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BUILDING PERMITDate 6 / x / 9 / Job Address //I N - 9 L '- ( Tax Folio Legal Description ^ , Owner / Lessee / Tenant , i; , . 7 60L L Master Permit # — 3g 7 11' P Owner's Address Contracting Co. /0//f Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ? 3 7 440 OL<IJ K;72/-/t ?I'/'7s , p<< c6-S Square Ft. Estimated Cost(value) fjr 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 construction and zoning. Furthermore, I authorize the abo contract • 'o do the work stated. Signature of owner a Date: Notary as to Owner and My Commission Expires: ** * * * * FEES: PERMIT 45 APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE do President ' ° �€iitcl# MARY SEA TI t - 73 4 BARBARA ANN FUOAZZ * COMMISSION NUMBER E4 CC360191 �,0 OQ p tJ4Y COMMISSION EXP. 'MAR. #4 2 1 :11999 t RADON Fire Zoning Buildin Mechanical Plumbing Phone Signature of Contractor or Owner- Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: * * * * * * * ** C.C.F. NOTARY ..JO� TOTAL D UE -, Other Electrical Engineering t MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT Application is hereby uindc 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. Disapproved� . - -- - Date -. ( Signed) - e Building Inspector RA/04_p s Owner's Name and Address Registered Architect and /or Engineer Z - 0A . f-- • Z••• gvc1.. Name and address of licensed contractor l!il A) (JZ-. Location and legal description of lot to be built on: Lot 7 Block 3 Subdivision ...... 2 1./....e .. 2 l,t " Street and Number where work is to be done II 8 _ , c - ...... S T- // State work to be done and purpose of building (by floors) ._ �:_1Q...e... ..ti..__._..r.' C.i4/2.. �. .L!_g C. Chairman Mcrribcr Member Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re inspection fee of $1.00 will be charged materials and/or workmanship. PLA INC BOARD Date..... �...._ . _....__...... ,19 ... No..// 5 . Street-1/.4: ..�Z..S� P E4 , :.,71..6! =,gi, 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 improvements $ ,e0 Amount of Permit S� 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 employed by him in the work to be performed tinder this permit; and will post or cause to be posted for inspection on the site of the wo h public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontracto , on work to be •. ed under this pennit, as are licensed by Miami Shores Village. Remarks ( Signed) Member Member Member Disapproved 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 Permit No...._._l. .. c Date ... - ze2 Read, Sworn to and Subscribed before me. 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 to me well known, Commission Expires DATE Date or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice fqf inspection or faulty Street and Number where work is to be done Slr ork to be done a purpose of wilding (by floors).. „aid yitz Disapproved ... .. Date (Signed) Building Inspector . Chairman Slcrr,ber Member.. .. �....._......_..._._ ...._....... Council Approved Date NOTE: A charge of $1.00 will be made for the Planning hoard. A re fee of $1.00 will be charged materials anti /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed statement in toe 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 progreu of the work. /� Owner's Name and Address ..�L /C /Wt ��.. S � .r No. .1/ e .._ . Street., a. 9_..5 5 Registered Architect and /or Engineer Name and address of licensed contractor _... ..._......._ Location and legal description of lot to be bu' t on: Lot Block Subdivision. Olt t tt,... ... •.,.....ttt,...,• „t � / .221.5. and for no other purpose. Ncw Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of rr��Roof Covering Estimated Total cost of improvements $ Amount of Permit $..1.Lr 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 crrtify that he understands and accepts his obligations as an employer of labor under the Florida \Vorkinen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Step clement, 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 