1051 NE 93 St (7)M AM
Disapproved .q ./1 � . Date._ _......_._�j.
(Signed) �{
Building Inspector
SHIEVRES V L AnE
«I, -DiN:9G Ot `EPEC'TOON D:.FARTMENT
AP P Ln ATil F U N EM
Application is hereby made for the approval of the detailed statement of the plans and specifications herewi:l: s::bmittece for the r 6t:i:e,••
ing or other structure herein described. This application is made in compliance and conformity with the Buiidin f' C?rdinance
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and a!: rules a:tr.
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein spf:71Sie , 6: t?at. A copy a'" apps vve r.
plans and specifications must be kept at wuildiag durin prpgreaa of Cho work.
.........
Owner's Name and Address c' .5.Cr1�j p ev
Registered Architect and /or Engineer
a ; 'c >,.
Name and address of licensed contepetos..��'i:L:� % 'd.11 .Q. d.� - ��.....•... d .vO.G.ri...._���...�....}1.:...
Location and legal description of lot to Se built on:
Lot Block Stbdivision.... _..___..._
Street and Number when; work is to be done
State work to be done and purpose of building (by flews) ofri � -- . � � ���r'L >.GJ.o�:�:•.._ �t���,;.._ --
J .�6... ..ti .. 4. .... :. .L=. :.. P L � .. Ly�..S. .......... :� .!GC,...l!.t..'as �.lc.>.4. E'
( 203 sthe7
New Building Remodeling Additioi Repairs' No. o Stories
To be constructed of °find ck fleundatio-° Cofe3tr;
Estimated Total cost of improvements $ 6 ' E la rreount of Permit
Zone cubage required Flan Cubage
Distance to next nearest building Size of Building Lot
lfaaitnum live load to be borne by each floor
I hereby submit all the plans and specifications fa; said building. All notices with reference to the Pudding and its construction '.r.,:y
be sent to
The undersigned applicant for this building permit does hereby :ertify that he understands and accepts his obligations as an employer
of Labor under the Honda R'orkinen s Compensation Act, being Section 5966, Compiled Genera', Laws of Florida, vermxnent Sup!,alenaen::,
and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors ernoloyed by !inn
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site. „ f ° c work such ',ui:lic .zctien
or notices as are required by the Act. The undersigned agrees to crnp:.oy only such subcontra�rs, c:a wark perforrraed .nde3
pennit, as are licensed by Miami Shores Village.
Remarks.. -- (Signed )sass ..._ -
& � .Sep
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notexy public, duly authorized to administer oatha and take acunavjie: oanents, personally r„
geared
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of tl.e above described construction, that he has carefully read the foregoing application, and that he did sign &we senate, s to Chat all fcs:;a
therein by him stated are true.
Permit No. Date
Bead, Sworn to and Subscribed before : e
Notary Public, State of io:id:�
. Corr mission LSapires
Imo "Linvz3.7.7,
PLANNTl ! a 3OABJ M-17l3
Chairman ! Member
Nfcrr,ber _. k/lember _ ....... ...._
Member - -•--._ y'emnaer
Council Approved iispg3 rdl �aC?
NOTE: A charge of $1.00 will be made for tra °sing cc ectEdra: 03 changes to this cliMfenlicat ekes app' va has c:btwi� fir* °
the Planning Board. �
A re inspection fee of 51.00 will be eltargedi wh r a' °� re�'^ s ec3ie� en ado soac :zy I trap3 a t'.S:CE
materials and /or worhinanship.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the budd-
ing or other structure herein described. This application is made in compliance and confcrmity with the Building rdinance 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 he 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._
APPLICATION FOR BUILDING PERMIT
Street and Number where work is to be done
State work to be done d purpose of building (by floors)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMIENT
1
Date p
No. �t"
Registered Architect and /or Engineer .
Name and address of licensed contractor '= ! �2,,r, ' �,. . . _ - -t. t �: - -- /.,fQ .-
Location and legal description of lot to be built on:
Lot Block Subdivision
-
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Ropf
Estimated Total cost of improvements $ ' •t1 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 all contractors or sub - contractors employed by hies
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 subcont actors, on , work to be performed tinder this
permit, as are licensed by Miami Shores Village. d
Remarks (Signed t
i9''
, \
Street ,.j
STATE OF FLORIDA,
COUNTY OF DADE. j ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, 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 yhe foregoing application, and that he did sign the same, and that aII facts
therein by him stated are true.
, %t .i,_ "I
Permit No._._ 4 Date , Read, Sworn to and Subscribed before me.
