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1270 NE 92 St (4)
MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bu }lding Inspection Request Date/ / `i A lJ Time Type Insp'n Permit No. p p ' D(D — .51 - S Name Address 0 . + t Compan Phone # oS 5 For Inspector/' j111° /3 Na . e & Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dat ime Type Insp'n Permit No. Name Address . ± Company /_ /' Phone # CIS 5 -5- A Q For Inspector: 1j / -141/ 0" & Name Approved Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dat Type Insp'n c Permit No. S B f 2 o© Address 1r Company , --}C. Phone # 3 W - 6 ,(/`( For Inspector: U)) L 1 ° 'R & Name to Approved Name Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bui ding Inspection Request Date ®� Type Insp'n � \a l) A.,‘) Permit No. P,') Name Address � £ CI a 3t Company Phone # Inspection Date t Q D 1 C. Approved Correction ❑ Re- Insp'n Fee ❑ CONTRACTOR Name Name D So - G • Address igq 0 V+ 51)-c License No. C a3 C 0 q 9$ 30.5.---_ 7 L` ' — 6 ! d J ir'�/' ✓ l! Address ?9 ¢0 leis cell,.,. e 2 vel • Repair Telephone sos Fax s-,6 nv Fax 6 ?s ,l1 7 I/ Qualifier Name 11-p Demolish PROPERTY OWNER Name 4,/ r �+ �� C yt/ 11 �L F t c� / U C k Address igq 0 V+ 51)-c Home Telephone 30.5.---_ 7 L` ' — 6 ! d J ir'�/' ✓ l! Business Telephones Repair Fax Alteration Interior TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other II INSTRUCTIONS - The following steps must be taken to ob in a permit from the Miami Shores Village: Step 1. 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 Job Address: 1 QA S i • Address Folio Number scription of Work ttiCtik w d / k /4 cc. -t - Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Jalue of Work / A @ 0 Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zcne Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. City PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. 1 `7f ent ''� /7 Skore t 110 . State PERMIT APPLICATION 3S? Zip ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES 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. DA, COUNTY OF STATE OF FLO gnat e of Owner If) A C>ctLyPi.e Q"(. 'I'I.Se✓ I rint e / �Q Sworn to and subscribed before me this Q 1 �..�' ota i n^ . tate o:'- d8 NOTARY SEA ♦P � ANGELA M BECKER Z l /� �(� COMMISSION NUMBER p. 4 q ` . 1- C786697 MY COMMISSION EXPIRES �F FA O NOV. 15,2002 ignature o SEAL: IAMI -D Personally known OR, Produced Identification Type of Identification Produced: E STATE OF FL �( RID COUNTY OF MIAMI -DADE \ignatur�C ontrac for / Qualifier Q tti b `O 1 4m SC.t.0 .- t Print Name ('� S om and subscribed before me this a day of LN( SEAL: Personally known � F�O PERMIT APPLICATION MMISSMON NUMBER CC786697 MY COMMISSION EXPIRES NOV. 15,2002 OR, Produced Identification Type of Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE. Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton - Heating Strips, each Fan Outlet, Wall Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch - Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent - Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton Pressure Vessel 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 Violatikas 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 QTY. Cooling Tower - Heating Strips, each Vent Hood, Cost 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 Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Gas - Appliance 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 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 1 1 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 v 3/ Y ; Electrical Mechanical Plumbing Fire Public Works Structural Building Official - b I_ 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) ❑ 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 $ to, 4_ g 0 (01Alieep bo fl $ AND PREPARED BY: (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ S - " b AOALduLA 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 Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Printed: 3/13/2002 Applicant: JOCELYNE FISHER Owner: Contractor Orso, Inc. Local Phone: 305 - 695 - 4244 Parcel # 1132050270510 Job Address: 1270 NE 92 ST Fees: FEE2002 -1525 FEE2002 -1526 FEE2002 -1527 FEE2002 -1528 FEE2002 -1529 If there is no permit package ar_raccikI r"" 6" fee is $50.00, which must be pi This Permit is granted to the contracto ordinances pertaining thereto and with th and approved by the proper municipal au authorization. A further condition upon w ordinances and regulations pertaining to by his agents, servants or employees. Signed: In consideration of the issuance to me c with the plans, drawings, statements or sl myself, my agent, servants or employes. Signed: PAY TO THE ORDER OF a y FOR Building Permit Permit Number: BP2002 -535 Address: 8990 Biscayne Blvd. Cellular: Legal Description: BAY LURE Description Amount Buildier's Bond $300.00 Miscellaneous $160.00 Building Permit Application Fe$60.00 CCF $1.20 Notary Fee $5.00 Total Fees: $526.20 Permit Status: Approved Permit Expiration: 9/9/2002 ORSO, INC PH. 305 -751 -2214 8990 BISCAYNE BLVD. MIAMI SHORES, FL 33138 t / S4-0 First Union National Bank firstunlon.com Org. 003 R/7 067006432 PB 44 -63 LOT 14 Construction Value: $1,200.00 20 ( CD Page 1 of 2 BLK 3 LOT SIZE 75.000 X 125 OR Total Fees: $526.20 Total Receipts: $0.00 63-643/670 BRANCH 13093 ll." ©Z DATE 000 34 270 ':06 700 6 3 21: 2090000 5806060 FLEXIBLE BUSINESS BANKING 3427 DOLLARS JOB ADDRESS APPLICANT F 1 S N PHONE # W ALK w r4 � / . ,.. APPLICATION , . 1. SHEET MISCELLANEOUS DATE /27o C. 9.157 ZUNINy CRITIQUE SHEET COMMENTS PERMIT NO. ADDRESS: ZONING • Po Q. W ALIC w 3 / i /oa To o wiDe tiy MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' SECTION BY; DATE: ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subject to compliance with nil Federal, State, Cocrnty.Yitlage Ivies cad regutaticas. Pillage assumes no responsibility for accuracy otlor results troo �ese fans. 2. Shls copy of plans civet be ;NOON ea bulling site or no inspection 'on be conducted. INITIALS IMPORTANT: In these spaces, copy the corresponding information from Section A. BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 1270 NE. 92nd STREET CITY STATE ZIP CODE MIAMI SHORES FLORIDA SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR -F, Section C must be completed. El. