1240 NE 93 St (7)z/
/0 &, .s
M
Owner's Name and Address
Registered Architect and /or Engineer
Name and address of licensed contractor . __ ,l") • ce..)•
Location and legal description of lot to be built on:
Lot
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
To be constructed of.___C_ Kind of foundation
Estimated Total cost of improvements $_ Q 000
Distance to next nearest building
be sent to f ( (
STATE OF FLORIDA,
COUNTY OF DADE. J ss.
Before me, the undersigned authority,
peared
Permit No
7 Block oL
Disapproved
(Signed) 1 /4 ) - e
Buildi Inspector
daiy
IAMI 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.
and for no other purpose.
New Building Rernodel'ng. Addition Repairs
Date 7' ? `
Dat�
Subdivision
/ 44) AI .6",
PLANNING BOARD
Chairman
Member
Member ..
Council Approved Date
NOTE: A charge of $1.00 will be m:1de for making corrections
the Planning Board.
A re- inspection fee of 51.00 will be charged
materials and /or workmanship.
Date
, i/4/ ti.
gf
J
�
, / 19 �
No._._�7.5'........_ Street 4/E• « 67
V4'e7;; A
Roof Covering
Amount of Permit �
Zone cubage required Plan Cubage
Size of Building Lot 2j"X
Maximum live load to be borne by each floor
I hereby submit all the ns and specifications for said
f //6 ePV r
jlding. All notices with,eference to the building and its construction may
T.
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 public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on ork lb be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
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.
S!o z
Read, Sworn to and Subscribed before me.
No. of Stories...
/i2 4.4/ /
Notary Public, State of Florida
My Commission Expires
DATE
Member
Member
Member
Disapproved Date
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
C. LAWTON MCCALL
VTLUGR MANAGER
iami C-fhores9llage
F L O A ID
A
), /7 //5"‘
c9> A2-eze-t...„ A Z4 —6cee-e4,
/ ‘&1,
eeta /
.//zez_e,3/
.%caA,de
/A5-‘ 621,
PHONE 78 -3678
Mr. Bradford
Village of Miami Shores
Miami Shores, Florida
A. W. ID H 1 L ID CTT
GENERAL CONTRACTOR
144 Northeast 88th Street
Miami, Florida
November 13, 1956
Following is a list of sub contractors who wokked at 1240 N. E. 93rd. St.
Ed. Braddock Plastering Co.
W. C. Rudisill Inc., Pile Driving
Q-' J. K. Plumbing and Septic Tank Co., Septic Tank
4.4( J. Reynolds Plumbing Co., Plumbing
i 2 Y - C. V. Mitchell Air Conditioning
L. F. Popell Co., Inc., Insulation
Rowell Southern Flooring Inc., Floors (wood and vinyl)
Three Star Ind., Cement tile floors
4 ' 7 `° Sheet Metal Specialties Roofing
Continental Tile Co. Bath Tile and sills
Coronet Kitchens Kitchen and bath cabinets
433 Jones Electric Electric
4¢ 75( mRRics
32C T H teas
x 0
%0-0
r
i
9 09
y If' e2 4�
.217k 01
t ' f/
I t
I d
O
�►� /,H
I 17 l,
lids 12.2 d
�.
751
75'
G1
3
4
5
G
I 8 9
. i
2
927
■ I
N 26
ti
25
24
23
22
2/
20
/9
/8
17k1
i
79.93'
75'
I,
II
•
•
.�
�,
„
75
1
OFFICE:
5139 S. W. 8TH ST.
DATE: ,P7 GO J / ,J/
LOCATION SKETCH a �C
N ♦�� O
PJPE�
PAPF
C. B. CO., NO. 3050 -4.55 . 1340
N. E 9 2-% 5T
75
V /a w r
THOMAS J. KELLY
CIVIL ENGINEER -LAND SURVEYOR
MIAMI, FLORIDA
SURVEY NUMBER- 5S
7 SURVEY OF
!
LOT BLOCK 2
SUBDIVISION BAY LURE
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK No.
PUBLIC RECORDS OF 17,715E COUNTY. FLORIDA.
