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1050 NE 93 St (7)Date Job Address ( 50 V . . 931,-o SV Yom' , Tax Folio // 0.4 "-r • 4 J J' 66 Legal Description Historically Designated: Yes No / Tenant G. 3 '3 I G . \ 1 A C , S1 Master Permit # ` / 7 k, 7P Contracting Co. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Address 10 SO - �. 1 3 °t -$. 3 3 t 3 Phone (3 5) 7 ' a 1 7s .� ��r ,✓� ism � GO Qualifier U Q✓ / J24 7' SS# . Phone 5.� State # e d 0 ° C ' Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUIL ING E PLUMBING MECHANICAL ROOFING AVING FENCE SIGN r WORK DESCRIPTION % /� �r� �i fy ?�-‘ 9 .1/ Municipal # Address Square Ft. Estimated Cost (value) //p- 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 OF 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 ction and zo • . Furthermore, I authorize the above -named contractor to do the irk stated. 1 ignatur of owner " a C a Presi Notary as My Commission FEES: PERMIT co RADON APPROVED: Date .o 41I∎k, ist.t_o Tv oIt , • :*'a IV; .1.1 � � # CC 55003 EXPIRES: June 4, 2000 Bonded Thru Notary Pubic Undenrriters C.C.F. Notary My Comm Sion E NOTARY .•rte _ _ - _ uil e . 10 ROSLES fi , i iY CO V IISSION # CC 550034 v: E)(• RES: June 4, 2000 • • Bonded Thru Notary Pubic Undormiters BOND TOTAL DUE Building Electrical Plumbing Structural Engineer APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY 5;7, /Z hereby apply for a certificate to re- occupy the single family residence known as: (address) /65 /YF. Jam, 34/s , Miami Shores, Florida. Legal description: Lot: ,Block ,PB&PG: 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, Florida, 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 such property. Applicant: Inspection: By: Comments: Print Name: g/iR c rJ/ . ; J -✓•b7 Dazes 2 1.3/�&� . ********************************** * * * * * * * * * * * * * * * :_ * * * * * * * * * * * * ** For the purposes of conducting the inspection required by Sermon 902 of the vfami Shores Development and Zoning Code, contact Contact Name: 4/ to ' /?S ,Y T Telephone: -ZZ 5- Buyer Seiler: / Realtor Company Name: Application Fee (S50) Paid Cash: Check 1 Number. %.575 9 . Approved: X Denied: CERTIFICATE OF RE- OCCUPA_N CY On behalf of Miami Shores Village, Florida, the undersigned certifies tat the property described in the application has been inspected for the purposes of re-occupancy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code ath that such property may be re- occupied by the applicant for single - family residential purposes. MIAMI SHORES VILLAGE, FLORIDA By: Date of Certification: THIS CER i'II ICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE-FAMILY DWELLING IS USED AND INTEN'VDED TO BE USED FOR A ONE-FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CER1'ir'ICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PARTIES ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE CONDITION THEREOF. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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 Registered Architect and /or Engineer MM Name and address of licensed contactor CO/eel/0i ROOF /NC.- £ /A/C - — of Ng/ 7! • r l fii'1 Permit No..___� �Z`� 3 Date Disapproved ( Signed) ( B dingfor Date 1 Date..._ _. ..--- _...___ q3 _...� 1973 No 1 Street__.. _...._ T r /N'CiP / Location and legal description of lot to be built on: Lot Block Subd'vision { ._ ...._r ._.._ Street and Number where work is to be done ./0,5 o NE �3 •ter- __.._.. State work to be done and purpose of building (by floors).