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cm) above the highest adjacent grade. E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative who completes Sections A, B, and E for Zone A (without a FEMA- issued or community- issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE COMMENTS COMMENTS DATE TELEPHONE SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA- issued or community- issued BFE) or Zone AO. G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: _ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: _ ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE 03 - 09 - 02 For Insurance Company Use: Policy Number Company NAIC Number ❑ Check here if attachments ❑ Check here if attachments ❑ Check here if attachments FEMA Form 81 - 31, AUG 99 REPLACES ALL PREVIOUS EDITIONS B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE /REVISED DATE ZONE(S) (Zone AO, use depth of flooding) 12025C0093 J 07 -17 -95 03 -02 -94 AE 9' BUILDING OWNER'S NAME FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and /or Bldg. No.) OR P.O. ROUTE AND BOX NO. 1270 NE. 92nd STREET CITY STATE ZIP CODE MIAMI SHORES FLORIDA PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 14 . BLOCK 3 , PLAT BOOK 44 PAGE 63 , MIAMI -DADE COUNTY, FLORIDA. BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use Comments section if necessary.) RESIDENTIAL Policy Number Company NAIC Number LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( ##° - ##' - ##.#r or ##. ##### °) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 03 -09 -02 O.M.B. No. 3067 -0077 Expires July 31, 2002 For Insurance Company Use: B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER MIAMI SHORES - 120652 B2. COUNTY NAME MIAMI -DADE B3. STATE FLORIDA B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date FEMA Form 81 -31, AUG 99 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations — Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR /AE, AR/A1 -A30, AR/AH, AR/A0 Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum N/A Conversion/Comments Elevation reference mark used N/A Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No ❑ a) Top of bottom floor (including basement or enclosure) 7..0 ft.(m) ❑ b) Top of next higher floor 7.0ft.(m) ❑ c) Bottom of lowest horizontal structural member (V zones only) N/A ft.(m) 11 ❑ d) Attached garage (top of slab) N/A ft.(m) 2 ti ❑ e) Lowest elevation of machinery and /or equipment servicing the building 7•6_ft.(m) E ❑ f) Lowest adjacent grade (LAG) 5.1_ft.(m) z' ❑ g) Highest adjacent grade (HAG) 6.5 ft.(m) ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A ❑ i) Total area of all permanent openings (flood vents) in C3h N/A sq. in. (sq. cm) DATE: 03- 09.02 LICENSE No.: 5184 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER ANTONIO FIORE 5184 TITLE COMPANY NAME PROFESSIONAL SURVEYOR AND MAPPER ADDRESS CITY 921 S.W. 122nd VENUE MIAMI SIGNATURE I ' DATE 03 -09 -02 TELEPHONE 305-221-3040 A. FIORE AND ASSOCIATES, INC. STATE ZIP CODE FLORIDA 33184 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS BOUNDARY SURVEY .2 g6• F.R. NO ID. O Z 0.30' N < = 117 N C.S. ��---- -- --1 1 l 0. C 0' 12.5' 0 F.R. NO ID. cn 0 O Ln N 10.08' NE. 92nd STREET ASPHALT 75.00' 0 Iri ASPHALT DRIVEWAY 22.9' ti . 6'. 11.9' RES. No. 1270 11.9' F.E. =7.01' A/C 19' PAVEMENT N 89'22''5 "W PORCH IZ • 10' ONE STY. C.B.S. • 23' -r3- P O O L 32.2' CONCRETE POOL•. • • :DECK • - 57.5 75.00' N8922'45 "W N F.I.P. 01/2 NO ID. O O N 0.30' F.N. NO ID. 160.00' F.I.P. 0 1/2 BLOCK CORNER PROPERTY ADDRESS: 1270 NE. 92nd STREET , MIAMI SHORES , FLORIDA LOT 14 OF BAY LURE ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. 1111111M 101111111111ill IIIHhIIIIIIIflhIlIlINIIIIIIIIF 9/ 1� = 1 ■■■■ 1 11.E 11_ .1u� - . 9^ ,+:= i:iif+`x'f- �r.:�A"�r; -�q:.. �-.. �:�7,n�.: •l�f.=c -.:+ -. _.. ...... ...:...c o S ..,- w.,..- ,._.ter...... �..r -� _ _ y .� LEGAL DESCRIPTION LOCATION SKETCH SCALE: 1"=300' NOTES: -LANCS SHOWN HEREON WERE NOT ABSTRACTED. THEREFORE THIS SJP.vEY IS SJS.l£CT TO EASDAENTS, RIGHT Of WAYS, AND OTHERS MATTERS W,N101 1A1dHT BE REFLECTED 8H A SEARCH OF TITLE TO THE SUBJECT LANCS. - NO ATTEMPT WAS MADE TO LOCATE WDEROROUNO FOOTINGS OF ANY STPUCTURE. -THIS SURVEY HAS BEEN PRPARED FOR THE EXCLUSIVE USE OF THE ENTITY (ENT1TiES) )ANTED HEREON IN ME CERTF1CATION AND DOES NOT EXTEND TO A ANY UNNAMED PARTY. - THIS DP.AMNG 15 ME PROPERTY OF A. FIORE AND ASSOCIATES. INC. AND SHALL NOT BE USED OR PEPR000CED IN WHOLE OR IN PART MT}40Ui PER1ISS10N OF A. FIORE AND ASSOCATES, INC. A. FIORE AND ASSOCIATES, , IN BLOCK 3 44 , AT PAGE 63 INC. LAND SURVEYORS LAND PLAN 921 S.W. 122nd Avenue, Miami, Florida 33184 - 2406 PH. (305) 221-3040 I HERESY CERTIFY NAT TITS BOUNDARY SURVEY OF THE PROPERTY DESCRIBED HEREON 15 TRUE AND CORRECT 10 THE BEST OF MY MNO.&EDGE AND BEUU AS RECENTLY SJRVEI'ED AND DRAPRH UNDER MY SUPERI/MCN. THIS SURV£Y COMPUES WITN THE 4N1MU■ TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD OF PR0FES90IAL LAND SURVEYORS W O1APTER 61017 -6 FLORIDA ADMINSTRA11 E COOE. PURSUANT TO SECT1sN 427.027 FLOP.DA STATUTES SCALE 1 "- 20 1 t ORAWN BY: F. P. I REFERENCE: FLOOD ELEVATION INFORMATION: DATE OF FIRM: 07 —17 - 9 S CODUUNITY No: 1 Z. 0 (, S Z PANE_: 009 7 2 SUFFIX ZONE: AE BAS FLCOO ELEVA ON: TONIO FIORE PROFESSIONAL LAND SURVEYOR No. 5184 STATE OF FLORIDA N t0 ID O J I FIELD BOOK: o Z -O 16Z 9 1 z W z Vf z W Via iw.n »» »771 V VALD COPES Q< THS SJP,vry W L &. THE ;YB: SEAL Cr ME ATTESTING LAND S.IR' yt.T DAM 08 -oq - o % PROPERTY OWNER Name :--) ca. / b e (� p R I .] Ji C., Address L'70 tvl . '7' �'�° 1 Home Telephone 3O�- 75-go SOS--..... CJ s CJ / 551? Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only (Foundation Only Add'l Attachment Other Add'I Detachment Other !INSTRUCTIONS - The following steps must be taken to obtain a pe from the Miami Shores Village: Step 1. 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 X Job Address: io Address Folio Number Lot Block Subdivision PB Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PG PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax ov PL NI�MI Apt. City Master Permit No. Subsidiary Permit No. ription of York PERMIT APPLICATION State 33135. Zip 33/ 3F Zoning Linear Feet Square Feet Units Floors talue of Work / Q s°11/ 00 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name 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. Signature of Owner tate of Florida gnature of No. ry Pub'c SEAL: TE O Personally known ORIDA, COUNTY OF IAMI-DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE ame to and subscribed before me this day of w Type of Identification Produced: F) • Identification Produced: ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE. Outlet, Appliance QTV. TYPE Service Repair TY. A/C Central 1 -3 Ton Fan Outlet, Wall • Service, Temporary 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. Renair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY TYPE Condensate Drain Q r TYPI? Generator QTV TYPE Refrigeration, Tons Q 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 Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Prccess/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTV. 