Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
BUILDING PERMIT
Dat Type Insp'p- Permit No. Name Address - Company Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time P - LorJ),-7 ( ID / iX I Phone # II For Inspectot ( Name & SECTION / : Y D E Zoning , ..1.42' , i` / 1 I f1 / Electrical DD ((( Mechanical Plumbing Fire Public Works Structural Building Official V- /1 L Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) O CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) Miami Shores Vi Bond Metropolit2 n Dade County (C.C.F.) $ Inspector St: to Educational Fund $ State DCA (Radon) Code Enforcem nt Fine Zoning Review Notary /1fril 'ev E ,t ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning.F e)$ ! 1 ?Z $-S (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 $ 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 ELECTRICAL TYI'P; Minimum Fee (1 'TYPE Dryer QTV' TypE Outlet, Appliance QTY 1 YI'I: Service Repair QTY A/C Central 1 -3 Ton Cooling Tower Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Paint Booth Fire Pump Ventilation, Cost Outlet, Switch Air Handler, Tons Signs Ductwork, Cost of A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) Process/Pressure Piping A/C Central 16-20 Ton Fixture Light Bath Fan - Vented, # Parking Lot Lights Fireplaces, Number of 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 o 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. '1'VI'P Generator QTY 'I'YI'1; Refrigeration, Tons QTY A/C Central, Tons Bath Tub Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Filter Replace Ventilation, Cost Pool Piping Air Handler, Tons Sprinkler Repair Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Water Gas - Appliance Bath Fan - Vented, # Pump, Domestic Fireplaces, Number of Pressure Vessel Cap - Sewer PLUMBING TYPE. A/C Condensate QTY. TYPE Drains, Roof QTY. TYI'I: Miscellaneous Fixture QTY. '1'YI'I; 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 o Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: 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. Signature of O SEAL: Personally known ,�; STATE'. • IDA oI UNT OF MIAMI -DADE 1 0 , P® (T ame and subscribed before me this ure of tate day o�f ' 1 _., �� N ry Public - of F ori Angela M Becker My Commission DD150048 `' 15, 2008 � E xp i res No vember SEAL: :116, of l.ta ''• :' taeo' . 0 - n - : Co Cormnissli3n DD150048 or Expires November 15, 2008 PERMIT APPLICATION eofCon Print Name Sw and subscribed before me this L k d5y o9 l / OR, Produced Identification V Personally kno OR, Produced Identification Type of Identification Produced: . 4 of Identification Produced: PROPERTY OWNER T / �/� Nam A, .J�aC, A / /el Addres 9 as /#,,,,Orl" I 2 ''',—' / !, Z _ _ , Home Telephon f 7�/ /2 /Q5". � IQ, �PP 1 ele l itG� �7 /e3/ 3eD- ��O uali6er Name ,� /� e'a g9S - 3 2 7 / CONTRA CTOR4 y/ }71, 0 --4 Named c..+d T l / .r., ,, License No. Addre / 9 �y/ , i /�/.: it i 7 ,/ / Tele h ne .... „5---7.77.—Fai r 7J 7 , uali6er Name ,� /� 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 permit from the Miami Shores Village: Step I. 