— ..... gF - ici90F RAT 2o0F ON(y - 7 Lq.......:1. Q and for no othef purpose. New Building Remodeling Addition Repairs v No. of Stories / To be constructed of Kind of oundation Roof 5overing CeAveL — Estimated Total cost of improvements $ /0.00 Amount of Permit $. d . dd 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, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors _ernpployed by him in the work to be performed under this permit; and will post or cause to be posted for ' nspection on th • the work such p blic notice or notices as are required by the Act. The undersigned agrees to employ only such sub ,nom k to be � j / orme under this pennit, 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 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. Read, Sworn to and Subscribed before me. to me well known, Notary Public, State of Florida My Commission Expires LANNINC BOARD DATE Chairman Member \lcrnbcr 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 insprctitm or faulty materials and /or workmanship. MIAMI SHORES VILLAGE. BUILDING Ll ELECTRICAL ❑ PERMIT N. o PLUMBING ❑ 9544 ROOFING El El Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot q CONTRACTOR OR BUILDER Bl. Work to be performed under this Permit Subdi- vision Sq. Ft Value of Project $ FLORIDA DATE Contractor's License No. •" ` ' -� Amt. of Permit $ BY AUTHORITY 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 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 herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. NV a Owner's Name and Address Registered Architect and /or Engineer � Name and address of licensed contra ? a Location and legal d$scription of lot to be built on: Lott d Subdivision Street and Number where work is to be doneVC State work to be done and purpoself building (by floors )= o and for no other purpose. Estimated Total cost of improvements $ Zone cubage required STATE OF FLORIDA, COUNTY OF DADE. ss Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT ate Building Inspe tor CJ O Chairman Member Member Council Approved Date Disapproved Date No. .c�_ Street. 0 New Building Remodeling Addition Repairs__( To be constructed of Kind of foundation ' - ° plan Cubager __.,f' Notary Public, State of Florida LANNING BOARD DATE No. of Stories Roof Covering C Amount of Permit $ Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby'subrlit all the plans a d specifications for said building. All notices with reference to the building and its construction may r,; 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 sit of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subCOtttractors, on r r �or t�o be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signe < V�� w� �;_r v_ �� ,-----, 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 1 Read, Sworn to and Subscribed before me. My Commission Expires Member Member Member Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval 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. has been obtained from OWNER'S NAME P PRESENT ADDRESS L LICENSE NO ` ` PHONE NO. JOB LOCATION (ST. OR AVE.) L LOT B BLOCK S SUBDIVISION 4� .y GENERAL CONTRACTOR A ADDRESS P PHONE NO. L LICENSE NO. t BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE ,. BY RE- INSPECT BY RE- INSPECT BY FOUNDATION '''' 0 DATE ' $ SEPTIC TANK /(Q eta 6 0//6/73 BEAMS & LINTELS 6_ � i � 14 1`4 , $ $ SOLAR HEATER FRAMING 0 - i6•sq1 5 D $ $ $ INSPECTIONS DATE BY FINAL i )4-S4 i t. BY ROUGHING RE-INSPECT BY CLEAN -UP *" I/ -S - QTY' ‘,...0 GAS � C c.b. -- PERMIT NO. I EP. l DATE 5. .20- } 1 F . NEW BLDG. 1 ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE DATE FEE $ SEPTIC TANK /(Q eta 6 0//6/73 S $ SEWER $ $ SOLAR HEATER $ 5 GAS $ $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING RE-INSPECT BY r EMP. SERVICE �a.4 ‘,...0 GAS � C c.b. -- OUGHING (WI SEWER i P;. W. HEATER CONN SEPTIC TANK A-1-v/ �J), RANGE CONN. SOLAR HEATER FIXTURES 3"//"..53 � ,,C/ C' c/2 c CONTRACTOR (31- O-e-, ,, PHONE y FEE $ -•, • �..7 REPAIRS PERMIT NO. 4I ] DATE D .. is- s� NEW BLDG. ALTERATION ADDITION SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 1 • • QL 17S S H. W. HEATER CONN. V $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE-INSPECT BY r EMP. SERVICE �a.4 ‘,...0 , � C c.b. -- OUGHING (WI i P;. W. HEATER CONN RANGE CONN. FIXTUI?,ES & FINAL c/2 c BUILDING INSPECTIONS PLUMB G & INSPECTIONS CONTRACTOR ELECTRIC QLPERMITS & INSPECTIONS APPROVAL TO POWER Cb. FOti2 SERVICE DATE BY N? _ 83 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Florida,' " 14V ` Owner, Agent or Tenant of Building " a`';- S Lot 4 q B loc k — � i Subdivision A , 7- A =-'61- ' ^'` Street Address y 0 '3 1,> P, o J , �l '? 