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 Purip, 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 Purup, Sprinkler Utility - Sewer Discharge Well Ice Maker Purip, 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 11 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: Page 4 OFFICE USE ONLY CHECKLIST ❑ 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 ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ ( $ IV C D (sq.ft. = x/1000 x ¢.60) $ (¢.005 /sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ zo • °2 D , DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2" AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com oI JOCELYNE M FISHER OR SANDRA M FISHER OR `' I JESSICA R FISHER 1270 NE 92 Street Miami Shores, FL 33138 ., , , t rn A t t ' j t- r \ U • 0 HARIAND FOR PAY TO THE ORDER OF First!I//►lon National Bank N ° firstbfilon.com Org. 003 R/T 067006432 1:06 70064 3 21: L0900 L355948 11 ` /5' DA 0 508 DOLLARS 0508 63- 643/670 RANCH 00666 8 se...in --- V ,3,. Miami Shores Village Building permit 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2002 -535 Q Printed: 3/13/2002 Page 1 of 2 Applicant: JOCELYNE FISHER N Owner: Contractor Orso, Inc. Address: 8990 Biscayne Blvd. Local Phone: 305 - 695 -4244 Cellular: Parcel # 1132050270510 Job Address: 1270 NE 92 ST Legal Description: BAY LURE $1,200.00 PB 44 -63 LOT 14 BLK 3 LOT SIZE 75.000 X 125 OR C) Fees: Description Amount FEE2002 -1525 Buildier's Bond $300.00 Total Foes: $526.20 FEE2002 -1526 Miscellaneous $160.00 FEE2002 -1527 Building Permit Application F460.00 Total Receipts: $0.00 r j� FEE2002 -1528 CCF $1.20 """ ��� FEE2002 -1529 Notary Fee $5.00 434 Total Fees: $526.20 Permit Status: Approved Permit Expiration: 9/9/2002 Construction Value: c:: o 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. 1 i\ 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 any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: (INSPECTOR) BY: 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 accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: ': 7 (Contractor or Builder) BY: o � PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date L A '7/0 Job Address /000 00 A/6 qd ST Tax Folio Legal Description HistoricaF Designated: Yes No Owner/Lessee / Tenant Jn ‘ *Ly,,o6 f- /,S:1 Master Permit # Owner's Address / 2.76 At •G : Z s ' Phone 7 Contracting Co. 44 Ac/i y oa /f S .5,44 . Address / SSz 1 ,v L7 4-ue /6Z. Qualifier __12 1d / 1 1 ar SS# P h o n e 12 — 7 7, y C 6gd 6Oe State # CPL - 0 S 3' 0 '7 Municipal # Competency # Ins. Co. lq _e p‘ Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): WORK DESCRIPTION Square Ft. `2/OD ,,,, ...- /4,....,--..........:„.. i, a * e of own -and/or C �'ar °,, Igo do President BARBARITA PEREIRA * _ t. A f * M Commission CC567778 �j;l. 11 • Expires Jun 26, P000 Notary as1te 6?wister and/or Condo Pfesident My Commission Expires: Date CLIO �lMCo �0 FEES: PERMIT — RADON C.C.F. Address Address Address Estimated Cost (value) c..3 800 APPROVED: Zoning Building Mechanical Plumbing ignature of ponis§ctor drOwner- Builder ® ®, t �° BARBARITA PEREIRA * Ay * My Comntisston CC567778 Expires Jun 26, 2000 4? Notary as torf! or Owner- Builder My Commission Expires: 0 G 7 „ NOTARY Electrical zio 8/k ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regul . ting construction and zoning. Furthermore, I authorize the above -named c r9ctor to do the work sta a te - 2 61/ 9 O BOND 200. WD TOTAL DUE L i Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date q/ ‘14 Job Address Legal Description Historically Designated: Yes No Owner/Lessee / Tenant , /rye , '/ ,1 7 0 Master Permit # Owner's Address / 7 76 ,) - G 9'1 Phone Z - 1, , S, cg ,� %.v/fe 4A 9Dd4 /,'L' lvw 6 7 e- "V�,2 ( - Competency # Signature of Contractor or Own - il der Date Notary as to Contractor or Owner- Builder My Commission Expires: OOOz . 9z unr su,Ox3 9LLL99O0 uosslwwoO �(yy VLUI3 J3d dlILiVBLlVB Ins. Co. aO\ 011 d o III j Y y/23/ Date NOTARY BOND TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE, AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: /�70 P2 Ay z ter ?$ V9 2. Description of improvement: 5GO /,, 7 3. Owner(s) name and address: i4 c!? 7'.45•4! Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: ricz y G 7 Ade 't ZGz 5. Surety:(Payment bond required by owner from contractor, Name and address: Amount of bond $ 6. Lender's 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 Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) net Print Owners Name .o`'"•�,, Sworn to and subsc Notary Public • °firt Nc.3r Marre My Commission Expires: ny STI T^ OF FLORIDA, COUNTY OF DADE CE ^'C'Y'r`c? fhi� Is a Uruo of I( ■.l '7:1:G CJ:!ICC 9F: c. Sor.1, ¢ Circr:f :acre des d s".• 1 til /� i+� l if any) 98R21031.7 1998 NAY 05 13:56 Prepared by: �edge /ff2y,t w ?.hevc Address: �i.44lf ; 5i4• 3 30/ C ,23.01 -5. 2;95 • ; c;l L rt 77 i.l; I '7 1 1r•"I; I" ,4 i I 1 .74,41-;,-ortip,Aiismirrs;i‘esrp I, • 1 Owner of Building Architect Contractor oY Builder BUILDING ELECTRICAL ❑ PLUMBING PERMIT ROOFING ❑ J. Fi4 Oew I.ot IA- BI CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA N_ 41 705 Date. 19 Contractor's License No. Work to be performed under this Permit il-1 MI i S vision l � Sq. Ft. Value of i II Amount of . ,447e 2 e2 Project $ / 1- II Permit $ C Descr iption Address of 4 Building _ � F rc' This permit a granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- t herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work viill be performed in compliance with any • ( lane, drawings, statements or specifications that may have been submitted to and approved by the proper municipal llaauthorities. This Permit may be revoked t `� t any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A farther condition upon which this p rmit is granted is the understanding that the contractor or_ builder named_ above assumes the responsibility for a thbrough k_ nowledge of the ordinances and er s on the or drawings or in the statements or a N. r gulations pertaining•to the work covered hereby whet I bility for work done: by his agents, servants or employ Signed • (INSPECTOR) BY 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 accepting this peim'it I assume responsibility for all work done by either, myself, my agent, servant or employee. '' BY AUTHORITY Fold at line over top of envelope to the right of the return duldress CERTIFIED P 115 571 600 ew Life Pool CERTIFIED UESTED Mic awless lectric W. 73rs ami, GEORGE ig LB A4 ATTORNL 420 LINCOLN AD. MIAMI BEACII s /ir tic›... 4 , t f�Y id • 4 0 i ite\OVi l C" , 3- iffl 2rru ► .Lik. RETURN 4> Re% A rteireee 4, !• Gs" ®YYG1� J. ALBOUM ATTORNEY AT LAW 4 0 LINCOLN ROAD. SUITE 3 MI BEACH, FLORJDA 3310 3 Q'1* „ t sF;� RETURN RECEIPT RE i I► F0 C j`M�ti . QoR kG t 3 s -1 uc r4, F O Np f ss � �y� Y , KN� �N� ►1,F 151 S Pompano Fold at line over top of envelope to the - right of the return address Mr. Lawl 5 am , BE4?. Ne PM ,' /pp U31�3 v SFRV/CS Spas, Inc. th Avenue ach, Florida 33069 VNI TED STAY ES POSTAL SERVICE 0000 0000 rrace 3143 MIAMI R 33 2 39 98 AMOUNT $2.77 00056951 - 06 - `' 0 -- . 