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126 NE 93 St (5)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. 6 C.� �,. e Date 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__ _____ �F:_ J_ ___ ;' _ _ . ___ ___________ Cc __ a �_ k to • e done and purpose of building (by f loors) ._:-_= __� ,'_�_ �* L _a J , ( ;�_ State work - — - (, n.. 1 /— - -- New Building f, Remodeling .4 To be constructed of s : % Kind of foundation Estimated Total cost of improvements $__ Zone cubage required — _ t ___________ Distance to next nearest building_ _ . » ' MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT __— and for no other purpose. Addition Repairs No. of ,Stories Roof Covering k ' "- _Amount of Permit $ _Plan Cubage_________ _Size of Building Lot__ -1 C Maximum live load to be borne by each flook I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the rovisions 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) ° 6 ; , - 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 tru Permit No 74t) 7 Disapproved_ Date (Signed --- Date -a/ , I / Read, Sworn to and Subscribed before me. ing Inspector Ii ‘, , 19 _4_ 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 $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. 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 regula- tions 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 STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved Date_ (Signed) Chairman Member MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 19L, 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__ /, !__ _ State w rk o be done and purpose of building (by floors) _and for no other purpose. New Building Remodeling__ ` Addition Repairs `� No. of Stories To be constructed o €,p-__ Kind of nndation Roof Covering_ Estimated Total cost of improvements $ Zone cubage required 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 PLANNING Member _ Member Member — — — — — — - - -- — — —_ Member Council Approved_ Date Disapproved Amount of Permit $ Plan Cubage 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 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) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Building Inspector My Commission Expires__ Notary Public, State of Florida 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 state are tr Permit No._ _.. T ___ Date_— ____.__ -- Read, Sworn to and Subscribed before me. —_—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. (over) LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE 1. General Building Contractor. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical. 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15. Solar Water Systems. 16. Well drillers. 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc 18. Structural and Reinforcing Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone. 20. Electric Fixtures. 21. Illuminated Signs. 22. Bridge, Bulk - heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks. Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village. ''' 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 regula- tions 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 • Date___ � � - + if a ,. • ti - --� -- ; 94_5 Registered Architect and /or Engineer_ Name and address of licensed contractor Location and legal description of lot to be built on.: Lot Block____ — — Subdivision ;4$4.-- d4 Street and Number where work is to be done /2. State wgrk o be done and purpose of building (by floors) and for no other purpose. New Building Remodeling_ 2.4,./ Addition Repairs `""`- No. of Stories_ ..gL. To be constructed of. -'let ,Qt Kind of undation Roof Covering Estimated Total cost of improvements $ ________ __________ _________ _ __________ ___Amount of Permit $ Plan Cubage _____ _______ ______ _______________ Zone cubage required Distance to next nearest building __— Size of Building Lot _ ________-- -__ - -� Maximum live load to be borne by each floor__ _____________ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to_ _____ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by 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 - - -- — — — — — — —_ 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 tr . Permit No. _ —__ Date —_ Read, Sworn to and Subscribed before me. Disapproved (Signed) Date.... Building Inspector My Commission Expires__ PLANNING BOARD DATE Chairman Member Member Member Member — — — — — - -- — — — — Member — Council Approved —____— — ___Date Disapproved (over) Notary Public, State of Florida _to me well known, _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. LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE 1. General Building Contractor. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical. 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15. Solar Water Systems. 16. Well drillers. 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 18. Structural and Reinforcing Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone. 20. Electric Fixtures. 21. Illuminated Signs. 22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village. STATE OF FLORIDA. DEPARTMENT OF STATE Division of Archives, History and Records Management DS•HSP.3AAA Rev. 3.79 Site No. Site Name 830= = Survey Date 8506 820= = Address of Site: 126 NE 93 St., Miami Shores, F1 33138 905= = Instruction for locating On S side of N'E 93 St. between NE lst Ave & NE 2nd Ave. 813= = Location Miami Shores Sec 1,Amd. 23 11 & 12 868= = subdivision name block no. lot no. County: Dade 808= = Owner of Site: Name: Walker, William H. Address: 444 NE 96 St., Miami. Shores, F1 33138 Type of Ownership private - 848 = = . Recording Date 832= = Recorder: Name & Title: Newton, Margo, Chairman , & Stofik, Marty Address: MSHPB Condition of Site: Integrity of Site: Original Use Private resid.838= = • Check One Check One or More El Excellent 863= = N Altered 858 = = ❑ Good 863= = ❑ Unaltered 858= = El Fair 863= = Original Site 858= = ❑ Deteriorated 863 = = ❑ Restored( ) (Date: )( )858= = El Moved( ) (Date: )( ) 858 = = Building NR Classification Category: Threats to Sitd?o Check One or More ❑ Zoning ( )( ❑ Development ( )( ❑ Deterioration( N ❑ Borrowing (• )( ❑ Other (See Remarks Below): )( )878 == )( )878= = )( )878= = )( )878= = Areas of Significance: Architecture FLORIDA MASTER SITE FILE Site Inventory Form FDAHRM 802= = 1009 = = Significance: Structure is an example of the evolution of the Mediterranean Revival style into the early 1930s. It is in scale and character with the surrounding neighborhood. ❑ Transportation( N ❑ Fill( )( ❑ Dredge( )( 878= = 911 == 902 = = 818= = Present Use private resid.850= = Dates: Beginning + 1932 844 = = Culture /Phase CAmerican 840 = = Period 845= = 916= = )( ) 878 = = )( ) 878 = = )( ) 878 = = 910= = Township Range Section 812 = _ 53S 41E 1 ARCHITECT Weed, Robert Law (Miami, Fl) BUILDER Byrley, Paul (Miami, Fl) day labor STYLE AND /OR PERIOD Mediterranean Revival PLAN TYPEirregular; irregular EXTERIOR FABRIC(S) textured stucco STRUCTURAL SYSTEMS) concrete block PORCHES enclose" FOUNDATION; concrete block 942 = = ROOF TYPE: hip 942 = _ SECONDARY ROOF STRUCTURE(S): W Porte cochere, shed, barrel the 942 = = CHIMNEY LOCATION: N end, interior 942 = = WINDOW TYPE: wood casement & ,fixed plate 942 = = CHIMNEY: CBS 882 = _ ROOF SURFACING: barrel—file 882 = = ORNAMENT EXTERIOR: - 882 = = NO. OF CHIMNEYS 1 952 = = NO. OF STORIES 2 950 = _ NO. OF DORMERS none 954 = = Map Reference (incl. scale &date)" Miami Shores Vi 11age_Plat 1 980 Latitude and Longitude: Site Size (Approx. Acreage of Property): LT1 LOCATION SKETCH OR MAP N 60 Contact Print MEM Jo ry 93S 111111bill Fro ST tv. E .g2 ST 0 1.2.6 NE 13 ST Photographic Records Numbers 85N104HG8/85N104HG9 UTM Coordinates: Tone — E5 s iing Northing 872 = = 874 = = 964 = = 966 = = 854 = = 856 = = 942 == . 809 = = 800 = = .833 = = 890 = = 860 = = STATE OF FLORIDA DEPARTMENT OF STATE Division of Archives, History and Records Management • DS-HSP -3E 9 -74 CONTINUATION SHEET Site No.. Site Name 126 NE 93 St. Miami Shores, FL Physical Description: Structure is a two -story residence of Mediterranean Revival design but without the intricate detailing of its 1920s predecessors. Its most noteworthy feature, a wide arched entrance, has been enclosed and set with a rectangular door offset to the E. Windows on the front (N) facade have functional simple shutters. A porte cochere is attached on W. MSHPB USE ONLY Front windows altered 1948 Enclosed screened porch 1940 Remodeled maind''s quarters 1949 Replaced garage door and some windows 1965 Reroofed 1957 Three new windows 1949 EN Ern EMNJ cid 0 t)^ • 19 0 = w 1 •/ 1 a®e,1®a auaPj ua in" /)yam 11111- HMI 6 I I e 5 4 3 z a - Liam aaa d ® ®a �moo�vmmota rV• 104 impish - 3 Eommmmml MOP PPia n114iidnQd arn11 MOMS �4�1�d.