w such public notice or noticcs as are required by the Act. The undersigned agrees to employ only such subcontradls, on work to be rformed under this permit, as are licensed by Miami Shores Village. Remarks. .. (Signed) X/ 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.._. ? KM Date k 1 / f Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Mcmbcr Member — Member __.. sass_ _.._ Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty 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 building 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. Arnold Susi Owner's Name and Address No. Name and address of licensed contractor R.E.M. Street and Number where work is to be done 1182 N.E. 92nd St. Miami Shores, FL. Permit No. Date 12/28 19 87 Stre01l82 N.E. 92nd St. Registered Architect and /or Engineer Air Conditioning, Inc. 476 N.E. 191 St. No. Miami Beach, FL. Location and legal description of lot to be built on: p Lot / % J Block v Subdivision 49 0� / / Jo � t T 7 Change out of a 3 ton Whirlpool unit. State work to be done and purpose of building (by floors). state exterior colors (submit samples) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation as: Covering Estimated Total cost of improvements s $1965 Amount of Permit S Rv O 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 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 obligatons 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 a ploy 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 appeared 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 � application. and that he did sign the same. and that all facts therein by him steed are true. 7 7 <24 Date �d / Read, Swo n to and Subscr'bed before me. Disapproved . Date t / / J // .4? /A NotarRf •: cPbt 3 §Gfi Florida attarge (Signed) i Commission Fx t eS Building Inspector My Commission Expires M y p Fe b._15, L 91 BONDED THRU FLORIDA NOTARY SERVICES PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and workmanship. 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 building 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. MA' NO `C Date�` // 19_,...._ E. Owner's Name and Address A R N L p v `� r' S 1 No. ,,8_)(1 Street / d S5)` / Y /x/ �, Registered Architect and /or Engineer Q Wki- - - /3-i 1 di2&_, Name and address of licensed contractor /-----_ Location and legal description of lot to be built on: Lot 7 �J Block 3 Subd 43 n i ' y ' < - (1 f `? '5 O 45Y2„1___ ` c Street and Number where work is to be done j / 0 a N[ ,, 9 a S�- /?'; it - S Si UiZf -. s F4—__13 /J8 State work to be done and purpose of building (by floors), state exterior colors (submit samples) C.h' i e h/2-1 p w u V /? nt- NFL/ 3'c_ F-)/(_, Q cc 5 S and for no other purpose. New Building Remodeling Addition 1., Repairs No. of Stories To be constructed of Gt JO (JO Kind of foundation au.t. Q - a. FtiJi r �/ / Roof Covering Estimated Total cost of improvements S // 0 0, v" c 06 Amount of Permit S Zone cubage required Plan Cubage Remarks (Signed) 0 / Distance to next nearest building 0.4211 0 Size of Building Lot 75 /') .S ylvt o 5' Z Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to P a A,) L Sf YZ rz , 33/ J The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida 1Vorkmen'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 performed under this permit. as are licensed by Miami Shores Village. STATE OF FLORIDA COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared 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. 7 Permit No. �� Date Disapproved (�® ` 7 Date (Signed) Building Inspector 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 S25.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. /9 mot- D s ,. // N:E �2 s Align .Shove'E s 331337 gt )2\ I P it4 Chil - SA / ` � i S 0NC2F S i & b 11 y1AU FiR A- DAPD .4ALk —hArief a 22x6 ;c-1 y rj- f,9 ete7 I ; • - • • • • • - 3 e/c fess Me-t. - > • .,%'.;iii•u_ E C- ! C. 7 4 2 ,2 - 7 . -2) r 2x 9 ; 1-4-c 2x6 7 4,4- p k)4: L( 42.4 I 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 building 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 Sts .s 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 � A 7 . itj lA`Zy ?