2 • ? '3 s tcY Z___- U.S. POSTAGE PAID MIAMI B EAGH.FL MAR MOUN 98 T $2.77 00063140 -02 14-9) obeyA LI\L 1 (PRA 0-4 '61 Mr. Michael Lawless Lawless Electric, Inc. 5000 S. W. 73rd Terrace Miami, Florida 33143 Dear Mr. Lawless: GEORGE J.ALBOUM ATTORNEY AT LAW 420 LINCOLN ROAD, SUITE 315 MIAMI BEACH, FLORIDA 33139 TELEPHONE (305) 531.3469 March 11, 1998 CERTIFIED MAIL # P 195 571 599 Return Receipt Requested Re: Mrs. Jocelyne Fisher 1270 N. E. 92nd Street Miami Shores, Florida 33138 I represent Mrs. Jocelyne Fisher, the owner of the above -cited real property. Mrs. Fisher advises me that approximately seven (7) months ago, on August 18, 1997, you filed an Application for Permit to do the electrical work of installing one light, 1 3/4 horsepower motor, and 1 11 kilowat heater in the swimming pool which Peter (I believe) Johnson, of New Life Pools & Spas, Inc. had contracted to construct for Mrs. Fisher at #1270 N. E. 92nd Street, Miami Shores, Florida. I understand that the estimated cost of the work and/or materials'to be furnished by you was $950.00. Please take notice that there is no longer any existing contract or agreement between Mrs. Fisher and New Life Pools & Spas, Inc., as the July 2, 1997 Swimming Pool Construction Agreement for the proposed construction of a pool by New Life Pools & Spas, Inc. for Mrs. Fisher has been breached by New Life Pools & Spas, Inc., and is of no further force or effect. Should there be any claim on your part for work and /or materials, you must look to New Life Pools & Spas, Inc. Further, you are here- by notified that you may not enter and /orperform any work or fur- nish any materials on the presently unfinished pool at Mrs. Fisher's property. Kindly execute and send me a Release f Lien immediately. Very tr yours, cc: Mrs. Jocelyne Fisher James Q. Fisher, Esquire /1 I i • President Peter New Life Pools & Spas, Inc. 1150 S. W. 10th Avenue Pompano Beach, Florida 33069 Dear Sir: GEORGE J. ALBOUM ATTORNEY AT LAW 420 LINCOLN ROAD, SUITE $IN 380 MIAMI BEACH, FLORIDA 90139 TELEPHONE (305) momdo 673-9992 March 10, 1998 REGISTERED MAIL #P 195 571 600 Return Receipt requested GJA : mtf / GEO cc: Mrs. Jocelyne Fis ,e: James Q. Fisher, Esquire Re: JOCELYNE FISHER 1270 N.E. 92nd Street Miami Shores, Florida 33138 Please be advised that I represent Mrs. Jocelyne Fisher, who has authorized and directed me to send this letter to you. YOU ARE HEREBY NOTIFIED that you have breached your Swimming Pool Construction Agreement, dated 7/2/97, for the construction of a "Custom Design" swimming pool for Mrs. Fisher at her home, at 1270 N. E. 92nd Street, Miami Shores, Florida 33138, by virtue of your abandonment of that construction without completing the pool., YOU ARE FURTHER NOTIFIED: 1. That you are not to enter upon the above - described property of Mrs. Jocelyne Fisher, or to attempt in any way to do any more work or install any more equipment or material of any kind thereon or therein, effective immediately. 2. That you must immediately prevent the electrician and /or any other sub- contractor connected with you and this job from entering upon or doing any work or instal- ling any material or equipment in or on Mrs. Jocelyne Fisher's said property, as well. 3. You must, forthwith account to me, as Mrs. Fisher's attorney, for the excess monies she has paid to you in connection with your now cancelled agreement. 4. You are required to furnish me, for Mrs. Fisher, with Releases of Lien from your corporation and all of your sub - contractors and materi lmen in connection with the said pool- construction -job, forth h. a./t• ALBOUM Miami Shores Village Building and Zoning Department Miami Shores, Fl 33138 RE: Property located at (address and le description) / Z7Q #1/-6, f z.ud SV -dr, ! tAif S�G/7ES Gentlemen: As legal owner of subject property, I request the cancellation of permit number 4/746 issued to ,(4°c,4..) L ?ce)Ls , for the following reason: fi�6.i vde ve d L AZ Date of last inspection: L I hereby apply as owner. builder, or authorize (new contractor) p-�, 4ez to apply for such permits as necessary to construct or complete the construction on subject property. I agree to hold Miami Shores Village, its agents and authorized personnel harmless and relieve them from any responsibility or liability for any legal action or damage, cost or expense (including attorney's fee) resulting from the cancellation of the existing permit or the issuance of a new permit. I furthermore assume responsibility for the correction, if required, of work performed under the permit for which I am requesting cancellation. Very truly yours, STATE OF FLORIDA COUNTY OF DADE: HOLD HARMLESS Date 462 Prime contra « : (only if subcontr• or olds p u t or if chan • o ' uahner The undersigned, being the first duly sown, deposes and says that he/she is the legal owner of the above property. Sworn to and subscribed before me this day of Notary Public, State of Florida at Lar_qe RITA PEREIRA My Commission CC567777 Expires Jun 26.2000 G1c DADE COUNTY TAX COLLECTOR — OCCUPATIONAL LICENSE SECTION 140 W. FLAGLER ST. — 14th FLOOR MIAMI, FLORIDA 33130 MD OFFICIAL TEMPORARY RECEIPT 98 1997 -1 U0.. ?rif� ISSUED TO: TYPE OF BUS: , r Sp Qc (.0 THIS RECEIPT IS ISSUED AS EVIDENC F PAYMENT4OR YOUR OCCUPATIONAL LICENSE OR PERMIT. YOUR LICENSE/PERMIT WILL BE MAILED TO YOU WITHIN 10 DAYS FROM THE DATE VALIDATED BELOW. 05 2.473 001 030298 000006250 510.01.93 3/97 PAYMENT RECEIVED AS CERTIFIED ABOVE - DADE COUNTY TAX COLLECTOR O Prlmed On Recycled Paper Departroent.of Buslness,,and Professlonal Regulation • . - CO5390700 7 1 Q;� 6 96b0401 • /jgGER�S •A UABR•ur • l I C E R t I F I E D unQer the prorfs of Ch ; �} 4 s, A • • tl `♦ ..�f� I +on Date: AUGr 31 ./,1.998 Ucense Number r CASH ❑ CHECK as ACCN7a r � t v g � `; t ax , ...,�'- .:xSxrax�aa�ma�oncati {x .1.•..... ,.�,.>. .w Z ., m;.::w,a m+.Rv ant nm...a}v�4.waFb.7� <:i m ..,3 :- PRdOUCER • AMERICAN SECURITY INSURANCE 6 2 31 PEMBROKE RD HOLLYWOOD FL 33023 t : • T � DATE _ Y � PPP, ,� �. b �.f� fi ' .v...A. . e,, , 09 24 97Y " THIS CERTIFICATE IS ISSUED AS - A - MATTER • OF INFORMATION' ONLY-- AND - -CONFERS . NO RIGHTS 'UPON THE • CERTIFICATE. HOLDER: THIS CERTIFICATE DOES NOT AMEND, EXTEND. OR " ' ALTER THE COVERAGE AFFORDED BY .THE' POLICIES BELOW. COMPANIES AFFORDING COVERAGE . COMPANY A GAINSCO INS CO INSURED AQUA BRITS 18524 NW 67 RD MIAMI FL 33015 4 a:p ' • „+�: {Z.a Yiu s, 4 j'':.: >SP 7}0 72'. .., 1� \�: �,tt (`, '" ., y . .. _ ' . :` -\ ' ��� y .. . � M::'ft2 \a',£�'� t �]`w THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE USTED - BELOW HAVE INDICATED; NOTWITHSTANDING ANY.REQU(REMENT.-TERM OR'CONDIIION - CERTIFICATE MAY BE ISSUED OR=MAY PERTAIN, THE :INSURANCE AFFORDED EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. UMITS•SHOWN MAY HAVE COMPANY B ASSOCIATED INDS. COMPANY C COMPANY D ; x•: J .. i ro a. :. \� {Za`f i � .L ; }�Xa� "t G `5 :VV + O: BEEN ISSUED TO THE INSURED tIAMED FOR THE POLICY PERIOD OF ANY CONTRACTOR OTHER.00CUMENT WITH RESPECT. TO WHICH THIS BY THE. POUCIES DESCRIBED HEREIN SUBJECT TO ALL THE TERMS, BEEN :REDUCED.BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLK YHUMBER POUCY EFFECTIVE DATE (MM/DD/YY) • .POLICY EXPIRATION DATE (MM/D0/11V) - UNITS • GENERAL LIABILITY • COMMERCIAL GENERAL LIABILITY GL 012754378 09/01/97 0 9/ 01 / 9 8 GENERAL AGGREGATE $ 2-000-000 $ 1 0 0 • 000 PRODUCTS -'COMP/OP AGG CLAIMS MADE n OCCUR PERSONAL & ADV INJURY $ 1.000-000 $ 1-000.000 $ 50-000 $ 5-000 $ 300,000 OWNERS 8 CONTRACTOR'S PROT EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED EXP (Any one person) A AUTOMOBILE X UABILITY ANY AUTO . ALL OWNED AUTOS SCHEDULED AUTOS ` HIRED AUTOS NON -OWNED AUTOS GL 012754378 0-9/01/97 09/01/98 COMBINED SINGLE UMIT BODILY-INJURY (Per person) . $ BODILY dent) $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITI UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ 'AGGREGATE $ $ B WORKERS COMPENSATION AND EMPLOYERS' UABILITY 974563209876 08/15/97 08/01/98 WC STATU- TORY UMffS 0TH- :; ER '::s °£;::; ; ; :;. >: >i :' ## ;_:: >> <: t # >: ;::;< E::;: PARTPNRERS/EXECUTIVE OFFICERS ARE Nu EXCL EL EACH ACCIDENT ... $ L 0 0 ,..o00 DISEASE - POUCYLIMIT 00 000 EL DISEASE - EA EMPLOYEE $10 0 000 OTHER • r DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES/SPECIAL ITEMS .i �.. AR T w..,:.. �.::+. ,...:....: . a> :::.: ..:A: •:::w .. ,.....