� ° a_.moei_i N •-• N. HORN ?at ra (1 N. N :5 1 • • rv.w. 1111 3 .l ,2 l.• I. le N 2 13 ■4 15 — —+— . 149 3 N.W. /l 0 0 9 93 9 23 6T 9 1111091111 6 ' 97 I II II If M nfol 1131 4 10 1 © ° tN_ • /x mom to J • JI JS2 .,. r: 41511I • 5 T. 9 4 T "• 11 ■■ ' ■■ av, 000 I1 D. IlE10a1111 enthient NEM 25 44 gagnELM s 4 J <• I/ 108 a ®a ©lDFII ' 211 l / 107 Id 17 WM ogIPgaat MUM - lmmm�o4 T �mmmmvam� mm MUNN gene =Boo r ". 46 ,14. fi T. 5 - r 3.T ST. e so F M : o 4 1 I :1 S. •••• ems R,mm�az:. ma 5 T. 5 T. IM RE VOW 111 96T" 5 T. IMO mmmmm;,vr1 II El 3 T. ODOM IMMO lJ /6 W 4 F • • N. E. J/ .J ,. ania ffEal • 61•I/ 3 TOM d-J • • t o t la n It . , A le rf re ../ N E. 109T"• 4 If I6 • 4 .J w 107' N.G. J • N. E. IOG 31z Mg t 1 mammy -/ opine mulls dSA S II .mom ms m� d'n IlPiel II ao vo- ll 2 II MIN wpm ammmm r 04011 I �mammmmm • Il tl 1, . r�1 .� • ST 6 4I ::I /2 1„ 1, to 5T 0 ®OP�gv a ®d 1I d 6 11 uIt i log IMmd0 m momovm glmmmmmm E. �00m1a0o mmmm eie AJ-- ,- -- ` - IOW 11mmmmam r-J 0 5T . E i r-4. E r•-1. E r--J NJ 5T '1 RUM mmme� i own mmmmM MImA,arI i�mmam /. 5 ' 118111 I ��oommm� • IV.E N4. d1m1 e - 1 Ee ., N . E ..w M T lR EMI EMI EN , 6vw`mmd ' 1 5 5 10 0 l t aT aaepu m mann rI VA tea_ FrAl 1 . 1 O 4�"• av� omm PM p Jrv_ m rvma�mm 1 O Z MUM diem 101 moevmosam �pva'amm �ms�mma�� open Ism -mm II 11P9 511 It —IN ? 93 OVIN 111 - 1'1� 1r: 9 9 9 8 7 . , 9 7 .9 6 9 5 lig Q MEN 5 94 9 2 91 • J• 2I Ioea001Ii tmmmm01II NP mnmt as UR; r 5 T. �mpmmv,��ommm� I • lib :mti I II VI IN Ai Aiti . r; 5 T, - .5 T. MOM Mk . Mara, ; ;;13 -; z 6 5 T.e 5 T 5 T. 5 ersegtem immitionm I me et mew untimg !Art A 46. 5 II Pi IIN HAIM mougeacitt sr Ralf Of IIMA ICNOCZ al/RCN -r t me CEO J01111 f0 1 . *4.* es* 6 NM MOWN ad E • 1114A11 SHORES CHOOL MIN lin i arm NI /hang 6. I III ohm till VOIR log • WV 0 NE AMIN mat NM VII 9 Forin 130- 11 -241- -. t CITY OF MIAMI FLORIDA OFFICE OF BUILDING INSPECTOR APPLICATION FOR BUILDING PERMIT (A copy of this Application, together with one copy of plans and specifications, must be kept at building during progress of the work) 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 con- formity with the Building Ordinance of the City of Miami, Florida which said Ordinance was approved July 7th, 1919. All provisions of the Laws of the State of Florida, all ordinances of the City of Miami, and all rules and regulations of the Building Department of the Cityof Miami, shall be conI ied with, whether herein speci- fled or not. Owner's Name and /Address 2' tea' i' Architect (4 ( ; 4 V� 6 `3N ��' 4 _ 6 Name and address of contractor or builder ( (,- ,' -4-�°-- j-d°�ji Location and legal description of lot to be built on: t , Lot /1 'r / 2 - Block Y . Subdivision e a '- ..«.,/.._ Street and Number where work is to be cjotie :.; � i a, Purpose of building (by floors) t << and for no ether purpose. New Bu tiding � � °� � Addition -_ ..� Repair Remodeling N umber of Stories s Estimated cost of Improvements (not includii g furnishings) $ , Type of Construction �- = "dy! ' !� 44. - �'P, i` J0: Roof covering Foundation ` - ' =N x-° Footing • t� Number of persons to be accommodated (maximum) per floor Notary Public. My Commission Expires This space represents the lot; make outline of ground plan showing distance of building from all lot lines. Distance from next nearest adjoining building (from all sides except Size of building lot street) Heating system, if any (kind) (yes or no) Plumbing (yes or no) Elec (yes or no) Elevators: passenger freight manufacturer 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 build - ing and its construction may be sent to (Signed) t STATE OF FLORIDA, COUNTY OF DADE. SS. Before Ine, the undersigned authority, a notary public, duly authorized to administer oaths an:L take ac- knowledgments, personally appeared to me well known, and who, being by nee first duly sworn, upon oath deposes and says that he is the_ of the above described building, that he has carefully read the foregoing application, and that he did J sign the % same and that all facts therein by him stated are true. ,_ 1 \,, l , 4 ,I. ) ` t Read, sworn to and subscribed. before me, (Signed) , • ■ s` ,; � i - e. _ oI__ TO BE FILLED IN BY BUILDING INSPECTOR Permit N a'"� issued upon above Application Classification Reasons• Disapproved , 192_ Date ( P , �ta (,,;"1 : ` ' No Street - /" , 192_ (Signed) Building Inspector. PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER " U .. ■_■ _ C ' _� ' _ 1940 -u /� ■340 /4 41-4- L /'� ‘=" i ' ' � i T /. ,� / r 1942 /o ®® /2 -'7- v,,, 3 ® ; e l // , / ,' 1943 1944 /0 -00 /4- ®a " / vd /O eras -.9/- , -16.