� LI II � ''J LJ t l lWW �� o. /�/ Nat 1 Cf f. Street • e7 ► '( 7. 1J Registered Architect and /or Engineer I Sc AAA AJ 14 AAA A/1/ me and address of licensed contractor 0 S V Au t70 M Atmc -firi) - 11 ■ S Ui , a '' W/ T' (# 4 ii L4 Location and legal description of lot to be built on:/ j 3 ,z7 )q�j ? j"" p Lot 7 Block Subdivision Irt)' Lk.) � E PEAT I .- 1 4 A f (6 ( , L / S t r e e t and Number where work is to be done l i ga l�. • Q z ub l : fu 'Akio S4. c8z , , (/ State work to be done and purpose of building (by floors), state exterior colors (submit samples) 01.16 STO 1 1 ,00 9.11 y& A- New Building Remodeling Addition To be constructed of C Kind of foundation Roof Covering timated Total cost of improvements S 1 V7 500• Amount of Permit S 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 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 obligatons as an ployer of Labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida, Permanent Supplement. and has c plied with 1 e provisions thereof. and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under t er ,:t:`.n ill 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 . j % , r such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 111.Piiiiirt, ' IF r Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. 1 ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared 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 fojegoing application, and that he did sign the same. and that all facts therein by him stated are true. Permit No. • L Date Disapproved�� J Date (Signed) !1'1111 Read, Sworn to and Subscribed before me. Date 19 Repairs No. of Stories IJ/79 Notary Public. State of Florida and for no other purpose. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved late Disapproved Date NOTE: A charge of 525.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and.or workmanship. 30( A GEOTECHNICAL ENVIRONMENTAL HYDROG .EOLOGY CHEMISTS Miami, October 25, 1989 Mr. Bob Trowell 1182 N.E. 92nd Street Miami Shores, Florida 33138 Dear Mr. Trowell : 0' - 0" to 0' - 6" 0' - 6" to 3' - 0" 3' - 0" to 4' - 0" 4' - 0" to 4' - 6" 4' - 6" to 6' - 0" 6' - 0" to 8' - 0" Terminated at 8'- 0" DYNATECH ENGINEERING CORP. Re : Proposed Addition at 1182 N.E. 92nd Street Miami Shores, Florida 33138 P.O. BOX 170406 HIALEAH, FLORIDA 33017 -0406 PHONE: (305) 628-4418 TESTING LABORATORIES DRILLING SERVICES INSPECTION SERVICES ROOFING According to your authorization, DYNATECH ENGINEERING CORP., has performed a subsoil investigation on October 25, 1989 at the above referenced project. The purpose of our investigation was to obtain factual subsoil data for the property relative to foundation design of the proposed addition. A total of two (2) hand auger borings were performed to an average depth of 8' below`wxisting ground surface. Water table elevation was encountered at a depth of 4' below existing ground surface. The following graph was developed as a general condition for the subject site . Depth From - To Soil Description Top soil Yellowish Sandy Lime Rock Light Brown Silica Sand Dark Gray Silt Muck Brown Silica Sand Based on our understanding of the proposed structure and the result of our field boring tests; the following are our recommendations for foundation design : 1- Locate all footing lines plus 1' on each side and excavate the muck in its entirety. 