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1250 NE 93 St (11)CONTRACTOR Name 4_, / dp /� M License N % r� 75 _ 09 , Address / 9-77 7 l ye /414,>' ° rd. N Mir; Telephone / i 2 g Fax 5 Qualifier Name / J / , �� [( j a TYPE OF MANAGEMENT (✓ ) New Construction NameFlcl4,_ Enclosure Address ' 0 / /aim Alteration Exterior Repair siness Telephone Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other PROPERTY OWNER NameFlcl4,_ I I CraeA' Address ' 0 / /aim Home Telephone 50 S' 7S/ 07 siness Telephone INSTRUCTIONS - The following steps must be taken t$ obtain al Step 1. Job Address: /ZS Alg _ 5 Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Teleph6ne Fax Master Permit No. Subsidiary Permit No. be cOO o? , • r ) 1 1 7itsxy'I1 FFl i il . ' % $ILkJ,L PERMIT APPLICATION Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Apt. City State Zip Folio Number) j3 DO 5 0 a 1 1 ° ( - ) =- 0 6 Description of Work ,e p„, d po,,,L l4 A A Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Wor_c ( Z5 156 Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATh I FL ; ' IDA, COUNTY OF MIAMI -DADE Print Name ,^, LL Sworn to and subscribed before me this "�\ Personally known Type of Identification Produced: . oZ.�/j • a � � �tY 2 ? ? A 9' • • Q = o . #CC 785127 ; a fouill Iwo- Si at oofContr ctor / Q ler �� Print Name t orgte.id subscribed before me this 1 1 Si: ature o Notary SEAL: blii - of Florida l , HEi'A4p i t .*• *�j1SSI0y • . cc-1 a • o� 22 ? o ° 9 . :z g y m• 001 11777 Personally kttiw� ; V • 4. OR, Pipd uYd Identification •. f . • - te r II CC 785127 c Type of IdentifdySr /7,80c / /Ill l 11111 0 \ � \ PERMIT APPLICATION T _ OF MIAMI -DADE day of G /!" d Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Permit Number: BP2002 -213 — Printed: 2/1/2002 Page 1 of 1 Applicant: RICHARD & KAYA FOLLIGNET Owner: JACOBS ALICE IRENE Contractor ALLEN FADER Address: 1979 NE 147 TERR Local Phone: 305 - 944 -0900 Cellular: Parcel # 1132050270200 Legal Description: 5 53 42 BAY LURE Job Address: 1250 NE 93 ST Fees: Description Amount FEE2002 - 623 Building Fee $62.80 Total Fees: $62.80 Permit Status: Approved Permit Expiration: 7/31/2002 Construction Value: $2,500.00 Work: DEMOLITION OF WOOD DECK INSTALL PAVERS If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to cor ordinances pertaining thereto and with the understanding that the work v. and approved by the proper municipal authorities. This Permit may be re authorization. A further condition upon which this permit is granted is the ordinances and regulations pertaining to the work covered hereby whethe by his agents, servants or employees. Signed: (INSPECTO In consideration of the issuance to me of this permit, I agree to perform with the plans, drawings, statements or specifications submitted to the pr( myself, my agent, servants or employes. Signed: (Cont Building Permit ALLEN H. FADER GENERAL CONTRACTOR 1979 NE 147TH TERR. 305 - 944 -0900 NORTH MIAMI, FL 33181 fdim Si 67-45 j PAY TO THE ORDER OF ^ VC Washington Mutua Wrashington Mutual Bank, FA Mi Sho AnanNal Center 1722 1 768.7000 9640 E. 2nd Avenue ho FL 33138 A 24 tour Customer Seneca �g/ 1 :26 ?08 4( 3 LI:393 L5S8 ?9 2" 0 L8 3 NOTES Total Fees: $62.80 Total Receipts: $0.00 63- 841312870 3931558792 DATE a /'/ PB 44 -63 LOT 8 BLK 2 LOT SIZE 75.000 X 183 s.+as.r.. DOLLARS 8 0..