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BUILDING PERMIT
Phone # SHORES 07 4,01;. 1 S VILLAGE _LDING DEPARTMENT 305- 795 -2204 Bui ding Inspection Request Date 7 )TS Type Insp'n Permit No 8P Name "'t1' vW.J Address V 4 V v q/ SJ Compan Inspection Date Approved Correction Re- Insp'n Fee Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/29/2005 Applicant: MICHAEL Owner: JACKSON JOB ADDRESS: 40 Contractor Local Phone: Parcel # 1131010200040 NE 91 Building Permit Permit Number: BP2005 -366 JACKSON MICHAEL ST Contractor's Address: Page 1 of 1 Legal Description: EL PORTAL SEC 3 PB 9 -148 LOT 7 & E1/2 LOT 8 BLK 9 LOT SIZE 75.000 X Fees: Description Amount FEE2005 -3921 Building Painting Fee $60.00 FEE2005 -3922 CCF $0.60 FEE2005 -3923 Notary Fee $5.00 FEE2005 -3924 Training and Education Fee $0.20 FEE2005 -3925 Technology Fee $1.50 FEE2005 -3926 Scanning Fee $3.00 Total Fees: $70.30 Total Fees: $70.30 Total Receipts: $0.00 e-P Permit Status: APPROVED Permit Expiration: 9/11/2005 Construction Value: $500.00 Work: PAINT , REPAIR HOLES REMOVE A/C UNITS PATCH HOLES WHITE PAINT 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village • Paint Color Approval and Agreement Date � � Owner's Name `�'-" S� 0^ � L , J Owner's Address c M-0) k,O City t4A 0.M4 Ski .)4 State EL Signature APPLICATION APPROVED BY: Owner or Agent P h o n e Official Phone# 77G o -1 t S Zip 331 O Job Address (where the work is being done) o t\-re q( s-r. S'Lj, tL, 33138 City Miami Shores Village County Miami -Dade Zip 3 3 Is Building Historically Designated YES NO applicable) Phone # Contractor's Company Name (if a p � ) ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indicate the color to be painted Walls Fascia Drip Cap /drip Edge Soffit Roof Flower bins Shutters S ' '� Awnings Chimney Doors and door jams Garage doors Railings Fences Decorative metal All brick (simulated or regular) Stucco banding Any other stucco features Accessory Buildings awiM aind Other **************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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. Date Date BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder)C( J T7 A] - - Phone # b .-A0 '` 1 I E Owner's Address o ,i► i 0 . k ( 'IT City ec State �'( -� n Zip Tenant/Lessee Name N / / Phone # $ Value of Work For this Permit Notary $ 5.00 Training/Education Fee $ Scanning $ � O Code Enforcement $ Total Fee Now Due $ (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 Plumbing v tiO N Radon $ 40 6 t lST, Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO 'x Contractor's Company Name Contractor's Address City Qualifier State State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # So Type of Work: ['Addition *Iteration ENew ❑ Repair/Replace Describe Work: I�C S vlr -�- iv i OS6 / 1Z-C- '4i AC u 1 x'43 C L-..S � PM-,,J 1 L it•tr - L:5 : r6 o '3 A- kZZ., * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * ** * ** Submittal Fee $ Permit Fee $ LJ`-' CCF $ t (C.) ' CO /CC Structural Plan Review. $ Master Permit No. Phone # Square Footage Of Work: Zoning Permit No. Mechanical Zip 3 ;1 Technology Fee $ 1. SO Bond $ e) S-- Roofing Zip S - (A ❑ Demolition / ept — Bonding Company's Name (if applicable) • Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) PC ti CY 071, r�� G c Mortgage Lender's Address C U 5 )4 7 00 City c 4 - i 4 (L State Zip 9005 t — 7 00 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 wner or Agent The foregoing in tru ent was ac owledge before e f_AL thus The foregoing instrument was acknowledged before me this day of h 20 �� , by �- 1 1 day of , 20 , by who is personally k NOTARY Sign: Print: My Commission Expires: * * * ** . �' • f' G a1T/_11_ x p , ,.. ;n DDS`' 3 2 0184 * * * * * * * * * * * * * * * * * * * * ** * ** ` 1 , * �,*********************************** ** * * * * * * * * * * * * * * * * * * * * * * * * * * ** t4►R21 APPLICATION APPROVED BY: Chc 05/13/03 n to me or who has produced As identification and who did take an oath. Signature e&)& 3 /6/fri