�.,.{,. + { :: :�d: :)?. ea� w ,... Sf. w:.F o- :.::.. .....:. :.c ....J:,:...u. , .a...,t :,a.: .......... • H�> �L .'��(.� .... {.£�s §!�°"'�. 9 /f ,a�.3.,''8�C ^ { \ilv ^:: >.t.:v <:Tw� �.:: �v.�:r .; .:. <�: :.:.ii . a. .. �'2,.,.{'. -� '�� C. '-2� :.. .. a.. r "• ,:: ,... .. sv vv..,:Jr::::Y ti:9,: :i: % %A-f�:: w::..:.. .mx w. Pats .ae�. awv�H.cwtaa'do:,':i$:•:.{ eta;` a:' ioiuu;,:�{,y:.:xii4ftu "r +>u:.:nn u`rf SHOULD ANY OF THE' ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EX / PIRAT.ON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL RA^ - L / DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO AI / CIOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY .a UP e N THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTOR -. H � VE D CORPORATfQI+[ •• Date 7- r ! 7 Job Address / a l e C Folio Legal Description J D 7 pf.-Aff 5 r / 4 }G 'e Owner's Address /g 7 0 ,O t 71; Historically Designated: Yes (No Owner/Lessee / Tenant B C .41C- /4 e Phone 7 5 /ci 0 Contracting Co. Qualifier t State # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one) WORK DESCRIPTION Square Ft. c 'A ii/ I•,, /� <� / / �v P /® �2`✓ o h A4�d Phone ffS f ! P/ Z ?j PERMIT APPLICATION FOR MIAMI SHORES VILLAGE WARNING TO OWNER: YOU MUST RECORD A NOTICE OF C©MMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROWING 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 regglating construct' •n and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Si ature of owner and/or /• Notary as to Owne fd/or Condo President Date My Commission pires: COMMISSION O N d C @ C H 3 2 3 1 0 2 EXPIRES OCT `2, 1997 Atlantic Bonding Co., Inc. ritM -7712- ?4.5 FEES: PERMIT s/ RADON APPROVED: Zoning Building Mechanical Plumbing Municipal # Competency #C(C 5:0571 Ins. Co. Addrass Adcress Adcress ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN 7_ 7 C.C.F. SS# Master Permit # / 7 0 6 Estimated Cost (value) / 9 ern Signature of Contractor or Owner - Builder Not as to Contractor or Owner -B My Commission Expires: 0 pU® TERI LONG 0 COMMISSION # CC633971 q vvAk.„ ! EXPIRES MAR 27, 2001 BONDED THROUGH � � �� ATLANTIC BONDING CO. Date Engineering ,S 72Yk-f. -7 7/207 Date Legal ption / 7 / l ( 5 / Os y Si tie Historically Designated: Yes No Owner/Lessee / Tenant N-1 < VA e /r l c f i P2 Master Permit # Owner's Address / e9 2v /0- / 2 6 "' ( Phone 7 contracting o. /Vet./ / / ' � o' o 4_Addr /l5 - '� -°i.) /ba iir/reid g _ Qualifier 76'2- d � � ��� SS# /? ' 7 `7 ( �r State # (1 Municipal # Competency # C/ (t rOS, Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING' MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION aSV4. (3e L Square Ft. Estima.ed Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws • gu ting constructi• and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Notary as to Owner My Commission Ex FEES: PERMIT PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address / O 2 %C, At.- ro i? -"% Tax Folio or Condo President Date ROBERT E. JOHNSON COMMISSION T 11 V fir!?- 5 AM. . XPt i, to •ptianti� nlin Do . RADON C.C.F. APPROVED: Zoning Building A Mechanical Plumbing Sigiature of Contractor or Owner - Builder No.1a3Las to Contractor or Owner -B My Commission Expires: 1�Y P oo TERI LONG 4 + COMMISSION # CC633971 O EXPIRES MAR 27. 2001 BONDED THROUGH • Or ATLANTIC BONDING CO.. INC. Electrical Date IIc31 Date NOTARY BOND TOTAL DUE Engineering 07/24/97 THU 09:12 FAX 1 305 772 6970 • Sua Heaters i +" • C -SPA & SG -II SERIES HEATERS C -Spa XI Series Heater. Specific a'tians C•SPA XI I :(!ectric Spa Heaters Model Number KW Vorta e C•SPA X15 5 5.5 240 C -SPA XI 11 11 240 SG -II 60 Gila Spa Heaters Model Number SG-1160 N SG -II 60 P SG•II 60 NE Note' For -:gh ;I'tItude modal add "H" to model number above. SG -II 60 Dot Hoods Model Number H 41E0 VC -II 60 PV 60 CZ-SPA-9;: SG-II GO Series Heater. Description. -- -- Dutdoor — Stackless Outdoor. High Wind Indoor TEAM HORNER Pipe Size 111 BTU 60,000 60 000 60,000 Gas Supply Natural Propane Natural Ignition Millivolt Millivolt Electronic Pipe Size 11/2" 1'W Recommended Comfortzone Models Spa/Ttib Size;in'Gallons Model 200 300 400' ' 500 .. ;600 :' . 700 800 900 1300 Number Time in minutes to Raise S a /Tub Temperature 30 °F C -SPA X15.5 i56 237 318 399 480 558 639 720 798 C•SPA Xl11 93 126 1 201 240 279 321 360 399 SG -II 6G 51 75 99 126 150 174 201 225 249, Hayward Pool Products, Inc. 2875 Pomona Boulevard Pomona, CA 91768 Comfortzone spa heaters contain all of the sophisticated features and capabilities of heaters twice their size. The electric heaters fit into compact spaces — even under spa skirts or steps. Like all Comfortzone heaters, they are easy to install and service. C -SPA XI Electric Spa Heater — Features • 304 stainless steel tank + 304 stainless steel threaded head, safety sensor electric hosting element • Heater on indicator light • UPS Shippable SG -II 60 Gas Spa Heater — Features • FireTile combustion chamber allows the use of CPVC pipe — eliminates fireman's switches and metal heat sinks, • CPVC plumbing kit included with every heater • Service -ease design gives simple access to internal controls • Compact size allows for "hide -away' locations Spa Sizing Determine your spa capacity in gallons (Surface area x average depth x 71/2.i The reference table lists the time required in minutes to raise the temperature of the spa /hot tub by 30°F, This guide can be adjusted for other temperature rises, For example, if you desire a 15 increase in temperature, simply divide the time for 30°F rise by the ratio of 30/15 =2, Spa sizing is based on an insulated and covered spa. Always cover your spa or hot tub when not in use to minimize heat loss and evaporation. Example: Increase the temperature of a 300 gallon spa from 70 to 100'F in 120 minutes. 