�'�"w- IA PERMIT NO. P 19,Z00 2 I t STATE OF FLORIDA: COUNTY OF DADE: ,THE UNDERSIGNED hereby gives notice that improvements will be made tottrthie real p •• rgperty,�1.14.5.19: accordance with • • • ti ;Chapter 713, Florida Statutes, the following information is provided in this NotiCepfComin4r3Cerpent. 3 ' ,1. Legal description of property and street address: 2 v L0 - . , . ; Interest in property: Name and address of fee simple titleholder: • • A RECORDED COPY MUST BE POSTED ON THE JOB SETt ,�►T 1'IME INSPECTION 2. Description of improvement: ntractors na 5. Surety:(Payment bond required by owner from contractor. if any) Name and address: Amount of bond $ 6. Lenders name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of thi different d - ' pecifie Signatut : of Owner Print Owners Name and address: c Sworn to and subscribed before me this d TAX FOLIO NO. Notary Public 104 i Print Notary's re My Commission Expires: • • 1111 2 1 HE /, y 0 'i� Vr �� icy a 2 : r ' _ i'? '� ?g *• 4m w•� WN * = • • - • • • • • • • • • • • ' • • otice of Commencement: (the expiration date is 1 year from the date of recording unless a t • • 6 111111111 STATE Of ROM A COUNTY OF DADE nn 1 f!ERtsB" al4:1IFY Thal Otis rs a two C •py 11 6rrgrna( Used i� •S / !so on , A D 20 d and Official Seal, gfj.ESSmynan of ndCountyCourts Sf! Bi:'1 RUVIN, G' �' a.r,.. • 1 ;64453 2002 FEB 05 11:45 Prepared by: AI (eft fi Address: 12301.52 2x93, say tt a+ aa2 ? • 0 eq - g. on o �®r < F`3 LO - U Ifts Via *IL • 2 LAN . uot9 v 440,, ? 4P rwa ✓ • • • • • • au w� cc• • • 0 - vd • • • .• • ••• • • • • • • • • • • • • • ••• • • • • • • • •• • • • • • • • • • • • • • • • • •• • • •• • r'. PERMIT NO. - -- ADDRESS: . MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' SECTION BY OATS zoMING' ELECTRICAL MECHANICAL PLUMBING FIRE " PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subject to compliance with eti Federal, State, Cocmty. WLego rules end regidattcrrs. Moo enema= no responslbtiity for ac urecy °Uoc mutts from these pion, 2. This copy of plans Coat by •vallebte co baring rite or no Inspection VII be condacleet. ■ PRINT TIME 01/30 '02 08:54 ID :MIAM I_SHORES_VILLAGE____ FAX:3057568972 FILE START MODE No. TIME 619 01/30 08:53 TX ERROR PAGE= JOB ADDRESS APPLICANT DATE LOCATION J �nttr� -• P0lV+t TRANSMISSION REPORT * ** 93059470999 7...61) ,t/ O: q 3 5- T CRITIQUE SHEET PHONE# APPLICATION 1 6e-de r IW5TALt f rnEveyes SHEET OF MISCELLANEOUS U * * * * *2AN 181 L STORE TX /RX TOTAL CODE PAGE PAGE TIME 2 2/ 0 00'44" OK MAIM COMMENTS o z / vf7 5 enrovor t c /.vro %4 A/ INITIALS JOB ADDRESS APPLICANT PHONE # SHEET OF • ?3 5� CRITIQUE SHEET APPLICATION Q e.de l w$ rig ��EW S BUILDING / ZONING DEPARTMENT" SECTION BY DATE MISCELLAN PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE ZONING ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subject to cocopilancs with It Federal, State, Ca.-1y. Wage rules sod regulation. Village mums no responstbWQty for accurecy oflor results from these puns. 2. This copy of pleas crust be ivallsbta ea building site or no Inspection Yrtit be conducted. DATE ZONING COMMENTS INITIALS O� 67-1/4s7.5 C-Movor Et c , f.' /7 419C,r4o_eie 4./ WI&teN. 1. filiiT. NT6 ruv,..14:1w0011w Thv+OR, •.eNo P&L srast . LIN • • • • • • •• ...• • •••••. • LAND SURVEYORS *e - @ 4.1 9UNDARY SURVEY 3' :- 41 1 541 • • • • • • • • • • • • • • • • • • • • •. • • • • • • •.. ••• •• • .•• • • ••• • • • ••• • •••• • •••.•• • • Wa am. FM mar. •JTSIAi • • • • • • inta ter,. mw W • • t�dyew i�Ya /.�fa my ct awl MOM I�� /A4 Gilail 11, LAND SURVEYOHS ewer 1O @OUN UR1 AY9/E' 6;4* = •.. • • • •_• • • • •• • • • • • • • • • • • ••. ••• .