Contractor 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: Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/29/2005 Applicant: MICHAEL Owner: JACKSON JOB ADDRESS: 40 Contractor Local Phone: Parcel # 1131010200040 NE 91 Signed: (INSPECTOR) Building Permit Permit Number: BP2005 -365 JACKSON MICHAEL ST Contractor's Address: Legal Description: EL PORTAL SEC 3 PB 9 - 148 LOT 7 & E1/2 LOT 8 BLK 9 LOT SIZE 75.000 X Fees: Description Amount FEE2005 -3915 Building Fee $100.00 FEE2005 -3916 CCF $0.60 FEE2005 -3917 Notary Fee $5.00 FEE2005 -3918 Training and Education Fee $0.20 FEE2005 -3919 Technology Fee $2.50 FEE2005 -3920 Scanning Fee $3.00 Total Fees: $111.30 Total Fees: $111.30 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 9/11/2005 Construction Value: $700.00 Work: PAINT Page 1 of 1 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 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle) Owner's Name (Fee Simple Titleholder) Owner's Address City ,l i OLAA4 Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated Contractor's Company Name Contractor's Address Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Describe Work: Total Fee Now Due $ (Continued on opposite side) A,G State Radon $ Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical 44 A aMCt) Phone # '716- ©- i (gS YES NO Type of Work: ['Addition ,(alteration ❑New 6titov- 0 O u1/4:n 0 0 L o iTe 9 s pa cc--/ County Miami -Dade Zip 33 3' 3 Code Enforcement $ Structural Plan Review. S Zoning Master Permit No. Plumbing Mechanical Roofing 1 O So t sfi 4.).e �J IC f , Zip o a.. .3'y J 3 Phone # Phone # Permit 14"0. State Certificate or Registration No. Certificate of Competency No. Phone # Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** it • a Bond $ clung 3 . .. a Cite State Zip Qualifier ❑ Repair/Replace ❑ Demolition S t4G S 14 (AroD p c (o O N-o U SE Submittal Fee $ Permit Fee $ C t go colcc Notary $ Training/Education Fee $ s g/ L1 r (�' Technology Fee $ QC 50 Scanning $ 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. Signat day of Ow r or Agent The foregoing instrument was a owledg d before n _ 1 t 20 CS, by VII( 1,4( ( ow who is personal NOTARY Sign: Print: My Co 'ssion Expir own to me or who has produced As identification and who did take an oath. as identification and who did take an oath. * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * *, ********************** * * * * *** * * * * * * * * * * * * * * * * * * * * * ** *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 Mabel , RY PU Comili;ssion 1 )1)231984 Sign: ?onded Thn, 200 Print: c' onding(o Irr Signature Contractor The foregoing instrument was acknowledged before me this day of - , 20 _, by who is personally known to me or who has produced BLIC: My Commission Expires: ********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning 2 Proof of ownership provided ( ) Was By Produced VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE STATEMENT n (-& 1)L¼J K -07-it o being the legal property owner, for the property Located at: 1-0 1 S 1.ty ') ( F. , 3313 Legally described as Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7),...gnd I have read and understand the following disclosure Statement, which entitles me td work as my own contractor, I further understand that I as the owner must appear in person to complete all applications. DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two-family residence or a farm out - building. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. initial of reviewing clerk. The foregoing instrument 20 (S who is personally known to me or who has as identification •• ho did take an oath. Z07` tZ N.W. TM OMIT. .117E 70 .7■AMl FLORIDA WWI TELEPHONE: OM M0777 FAX MN OH•77127 A. Y. ,VO c?P f /P /¢ c • z5 a ae' fti) Vic. Y 446' etc h 9.4 •WP ON f2 9 NO € 4P Noun ffitrutlora e ktr. LAND SURVEYORS SKETCH OF SURVEY scale 1.... 