100 °F subtract—) 70 "F 30 °F Requested Temperature Rise Recommended C -SPA Model Heater —'CSPA X111 HAYWARD POOL PRODUCTS, INC. Hayward Pool Products, Inc, 900 Fairmount Avenue Elizabeth, NJ 07207 Hayward Pool Products Canada 2880 Plymouth Drive Oakville, Ontario 16H 5R4 Hayward S. A, Zone Industrielle de Jumet B -6040 Charleroi, Belgium L 1956 Hayward Printed in U.S.A. 40 01 MIM >r� (17.24/97 THU 09:12 FAX 1 305 772 6970 TEAM HORNER Sua Heaters • C -SP a & SG -II SERIES HEATERS C -spa XI Series Heater. Specifici3iions C -SPA XI I:tectric Spa Heaters Model Number C•SPAXI55 C -SPA XI 11 SG - II 60 Nutt Hoods Model Number H -IIE0 VC -II 60 PV 60 CZ- SPA -5. KW 5.5 11 SG-II 60 GA:a Spa Heaters Model Number SG.II 60 N SG -II 60 P SG•II 80 NE Note' For : gh , Recommended Comfortzone Models Indoor SG -II 60 Series Heater. Voltage 240 240 Description Outdoor — Stackless Outdoor — High Wind Pipe Size tk:+firJ: Jo Comfortzone spa heaters contain all of the sophisticated features and capabilities of heaters twice their size. The electric heaters fit into compact spaces — even under spa skirts or steps. Like all Comfortzone heaters, they are easy to install and service. HAYWARD POOL PRODUCTS, INC. Hayward Pool Products, Inc, Hayward Pool Products, Inc. Hayward Pool Products Canada 900 Fairmount Avenue 2875 Pomona Boulevard 2880 Plymouth Drive Elizabeth, NJ 07207 Pomona, CA 91768 Oakville, Ontario L6H 5R4 C -SPA XI Electric Spa Heater — Features • 304 stainless steel tank • 304 stainless steel threaded head, safety sensor electric heating element • Heater on indicator light • UPS Shippable SG -II 60 Gas Spa Heater — Features • FireTilei" combustion chamber allows the use of CPVC pipe — eliminates fireman's switches and metal heat sinks, • CPVC plumbing kit included with every heater • Service -ease design gives simple access to internal controls • Compact size allows for "hide -away" locations Spa Sizing Determine your spa capacity in gallons (Surface area x average depth x 7 The reference table lists the time required in minutes to raise the temperature of the spa /hot tub by 30'F, This guide can be adjusted for other temperature rises. For example, if you desire a 15•F increase in temperature, simply divide the time for 30 °F rise by the ratio of 30/15 =2. Spa sizing is based an an insulated and covered spa. Always cover your spa or hot tub when not in use to minimize heat loss and evaporation. Example: Increase the temperature of a 300 gallon spa from 70'F to 100T in 120 minutes. 100 °F subtract —> 70'F 30 °F Requested Temperature Rise Recommended C -SPA Model Heater —'C -SPA XI II Hayward S. A, Zone Industrielle de Jumet 13-6040 Charleroi, Belgium 01996 Hayward Primed in u.S,A, a 001 ..BTU Gas Supply Ignition Pie Size 60,000 Natural Millivolt 11/2" 400':' 60,000 Propane 1000 1 60,000 Natural • , Millivolt Electronic 1 (17.24/97 THU 09:12 FAX 1 305 772 6970 TEAM HORNER Sua Heaters • C -SP a & SG -II SERIES HEATERS C -spa XI Series Heater. Specifici3iions C -SPA XI I:tectric Spa Heaters Model Number C•SPAXI55 C -SPA XI 11 SG - II 60 Nutt Hoods Model Number H -IIE0 VC -II 60 PV 60 CZ- SPA -5. KW 5.5 11 SG-II 60 GA:a Spa Heaters Model Number SG.II 60 N SG -II 60 P SG•II 80 NE Note' For : gh , Recommended Comfortzone Models Indoor SG -II 60 Series Heater. Voltage 240 240 Description Outdoor — Stackless Outdoor — High Wind Pipe Size tk:+firJ: Jo Comfortzone spa heaters contain all of the sophisticated features and capabilities of heaters twice their size. The electric heaters fit into compact spaces — even under spa skirts or steps. Like all Comfortzone heaters, they are easy to install and service. HAYWARD POOL PRODUCTS, INC. Hayward Pool Products, Inc, Hayward Pool Products, Inc. Hayward Pool Products Canada 900 Fairmount Avenue 2875 Pomona Boulevard 2880 Plymouth Drive Elizabeth, NJ 07207 Pomona, CA 91768 Oakville, Ontario L6H 5R4 C -SPA XI Electric Spa Heater — Features • 304 stainless steel tank • 304 stainless steel threaded head, safety sensor electric heating element • Heater on indicator light • UPS Shippable SG -II 60 Gas Spa Heater — Features • FireTilei" combustion chamber allows the use of CPVC pipe — eliminates fireman's switches and metal heat sinks, • CPVC plumbing kit included with every heater • Service -ease design gives simple access to internal controls • Compact size allows for "hide -away" locations Spa Sizing Determine your spa capacity in gallons (Surface area x average depth x 7 The reference table lists the time required in minutes to raise the temperature of the spa /hot tub by 30'F, This guide can be adjusted for other temperature rises. For example, if you desire a 15•F increase in temperature, simply divide the time for 30 °F rise by the ratio of 30/15 =2. Spa sizing is based an an insulated and covered spa. Always cover your spa or hot tub when not in use to minimize heat loss and evaporation. Example: Increase the temperature of a 300 gallon spa from 70'F to 100T in 120 minutes. 100 °F subtract —> 70'F 30 °F Requested Temperature Rise Recommended C -SPA Model Heater —'C -SPA XI II Hayward S. A, Zone Industrielle de Jumet 13-6040 Charleroi, Belgium 01996 Hayward Primed in u.S,A, a 001 Spa/Tub Size in Gallons Model 200 300 400':' 500 ,:'600 '." : 700 B00 900 1000 Number Time in minutes to Raise S'a/Tub Temperature 30'F C -SPA X15.5 C-SPA XI 156 237 318 399 480 558 _ 639 720 798 11 93 126 159 201 240 279 321 360 399 SG -06C 51 75 99 126 150 174 201 225 249 (17.24/97 THU 09:12 FAX 1 305 772 6970 TEAM HORNER Sua Heaters • C -SP a & SG -II SERIES HEATERS C -spa XI Series Heater. Specifici3iions C -SPA XI I:tectric Spa Heaters Model Number C•SPAXI55 C -SPA XI 11 SG - II 60 Nutt Hoods Model Number H -IIE0 VC -II 60 PV 60 CZ- SPA -5. KW 5.5 11 SG-II 60 GA:a Spa Heaters Model Number SG.II 60 N SG -II 60 P SG•II 80 NE Note' For : gh , Recommended Comfortzone Models Indoor SG -II 60 Series Heater. Voltage 240 240 Description Outdoor — Stackless Outdoor — High Wind Pipe Size tk:+firJ: Jo Comfortzone spa heaters contain all of the sophisticated features and capabilities of heaters twice their size. The electric heaters fit into compact spaces — even under spa skirts or steps. Like all Comfortzone heaters, they are easy to install and service. HAYWARD POOL PRODUCTS, INC. Hayward Pool Products, Inc, Hayward Pool Products, Inc. Hayward Pool Products Canada 900 Fairmount Avenue 2875 Pomona Boulevard 2880 Plymouth Drive Elizabeth, NJ 07207 Pomona, CA 91768 Oakville, Ontario L6H 5R4 C -SPA XI Electric Spa Heater — Features • 304 stainless steel tank • 304 stainless steel threaded head, safety sensor electric heating element • Heater on indicator light • UPS Shippable SG -II 60 Gas Spa Heater — Features • FireTilei" combustion chamber allows the use of CPVC pipe — eliminates fireman's switches and metal heat sinks, • CPVC plumbing kit included with every heater • Service -ease design gives simple access to internal controls • Compact size allows for "hide -away" locations Spa Sizing Determine your spa capacity in gallons (Surface area x average depth x 7 The reference table lists the time required in minutes to raise the temperature of the spa /hot tub by 30'F, This guide can be adjusted for other temperature rises. For example, if you desire a 15•F increase in temperature, simply divide the time for 30 °F rise by the ratio of 30/15 =2. Spa sizing is based an an insulated and covered spa. Always cover your spa or hot tub when not in use to minimize heat loss and evaporation. Example: Increase the temperature of a 300 gallon spa from 70'F to 100T in 120 minutes. 