• • • • ••• Affiant is _/personally known to me, produced • • •• • • • • • • • • O YQ : j • . 1 • • • • • • • • •••• • • • • • • • • • • •• • • • • • • • • ••• ••• •• • •• •• AFFIDAVIT. • • • . . •• • • • • • • •• AffiantiProperty owner Witness(sign and print) SWORN TO AND SUBSCRIBED before me this 11 ( day of /W L t , • STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, (Z,Vs\NC.ACA GO\ . �� does hereby attest that the (property owner) attached survey, performed by v k l .) C rA (name of surveyo4's company) performed on ' 2 1 j 25 : 1 ?skan accurate representation of the existing conditions and (dat- of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. as identification. ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water 'Heater Dishwasher Low -volt, Television Service, Number of Amps Water 'Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. 'TYPE Generator QTY. TypE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower - 'Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System - 'Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. 'TYPE. Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping rump, Replace - Pool Urinal rn entail Chair Grease Trap rump, Sprinkler Utility - Sewer Discharge Well 'Ice Maker Pump, Sump Utility - Water Dishwasher 'Indirect Wastes IE.elay 4':epair Vacuum Pump ispo sai Interceptor roof do et Water Closet ^mmestic Well Laundry Tray Septic Connection Water 'Heater Arai e Ee �, 4 "'F Tile/Res. LavatoryS ptie Tank Water 'Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re-pipe Drains, LTaor IVinimurn Fee S ower Water Service Drains, );'reach Miscellaneous (Equipment S nk Well, Supply I Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning 2///O i e.'•C Electrical Mechanical Plumbing Fire .Public Works Structural . Building Official . Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) LI OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund $ State DCA (Radon) Code Enforcement Fine Zoning Review $ (sq.ft. = x/1000 x ¢.60) (¢.005 / sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY P I, Ga rq G e, //c4c/c. , (P 2a S e/ , hereby apply for a certificate to re- occupy the single family residence known as : (address) /.Z S O N 93 Sfrc e t , Miami Shores, Florida. Legal Description: Lot: 8 I hereby certify that I understand that the zoning of the property is for single- family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. Applicant /4,22 CAQA6 / Block g. PB & PG: y y -6 3 Date � Print Name dear g G Q ' /c/i c k ******************# 1,*********** * * ************** * * * * * * * * * * * * * * * * * * * * * * * * *1z * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: as Contact Name: �57'4 a an 2,che z Telephone: 75 Buyer Seller Realtor D( . Company Name 1 9eVi 'da Application Fee (S50) paid: Cash Check No. /6 / Inspected by: Approved __ Denied Date 14 fo 2 t. r Comments: PAGE ? OF 2 CER'1 ".11. 1C ATE OF RE-OCCUPANCY On behalf of Miami Shores Village, Florida;. the undersigned certifies that the property described in the above application has bee inspected for purposes of re- occupancy pursuant to Sections 901 and 902 of the IN/Earth am Shores Land Development Ind Zoning Code and that such. property may be re- occupied by the above applicant for single- family residential purposes. PAGE2OF2 MIAMI SHORES A i; ORIDA By: Date of Certification: t2-( to THIS CERlikICATE' 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 INTENDED TO BE USED FOR A ONE- FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CER'T'IFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDTTION -OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE-THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. 