1 Approved use by occupancy a � ` � (V tom - A. Remarks • This Certificate of Occupancy is issued to the above named ^ r for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. � -,��^. BUILDING DIVISION e is hereby made for the appro%al of the det.rled statemen• of the plans and specifications herewith submitted for the build - ructure her 1 described This t-tlicatit is made in compliance and con o ty w,th the Building Ordinance of Mia ii ror'da, and all pro isions of tilt. Laws r f the State. of ! lurid. all o d nances of Mi in Shores Village and all rules and Of the Building Div. :. r of .ram Sim, iilage 1- '1 e •0 :pied with, whether herein specified or not. A copy of approved specificatr•.ns must be key at building durin,_ progress of the work. i 7 tr'-: Name and Address.../ gistered Architect and /or Engineer _ .Qame .•nd address of licemed contractor _ . Location and legal description of lot to be built on: Lot. ! ___ �� ._ Block. _ ` _ _ - subdivision__r = -- - - - - -- --- --- - -- Street and Number where work is to be done. State work to be done and purpose of building (by floors) _and for no other purpose. New Building. - _ Remodeling_ Addition _ . __ . _ .. ._ . Repairs.. No. of Stories To be constructed of _._ _ _ Kind of foundation ._ __ . Roof Coy ling . _.._ . Estimated ^ .tal cost of improvements , p $_= Amount c . c Permit $.. Zone ^ubage required :� _.Plan Cubage____ ____ _ _ ___ ____ Distance to next nearest building. _ ___Size of Building Lot _ -, __,�_, ,'.. Maximum live load to be borne by each floor _ _ .. .. hereby submit all the plans and speci:i.•ations for said building. All notices with reference to the building and its construction may be sent to __ . _. _ _ __ . _ _ -- The unde signed appli ant for th's building permit does hereby certify i'iat lie understands and accepts his obligations as an emploscr of 1 bor under he Florida Workmen's Compensation Act bong S. , Con '7'163. Col p led C. a al Laws of Florida 1' r amen S 1111,1, ,.ent, and h s compl ed w :th he prov' -ions thereof, and will require snuiar coil, ran.e from all contractorF or sub contractor, cnrplo -ed by 11h,1 in the wo k to be p rf med under th s pern it and ill post or caus. to ';c n. sted for inspection on the site of the work :n •h public not e or •otices as are iequir d by the Act. The u %l. r igu .d agrees to employ only. such .ibcontr ctors, on work to be jerfa - ,. der this permit as are 1.censcd : y M am. Shores \A. go. Remarks (S:g•ied) . STATE OF FLORIDA, COUNTY OF DADE. $ ss. Y MIAMI SHORES V LLAGE BUILDIN INSPECTION DE APPLICAT1i N FOR csLIILDING PERMIT Before me, the undersigned authority, a notary public, duly authori7ed to administer oaths ..nd take acknowledgments, per:.onall: ap- peared PLANNING BOARD ___DATE Chairman _. Member Member __ -- Member Member _ .._ Me -nbe- `uncil Approved Datt Pisa t r.r cu o 6 cl P Date . , 19 / No ---.. Street to me well known, and who, being by me first d lv <worn, upon oath deposes and says that he is the of tit aboc de c 'bed istruction t. 1, has careially read the foregoing application, and that he did sign the same, and 11 at _i: t,.cts therein by him stated are tr re. Permit No.__.__ ____ _ . _ _ _ _ _ . Date__ Read, Sworn to and Subscribed before me. Disapproved -- - ---- ---- -- --- -•.- Date_- Notary Public State of Florida (Signed) - -- - Building Inspector My Corn :nis Exp∎res. TOTE: A charge of $1.00 will be made for making corrections c- -•1,anges to this application -ft. -r approval 1 s 1 , -t a •'rta ned from ':ng Board . spection fee of $1.00 will be charged when such re- inspection is m: :. nc.es -a'; by improper notice ft r insp• t•,r• or ft- ty 'or workmanship. Date 4 o4 1 if lr I tfb 1 r' r • •'‘ .1 r r f c.)