100 °F subtract —> 70'F 30 °F Requested Temperature Rise Recommended C -SPA Model Heater —'C -SPA XI II Hayward S. A, Zone Industrielle de Jumet 13-6040 Charleroi, Belgium 01996 Hayward Primed in u.S,A, a 001 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of tie 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 V\ t•-• • \b Q. \ al (3 1• C A a S1 • No. Street C C, o M F o 2--f- Co 12eS -/ � Al d Registered Architect and/or Engineer Name and address of licensed contractor Cen w / !o t i Oe. / 0 - )e_ p 5 /le& 0 /t..) cq 67 • /� J � / 2t •gy /,a Azi2 - > 7 05 / / Location and legal description of lot to be built on: Lot /1 ` Street and Number where work is to be done 1 9 0 NI. Block Subdivision State work to be done and p ose of building Iby floors), state exterior colors (submit samples) /2.- X / .sue yy� and for no other purpose. New Building Remodeling � 'Addict n J Repairs -- No. of Stories To be constructed of Kind of foundation � ge of Covering Estimated Total cost of improvements S 0 0.60 Amount of Permit $ to Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the F u ida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and 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 taus: �+ be p for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees .. mploy only such subcontr: on to be performed under this permit, are licensed by Miami Shores Village. U 1 /�-. \ Remarks `� I �` Q 1M-2 l /� � �/ y t 1 (S i g ned) I11�/�, �� / // J ei L (`f '/ 1S 64/yozsa STATE OF FLORIDA COUNTY OF DADE. } ss. Before me. the undersigned authority. a notary public. authorized to administer oaths and take acknowledgments. personally appeared Ad do. and who. being by me first duly sworn, upon oath deposes and says that he is the ( .0 df ' 7 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 star '3d are true. Permit No. '679k Disapproved Date MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT LA Date 7 (Signed) Building Inspector Read, Sworn to and Subscribed before nip. Date L i 1 1 O 19 1 to me well known. L611I0A AY Y.Aftb Wofffhtil JUL Y 15; 199'_' My Commission Expires° °O tsd GtdRli MJ C;tIEB Z'IRV 6i [PSS(1C]MSi PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. • MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby 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. Owner's Name and Address - ;` �� �� ti ; Registered Architect and /or Engineer ...... ....... ' Name and address of licensed contractor Location and legal description of lot to be built on: Lot 1 Block < Subdivision.. F-, Street and Number where work is to be done ! 1.-7 0 f . : , / State work to be done and plrrpose of building (by floors)_:�� r V C•V C . /'4 .e Date ,r- >, • - p - r ;J Amount of Permit $ _.. The undersigned applicant for this building permit does hereby certify that he unders of labor under the Florida Workmen's Compensation Act, being Section 5966, Compile and has complied with the provisions thereof, and will require similar compliance from al in the work to be performed under this permit; and will post or cause to be posted for, or notices as are required by the Act. The undersigned agrees to employ only such s permit, as are licensed by Miami Shores Village. Remarks (Signed) l t<D No f 0� Street__ - -�C� 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 $ 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 /i ds and accepts his obJ fgatioons as an employer neral Lay's of Florida( $eon• ent Supplement, contract rs or sub -co Motors mployed by him ecti nr the site of e w rk uch public notice -^ 7o n work 666b be erformed under th'S Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman .. Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $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. 19 yr; STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date Disapproved )5te____ ( Signed) .. { E /:'f: ';c< _ A., _ Building Inspector V cs r f r/ • « - ,7 ,/ , p • (• ". Street and Number where work is to be done To be constructed of Kind of f ndation MIAMI SHORES BUILDING INSPECTION DEPARTMENT APPLICATION FOR = UILDING 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. Owner's Name and Address. Y/ Jf' $'.!�"1 es A r 4/ 4 Registered Architect and /or Engineer Cam Name and address of licensed contractor ' / Ge,kci. Location and le al description of lot to be built on: Lot / Block 3 Subdivision. .2 r0 State work to be done and purpose of building (by floors) New Building Remodeling Addition Date I ' 3 . ' Estimated Total cost of improvements $ 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, Pennanent Sup dement, and has complied with the provisions thereof, and will require similar compliance from all c tractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for in ion on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such su actors, on work to be, perforate 'under this permit, as are licensed by Miami Shores Village. Remarks (�; STATE OF FLORIDA, COUNTY OF DADE. ss. $uilding inspector PLANNING BOARD DATE Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. No Street -- A C� f rF g 5 r Repairs No. of Stories. Roof Cover ng ,19 and for no other purpose. 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 stare true. Permit No.___J' / Date./ Sworn to and Subscribed before me. Disapproved (Signed) Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date or changes to this application after approval has been obtained from 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. BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA IS ❑ DATF 195 ❑ PERMIT N? 6898 -Co ctor El License No. -•-., / Pir El ;. 1 Work to be performed under this Permit p rmit Owner of Building Archi teat Contractor or Builder Legal Lot Description � Bl. Address of Building CONTRACTOR OR BUILDER Sudi- vision Value of Project 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 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 - esponsibility 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. r / $ r I Amount of f Permit $ ✓ ''� Signed. y BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY til lage of Miami Shores JOB ADDRESS � /�' l , , , INSPECTION TIME READY REMARKS INSPECTOR z� r N9 3898 DATE ` / z� Vilrage of Miami Shoires JOB 6-1-- R_ ? . re. 'c ADDRESS 10 /J ° INSPECTION 5 E i) g , e- TIME READY • REMARKS N9 3859 INSPECTOR DATE Village of Miami Shores N? 3726 JOB ADDRESS / INSPECTION • 4 TIME RE. % - 2) 4- ( /./ REMARKS INSPECTOR DATE - Wage of Miami Shores N? ano JOB ADDRESS INSPECTION / - TIME READY 2 ' - , REMARKS INSPECTOR DATE Villac* of Miami Shores JOB ADDRESS INSPECTION TIME READY REMARKS :INSPECTOR DATE N9 3 788 Villas? of Miami Shores JOB (4/÷f=1 rc ADDRESS 1 '2 "2 e+ INSPECTION .'a ^d TIME READY P- 11.1C. — N? 3880 REMARKS 7 a \\), TNSPECTOR / ��' DATE 3 — � e Village of Miami Shores JOB C:441.4 ADDRESS / t 7 b • 6• 9 2 4 Q INSPECTION /L4 y TIME READY 1-(-°c- N? 3811 REMARKS : r� r f INSPECTOR DATE 2 -Id�m Village of Miami Shores JOB ADDRESS /2 7 it:- a INSPECTION TIME READY 5 El REMARKS INSPECTOR N® 3907 DATE -' - Village of Miami Shores N9 3920 JOB , - ADDRESS 4 i z) INSPECTION TIME READY ( ( INSPECTOR REMARKS DATE / .or E P*, Pirrac o n of Miami Shores JOB 7 \ INSPECTION ADDRESS N? 3946 TIME READY REMARKS A.4 INSPECTOR DATE -1 z.2 1. �� ' �/' i , �, mil �, � / /.