2- Backfill to proper footing level with clean granular material placed in lifts not to exceed 12" in thickness and compact to a minimum of 95% of ASHO - T- 180 C. 3- Verify all compaction efforts by taking an adequate number of field density tests probing 12" in the underlying soils. The above foundation recommendations being achieved and verified by our geotechnical engineer; we feel that the referenced structure be designed for a shallow foundation system with a permissible soil bearing pressure not to exceed 2000 P.S.F. It has been a pleasure working with you and look forward to do so in the near future. Sincerely, WISSAM IVAAMNI,,P E. DYNATECH ENGINEERING CORP. WN /yf GEOTECHNICAL ENVIRONMENTAL HYDROCEOLOOY CHEMISTS PROJECT: Proposed Addition at 0' - 0" to 0' - 8" 0' - 8" to 3' - 6" 3' - 6" to 4' - 0" 4' - 0" to 4' - 6" 4' - 6" to 6' - 0" 6' - 0" to 8' - 0" Water Table : 4' DYNATECH ENGINEERING CORP. P.O. oox 170406 111ALEAli, FLORIDA 33017.0406 PI10NE: (305) 6284418 HAND /WOE R RC PORT CLIENT: Mr. Bob Trowell ADDRESS: 1182 N.E. 92nd Street, Miami Shores, F1 33138 CCSCRIPTION OF MATERIAL Top Soil and Grass Yellowish Sandy Lime Rock Brown Silica Sand Dark Gray Silt Muck Brown Silica Sand � ss Order No. Report No. DM': 10 -25 -89 LOCATION :1182 N.E. 92nd Street, Miami Shores, F1 33138 _ DRILLER: R -N HOLE 1 2 Wissamv Naamani, . P. E. DYNATECH ENGINEERING CORP. TE$TINO LA /ORATORIES ORILLINO SERVICE: INSPECTION SERVICES ROOFING PLANNING BOARD AGENDA OF NWM *R. 4> >Q9 ITEM NO. l/ A Name of Owner /Appl i cant ROCR_' ' Oyl).1ot. Phone No. 15 kJ 31Z' Address of Property, and /or Legal Description 1)‘X' wt, 91► "'r° Nature of Request AVIVINAV Of ?1,441 Tex LiLo7 %ow 0DTEiQ) Present Zoning A - tb Area of Present Building Or Area w+tit Proposed Addition 1, Parking Spaces Provided Parking Spaces Required with Addition Setbacks as per Code Setbacks Provided Variances /Exceptions /Zoning Change Council Action Required J1iami cShores F L O R I D A Date of Applicant Notification Planning Board Action AffR <<icf)/ Council Action g,tIvilv Director of Building and Zoning 0 • ev.*: rwe _Arlo IT00_ Q O fO. N4tt. I TAX. 1 x -.134`b G M O . o.I NIL re c.. 5. 30' lad AO. q1d to • l0 5 cit40 Disc. ' . j/ lOOL . -3'20 o�D b . jP • •9 ►•o° • 4Z. o• 'O � N v \ ih 36.90' 1‘. 4 N tad I- STY.C.g.S. . e - ob% b I I B Z U.E. 92 ST• m zz.lo In 110 0 * ptt"' 110 1. . -1 S. 00 W (ae N. -. 32 ,9 + 13.40' It ..• 0 0 A IMO h SGT Oz PiP6 • — , —o.4o; O b 0 I.00 . 0 • IDS( • o. o s' 5eT ' /Z" PIPE FO. G' &MIL. s ir: • 4 ; • :taiMIi: �1 U A 1k (;L , u4 UG \ \t. -ro oVE�c� o►u IIU v 7 ] CO N 6: 77 -- -il 1 N\ = 1 _.% 0 , 1 �� kz 7 ).0 �► bY. i� 1,& TO 1: IP— 10 2 CAI 111. 61 1'0 w i o' v5 G-6/5 4 1 Gov rc t.y. i1, ei,r,, r.... - iv 3 t6VEv-o' k.) Li '; S . 41 hi h w9 k Ft-Ax- DwA+.¢, --t- (O tW TOr-- TO Vc,t • F)' . ..,_ :0 V5 Xl 1-xr. \' rl!?.9\N/y !Nt4 -7L(1-. 7 -10t a 8 l li ;1 ,) 1 a l;! ,, I / ::;ss\ ox il s i pvwIDs. k IKy, 1• \Vt\ -U Toz Noits TeAwirsil y i •1 p,►ay. C-1 - (j c dui. - A - Np 2X: \v i r1 \v 1,1AX- \' p L2 • • vfd Tz.00 ,\ •Np,NNI CONC.. 4 21*P•i trapt4t1 impapl=ca•MmIMM114 • SC,41,PA HIS rt4(. C, ) reY 4. CON'G.tTh. c(41, -------- • Aws G C tie* Si Z •1 )I • ••■•■■■•■■•■■••■••■••••■•■•••••••••••••• lop oV •••••••••• CoKtcweitOki: Tvz"1 TO ■01 2x)0 a I H OA. ,Vi\ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 . _J Name and address of licensed contractor Location and legal description of lot to be built on: APPLICATION FOR BUILDING PERMIT Lot Block ✓ Subdivision . Street and Number where work is to be done UO� J \ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT :1 Co OwN, °fit 1<Je1 ) D. State work to be done and purpose of building (by floors), state exterior colors (submit samples) lC –k e) serf- Date I ) 19 Street NE-. ST � and for no other purpose. New Building Remodeling � Addition 1 / Repairs No. of\ 1_5? Stories / To be constructed of C ?-� i `• ✓ _ Kind of foundation ��C – �1r� S Roof Covering J/v�l_ 1 IT -- Estimated Total cost of improvements S \ c, Amount of Permit S � � � � Zone cubage required Plan Cubage Distance to next nearest building C C) t Size of Building Lot 31 1 f, .7 Maximum live load to be borne by each floor I hereby submit all 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 obligatons as an employer of Labor under the Florida ■Corkmen'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 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 appeared 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 