04t the / Z .. d of , A D original filed in thrs office on � - ,c - 2 - � nd and Official Seat. Courts ERK, of Cirr��tr a ,_ nd Coonty D.C. WIT SS HARVE By 01R 137362 2001. APR 17 12 :35 Prepared by: ad ley-Ho - )IVP(_ Address: 6'0) s !n) Lk? 6 #-1/5 /VIA -m*1 33/3 / Registered Architect and /or Engineer. -._ .✓ Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done State work to be done and purpose of building (by floors) , j ) Disapproved (Signed) Buil.''_ Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date Owner's Name and Address... ._1_ - ._aC =� �� �c No. __ -3 -3 StreetJ3, ate c ,19 Subdivision and for no other purpose. New Building Rerdodeling Addition Repairs No. of Stories To be constructed of p Kind of foundation � _ Roof Covering Estimated Total cost of improvements � $ __ 0 = 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 pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by hint in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) � � �'- 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 d Permit No ----- Date Read, Sworn to and Subscribed before me. __�____ 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. Notary Public, State of Florida 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. 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. Owner's Name and Address .... ._.✓ f �� , and who, bein g of the above therein by him Permit No Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Registered Architect and /or Engineer Name and address of licensed contractor Location and lelegal, description of lot to be built on:/o Lot rt Block f << Building Inspector a. Date /D "- Date Date No Street , 19 1 Subdivision Street and Number where work is to be done work to be done and purpose of building (by floors) ! and for no other purpose. Repairs No. of Stories New Building Remodeling \ ( Addition To be constructed of Kind of foundation Rood Cove i�ng Estimated Total cost of improvements $ A mount of Permit $ C 1 � Zone cubage required P ^ lan Cubage 74)C Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans d 'cations for said building. All notices with reference to the building and its construction may be sent to ' � C ✓ . - �!L The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such su ont actors, on 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, by me first duly sworn, upon oath deposes and says that he is the described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts stated are true. Read, Sworn to and Subscribed before me. ,performed under this Notary Public, State of Florida 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. 1, b 4).,i, BUILDING ELECTRICAL ❑ DATF PLUMBING ❑ PERMIT N° 25 M r zt , _ _ ti rciC'. o e 140 y ROOFING ❑ , 4� * -„ ' '"ij i ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA CONTRACTOR OR BUILDER Bl. Subdi- vision Value of Project $ •' -- 195 Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 6 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE. FLORIDA o PERMIT 11T° 2622 0 Et Legal Lot Description Address of Building Work to be performed under this Permit B1 Subdi- vision Value of Project $ DATE Contractor's License No. Amount 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. 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 regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY s.� , BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 2386 DATE ; - 195 Contractor's License No. Work to be performed under this Permit BI Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 6 "° BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE. FLORIDA D DATE 195 E] PERMIT N° 2676 Contractor s License No. ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot Description Address of Building B1 Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 cr 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 regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 6 BUILDING ELECTRICAL PLUMBING Owner of ,* Building ,r% i ' 3 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 7782 Work to be performed under this Permit Bl. Architect Contractor or Builder Legal Description Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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. Subdi- vision Value of Project :tom' . i .�,. INS ECTOR By 7" j r f In consideration of the issuance to me of this permit I agree to perform tbework covered hereunder in compliance with arc n„ ices and pgidans pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities oY`MMiami Shore's'V' llage. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY DATE ; '" 194 i Contractor's License No Amt. of Permit .ar •. 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