20 tti SURVEY NO 96 9928 SHEET NO 2 of Z driel Coe, Zon6 1P z. 5'-O" MAX Owner's Side 2" X4" Wood Ball 1" X6" a-1" X8" Wood Pickets Concrete WOOD FENCES 3' 2915 Fences Wood Posts 4' -0 ° High or Less = 6' -0° O.C. 5' -0' High or Less = 5' -0° O.C. 2915.1 Wood fences, so located on a property that by zoning regulations they cannot be used as a wall of a building, shall be constructed to meet the following minirnum specifications. (a) Fences not exceeding 5 feet in height shall be constructed to meet the following minimum requirements: from nominal 4 inch by 4 inch by 8 feet -0 inch long posts spaced 5 fee. -0 inches on centers, having a fiber stress of 1200 p.s.i. in bending, and shall be embedded 2 feet -0 inches into a concrete footing 1 fcot -0 inches in diameter and 3 feet -0 inches deep. Other components shall be designed to comply with the provisiops of. this Chapter and Chapter 23. (b) Fences not exceeding 5 feet and 4 feet in height respectively shall be constructed as provided in paragraph 2915.1 (a) herein, except that the spacing of posts may be increased to 5 feet -0 inches and 6 feet -0 inches on centers for these heights. Miami Shores Village NAY 2 // 2004 BUILITNG PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical q �+ Owner's Name (Fee Simple Titleholder) c ha e 1 W Y sb it Phone # 3)5 75`V - / ! ! y Owner's Address L ID NE R l 5T City IA; P-m, Shorn Tenant/Lessee Name Y PEc, r il. I State r L Job Address (where the work is being done) ;) City' Miami Shores Village Is Building Historically Designated YES Contractor's Company Name "C.t / ( • ^ , 1y Contractor's Address City Qualifier State Architect/Engineer's Name (if applicable) $ Value of Work For this Permit l ''' - ) Type of Work: EAddition EAlteratio Describe Work: ✓ r jO Submittal Fee $ Notary $ S , in 0 Scanning $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side' Date * * * * * * * * * * * * * * * * * * * ** * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ d CCF $ c b CO /CC Technology Fee $ ) , S 0 Bond $ Training/Education Fee $ Radon $ VZLL ES T 1 S��R R,��E1� $�I 305 195-'1204 5. o0 Reques Building In pe Structural Plan Review. $ 3 e D 0\ Nar r`e Addre COmPa Pho InsPect'On Date ApprO 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NO e Correc "ee Re _lnsP Building Department County Miami -Dade ❑New 0 Zoning Permit No pov a b Master Permit No. Zip 33138 Phone # Phone# SG►)) Zip Phone # Roofing Zip Square Footage Of Work: ❑ Repair/Replace ❑ Demolition 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not)Se approve and a reinspection fee will be charged. Signature The foregoing instrument was cknowledged before me this c b The foregoing instrument was acknowledged before me this N day 2Q9 kl, b , day of , 20 _ , by who is personally own to me or who has produced -L 3 L who is personally known to me or who has produced identification and who did take an oath. as identification and who did take an oath. Owner or Agent Contractor NOT Sign: Prin My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** JUN - 2 2004 APPLICATION APPROVED BY: Chc 12/15/03 NOTARY PUBLIC: Sign: Print: /)/ Signature My Commission Expires: Plans Examiner Engineer Zoning Paint Color Approval and Agreenerlt Owner's Name ?.ate - o � � �. � , _, P i �IGlkQe 1 ik.) Phone # 3pS 7 ze y _ _ - Own�e Address _ City�dt cketreS State � -- Zip / 3$ Job Address (where the work is being done) 9T/Y1 e- City Miami Shores Village County Miami-Dade Is Building Historically Designated YES NO . /\ `rst GC-63 / Cc) c �l Contractor's Company Name (if applicable) Phone # 3D �54 * * * * * * ** *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All elements on the site must be listed and indic, Walls P Fascia eh Drip Cap /drip Edge 1nQr' Coe-k f '7 Soffit (J) POI Gs ` Roof Flower bins Shutters Awnings Chimney fr c Lk Garage doors GKtvrc4 k rity Railings Fences AA'' Decorative metal C� f Act. i All brick (simulated or regular) 1Z iC-Itsvloet c C y Stucco banding Any other stucco features Accessory Buildings Other Doors and door jams Miami Shores Village ************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *4 OWNER'S