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. PROJECT NAME AND ADDRESS. •C A'LA1 v QQ 'X Iry O BUILDER: V • \ i 8 a "I Z S ttme ! PERMITTING OFFICE: CLIMATE 7 8 ZONE: 9 AM A/A\ s} M.54, i-(.A, OWNER: �e n�1�,,� PERMIT NO.: JURISDICTION NO.: RENOVATION ❑ ADDITION IF MULTIFAMILY, NUMBER OF UNITS COVERED BY CONDITIONED FLOOR AREA •� - C . l SO FT NEW GLASS AREA AND TYPE CLEAR TINT,FILM,SOLAR SCREEN SINGLE- DOUBLE- PANE SO FT SINGLE- PANE I V d SO FT PREDOMINANT EAVE OVERHANG LENGTH I FT MULTIFAMILY ATTACHED ❑ SINGLE-FAMILY DETACHED ❑ THIS SUBMITTAL: PORCH OVERHANG LENGTH 1 1 FT PANE SO FT DOUBLE- PANE S0 FT FOR ADDITIONS ONLY: PERCENTAGE OF GLASS TO FLOOR: WALL TYPE AND INSULATION CEILING TYPE AND INSULATION FLOOR TYPE AND INSULATION WOOD FRAME MASONRY WOOD MASONRY UNDER ATTIC: — EXTERIOR: R = ADJACENT: R= COMMON R= EXTERIOR: R = ADJACENT: R= COMMON: R = c- `� _ O RAISED: R = COMMON: R= �� RAISED: R COMMON: R= = I l,❑ _ — SINGLE ASSEMBLY: R= 1 Q -1 • 0 _ _ I. 3 4. % COMMON: R= .n •I I SLAB ON GRADE: R = DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM IN UNCONDITIONED SPACE' R = ❑ C TRAL ❑ NONE ROOM ❑ PTAC ❑ NO NEW SYSTEM — — ELECTRIC STRIP i Fl I 1 NATURAL GAS U OTHER FUELS ❑ NO NEW SYSTEM I HEAT PUMP DOOM /PTHP U NONE _ ELECTRIC ❑ NATURAL GAS ❑ OTHER FUELS ❑ SOLAR ❑ HEAT RECOVERY ❑ DED. HEAT PUMP 1 LL— ✓[] NEW SYSTEM EF = SF /EF = — IN CONDITIONED SPACE: R - SEER/EER = I T V1. c J COPIHSPFIAFUE = 0 NUMBER OF BEDROOMS = I 1 L.J In accordance with Section 553.907 F.S., I hereby certify that the plans and specifications covered by this calculati n are in compliance with the Florida Energy ON II, OWNER/AGE T a Review of the plans and specifications covered by this calculation indicates compliance with the Florida E ergy Code. Before construction is completed, this building will be inspected f le liance in accordance with Section 553.908 F.S. BUILDING OFFICIAL: DATE \ "' ' DATE e E I 2 7 4 4 0 TABLE 10A MINIMUM REQUIREMENTS FOR SMALL ADDITIONS AND RENOVATIONS COMPONENTS SECTION REQUIREMENTS CHECK WINDOWS 904.1 MAXIMUM OF 0.5 CFM PER LINEAR FOOT OF OPERABLE SASH CRACK. EXTERIOR & ADJACENT DOORS 904.1 SOLID CORE, WOOD PANEL, INSULATED OR GLASS DOORS ONLY. MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR AREA. INCLUDES SLIDING GLASS DOORS. EXTERIOR JOINTS /CRACKS 904.1 TO BE CAULKED, GASKETED, WEATHERSTRIPPED OR OTHERWISE SEALED. ✓ SOLE & TOP PLATES 903.2 SOLE PLATES AND PENETRATIONS THROUGH TOP PLATES OF EXTERIOR WALLS MUST BE SEALED. INFILTRATION BARRIER 903.2 INFILTRATION BARRIER MUST BE INSTALLED IN EXTERIOR WALLS & RAISED WOOD FLOORS. INTERIOR JOINTS /CRACKS 903.2 ALL OPENINGS IN INTERIOR SURFACES OF CEILINGS AND EXTERIOR WALLS MUST BE SEALED. FIREPLACES 903.2 FIREPLACES MUST HAVE FLUE DAMPERS, GLASS DOORS AND OUTSIDE COMBUSTION AIR INTAKES. EXHAUST FANS 903.2 EXHAUST FANS VENTED TO UNCONDITIONED SPACE SHALL HAVE DAMPERS, EXCEPT FOR COMBUSTION DEVICES WITH INTEGRAL EXHAUST DUCTWORK. WATER HEATERS 904.2 MUST BEAR LABEL INDICATING COMPLIANCE WITH ASHRAE STANDARD 90 OR COMPLY WITH EFFICIENCY AND STANDBY LOSS REQUIREMENTS. SWITCH OR CLEARLY MARKED CIRCUIT BREAKER (ELECTRIC) OR CUT .OFF (GAS) VALVE MUST BE PROVIDED. AN EXTERNAL OR BUILT -IN HEAT TRAP MUST BE PROVIDED. SPAS AND HEATED SWIMMING POOLS 904.3 SPAS AND HEATED POOLS MUST HAVE COVERS (EXCEPT SOLAR HEATED). NON -COMMERCIAL POOLS MUST HAVE A PUMP TIMER. GAS SPA & POOL HEATERS MUST HAVE MINIMUM THERMAL EFFICIENCY OF 75%. HOT WATER PIPES 904.4 INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS INCLUDING HEAT RECOVERY UNITS. IN SUCH CASES, PIPING HEAT LOSS SHALL BE LIMITED TO A MAXIMUM OF 17.5 BTUH PER LINEAR FOOT OF PIPE. SHOWER HEADS 904.5 WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE AT 80 PSIG. HVAC DUCT CONSTRUCTION 903.2 904.6 CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHNICAL CODE. JOINTS IN UNCONDITIONED SPACE SHALL BE SEALED. DUCTS SHALL BE INSULATED TO A MINIMUM OF R -4.2. HVAC CONTROLS 904.7 A SEPARATE, READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM. RENOVATIONS ONLY GLASS 1003.0 MEETS THE REQUIREMENTS OF SEC 1003.0 SEE STEP 3 OF PAGE 2 OF THIS FORM. FORM 1000•C•89 • SMALL ADDITIONS AND RENOVATIONS FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION SECTION 10 — RESIDENTIAL PRESCRIPTIVE COMPLIANCE METHOD DEPARTMENT OF COMMUNITY AFFAIRS CLIMATE ZONES SOUTH 7 839 COMPLIANCE WITH SECTION 10 OF THE FLORIDA ENERGY EFFICIENCY CODE MAY BE DEMONSTRATED BY USE OF FORM 1000C -89 FOR ADDITIONS OF 600 SOUARE FEET OR LESS. AND RENOVATIONS TO SINGLE AND MULTIFAMILY RESIDENCES. ALTERNATIVE METHODS ARE PROVIDED FOR ADDITIONS BY USE OF FORM 1000A -89 OR 900A -89. 