-2- 4 -1 /l .e.,,, l[ 7)4,T/J . /0 - - !/V.P t-p 1945 1946 /6/ • 0 a /Q - 0 6 /Y b v (, /- 4- Vs 6 A t a 1 >7 _qi. 10 /Y-yam - ii3/ /2 - /t 9) / 0 . 5 " 74- 2»- i // AS / Ii / " .' (4(1 1947 1948 /-• • 00 r /2-3/-Y - 7 -4A--' '( i � 4. / >� O , �� �. a �- / �, /, /, 1949 f � /2' 3/`99 1950 I, /, -3 /- 5 /- G - so /3 3'/ LOCATION 126 N. . 93rd Stre .t / / • GARBAGE TAX RECORD 126 N. E. 93rd St. by year annual tax period used amt. paid date pd. receipt # Richard Seip /94 Z - - L -�.f --..7/ / t /,. -,-/g . i 3 4 _.. I t - lViZ it2__ ' 41_ - -- 442.„, . //....P.51 ®.4 to / - BUILDING ELECTRICAL PLUMBING Owner of Building / Architect Contractor or Builder Legal Description • Lot MIAMI SHORES VILLAGE, FLORIDA DATE— -_ ' f PERMIT N? 7575 Contractor's License No Work to be performed under this Permit . 1 /.0-7., t��f r u I Bl. s bdi- vision 'Qft'Bj7TLR� e 4 4 ,. '. v'• BY AUTHORITY 7 194 Address of . V alue of ` ! Amt. of ;Xi 4.11■•• Building / Proje ,Y / . I Permit x 4 to This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wil 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 respon- sibility for work done by his agents, servants or employees. ..- - !, 0 °'' - Signed' � ., I ! "..j .....,µ' n � .__o. By ��+- INSPECTOR , In consideration of the issuance to me of this permit I agree to perf 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 authoilikies of Miami Shogs In accepting tmernlit I assume responsibility for all work done by either myself, my agent, servant or employee. MIAMI SHARES V L,LAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR = 'LAUDING 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. 1.:2L, Date No. , 1 Owner's Name and Address _. t _ _ Street___ = R , __ ._ Registered Architect and /or Engineer _ .✓ / • (,, �, Name and address of licensed contractor et— .? " �' S - :>: ��; C ! '% ���' / Location and legal description of lot to be built on Lot Block Subdivision _ Street and Number where work is to be done D s State work to be done and pur ose of buildi g (by floors)__c- 9- f2rc-r.j._ _ �d Z '" ? Y i ,� • 6 _.42�._� -cam_ L4.<:E.... .O--Y�� & tom - r _4,e,,—... - „ .. ___= 'u'�'” b 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 $....z..) 7 � A` A Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building._._ Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by 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. J ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him sta ed e true. 7� , Permit No.______ / Date - Read, Sworn to and Subscribed before me. 7 Disapproved .t;.--- -_ - -_‘/ Date / % Notary Public, State of Florida (Signed) r Building Inspector My Commission Expires PLANNING BOARD DATE Chainnan Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. UILDING ELECTRICAL PLUMBING Owner of :by Building Contractor or Builder Legal Description Add Building Work to be performed under this PerPerini i CONTRACTOR OR BUILDER PERMIT N9 1429 r" MIAMI SHORES VILLAGE, FLORIDA DAT E4'' Contractor's Licensg No. Architect ry vision 12) Subdi- . BY o fl i r 7 \ \ `t \N(\ Bl. Address of ,'"' ;:,.L# ";:,.L# y Value of t Amt. of � g j ' , �. Project 1 Permit }� ` This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with arty 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 sl wn on the pans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employee 4 , Signed f [ ° f . By INSPEC R In consideration of the issuance to me of this permit I agree to perform the work covered hereuttQer in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ceptjng this permit I assume responsibility for all work done by either,myself, my agent, servant or employee. f t / '4.