AFFIDAVIT: I certify that all the fore_oing information is accurate and th applicable laws regulatin co tryctio and z S APPLICATION APPROVED BY: Owner or Agent P& Z Q vial Zip 8 n a uf p5 richmond gray 3 - china white Date Date "7" V es • * * * * * * * * ** fiance with all chc 6/18/03 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/3/2004 Applicant: MICHAEL Owner: JACKSON JOB ADDRESS: 40 Contractor Local Phone: Parcel # 1131010200040 NE 91 Building Permit Permit Number: BP2004 -726 JACKSON MICHAEL ST Contractor's Address: Page 1 of 1 Legal Description: EL PORTAL SEC 3 PB 9 -148 LOT 7 & E1/2 LOT 8 BLK 9 LOT SIZE 75.000 X Fees: Description Amount FEE2004 -5637 Building Painting Fee $60.00 FEE2004 -5638 CCF $0.60 FEE2004 -5639 Notary Fee $5.00 FEE2004 -5640 Training and Education Fee $0.20 FEE2004 -5641 Technology Fee $1.50 Total Fees: $67.30 Total Fees: $67.30 Total Receipts: $67.30 Permit Status: APPLIED Permit Expiration: 11/22/2004 Construction Value: Work: EXTERIOR PAINTING 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/3/2004 Applicant: MICHAEL Owner: JACKSON JOB ADDRESS: 40 Contractor Local Phone: Parcel # 1131010200040 NE 91 Building Permit Permit Number: BP2004 -726 JACKSON MICHAEL ST Contractor's Address: Permit Status: APPLIED Permit Expiration: 11/22/2004 Construction Value: Work: EXTERIOR PAINTING Page 1 of 1 Legal Description: EL PORTAL SEC 3 PB 9 -148 LOT 7 & E1/2 LOT 8 BLK 9 LOT SIZE 75.000 X Fees: Description Amount FEE2004 -5637 Building Painting Fee $60.00 FEE2004 -5638 CCF $0.60 FEE2004 -5639 Notary Fee $5.00 FEE2004 -5640 Training and Education Fee $0.20 FEE2004 -5641 Technology Fee $1.50 Total Fees: $67.30 Total Fees: $67.30 Total Receipts: $67.30 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: X53 �j MIAMI SHORES VILLAGE BUILDING DEPARTMENT 1 4 0 305- 795 -2204 Building Inspection Request Date8JZ' 1 ! 5 Type Insp'n 'e- OcCtper) -y Permit No. e Z - 1 q 2 Name No ncAdi OOW 5o Address Company Phone # Inspection Date 8 Approved Correction Re- Insp'n Fee 40 w 9 I sT SY C lcI LLi,IlI arnS (5)15 0140 30 05 (Rev. 10 /02/03) RE- OCCUPANCY APPLICATION Date 611 ®s Signature Miami Shores Village Building Department My Commission Expires: Loc ID Contact Name Nic n c c, ` OIA -- Phone # 30S 0/ 40 Buyer Seller Realtor A./ Company Name pJ9O ( tMn f haff Property Address Lio o e 9t -cii City Miami Shores State Fl Zip 3 313g I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village certifies only that the referenced property is being used for single- family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on the property. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate. Applicant Nam- i ai kl 0.Jo OJ_QL J The foregoing instrument was acknowledged before me this 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 1 Fax: (305) 756 -8972 Permit No. 120 2005 - 19Z day of , 20 by , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Re -Occ. $60.00 Print: Notary $5.00 CCF $0.60 Total COS CO !� Building Officials Approval: _•rC. X3 17 k Owner's Name and Address 79- Registered Architect and /or Engineer Name and address of licensed contracto Location and legal description of lot to be built on: Lot_ Street and Number where work is to be done Disapproved ( Signed) 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. Block Subdivision ate Buil g Inspector Date State work to be done and purpose of building (by floors)._ 0 3 2 sr .7 ,19_C7 and for no other purpose. New Building_ Remodeling Addition Repairs No. of Stories 1 To be constructed of Kind of foundation Roof Covering_ Estimated Total cost of improvements $ ? _____Amount of Permit $ Zone cubage required_ ________flan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to___ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be under this permit, as are licensed by Miami Shores Village. Remarks (Signed • STATE OF FLORIDA, COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- pearee 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 9 _ T$ Date 7" — �P 7 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. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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 rein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Addres Regl*ered Architect and /or Engineer... Name and address of licensed contracto : Location and legal description of lot to be built on: Lot__ __________. Block „ S � ubbdivisio �,9 Street and Number where work is to be done 7 _ �'� y 6r7 C� - t .^."" e • State work to be done and purpose of building (by floors). STATE OF FLORIDA, COUNTY OF DADE. j ss peared Disapproved ____ _ �_ ( Signed) — Chairman _. Member Member . Council Approved Dat Building Inspec Date__ •__ N 0 Notary Public, State of Florida My Commission Expires__ NNING BOARD__ __ . DATE Member Member Member .Date Disapproved Street 0 , 19 -- -/ and for no other purpose. New Building Remodeling lfddition Repairs ) No. of Stories To be constructed of Kind of foundation _ oof Covering._ _f�ft -'- • c su Estimated Total cost of improvements $ C ®• 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 fot said building. All notices with reference to the building and its construction may be sent to___- The undersigned applicant for this building permit dot 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 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 peryrned under this permit, as are licensed by Miami Shores Village. Remarks _ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. —____ V7 _ Date____._ ?'�O� ....____ Read, Sworn to and Subscribed before me. Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect t Contractor or Builder "" Legal Description Lot MIAMI SHORES VILLAGE. FLORIDA ❑ PERMIT N? 6525 D A Bl t r . Address of 4,, � Building Work to be At performed under this Permit It 1•t. 1 , Subdi- vision Value of Z Project $ DATE Contractor's License No. l , -7 u 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 kno dge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings, or in the statements or speific ons and t he assumes responsibility for work done by his agents, servants or employees. j CONTRACTOR OR BUILDER Signed //i INSPECTOR �} In consideration of the issuance to me of this permit I agree to perform the work covered Areunder 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 wor / k � done by either, myself, my a ent, sery nt or employee. � BY AUTHORITY 6 OWNER'S NAME BOGS, RICHARD C. JOB LOCATION (ST. OR AVE.) 40 N. E. 91st Street GENERAL CONTRACTOR 0, F. Wheeler, Bldr BUILDING PERMIT NO. ZONE REQUIREMENTS 17, z NEW CONSTRUCTION REPAIRS ALTERATION ADDITION 10168 SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD FIIBMITTED TO VILLAGE COUNCIL CBS APPROVED CU. FT. 1 770 N. E. 87th Street LOT 7 & Ei 8 PRESENT ADDRESS ADDRESS 810 N. W. 72nd Street DATE 10/30/50i PERMIT FEE $ 1 5. 00 PLAN CUBE 1 7,4 8 5 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY TYPE STORIES ROOF CONSTRUCTION Tile 1 car att. garage w /storage roan REJECTED DESCR IPTION DESCRIPTION REFERRED TO COUNCIL BLOCK SUBDIVISION 9 1 Portal Sect. #3 CU. FT. REMARKS LICENSE NO. PHONE NO. PHONE NO. 1 LICENSE NO. 7 8 -2 4019 NO. 1121 EST. COST $ BUILDER'S BOND 11,000.00 DATE 10/30/50 INTERIOR CONSTRUCTION Liv Rm - Din Rm - Kit - 2 Bed Rns - 1 Bath - Recreation Rm - Drywalls - Terrazzo Floors REASONS DATE 10/30/50 I , PERMIT BUILDING CERTIFIC `/ ATE OF OCCUPANC ':O � ' 'FUED Z +/ 3. 1 BY TO 7E AND INSPECTION R , ORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- TNSPECT BY FOUNDATION 11 -101 O PG FEE TEMPORARY SERVICE R TEMPORARY SERvicE 10 BEAMS & LINTELS 11 -2 10 11 S 1.00 SEWER RANGE CONN. $ SOLAR HEATER MOTORS $ GAS FII FRAMING oAFi 4 i 2 - -Ara �(.�, i " $ FINAL i .3, S / 1 RE- INSPECT BY RE- INSPECT BY CLEAN -UP / / •2 -)p Fu i•2 - l - 54 CONTRACTOR J.g.Forb@$ PHONE PERMIT NO. 1030Z DATE 1 �2D_3 Q r� t� FEE $ /.25 NEW BLDG. I ALTERATION 1 ADDITION Y REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE R TEMPORARY SERvicE 10 $ SEPTIC TANK 10 11 S 1.00 SEWER RANGE CONN. $ SOLAR HEATER MOTORS $ GAS FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING / / •2 -)p Fu i•2 - l - 54 GAS ROUGHING 7 /2-. 