Po TT
SCALE i' = ZOO'
N. E 93rd 5T
N.E. 53'- STREET
5O' R- O-W - 2 PAVEME
/VATER /NJA/N TEA. q ,-P OW ERLIA,45
I
0 0
9
FOR:
LOGAreD IN MIAMI 5N01ZE5, FLORIDA.
rP/PE
PIPE
44 AT PAGE No 63
TELEPHONE:
H.1. 8-0504
I HEREBY CERTIFY THAT THE ATTACHED
SKETCH REPRESENTS A RECENT SURVEY MADE
UNDER MY DIRECTION. AND IS TRUE AND COR-
RECT TO THE BEST OF MY KNOWLEDGE AND
BELIEF.
THERE ARE NO ENCROACHMENTS.
REGISTERED ENGI ER #3161
REGISTERED LAND SURVEYOR #626
STATE OF FLORIDA.
LOT DETAILS. SCALE 1' =20'
• OWNER•S NAME
A. ;i. Phil ott
PRESENT ADDRESS
144 N E. 36 st.
LICENSE NO.
.
• •'TONE NO.
JOB LOCATION (ST. OR AVE.)
124u a. E. S St.
LOT
7
BLOCK
2
SUBDIVISION
Bay Lure
GENERAL CONTRACTOR
A. 0 Philbott
ADDRESS
1u4 N. E. 88 St.
PHONE NO.
LICENSE NO.
1u b
1
BUILDING PERMIT NO. 40321
cc
DATE 7
!!fi��tt
PERMIT FEE S `�'j-•O
BUILDER'S BOND
NO. 19.19 DATE 7/27/56
ZONE il • F• 4QUIREMENTS 22,500 CU. FT.
2.12x/
PLAN CUBE CU. FT.
EST. COST S 26, 304.10
DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BYE Markel
DATE
7/27I56
NEW CONSTRUCTION
TYPE
CBS
STORI ES
1
ROOF CONSTRUCTION
Tile
INTERIOR CONSTRUCTION
3- ?edroom, 2 Bath
REPAIRS
DESCR IPTION
Oak Floors, Plastered halls, Ceilings and wood base
ALTERATION
DESCRIPTION —
Mlle Sills
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
Must B
REJECTED REFERRED TO COUNCIL
ye ile - Loof B
REASONS
RE- SUBMITTED TO PLANNING BOARD
7
SUBMITTED TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO.
ISSUED
BY I
TO
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
«.y BUILDING INSPECTIONS ' —►Z 47.5. 4...)��i6
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
• jjf4'
BY
FOUNDATION G ,94
-1fJI
9 a
2—
2 7.-;'
BEAMS & LINTELS
S--.SZ
SEPTIC TANK J. k.• P
�.. -2 cJ 7 73
FRAMING
R- 6j
..,J ...
- - 774.
MOTORS
$
SOLAR HEATER
$C a .3 - l j F t G a A < '
/ .`?.
Z V... f
/ - ...Z u✓
-
$
I f .
$
FINAL I 1 - - 13,
- y'Z„ 4-,5 a..[
2 -e- .
2 1 1. -
INSPECTIONS
DATE
BY
CLEAN -UP
.. BY
RE- INSPECT
BY
ROUGHING 7 - 3, —
.� r....1e'A
[/) c t ---
CONTRACTOR 0/ `y l t- �t_ ,./1. ( . / , ..j
PHONE
PERMIT NO. q
TE/
)3 I
N NEW BLDG. h I ALTERATION I ADDITION
NEW BLDG. AL TERATION N
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
�
$ �a (Y,.
H. W. HEATER CONN.
$
SEPTIC TANK J. k.• P
/
n., r � y 6
�d Z / Z
$
SEWER
r
MOTORS
$
SOLAR HEATER
$
0
FIXTURES
$
GAS
$
I f .
$
$
INSPECTIONS a
DATE
INSPECTIONS
DATE
BY
RE- INSPECT
.. BY
RE- INSPECT
BY
ROUGHING 7 - 3, —
.� r....1e'A
[/) c t ---
/iv
ROUGHING C J- /r
A ..+1‘4
GAS
'' :, r
H. W. HEATER CONN.
SEWER
RANGE CONN.