- , / ' °' .....r..... / I I AUTHORITY 194Lt OWNER'S NAME . Sei2 PRESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 126 N.E. 93rd Street LOT BLOCK SUBDIVISION GENERAL CONTRACTOR caner ADDRESS PHONE NO. LICENSE NO. 180 BUILDING PERMIT NO. 5 -20 -54 DATE 6.00 PERMIT FEE S BLILDER•S BOND NO. DATE ZONE REQUIREME CU. FT. PLAN CUBE CU. .T. EST. COST Si C RAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: DATE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRCTION INTERIOR CONSTRUCTION REPAIRS DESCRIPTION bedroom and bath addn. ALTERATION DESCRIPTION ADDITION G, _ - SUBMITTED TO PLANNING BOARD - APPROVEb REJECTED REFERRED TO COUNCIL •. REASONS RESUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. ISSUED BY TO it a BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION PERMIT NO. DATE FEE TEMPORARY SERVICE $ BEAMS & LINTELS SEPTIC TANK $ $ SEWER FRAMING $ SOLAR HEATER $ $ GAS $ $ $ $ FINAL DATE BY RE- INSPECT BY RE- INSPECT BY CLEAN -UP ROUGHING CONTRACTOR PHONE PERMIT NO. 1 DATE FEE $ NEW BLDG. I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ $ SEPTIC TANK $ $ SEWER $ $ SOLAR HEATER $ $ GAS $ $ $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING ROUGHING GAS H. W. HEATER CONN. SEWER RANGE CONN. SEPTIC TANK SOLAR HEATER FIXTURES & FINAL FIXTURES CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE _ BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN. RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ❑ ❑ PERMIT Architect Contractor or Builder Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA B1 N9 7014 DATE' 1 Contractor's License No. Work to be performed under this Permits— Subdi- vision Address of p _ r Value of I Amount of Building t ' i Project $ 11 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion 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 respon- sibility for work done by his agents, servants or employees. S1 19 +• Signed. .r SPECTOR 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 ao cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MI SOT .4450... Owner s Name and Address _ '. "` Registered Architect and /or Engineer _ _ Name and address of licensed contractor Location - legal description of ht to be built on: Lot__ STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved ( Signed) Member _ _ Council Approved _ MIAMI SHORES VILLAGE Date 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 o. other stru ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores V:llag', F orida, and all provisions of the Laws of the State of Florida, all ord'nances of Miami Shores Village and all rules and regulations of the Building Division of Miam Shores Village sh 11 be complied with whether her in specified cr not. A cope of approv d plans and specifications must be kept at building during progress of the work. r >22 Block __ ____ _ _____ ___ __ . Subdivision_ Date ):.4. °= °� � - - - 'u� __. No__ _____ __ _ ___ Street__ _ Street and Number where work is to be done_ . /G __ _h _ -____9 3 id--t - - - - - - - - - - - - S t a t e te work to be done and purpose of building (by floors)__ C - - _ `e (/ U – – 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 $ . -_ 6_ ° __.._____ - _ ____._________ _ _ Amount of Permit $ Zone cubage required_ -__ _____ ___.__._._ _ _ _Plan Cubage Distance to next nearest building_. __ _ __ . __ __ __ ._ _Size of Building Lot__ Maximum live load to be borne by each fl o o r I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to _ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by 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 Miai. i Shores Village. Remarks -- - - - -- (Signed) - = (° --- .u.L.� 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 for oing application, and that he did sign the same, and that all facts therein by him stated are true. Perrit No. ___ Date_ __ _ �� Z Z - �_C `�. Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspects My Commission Expires _ NNING BOARD. DATE Chairman ._ __ _. Member __ Member _ Member Member __ ____ Da.e Disapproved ,19‘' to me well known, 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 -in_ ect'o.i 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. -a BUILDING ELECTRICAL • PLUMBING • Owner of Building A f% Legal Description Lot • Architect Contractor, or Builder � � t E� - r< 4 MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 7581 Work to be performed under this Permit �=�+ Bl. Subdi- vision Address of , t Value o . I Amt. of r, Building +; 3 ,-� -� Project La e i Permit e...4.0 7 This permit is granted to the contractor or .wilder named above to construct the building or to install the equipment or device described in the appli- cation 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 respon- sibility for work done by his agents, servants or employees. DATE-- )4d 194 /Contractor's License No. Signed. i1. - 1t a..s.t". .► r INSPECTOR By Xi* perfo In consideration of the issuance to me of this permit I agree to rn3 / work covered hereunder in compliance with all ordinates and a ations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shore / Vill'age. • In accepting this rink I assume responsibility for all work done by either myself, my agent, servant or employee. • BY AUTHORITY 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 nct. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address L Registered Architect and /or Engineer__ Name and address of licensed contractor Location and legal description of lot to be built on: State work to be done and purpos STATE OF FLORIDA, COUNTY OF DADE. ss. Permit No Disapprov (Signed) MIAMI SHORES VILLAGE - BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date No Street - 'T • Block ,__` Subdivision__ Street and Number where work is to be done building (by floors) __ _______ �• - altom -s‘,°, -� - New uilding Remodeling Addition Repairs To be constructed of Kind of foundation_ Estimated Total cost of improvements $__ Zone cubage required Distance to next nearest building — — _— Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by 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) 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 constru therein by him stated ar true. , that he has . flly read the foregoing application, and that he did sign the sane, and that all facts Building Inspector Chairman Member Member a __Amount of Permit $Y _ _Plan Cubage _Size of Building Lot ead, Sworn to and Subscribed before me. PLANNING BOARD DATE Member Member Member _ Council Approved Date Disapproved id for no other ,ose. No. of Stories —_— - /Roof Covering g-e Notary Public, State of Florida My Commission Expires _to me well known, 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. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3D Job Address ) 1(a "I) -S+ Tax Folio Legal Description haA s e_ Historically Designated: e/ Tenant I d f\ Dd .`:Ra n 1 �^ y - 2-{ Owner's Address � P I V E Jf Contractin Co. ow Ilk X' - U 1 Idor Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT g C/ RADON APPROVED: Zoning Mechanical Address Yes No ✓ Master Permit # 105 3 0 Phone 30S 7S 7-7 (,O 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 n3 l 1 6+5 on & S h 01 veer oP No I 0 1Q hecL. rlurr't nu m) Com-bruc+i on — eprov a/A. b - Fed S rM " Square Ft. (a o Estimated Cost (value) ) SCIC) . 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 Y{JUR LENDR 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 ELf.CTRICAL 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 (egult4ipg construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Notary as to Con My Commiss or Owner - Builder p E+ pir Oi F'CiAL NOTARY SEAL 1 1P^ 4 5 t :,ARQARITA MONTIEL Tl' : if. n t )UM]Sn' ON NUMBER it 1 'W' ¢ CC797277 - Q r:1; COWASSSON EXPIRES F OF FL , IF.C. 17,2002 C.C.F. 4 a NOTARY 9 BOND • 30 00 TOTAL DUE ��- o Building 1/ +' f-fifitto Electrical Plumbing Structural Engineer z gcc. uo • ..0 a& 5,449 &ES r c • 3 3 / B • LOT // 4Ni /Z S UBDIVISION AN AME/U PLAT O N1 /A —11 sy0.2.E SEGT /D/3 110• / ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK /0 AT PAGE 7 D OF THE PUBLIC RECORDS OF DA JD E COUNTY, FLORIDA. ,DES. NO . /76 N E 4M1 SHCraE.s FL,. X3138 CE 2T/ P EA Tp t A,- ER /CA IL) SO V TH E. RAJ -TGA CCie PO RA 770A) FOR: 1 A Y 0 ORDER No tf‘ 07 - G' g ; 64 • .,: --- NOT VALID UNLESS EMBOSSED SEAL LEGAL DESCRIPTION ST. e LOCATION SKETCH , SCALE: 1" = 20e BLOCK 23 WE HEREBY CERTIFY: That the attached SKETCH OF SURVEY of the above described property is correct to the best of our knowledge and belief as recently