//, ,� : :'' � ��' , Name WEFT YOU WERE Name Called on eoo ned you at_ o'clock. Will Come i n all] at o'clock Telepho Tel Wants you to phone. Telephone Number is Date () UT Signed Vi11 o f Miami Shores INSPECTOR DATE "r N° 4055 JOB ADDRESS INSPECTION TIME READY REMARKS Vi t 6 ' � P C " A - . 0 • Vf,4age of Miami Shores JOB ADDRESS ; ta. /17 INSPECTION r TIME READY / REMARKS 1 ,1 . e/ S /Te N.. 1 9 z S r. F e. - ti7e2.74? NSPECTOR N? 4119 % e 7. DATE UILDING LECTRICAL '-UMBING OOFING caner of Iilding chitect mtractor Builder 'gal scripti.on idress of ilding Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA 0 ❑ DATF **" - 195 , ❑ PERMIT N° 3354 Contractor s - A . - License No. -< 0 ❑ Work to be performed. under this Permit Bl. Subdi- vision Value. of ProjEct $ Amount of Permit $ This permit is granted to the contractor or builder named above to construc the buil ling or to install the equipment or device described in the application , efor in strict compliance with all ordinances pertaining thereto and with ilia understanding that the work will be performed in compliance with any plans, 'wings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any e if the work is not done in compliance with such ordinances or if the plans are changes without authorization. A further condition upon which this permit is .nted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations taining to the work covered hereby whether shown on the plans or drawing or in the statements or specifications and that he assumes responsibility for work ie by his agents, servants or employees. Signed. BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations taining thereto and in strict conformity with the plans, drawings, statements or specificat ons submitted to the proper authorities of Miami Shores Village. In ac- , ting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 6494- MIAMI SHORES VILLAGE, FLORIDA BUILDING [ , ELECTRICAL ❑ PERMIT N9 318'7 PLUMBING ❑ - ... ROOFING ❑ ❑ Work to be pe: Owner of Building -- AIchitect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER Bl Su odi- vision Value of Pa oiect $ DATF 195. Amount of Permit $ This permit is granted to the contractor or builder named above to construc the l:uilding or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the under: tanding 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 issponsibility 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 INSP 3CTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my age nt, servant or employee. BY AUTHORITY 6 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA PERMIT Np 3481 0 DATE 195 Contractor's License No. ❑ Work to be performed under this Permit Bl. Suodi- v: sion Vclue of Project $ Amount of 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 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 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. 7 Signed. - BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specs: stations submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY e MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress cf the work. Owner's Name and Address.... ct 4t ? 5 J y x Registered Architect and /or Engineer v • 'G�1_... Je e. Name and address of licensed contractor....C�p� t..cC._ Building Inspector Date 1 S�j No/ Street l o S ' Location and legal description of lot to be built on: Lot Zy Block.__... Subdivision Street and Number where work is to be done ,l O State work to be done and purpose of building (by floors) Notary Public, State of Florida C_ AvzS • 5 2 i i • 3 /e7 and for no other purpose. New Building L- Remodeling Additior. � / Repairs No. of Stories / To be constructed of__ .0 Kind of foundation �� /�' C�4_ > i e3olP �� � Roof t� Covering._.. 3.L Estimated Total cost of improvements $. - y Amount of Permit $_._,. Zone cubage required. ...t Plan Cubage o Distance to next nearest building Size of Building Lot J ; i Maximum live load to be borne by each floor I hereby subm't all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to - -- --...x �}'. =ma / / a r 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, Pennanent 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 emplcy only such bconyc work tp Jfe 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 - Y ..... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) 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. LE00-L 1d E04E-L - 6061-6 Lid VOIli O'ld 'IINVIIN owta 1NOdf%O %(g9 -b7d ij 9 P - v4 & S31tl1OOSSV ONV 3Iti26f3 NOC 1'I3M '0 '0 • NO.LONIHSYM 'A 'N • NNOA MEIN MHO 4 0N1I13A310 ... 'SSYV1 'NOiS09 ,S3314J0 • • • MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Flo: ida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address ` f No Date , 19 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 work to be done and purpose of building (by floors) 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 $ 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 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, Pennanent 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) '� 4 STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida ( Signed) 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. ••• /V 1 2 .? 0 4 t xis- 9 77- ' A 8' Street and Number where work is to be done C .2- 7 STATE OF FLORIDA, COUNTY OF DADE. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement cf 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. Owner's Name and Address Registered Architect and / •r ngineer �'`//'' Name and address of licensed contractor.._ ___ 3 • Z �)�-Q eZ��� e Location and legal description of lot to be built on: Lot Block Subdivision State work to be done and purpose of building (by floors).il °0 New Building Remodeling. Addition To be constructed of Kind of foundation Estimated Total cost of improvements $ (a-C- edAe r- erge—e(_ / / E Date )-'‘ for no other purpose. Repairs 10"'" No. of Stories 0 d /' Cyr Roof Covefing 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 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 contr tors, o olio be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed �/� Cs. ✓er��c. , Date. Read, Sworn to and Subscribed before me. Before me, the undersigned authority, a notary public, duly authorizes, to administer oaths and take acknowledgments, personally ap- peared -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No ' Disapproved D to _' ham Notary Public, State of Florida ( Signed) .... Building Inspector '- My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be nmde 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. 1.