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. r ) Owner's Name and Address.. G -, - ' , , - ;- 1 E 2,A ..._ �� .v ' No. -. r Street/I' .'<. Registered Architect and /or Engineer _ "T / -7'L. _:' Name and address of licensed contractor._% . •� o r / C' Location and legal) description of lot to be built on: Lot Block Subdivision C 4, °,/' e' 9 C� /' , eJ� a , � (, Street and Number where work is to be done ,/ , '- t �! r` work to be done and purpose of building (by floors) / '/ 'C ' � � �` = L.; ' 't �, ' / and for no other purpose. New Building l Remodeling Addition Repairs No. of Stories To be constructed 0f_...6. Kind of foundation Roof Covering �'6'7/ X Estimated Total cost of improvements $ 6 ee e') L o Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Amount of Permit $ - Plan Cubage - Size of Building Lot Date be sent P � s '',. to - - -� - ✓- - - - -.? ' / l � �- •� - - -�' ` ' �' rQ% ` = ?SCE ' ,19_` >, I hereby submit all the pl<as and specifications for said building. All notices with reference to the building and its construction may 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 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). • „{ G4! PLANNING BOARD DATE 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 c.refully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No _ - - -p � ate__ _ ... Read, Sworn to and Subscribed before me. Disapproved i (Signed) 1 uilding Inspector My Commission Expires Notary Public, State of Florida 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. OWNERS NAME 14 JOB LOCATION (ST. OR AVE.) ZONE 73-J 0tc;c7*., GENERAL CONTRACTOR 01/.0 !3UILDING PERMIT NO. NEW CONSTRUCTION REPAIRS ALTERATION ADDITION DATE 7-2( P EQ1J I R EM EN TS CU. FT. APPROVED REJECTED SUF3MITTED TO PLANNING BOARD RE.SURMITTED TO PLANNING BOARD k.13MITTEID TO VILLAGE COUNCIL LOT L DRAWINGS. SPECIFICATIONS. RESTRICT'ONS AND CUBE CHECKED BY PLAN CUBE PRES:NT ADDRESS ADDRESS BLOCK PERMIT FEE $ 24 0O 0 rr —,,u)-- REFERRED TO COUNCIL CU. FT. REMARKS , CLRTIFICATE OF OCCUPANCY NO. ISSUED al BY e ' TO BUILDING PERMIT AND INSPECTION RECORD SHORES VILLAGE LICENSE NO. SUBDIVISION PHONE NO. DATE EST. COST $ BUILDER'S BOND PHONE NO. LICENSE NO. 20 DATE TYPE STORIES ROOF CONS INTERIOR CONSTRUCTION C73 t.71.1s oriT. c72,:b= f -, 17'"771tei DESCRIPTION 1 1:71rm9,°*"7.7. 7 .7$(1 j orch DESCRIPTION REASONS INSPECTIONS '':. DATE ] ($ PERMIT NO. ? oG 1 DATE ° 5- FEE $ / 'a�`''' BY Et- RINSPECT BY FOUNDATION .. s� ! c n�, BY n - J' TEMPORARY SERVICE TEMPORARY SERVICE /// $ BEAMS & LINTELS P- -,, �� < ;S,4 r1° M( f S % FRAMING F-0 4 $ GAS MOTORS $ $ FIXTURES $ INSPECTIONS DATE FINAL ii - pi BY RE- INSPECT BY ROUGHING 1 CLEAN -UP M. 1" BY RE- INSPECT GAS TEMP. SERVICE CONTRACTOR (a1--.2$ -" 1,(J PHONE ] ($ PERMIT NO. ? oG 1 DATE ° 5- FEE $ / 'a�`''' NEW BLDG. 1 ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE TEMPORARY SERVICE /// $ SEPTIC TANK ' o5 1 / I, f ® d $lt% . $ SEWER S % SOLAR HEATER $ GAS MOTORS $ $ FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING 1 � -- 9- 'Z /-,C--3- BY RE- INSPECT GAS TEMP. SERVICE IV • 8"- SEWER ROUGHING J` SEPTIC TANK 7° 4,s-s° A'S S° ri c (.4----,_./.H H. W. HEATER CONN. SOLAR HEATER. RANGE CONN. FIXTURES 02 ;-_.55 ,1244 FIXTURES & FINAL CONTRACTOR e./� .. � • PHONE ++�� 1 PERMIT NO. a. ?44 1 DATE 1r &� — :--_ 'e / FEES /6I 0b NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE C. . C . � , ?) .r - < -,LI-- $ _P "' AI5 . 