SEPTIC TANK
L
2
SAL-MR HEATER, I
I- , ,; - .1..0 +-
- `
.s-? Cam: S'-
.j FIXTURES & FINAL
/ v
-/ / - i/ - a2 . , .✓.y5 .v .1 Z 4
FIXTURES II- I ?
—,TL -.1/4
` S 7
L ,
rr
CONTRACTOR - O Cs - C�E't 9f� . �+
PHONE
FEE $ /�- ,3
� .S / .�Q
PERMIT NO. 173 7 I DATE /'- /1 �; („
N NEW BLDG. h I ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
G
PERMIT NO. l
DATE
FEE
AA
TEMPORARY SERVICE o
} �%
,JO % 0[I_c ,F"Z6Z
5,,,,r..._
�
$ �a (Y,.
H. W. HEATER CONN.
$
0
4 / 2 , -RANGE CONN.
$
MOTORS
$
0
FIXTURES
$
I f .
$
INSPECTIONS a
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE 7 -(y-
a aJ (f/1�
. C5
Q -70.$ - TProOa<579
/iv
ROUGHING C J- /r
A ..+1‘4
:..
'' :, r
H. W. HEATER CONN.
RANGE CONN.
L
2
.j FIXTURES & FINAL
/ v
-/ / - i/ - a2 . , .✓.y5 .v .1 Z 4
f 1
p54.. tea ((:. 4c •
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE //- Pi-
BY
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date_.._ April :22 . ,19 69
1240 street N.E. 93 St.
Owner's Name and Address Dr. David Davidson
Registered Architect and /or Engineer Joseph P. Isern
Name and address of licensed contractor Econo -Way Exterminating Co. 1400 E. 4th Ave. Hlh.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done —
1240 N.E. 93 St.
Nylon Tent Fumigation
State work to be done and purpose of building (by floors) N y
ss.
No
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 $ 1 00
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 5968, 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.
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.___ t r
�' Date 4" '3 ' Read, Sworn to and Subscribed before me.
Disapproved64 r Notary Public, State of Florida My Commission Expires
(Signed)
Budding
-��
PL 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.
Date and Approximate time of Release Anpil 29. 1969 12 noon
Location of Structures
Owner's Name and Address Dr. David Davidson Sams
Type of Structure: 1 story C23
Approx. No. Cu. Ft. 42,000
Name and Quantity of Fumigant: Fume - =Gate 20 Gallons
Length of Fumigation Period: 24 hours
Distance to Nearest Building: Jest 15 feet
Certified ( or Special ID.) Fumigator in Charge:
FUMIGATION SHALL BE PERFORMED IN STRICT ADHERENCE TO THE FUMIGANT'S
REGISTERED LABEL AND FLORIDA STATE BOARD OF HEALTH RULES 1701 -
NOTIFICATION TO BE RECEIVED NOT LATER THAN THE DAY PRIOR TO RELEASE
OF THE FUMIGANT BY:
0- County Health Dept.
F U M I G A T I O N N O T I F I C A T I O N
ECONO -WAY EXTERMINATING CO.
Company
1400 E. 4th AVENUE
HIALEAH, FLA. 33
Address
1240 ;:.'4. 93 St. Miami Shores
Name: JOSEPH P. ISERN
Telephone : 888 -9749 822 -4745
Day Night
0- Fire Dept. 0- Other
//
Permit No 0
Date G4lr
Application is hereby made for the approval /
pp y pproval 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, Fiv :ida,
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 work. n_
Owner's Name and Address No /5/s-
Registered Architect and /or Engi eer / d /.
E to in le triciaA Name ... 'CD V .� C. ... SAO,. Street 1 0 4V.15 W Uc.
Location and Legal escrip ion Lot. I. 4.14/4,54-
. !
Street and Number where work is to be performed —No `2 '7
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Service Overhead
Underground Size Feeders
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMI,T
No vd/
Block �.