surveyed under our direction, also that there are no encroachments unless shown, and this survey meets M►rrimum Technical Standards set by the FLORIDA BOARD OF LAND SURVEYORS. as set forth in Chapter 472.027 (F.S.) and Chapter 21 HH 6 of the Florida Administrative Code. CARIBBEAN LAND SURVEYORS, 7175 S.W. 8th STREET, SUITE 216 MIAMI, FLORIDA 33144 TELEPHONE (305) 264 -9151 0o ZZ w — < W r 1- 0 -1 Z .i> 11: CO Q < M 0 w 0 L 2 , �� Z ▪ I –H i'�D w r , w w cn Z 0 - m CC BO O Z , - Z p 0 O 2 Q Q ~ CL J 0 Z < J > ,:o - w w — L . Z 0 Cr W F_ Z cn Z m >- Z w 0 1— CO C] 0 N PROFESSIONAL LAND SURVE R No. 3/ O STATE OF FLORIDA FL DATE U C_ y 7, / � 6 6 4PFtir t e New Construction Enclosure N� l NE. Alteration Exterior Address \ ,s t ��s n ' • dd �� l Home Telephone o 5 S 6„ Relocation of Structure iflrpoe 047.....7 -0 S ' — Foundation Only Fax Add'I Attachment 'Other TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment 'Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Step 2. Complete the attached permit application which must be sigieed •by •the proparby or and•qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of 3qur aLaat�or` 1; rp'ofig work will be done, a roofing application must be submit- ted along with this permit application. • • • • • • • • •• • • • • • ••• •• 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. A PPLICATION Job Address: 12-(o I V lC q 01 I , 1 t I o rn 1- \90 ire S 1-L 3 3 1 State Zip i nIer loc. :►i PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Address Apt. City scription of Work 71 o c n Folio Number ` , Lot Block �_. V r Subdivision PB PG oning Linear et Current Use of Property Squaarr Feet Utssoors Proposed Use of Property `Value of Work `k / CO C itf ' � Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax • • • • • • • • • • • • • • • • • • • • • • • • • • •.• • • • • • • • • • • • • • • • • • • • • • • • • • • • PERMIT APPLICATION Master Permit No. • ; 4 Stisictia2y.Pcriiit 14o. • • • • • • ▪ • • • • • • • ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 INIPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT CIAVI � ECEVE2) YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION'are Milted to lbllbnday 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 Sb{AWBE.IMPTAEEr.FftOM1 tRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEII TG DATIAdari BZ' c 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. e cf0 e_ Print Name S om to and sub ed before me this t CO WA-Z, ■ 1 rgnature I. Notary ' SEAL: GRID ,COUNT 1 ()day of c - State off �} ng �; Becker v� A • My Commission DD150048 F ,ffi Expires November 15, 2006 • • •• •• • • • • • • • • • • • • . ... • • .. ••• • • STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: PERMIT APPLICATION Personally known OR, / Produced Identification Personally known OR, Produced Identification Type of Identification Produced: hL ))L Dap-cc-6' S7-75'1 Type of Identification Produced: SECTION BY DATE 0)-4 /o3 Zoning ce4�G!< Electrical Mechanical Plumbing Fire Public Works Structural 4 / , _ � f � /aV Building Official Page 4 OFFICE USE ONLY ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $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 Notary ••• • .• •• • • • •• •• • • • • • • • • • • • 0 • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • CI- IECKLIST • • • ❑ ¶ ROOPOF•OWNER•4HIP (Attach) •• ••• •• • • • •• 6� HRA /b)�`R�IAItOVA�. • • •• • • • • • •.. • aPtic i Sr e • • .. ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: • ( x . f t. 1000 PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL a 6_S 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 ELECTRICAL TYPE Minimum Fee QTY. 'TYPE Dryer QTY ; ; TYPE pule=, 4hliatce ; QTI'. 'i'vpi: Service Repair QTv. A/C Central 1 -3 Ton Fan • ' • Outlet, Waft • • • • • Service, Temporary Ell A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent 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 Ell A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. 'I'YI'E Miscellaneous Fixture QTY. 'I'1'PE 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 Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • ••••••• •••• • • • •. • PERMIT APPLICATION • • • • • • • • • INSTRUCTIONS: Please indicate the type of work being performed tnd euantj[y(ies) in the space provided below. 