7- H. W. HEATER CONN. S RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE " DATE • 8"- ROUGHING 401 SJ J` H. W. HEATER CONN. RANGE CONN. FIXTURES & FINAL Y Nd1,& r � BUILDING INSPECTIONS 1 / 4 60 PLUMBING PERM TS Bs, INSPECTIONS - €LECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE/ / - Z --.57.7" BY 101 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 258 Miami Shores Village, Florida, /1 e R •' !a — G n Owner, Agent or Tenant of Building C4 . LA S) • V,`3 - t n , � ;. Lot Bloch Subdivision ,., Street Address ', •% - e) ` ‘'e, ) -r, a e, h J' Approved use by occupancy ,. 4,-; �, . - Remarks • This Certificate of Occupancy is issued to the above Named f 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. yy / { n J /L� t�fl, M/ \ 0 Lt 6 �C r � ' \ _a �) \? BUILDING l DIVISION BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA ❑ DATF 195 ❑ PERMIT N9 2879 Contractor's License No. ❑ Work to be performed under this Permit Bl. Subdi- v.sion Vc:lue of P•oiect $ Amount of Permit $ This permit is granted to the contractor or builder named above to construct the )uilding or to install the equipment or device described in the application t herefor in strict compliance with all ordinances pertaining thereto and with the under standing 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 lime if the work is not done in compliance with such ordinances or if the plans are chc nged 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 v, ork covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or speci ications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility fq all work done by either, myself, my ac ent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 6 y,; Date Legal Owner / Lessee / Tenant A44 / rr10 - it Owner's Address Sfn�� gs �q r/� Phone Contracting Co. (55i7 /Its -7;4 Address Qualifier D -it// / Ea/ State# PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address ( ?3'O NE Tax Folio / j5 1 4074 (, 1 Pa 6 3 Dade- P l Description /org Blogq( pf g,.1 4 Ar gook( St Master Permit # 029 ray Architect /Engineer Bonding Company Mortgagor ignature of Owner and /or ate: • otary as to Owner an y Commission Expires �RMIT FEE: APPROVED: Competency # DAw Phu Condo President bert N Watson Jr 6 AtE FgEkR tk My Comm Exp8/29/95 * SONDE* * - /53 3,S' 6 T .a/x IE y AV 9K-V,Py Phone 561 0 0 0 Q Address 780 , y( u per( Address Address Permit Type yp (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION -7`1 =- ` as _ tfigfeif ,4V / Square Ft. Estimated Cost a 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO JO 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 ZECORDING YOUR NOTICE OF COMMENCEMENT). 'application is hereby made to obtain a permit to do work and installation as indicated above, and 'n 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 )ermits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. WNER'S AFFIDAVIT: I certify that all the foregoing informat •n s accurate-and that all work Ill be done in compliance with all applicable law construction zoning. Fire ©O 1 Zoning Building Mechanical Plumbing -1 Notary as to Contract My Commission Expires: * * * * �Jo Ins. Co . . rA? ‘y kett /52044 Other Electrical Efi gineering or Owner- Builder obert N Watson Jr TATE OF FLORIDA a 9 0 * * * . 