02.-r-' :3j74 1='3- 57 SEWER H. W. HEATER CONN SEPTIC TANK 11 -27 -50 PG SOLAR HEATER FIXTURES 1-51 Si ,6 .�+� lib CONTRACTOR E. T. Reeder PHONE PERMIT NO. 103L5) 7 DATE 11 -29 -50 L FEE $ 8•65 NEW BLDG. ALTERATION I ADDITION REPAIRS SP PERMIT NO. DATE FEE R TEMPORARY SERvicE 10 12.-7-3 0 $ 1.00 H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE k-.5 P q ROUGHING 7 /2-. 02.-r-' :3j74 1='3- 57 H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL !— 4tL 11 .�+� lib 1' BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE Y t r4- 3 ADDRESS 40 N. E. ylst street LEGAL El Portal See. 3 RECORD GARBAGE TAX C.O. 2 -13 51 PAID BY R.C.3or (o) J lY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID REC NUMEIPT 0Z . e) d 1 & 8 Block N° 1086 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shore Village, Fla., , y — *�� Owner, Agent or Tena t of Building i? 4 t• ! Lot 7 `• A., ■ Block ! Subdivisign tt,� �f ` f/_ Street Address " �► .. / ' / er Approved use by occupancy -'L f/ t Remarks. f4' ......` , ; • / _,,, )- . i 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 btt,j ldings gr s ructures. i 7 ` BJILNG DIVI I DI ON BUILDING ELECTRICAL PLUMBING Contractor , or Builder t_ Legal Description. Address of Building Lot . Owner of '1 - Building `l Architect .r k) ' • e. h -` MIAMI SHORES VILLAGE, FLORIDA DATE C PERMIT N° 10168 Work to be performed under this Permit n Project $ Value of , ( I Permit $ Amt. of d . I Subdi- vision 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 budder 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 thetements or specificati and that he assumes responsibility o • k done by hu agents, servants or employees. Signed. ° "`t s ,... , *" BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in p 'meth a pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submi o a� n In accepting this permit I assume responsibility for all work done by either, myself, my ag rvant CO*TRAC4'OR OR BUILDER i BY Contractor's License No AUTHORITY 195 ns Village. 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 harem, pecified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date _ , 19 Owner's Name and Address � G_. L_.: No Street Registered Architect and/or Engineer ti_' t Name and address of licensed contractor 1 • + _ i _ 'r t i . L 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 an purpose of building (by floors )_ �______________ MIAMI SHORES VIL+LAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT and for no other purpose. New Building____ ' Remodeling Addition Repairs No. of Stories r` To be constructed of lid of foundation ' Estimated Total cost of improvements $__ P __Amoufit of Permit $ Zone cubage required__________ Distance to next nearest building_ + _ . Maximum live load to be borne by each floor �' - t ` M I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to__ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks________________ (Signed) __s Roof Covering S __.Plan Cubage Size of Building Lot , • 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 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 buhia -- 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. c�,�(� Date C C ® , 19 _Ct - - - Qa ta 1:% * No Street 4 Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Location an gal s� ptio of lot to be buil on: � _Block Subdivision Street and Number where work is to be done _O State work to be done and purpose o 'Iding (by flo New D ..a�., a 40k R�e 9 modeling To be constructed of L__ f Kind of fo Estimated Total cost of improve rr $ Zone cubage required Litact Distance to next nearest building Maximum live load to be borne by each floor MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT BUILDING INSPECTION DEPARTMENT wilding Inspegor Chairm ------ --- - - - - -- - PLANNING BOARD Membe - ----------------------- Membe undation s� dition Amount of Permit $ Y _ - - _ Plan Cubage__ ---� Size of Building Lo The undersigned applicant for this building permit does hereby certify that he un of labor under the Florida Workmen's Compensation Act, being Section 5966, Compil and has complied with the provisions thereof, and will require similar compliance fro in the work to be performed under this permit; and will post or cause to be posted for or notices as are required by the Act. The undersigned agrees to employ only such su permit, as are licensed by Miami Shores Village. Remarks— ______— (Signed) _ Y Notary Public, State of Florida and for no other purpose. Clra, Repairs No. of Stories Roof Covering L I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent Commission Expires DATE Meml r rstands and accepts his obligations as an employer d General Laws of Florida, Permanent Supplement, all contractors or sub - contractors employed by him nspection on the site of the work such public notice ontractors, on work to be performed under this cTATE OF FLORIDA, *INTY OF DADE. ss. pe -e me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- and who, - bein of the above desCi . therei by him statecifirst dul Permit No. ___ ----- - r _ ns truc Disa to me well known, orn, upon oath deposes and says that he is the at he has carefull read e foregoing application, and that he did sign the same, and that all facts t ..p� C',,. Read, Sworn to and Subscribed before me. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buira 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. c�('� C Cd 4 , 19 �il_°�/ Owner's Name and Address • Date _ __ _ No Street L✓ Registered Architect and /or Engineer t.cx I ; `_ Name and address of licensed contractor Lot - -- Location an gal s� 'ption of lot to be buil on: '�`�, _ — B lock Sub division i _ _. - – * – -'"d' — _tet1 Street and Number where work is to be done State work to be done and purpose o yf'Ming (by floes)__________ New Building Remodeling f't Pi To be constructed of Kind of foundation Estimated Total cost of improve ents $_______ _i_ _ '__ Zone cubage required Distance to next nearest building -- .r:c� "_'__Size of Building Lo Maximum live load to be borne by each floor' 4 ., 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 un of labor under the Florida Workmen's Compensation Act, being Section 5966, Compil and has complied with the provisions thereof, and will require similar compliance fro in the work to be performed under this permit; and will post or cause to be posted for or notices as are required by the Act. The undersigned agrees to employ only such su permit, as are licensed by Miami Shores Village. Remarks___----- ----- ___ - -- 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 -------- -___ -- and who, being by me first dul of the above dessccribed construe therein by him stated are true. Permit No Chairman Member Member . MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT orn, upon oath deposes and says that he is the hat he has carefully read je foregoing application, and that he did sign the same, and that all facts uilding Inspector BUILDING INSPECTION DEPARTMENT PLANNING BOARD Council Approved Date NOTE: A charge of $1.00 will be made for making the Planning Board. A re- inspection fee of $1.00 will be materials and /or workmanship. dition Cre.P 4 .4.0- Repairs Amount of Permit $ _Plan Cubage_______ j ( Signed) and for no other purpose. No. of Stories !/ Roof Covering L CO e9 rstands and accepts his obligations as an employer de General Laws of Florida, Permanent Supplement, all contractors or sub - contractors employed by him nspection on the site of the work such public notice ontractors, on work to be performed under this to me well known, C Read, Sworn to and Subscribed before me. Notary Public, State of Florida Commission Expires DATE Member Member Member Disapproved Date corrections or changes to this application after approval has been obtained from charged when such re- inspection is made necessary by improper notice for inspection or faulty