11P IP RECEIVED AND REVIEWED BY: DATE: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/11/2003 Applicant: JEFFREY Owner: RAY JOB ADDRESS: 126 Contractor Local Phone: Parcel # 1132060133130 NE 93 Fees: FEE2003 -882 FEE2003 -883 FEE2003 -884 FEE2003 -885 Description Building Permit Application Fee CCF Notary Fee Buildier's Bond Total Fees: Amount $60.00 $1.20 $5.00 $300.00 $366.20 Total Fees: $366.20 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 8/10/2003 Work: PLACING INTERLOCKING PAVERS ON EXISITING PATIO AP PA If there is no permit package acct co .'- fee is $50.00- w 1 /' Fo d 0 / o lays • 1 1 • lioy - - MELODY R. -. RAY OR 1 26 JEFFREY L. RAY N.E. 9 MIAMI 4. ORES, Fl. 33138.2818 Pay tothe juiage / r Ore -r 41 . / � / � • Bank of America Bankof America. ". • Building Permit Permit Number: BP2003 -230 RAY JEFFREY ST Contractor's Address: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 11 & 12 4905 63-27/631 FL 666 Date 1 . p3 C $ 30(0 Construction Value: 8 D ▪ eas on pa. erify, there will be no inspections. Re- inspection .ction. the equipment or device described in the application herefor in strict compliance with all with any plans, drawings, statements or specifications that may have been submitted to ; not done in compliance with such ordinances or if the plans are changed without :tor or builder named above assumes the responsibility for a thorough knowledge of the gs or in the statements or specifications and that he assumes responsibility for work done BY: $1,500.00 Page 1 of 1 BLK 23 LOT SIZE compliance with all ordinances and regulations pertaining thereto and in strict conformity Village. In accepting this permit I assume responisibility for all work done by either ACH RR 0g3100277 5 2 3 29 20tt' 90 5 G — II— y - 1 ,.: __` `� acFOrorBuilder) BY: _` f 2.0. 4 0. vy • 0 •1.. s , o 4- • • �w...�r• a ).:... ..ter • FOR RAY. . tin No. NOT VALID UNLESS EMBOSSED SEAL. LEGAL DESCRIPTION LOT ,// 4 N /Z BLOCK 23 SUBOIVISION A N Ar 4 e IJ D Et> PZ..4r o f / A x i S/-/ S s a"•• 77 O A) kw. ACCORDING TO lit NAT THEREOF AS RECORDED IN PLAT BOOK / 0 AT PAGE 740 OF THE Puftic RECORDS OF DA DE. COUNTY, FLORIDA / 2.6 N E. /- j /AA-9i NDrZ.ES, /'- 331 Jd GE f2 T! It 1 E.4) -f0 t A M E R t c A tit s U f'!W E R- a10 Crcr4 Go * PO RA T1 D,t) LOCATION SKETCH SCALE: 1" = Zap 1 O O r i Z 7 p w 7.) w T J 7 Z Q 0 w0 W W � Z ' O Jm � ) HO Z ( Z 0 CD w C� O p ✓ j0 ca Q W W Li ZU? w ~ zLnZ = i-� H CO U L:U WE HEREBY CERTIFY: That the attached SKETCH OF SURVEY of the above described property is correct to the best of our know! 00t and belief as recently surveyed uhder our direction, also that there are no encroachments unless shown, and this survey meets MnImum Technical Standards set by the FLORIDA BOARD OF LAND SURVEYORS. as set forth in Chapter 472.027 (F.S.) and Chapter 21 HH 8 of the Florida Administrative Code. PROFESSIONAL LAND SURVEYOR No. a /D �+ STATE OF FORIDA 4-V ry r "49 DATE • V v r + . CARIBBEAN LAND SURVEYORS, INC. 7175 S.W. 8th STREET, SUITE 216 • MIAMI, FLORIDA 33144 TELEPHONE (305) 2184 -9151 • 1 • • STATE OF FLORIDA) COUYTy OF DADE) • /ry) The undersisned Afnant, . I a / l perforrned o; Witness(sign and print) 1 1' / LamL .��`2O j''e j V L-L1a • • • ••• • • • ••• •• •• • • • • • • •• • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • ••• • • • ••• • • • • • • •• • • • • • • ... AFFE • YIT • • • • • ••• • • • • • •• • • • • • •• • • • • • • • • ••• •• (prop 4y,ner) attached surve y, performed by * , e (name of surveyor's company) Afnant/property owne Witness(sign and print) ••• • • . • . • .0 • oes hereby attest that the is an accurate representation of the ex isting conditions and • drve - date of s . 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) mon old. The Afnant, as property owner, further agrees to remove or obtain perm which for any structures �;:_� ____ exist on property which ire not .. •-_'"' permitted or which may violate zoning or building code regulations. The Afnant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. SWORN TO AND SUBSCRIBED before me this Q day o T Z� Alnant is personally blown to me, L../'prod S( :S ea, identificztion. a� Angela M Becker y • • . My Commission DD150048 40, „ Expires November 15, 2008