/VIE,
Su/ /mM ).G
The undersigned applicant for this building permit does hereby certify that he understadIs and a
labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OP DADE. I '°'
Repairs No. of Stories
Conduit Main Sw Amps Main Fuses Amps
Type of Installation -- Conduit Tubing... . ............ B.X.L .Metal Moulding
(Signed)] . .y4(�
(Signed)
1/99
treet
aiDL.
oaths
Street....i...........>�
Subdivision. �•l� p
3
sr
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
sub contractors employed by him in the
of the work such public notice or notices
e performed r.er this permit, as are
Before me, the undersigned authority, a notary public, duly authorised to administer
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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
and take
Master Electrician.
a/41g 970
My Commission Expires Notary Public, Suite of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
33330
acknowledgments, personally
SWITCH
0
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO LAMPS
RE/RIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•S HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
//
Permit No 0
Date G4lr
Application is hereby made for the approval /
pp y pproval 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, Fiv :ida,
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 work. n_
Owner's Name and Address No /5/s-
Registered Architect and /or Engi eer / d /.
E to in le triciaA Name ... 'CD V .� C. ... SAO,. Street 1 0 4V.15 W Uc.
Location and Legal escrip ion Lot. I. 4.14/4,54-
. !
Street and Number where work is to be performed —No `2 '7
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Service Overhead
Underground Size Feeders
Amount of Permit $
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMI,T
No vd/
Block �.
/VIE,
Su/ /mM ).G
The undersigned applicant for this building permit does hereby certify that he understadIs and a
labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OP DADE. I '°'
Repairs No. of Stories
Conduit Main Sw Amps Main Fuses Amps
Type of Installation -- Conduit Tubing... . ............ B.X.L .Metal Moulding
(Signed)] . .y4(�
(Signed)
1/99
treet
aiDL.
oaths
Street....i...........>�
Subdivision. �•l� p
3
sr
Electrical Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
sub contractors employed by him in the
of the work such public notice or notices
e performed r.er this permit, as are
Before me, the undersigned authority, a notary public, duly authorised to administer
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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
and take
Master Electrician.
a/41g 970
My Commission Expires Notary Public, Suite of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
33330
acknowledgments, personally
MIAtsSeRES VILLAGE, FLA.
JOB
ADDRESS
/3// Po
N9 5265
lo cs
INSPECTION )" c R • P a1J , r: ✓ /(�
TIME READY P/"11. -- / / ` r
REMARKS:
INSPECTOR DATE
IVIIAM SHORES VILLAGE, FLA.
ADDRESS / � `� A) • 9 -.
JOB
INSPECTION 61/ . A �, c
TIME READY C 4' /1 O dr .
REMARKS
INSPECTOR
N° 5280
DATE
.
Village of Miami Shores
JOB Pi P
ADDRESS q
INSPECTION / 4F.
TIME READY /4
REMARKS
o•
N? 4773
¶illage' "o f Miami Shores N? 4724
JOB / ?as 77 •
ADDRESS A 1 r .
INSPECTION �L.q. —/f
TIME READY
REMARKS
INSPECTOR
DATE 7 -,?4,5„.e.
Village of Miami Shores
JOB Pi , c �,
INSPECTION c/g�' o� �:
TIME READY � a lt - ST,
REMARKS
og o
INSPECTOR
N? 4711
DATE "-- �°
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building s
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
This permit is granted to the contractor or builder named above to construc 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.
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
PERMIT
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
N? 4021
DATF ' 195
Contractor's
License No.
Work to be performed under this Permit
Bi. -
Subdi-
vision
Value of
Project $
Signed. BY
Amount of
Permit $
BY AUTHORITY
Date Job Address 'A? . 3 r S% Tax Folio S
Legal Description
Signature of owner and /or Condo' President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Lessee / Tenant /eg•
Zoning Buildin
c K/ c/a r1
WORK DESCRIPTION ee.4 /e ex, S 1 /rr re c.ee7 C!ti
h e c) 7 ss, J%2
/
Square Ft. Estimated Cost(value) "2 al
Fire
'1n • ture •
Date: r / /
y Commission Ex
Master Permit it;
Phone 76/- 72 ?