Disapproved yr // Da
'l
\ Notary Peblic, State of Florida
(Signed) :%r" - / - - — '4 .,
Building Insp for Commission Expires
j 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 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
B UILDIN'G
ELECTRICAL
PLUMBING
ROOFING
Owner cf
Building
Architect
Conti
or Builder
Legal Lot
Description
Address of
Building
CON. rC CR OR L7i ii
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 7489
B
Signed.
Work to ho pec::formed under this Permit
Subdi-
• vision
Value of
1 Project $
DATE =_- --
Contractar`s
License No.
rnis permit is granted to the contractor or builder named above to construe': the building cr to instill the equipment or device described in t;..
horefor in ict co ^p_ic.:hcc with all ordinances pertaining thereto and with the understanding that :tie \ror; will be prrfcrmad i_i comp.scr. c , air;
drawings, :, tatements or specifications that may have been submitted to and approved by the proper municipal authorities, 'ibis Permit may b a:.y
time if .., ' .; is not done in compliance with such ordinances or if tho plans aro changed without authorization. T. further cor.df'ion upon vrl;i
granted is the understanding that the contractor or builder named above assumes tho responsibility fora thorough ] :novr:_d -e of ire crdinanc: s a. c
pertaibin? to -.-r work covered hereby whether shown on tho plans or drawings or in the statements or specifications and ti at he assumes limpen
done 1:7,- iris c gents, serrants or employees.
INSPECTOR
By: ._
cerhs doration of the issuance. to me of this permit I agree to perforl the work covered hereunder in co :npliancn with all ordinances and iequ;at
pertaining it ereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of ]ui :ml S!:cr 1 i1 in ac
cepting this permit I as:,umo responsibility for all work done by either, myself, my agent, servant or employee.
BY A: 17E01-7 Y
1 ,77 i S�
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Q .�
�/ /moo. ��.ig Q��� ���er Permit # ✓a- 75
Date0 ; Job Address Tax
Legal Description
Owner / Lessee / Tenant ___(,4`L' C,
Owner's Address . D 4 4 /er
Signat
D
N
My
ary as to Owner and
Commission Expires:
APPROVED:
Zoning
State #G 1C0 - ,/ Competency#
Contracting Co.
Qualifier /C�s� n r � { �// SS# Phone 3-a)--}i6,
rchitect /Engineer Address
'..:°ding Company Address
I :crtgagor Address
Condo Pr g dent
O c il p6@ 49 Q.00�' "D
oe0 00 0 ����� L',��a
,0000 !4 �O
1 a J $ 400 °ov� ° �
eOndef Ofi 7
�' 0 (. o ab 9 N 0
`
O
°4a6�G o al a
6� %
,, � ,. ,. ��. ailding
Phone '7.3" 3
Address 2070/ S, &/47 ii ,
Ins. Co.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING (SECHANIC
WORK DESCRIPTION / o ✓G /_(� �U . .. �' ?p
Square Ft. Estimated Cost /S"
°
Signature o
Da , e
I� u'
NZA!ry as to Contract°
My Commission Expires:
* * 7C R
Other
PAVING FENCE SIGN
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 nstraction and zoning.
Furthermore, I authorize the above -named contractor to do the work s'ared.
' re of Owned /or
/
/ /ara
Contractor or Owner - Builder
00
(>0 c � y ?/
ner��`
v d o�� �
4 9 74C C;J o R
O� O � 4
0
B� o �� ° ti
Electrical ®O -. `v° 1 p � o
ITEM
BATH TUB
UNIT FEE 1 ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
CRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DIET WORK
FLCOR DRAIN
-- SERVICE REPAIR/METER CHANGE
-_
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
i STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS /ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
•
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
-
- SWIMMING POOL ]
OUTLETS COMMERCIAL
WATER SERVICE - -
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
JTILITY -SEWER _
SIGN TIME CLOCK
!TILITY -WATER
FIXTURES
EPTIC TANK
ANTENNA
-
;ELAY
TELEVISION OUTLETS
1RAINFIELD, 4' TILE/RES.
VIOLATION
'UMP S. ABANDON SEPTIC TANK
REINSPECTION
AKAGE PIT CU. FT.
;ATCH BASIN
IISCHARGE WELL
DOMESTIC WELL
REA DRAIN
■
;OOF INLET
;OLAR WATER HEATER
IRE STANDPIPE
'COL PIPING
I
AWN SPRINKLER SYSTEM
AS RANGE
TER SET (GAS)
AS PIPING
da
' ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS,)
PLUMBING
ELECTRICAL
MECHAN I KCAL/
L_E_GNL_
Lczk5 ?) V4.2_
5
Pcn r \r,"
• '
N.1 . • • eh. •
(5t.
<cr
1
CO
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tf
PLOT
LAN 1'
0:11W.CLIffp
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