1 I COMPONENT I MINIMUM INSULATION INSULATI INSTALLED EQUIPMENT MINIMUM EFFICIENCY EFFICIENCY ' INSTALLED UP TO 20% Concrete R -5 - r Single Central AIC SEER = 9.0 SEER = Single Double Wood frame. 2' x 4' R -11 OH - SC OH - SC Room unit or PTAC EER = 8.5 EER = �if6► ALL Wood frame, 2' x 6' R -19 2' -.90 1' - .70 0' - .50 4' -1.0 3' - .86 2 .45 1' -.45 0' - .35 3' - 2' - .70 1' - .50 0' - .40 Shading coefficients (SC) may be obtained from the manufacturer of the glass. Typical shading coefficients are: single -paned clear SC = 1.0, double -paned clear SC = .90, and single -paned lint SC = .86. Electric resistance ANY Common. Wood frame' R -11 Common, Masonry* R -3 Heat pump COP = 2.7 or COP/HSPF = Under attic R -30 HSPF = 6.4 BM 111 Single assembly R -19 Common. Wood frame' R -11 :E I Room unit or PTHP COP = 2.6 or COP/HSPF = 1 .4 HSPF = 6.1 Slab -on -grade No Minimum Gas, natural or propane AFUE = AFUE = Raised wood R -11 ►IIL .70 .0C Raised concrete R -5 Fuel oil AFUE = .70 AFUE = Common, Wood frame' R -11 Electric resistance EF = .88 EF = Cana In uncond. space R -4.2 Gas, natural or propane EF = .54 EF = In conditioned space No Minimum Fuel oil EF = .54 EF = Maximum percentage glass to floor area allowed is selected by type, overhang length, and shading coefficient. See below. i % Maximujn Installed GLASS TYPE, OVERHANG, AND SHADING COEFFICIENT (TINTING) REQUIRED FOR GLASS PERCENTAGE ALLOWED UP TO 20% UP TO 30% UP TO 40% UP TO 50% Single Double Single Double Single Double Single Double OH - SC OH - SC OH - SC OH - SC OH - SC OH - SC OH - SC OH - SC 1' -1.0 0' - .86 0' -.90 2' -1.0 1' - .86 0' - .65 1' -.90 0' - .70 3' -1.0 2' - .86 1' - .65 0' - .45 2' -.90 1' - .70 0' - .50 4' -1.0 3' - .86 2 .45 1' -.45 0' - .35 3' - 2' - .70 1' - .50 0' - .40 Shading coefficients (SC) may be obtained from the manufacturer of the glass. Typical shading coefficients are: single -paned clear SC = 1.0, double -paned clear SC = .90, and single -paned lint SC = .86. CLIMATE ZONES 7 8 9 TABLE 10B. Prescriptive Requirements for Small Additi ons (600 Sq.Ft. and Less) and for Renovations to Existing Buildings. *Common components are those which separate two conditioned living units in a multifamily building. TABLE 10C. Prescriptive Requirements for Glass Areas in ADDITIONS ONLY (Renovations see 3 below) Form 1000C may be used to comply the following types of construction: SMALL ADDITIONS TO EXISTING RESIDENCES. Additions which have 600 square feet or less of conditioned area may comply with the Energy Code using this form. The prescriptive requirements in Tables 10A. 10B and 100 apply only to the components of the addition, not to the existing building. Space heating, cooling, and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS. Residential buildings undergoing renovations costing more than 30% of the assessed value of the building must comply with the Energy Code using this form. The prescriptive requirements in Tables 10A and 10B apply only to the components and equipment being renovated or replaced. GENERAL DIRECTIONS: 1. On the left side of Table 10B in the column titled "INSULATION INSTALLED ", indicate the R -value of the insulation being added to each component. On the right side of Table 10B indicate the efficiency levels of the equipment being installed in the column titled "EFFICIENCY INSTALLED ". All R- values and efficiencies installed must meet or exceed the minimum values prescribed in the preceding column for that component. Components and equipment neither being added nor renovated may be left blank. 