0 gd,ov /010, J1° 7' ,s ue Date Po' Owner's Address PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) • a Job Address /,; O i V V-e.& ( Tax Foliofi �' S P7 W Legal Description for B f , � /oGdf 2 Owtr>�r / Lessee / Tenant (G -f►'( �� 42 ,t is SD Ne" YY Palle ,Master Permit # Phone Contracting Co. 65 i2' Po 04S -TA✓C Address /f33,5 1 7 Z°/ 16,7 Qualifier 0/�'/ e SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer .247/ 4.01 Address 70 0 (mt C- T Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGs //6 WORK DESCRIPTION /�/ Poo G 1 i'i 7lo d✓ Square Ft. Estimated Cost(value) I'6, 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI 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, an on the attached addendum (if applicable). I certify that all work will be performed to meet th standards of all laws regulating construction in this jurisdiction. I understand that separat 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 wil . be done in compliance with all applicable laws regulating co s ruction and zonjng. Furthermore, - authorize the above -named contractor to do the work stated. /41 Signature of owner and /or Condo President Date: APPROVED: Zoning Signature of Contractor or Owner- Builder Date: Notary as to Owner and /or Condo President Notary as to Cont r4bedwWe i My Commission Expires: My Commission Ex STATE OF FLORIDA My Comm Exp8 /29/95 BONDED ** * * * * * * * * * * * * * * * ** FEES: PERMIT 1 ) 7v + a RADON C.C.F. NOTARY TOTAL DUE W106 Fire Other Building k ,114 Q 4X/ Electrical Mechanical Plumbing Engineering Date Miami Shores Village Building and Zoning Department Attention: Building Official SWIMMING POOL OWNER'S CERTIFICATION I certify that I am the legal owner of the property described as Cc $ h1. a r3"' )-(i L, located at / 250 AlC1 � C>r /)'U (S . In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. Legal Owner Note: This certification is to be submitted with a swimming pool permit application in duplicate. SPA POOL a -- PAVERS -- 92EP f6 - PRASER ( L , OWE WAY __••••- - 73.00" LEGAL DE5CRPTION LOT 8, BLOCK 2, OP BAY LURE, PLAT BOOK. 44, AT PAGE 63, OAie COUNTY, PLORIOA N.e. ci3rd STREeT LEGAL CESCRIFilasi I I - 1 6X1STlNG CHANN LQ�C F-ENCE I f -se NOT ABOVE - (TYPICAL) r =20' SITE PLAN scALE .4 t 2 J 1 dd. dEMMOMIO oI SPA RETURN ON FLO 1 1(4) WATER JETS n01 4' -6' DOUBLE BULL-NOSE COPING - kX15511Na we SPLLO' WITH Cl et Xi POOL ------- (PAVERS ON COr- I • ■ 1 1',1 4 1 1 Ji DATEXJ /f� TO : NUMBER OF PAGES: MESSAGE: cC/ItAgtaTillaffe 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138-2382 TELEPHONE (305) 758 -8000 FAX (305) 756 -8972 FAX SHEET FAX * , ✓ /� 7/7 FROM: / 44.0 . 4 , / 4 Z * 2 U 4 7 , 7 , A * 756 -8972 -LWA 5' -6' 4' -0' N N N STEPS 10' 10' .....—...1....__„„ WATER LEVEL 1 1 1 1 1 r --6' I SEAT s L 3'— 4' -6' 6-2' SPILLO? WITH GL BLOC► it. I N DOUBLE BULL —NOSE COPING —, POOL (PAVERS ON cor EXISTING WC LEGAL DESCRIPTION LOT 8, BLOCK. 