Owner's Address �,� ,c/S- - 67
Oni.e /� �- ,/
Contracting Co. i47* %C /Q /!' ,1 /Ac%/ov.. -Je c At
E: Address 4'97 E: /3o7 ° ° .S'%. /0. /aye
Qualifier , U/S /rte,' / /% SS# / Phone 87.E g"'/S
State # Municipal #, Competency # /D- ggee/Ins.Co.
Architect /Engineer /( //4 Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one
LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
00
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 above -named contractor to do the work stated.
.N•
INE CHURCH
Public, State N Honda
e r stamp name of Notary Pubic c
known nICR Produced
tar as to Cont �bt4r'tif
L �•
I�IU take an oath, or
DID NOT take an oath,
** * * * * * *
**
FEES: PERMIT ' ' Z5 RADON C.C.F. - J NOTARY TOTAL DUE 5g vo
Other
Electrical
Mechanical Plumbing Engineering
Leanne Sarkisian
1240 N.E. 93 Street
Miami Shores, Florida 33138
P
Mr. Frank Lubien
Miami Shores Village Hall
Building & Zoning Department
10050 N.E. Second Avenue
Miami Shores, Florida 33138
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 9 /,?" Job Address ).7,0 kG 2_3 Tax Folio!) ,f020 17 N7 r
Legal Description ear / � � ' ` ' / /
Owner / Lessee / Tenant 1.��� U.e �a' '5/,47) Master Permit # 3�/ 9/ 7
Owner's Address '519W24f
Cpl[ a6 //{ // 0)9 /ti C Address � , S G V p S sL
/ /6
" i ; unicipal #
1 ., / P
Contracting Co.
Qualifier
State #
WORK DESCR PTION
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
SS#_ _ _-$? Phone ,'73 -7/38
Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMB MEC ICAL ROOFING PAVING FENCE SIGN
c 9 69) /we, G(1 .1) 646
1 /1644-) cei7 /./ .71 ff;ue ,o)s1) &lay, rok, „Vow/4
Square Ft. Estimated Cost(value) /-500. '
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 , d oning. Furthermore, I
authorize the above -named contractor to do the work stated.
ii / A WA
pwr
ontractor or Owner - Builder
, /Z /
Zoning Buildin
41111111
Signa
Date:
No tar
My Co
as o C
ission
Phone
** * * * ** * * * * * FEES: PERMIT "Q'�"� RADON C.C.F. NOTARY ,r)0 TOTAL DUE
APPROVED: Fire Other
**
Electrical
Mechanical Plumbin Engineering
Date
** *
Legal Description " / I;Z
Owner / Lessee / Tenant i ./W,4 40 Master Permit #
Owner's Address //4(0 9ff c- Phone 7S / 2
Contracting Co. �(>rr htr ('ms . Address y`// // E• /Se,2" S2 N• /`l ►a�+l
vice
Signa�,pl�� owne
Date: ° /
40 i //
No lry :s to Own
My Commission Ex
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
�-� Job Address �o� /� /(/' 7- ����5 /•
Qualifier , uis A' u �/ � SS#F / Phone e5 ,r` /8
State # Municipal # Competency # Ins.Co.
Architect /Engineer /0/4 Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one) ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
BUILDIN
WORK DESCRIPTION -7 neu) CouK �7c7n /n Mrcae, ih4-7a /74eu.) cat)/:/e
4 (X?ri ro-ri -ate►
Square Ft. Estimated Cost(value) ,
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 above -named contractor to do the work stated.
and /or Condo President
°" •: JOSEPHINE CHURCH
Notar Pdbli State of Flandl
i
No. CC197545
FEES: PERMIT f 3i O RADON C.C.F. //8i NOTARY DO
Zoning
Mechanical
,G /.
" ` • 0 05Ef RINE CHURCH
.tar' .
tjf NO. CC197545
Fria
ctor or Owner- Builder
Date: 97
otar,• as to C
My Commission
Fire
Plumbing
Tax Folio// 3aa5 g 7 0/90
Other
**
TOTAL DUE 1 /.9 1, -.C 4
Electrical
Engineering