2. ADDITIONS ONLY. Determine the percentage of new glass to conditioned floor area in the addition as follows. Total the areas of all glass windows, sliding glass doors and glass panels in doors which are more than '; of the area of the door. Double the area of all non - vertical roof glass and add it to the previous total. When glass in existing exterior walls is being removed or enclosed by the addition, an amount equal to the total area of this glass may be subtracted from the total glass area. Divide the adjusted glass area total by the conditioned floor area of the addition. Multiply by 100 to get the percent. Find the largest glass percentage under which your calculated percentage falls on Table 100. For example, 29% glass would qualify for the "Up to 30 %" column Prescriptives are given by the type of glass (Single or Double pane) and the overhang (OH) paired with a shading coefficient (SC). Any pair within the selected "Up To category is acceptable For a given glass type and overhang, the maximum shading coefficient allowed is specified. Indicate the category into which the percentage falls in the box at the top titled "Maximum % = -. In the next column titled "Installed - , indicate the calculated percentage of glass in the addition. Actual glass windows and doors previously in the exterior walls of the house and being reinstalled in the addition, do not have to comply with the overhang and shading coefficient requirements on Table 100. All new glass in the addition must meet the requirements for one of the options in the glass percentage category you indicated. The overhang (OH) distance is measured perpendicularly from the face of the glass to a point directly under the outermost edge of the overhang. 3. RENOVATIONS ONLY. Only glass areas which are being replaced as part of the renovations need to meet the following requirements. Any glass type and shading coefficient may be used for glass areas which are under at least a two foot overhang and whose lowest edge does not extend further than 8 feet from the overhang. Glass areas being renovated that do not meet this criteria must be either single -pane tinted, double -pane clear, or double -pane tinted. 4. Complete the information requested on the top half of page 1. 5. Read "Minimum Requirements for Small Additions and Renovations ", Table 1OA on page 1, and check to indicate your intention to comply with all applicable items. 6. Read, sign and date the "Owner /Agent" certification statement on page 1. 2 Location and legal description of lot to be built on: Lot STATE OF FLORIDA COUNTY OF DADE. 1 Block } SS. 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 building 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 No. ,IpZ IZ•1d 19 89 Owner's Name and Address Q ` � W ' l � 4' /v\ 1I 2J A AM U ,, A y � Registered Architect and/or Engineer 1 At PAM Name and address of licensed contractor 1 ♦► i U tZ. 7 r _ .0. N D A -144 LEA Stre am g 2 . 57 Subdivision t 110 °1 7 - 6 P• .b. 4.A p ti • 6 7 p Street and Number where work is to be done 11 D a- N.6 • q Z Sl• � T A' State work to be done and purpose of building (by floors). state exterior colors (submit samples) AAA I Ly i\ h V E A) I {�I I 0 , v 5Quilietrrs - - Mu - and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of a foundation Roof Covering P L ` 7 s �t i 6 1 b� 7 12 Estimated Total cost of improvements S Amount of Permit S �02° got NO c .. f 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 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 oblige • : as an p er of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement. and has co • wi t ' •visions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this •t; a I� ost 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 e o work to be performed under this permit. as are licensed by Miami Shores Village. Km. ' Remarks (Signed) Before me. the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared 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. a q1l; N Disapproved (Signed) Council Approved Building Inspector Date J ° 9 Read. Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 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 utnde for the approval of the detailed statement of the plans and specifications herewith submitted for the build inc or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami Shores VIll.tge, Florid.t, 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 plats and specifications must be kept at building during ptvgress of the work. rZ.9/7‘ e /a . go Owner's Name and Address (6 — No.11 g street 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 1.�...f_4� S�i _ .._••_ —...s .._.__._ .� ,•� r State work to be done and purpose of building (by floors) �Itt�l...... ... :•�... , ... _..... � Building Inspector Date jj ' j� 'S 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 improvements $ 11 077 • CV Amount of Permit S.... Zone cubage required .Plan Cubage Distance to next nearest budding.. , Size of Building Lot Mfaxitnum 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 I.tbur under the Florida Workmen's Compensation Act, being Section 59G6, Compiled General Laws of Florida, Permanent Sop dement, anti has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor tployed 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 woe ch ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subco. . • tors, on work to be .rme under this permit, as are licensed by Miami Shores Village. Rem.uks (Signed). _......_..._ ... 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 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 Q 1. 3C Disapproved \ �� ` �� Date r (Signed) �l Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires to me well known, 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 fmin the I'Ltnnir,;; Bo.ird. A rc•,it'peutiun fee of 11.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Registered Architect and /or Engineer and address of licensed contractor MIAMI SH®RES 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 I �' w l Owner's Name and Address_ V'v`'`1� Location and legal description of lot to be built on: - 7 Bloc Su division r . - - - - - -- - - - -- -- �/ Street and Number where work is to be done ' ? e t r , State work to be done and purpose of building (by floors) permit, as are licensed by Miami S o es Village. Remarks (Signed STATE OF FLORIDA, I COUNTY OF DADE. ss. Permit No Disapprove (Signed) _ and for no other / purpose. New Building 6 , Remodeling_ �Acldition _,), Re irs No of. Stories ___ ___—___ Roof �,Qv�;'ng__t '` l t` Estimated Total cost of improvements $__.� _Qp_sla _Amount of Per+•m�it $ / Zone cubage required X23 e 1 e flan Cubage . Distance to next nearest building T Size of Building Lot 67 __ 2 /,3- Maximum live load to be borne by each floor ..t"": t" _ I hereby submit all th s d specifi at}'ons for said building. All notices with d jthe buildin and its construction may be sent to - —� F sa -- - - - - The undersigned applicant for this building permit do 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 ins ection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only su�li subcc rtactors, qn wor tq be performed under this h r i r y,,,_ f ( f ,' f t • 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, bein by me fir my sworn, upon oath deposes and says that he is the of the above scribed c struction, th t he -fully read the regoing application, and that he did sign the same, and that all facts therein by stated ar e j •+ ..... _ ad, Sworn to and Subscribed before me. Notary Public, State of Florida Buildin_ Inspec or My Commission Expires / PLA ' NG :• RD DATE Chair n 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. TOTP,L 'o'x .- k)( MyS ‘2-? 6. L_ gtEle / - _ :4 r t c. S `G" 1‘ s #4 (i) 41 g (C4'( x _ s �sT= O• 17 z // fie, ` /1 /.3./7 /7,04 F 06 i6 0 '1O 22S , 1 7 Q U g. e z Co .2.O S4 7 154/7