2, OF BAY LURE, PLAT BOOK 44, AT PAGE 63, DADE COUNTY , FLORIDA N.E. q3rd STREET LEGAL DESCRPTION BLOC* SITE PLAN 5cALE Minimum Plot Size Width: 75 feet Area: 7,500 sq. ft. SCHEDULE OF REGULATIONS Being a Part of Article IV of the Miami Shores Village Zoning Ordinance No. 270 Maximum Building Height For dwellings: 2 stories, 30 ft. For other buildings: 40 ft., excepting, for all buildings, the features specified in Article V and subject to the con- ditions set forth there- in. Front Yard Depth For dwellings: equiv- alent to the median of the depths of existing front yards in the same block and lying within a distance of 100 ft. on each side, but not less than 25 ft. or necessar- ily greater than 35 ft.; or 25 ft. if not more than one building ex- ists within said 100 ft. on each side. For other buildings: same as for dwellings. Minimum Yard Dimensions Side Yards: Two re- quired (except as otherwise specified below) each having the minimum width specified below. For dwellings: 10 ft., except that on a corner plot the rear line of which adjoins the side line of a plot to the rear, the side yard on the street side shall have a width of not less than 15 ft. For swimming pools: From the inside face of pool wall to the lot line there shall be a 121 -ft. minimum setback; from the pool deck or screen enclosure to the lot line there shall be a 10 -ft. minimum set- back. Rear Yard Depth minimum setback; from the pool deck or screen enclosure to the lot line there shall be a 5 -ft. minimum set- back. Provided as follows with respect to other buildings: (a) No building in which is conducted a use specified in paragraphs 2, 3 or 9a under permitted uses in R districts shall be located less than 50 ft. from the nearest line of a plot in any R or A district. (b) If a building occupies a plot surrounded on at least 3 sides by streets, the yards adjacent to such streets shall have such dimensions as are specified on a site plan for such building, approved by the planning board as provided in Section VI. For dwellings: 15 ft. L. For swimming pools: that From the inside face of and pool wall to the lot line line there shall be a 7' -ft. side ft.f tha* whi the be 1 line of f the swir side the the' ape* less C the any min not incl Fen forr. NOTICE OF COMMENCEMENT Permit No • Tax Folio State of Florida County o#43.seitthiti.DA /JY The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. Legal Legal descriotibn of roperty.(include Street Address if available) �� )._;, o-F Efiti 1 -F c) 500k qV -PAGE, 63 Na, General description of improve ents,�n l il 19 • _ I Owner ? /� r r•�/fce� Address ( ) Ai f 93/W Sr f MAC S Ko2� Owner's interest in site of the improvement ���V�/I - YI , P Fee Simple J o ar (if other t er) Name I ?, �, I .'}� �J Address 1 , s A)f 4\°-# � )2 S / s Contractor S G POO Lc ,/ �/ Address / 3 3 ,5 bJE3 L�(( /'e. (tW y Surety Address Amount of bond $ 0 Any person making a loan for the construction of th improvements: Name /� WUJ V OF FLO12 (DP Address Person within the State of Florida designated by owner :upon whom notices or other documents may be served as provided Section 7,13 .13(,1 (a) 7., Florida Statutes Name II / s iue q V Address In addition to himself, owner designates Of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Expiration date of Notice of Commencement (the ex different date is specified). THIS SPACE FOR RECORDER'S USE ONLY RQPAROD rfaiet 4zoiL zsZ fie q5 PM/ S�do�P5 F< FORM AB -278 New 2/91 BYATG� OI GIORI ®A COU IYY OF DADE I PIHREBY Ci:RTIPV t C +In b o tai 2 t G2 o original 4 ^d this Wilco on ' day o2 WIYNESS harsh find Officio) Baal. CC_sSt O]rc uit r4 92R 185 199 1992 MAY 15 12:14 tion tit pir • ate s 1 ar ff ; 7 / l L . S , I u j Printed Signature of Owner m the date of recording unless a Sworn to and subscribed before me this 15th day of MAY 19 92 Notary Public Printed Notary Signature My CommissiofK(Fmpiren3LIC STATE or FLORIDA MY CON1ISSION EXP JUNE 15,1995 BONDED THRU GENERAL INS. UND. 16