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 submit- ted 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: Folio Number Lot /o29 /VC 9.z Address Apt. Block •✓ / Subdivision ,. A/le PB PO Current Use of Property , /'2 9 7- C ,M'.. Proposed Use of Property 'i1 '.. Tenant Information 0- r— PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No PERMIT APPLICATION rabTa *1 Mir IN City State Zip Description of Work _.2 �j �i� // / /L v f" Linear Feet Units Floors Zoning Square Feet Value of Wo1'��c Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Miami Shores Village 10050 NE 2nd Avenue Phone: 305-795-2204 Printed: 11 /21/2002 Applicant: ARLEEN I Owner: POITIER JOB ADDRESS: 1284 NE 92 Contractor DECORATIVE MASONRY INC Local Phone: (305)757 -7765 Parcel # 1132050270520 If there is no permit package fee is $50.00, which must be pa This Permit is granted to the contractor ordinances pertaining thereto and with the and approved by the proper municipal aut authorization. A further condition upon wi ordinances and regulations pertaining to 1 by his agents, servants or employees. Signed: In consideration of the issuance to me with the plans, drawings, statements or myself, my agent, serva mployes PAY TO THE ORDER OF Building Permit Permit Number: BP2002 -2004 POITIER ARLEEN ST Contractor's Address: 842 N. E. 99 St. Legal Description: BAY LURE PB 44 - 63 LOT 15 BLK 3 LOT SIZE 75.000 X 125 OR 15967 - 2718 0693 2 (2) Fees: Description FEE2002 -6613 Buildier's Bond FEE2002 -6614 CCF FEE2002 -6615 Notary Fee Amount $300.00 $1.80 $5.00 Total Fees: $526.80 Total Receipts: $0.00 FEE2002 -6616 Building Fee $120.00 ������/ �/� FEE2002 -6644 Miscellaneous $100.00 ��° ?" Total Fees: $526.80 Permit Status: Approved Permit Expiration: 5/19/2003 Construction Value: $2,200.00 Page 1 of 2 - -_�� -.-. �� �t1t fnr insnectors to verify, there will be no inspections. Re- inspection DECORATIVE MASONRY, INC. PH. 757 -7765 842 N.E. 99th STREET MIAMI SHORES, FL 33138 BANK OF A = CA BANK OF AMERICA N.A. 9190 MIAMI SHORES, BISCAYNE FLORIDA 3311 FOR 20 az 63 -4/630 0621 11/7. 0 0006 2 i li e 1 :06300001,71: 00 L 8 10413 2 5 211 SKETCH NO. 29 564 ots 15 2nd 16 `flock 3, BA`:" is recorded i,t Plat Bc''k L Fo :: de County, Florida. THE PRI �...:N"; L., .10`.. 7430 NEW TECI ?idoGY WAY FREDERICK, MD, 21701 WILLIAM L. `fIGGINS MCCRARY S DOVE Date 3/1 -'=/91 F.B. No. . 691-59 Job No. 44314 This drawing-le the 'property of E. R. Brownell & Associates, Inc. Reproductions of this drawing are not valid.. unless embossed, With the surveyor's seal,' 45 1991 DON ITCH SCALE: I /00 LEGAL DESCRIPTTnN << E. R. BROWNELL & ASSOCIATES, INC. 3152 Coral Way Miami, Florida 33145 Phone: 446-3511 Fax: 444 - 2034 THIS IS _TO CERTIFY to the above named-firm and/or persons that the "BOUNDARY SURVEY" of the herein described property. is true and :correct to the. best'of our knowledge and belief- as recently surveyed and platted under our direction, also that there are no visible encroachments other than those shown. The legal desCriition contained herein was ttirnished by owner .or hl"s representative. _Other recorded instruments may affect this property. Surveyor has not exarn$n ed'the abstract of title. Location of, utilities on or adjacent to the property were not sectrei unless specificaity requested by owner. This - Survey meets. the Minimum Technical Standards set forth by the fat.5 pursuant t,; Chapter 472:027; . Florida Statutes.' E. A. BROWNELL 8. ASSOCiATt.S, INC. By Ft. L'1QWNELL, Professiionat Laud` Surveyor ..! State of Florida 928- OWNER'S NAME n'__ - f7 ^'Co PRESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) _ .i o Lr G. St rot trr^ T L' -; /5 BLOCK 3 SUBDIVISION '3ry Lure GENERAL CONTRACTOR T... r' 4: ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. . DATE 9-2-55 r� PERMIT FEE S 21 BUILDER•S BOND NO.lt 2 DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE 26 494 CU. FT. EST. COST $ 179000 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY DATE NEW CONSTRUCTION TYPE ^ ,T'; STORIES 1 ROOF CONSTRUCTION cement -4 ,51e INTERIOR CONSTRUCTION a terrazzo aml 'roo -' 4. .1_cor3 i � 9 pia:- "`'- REPAIRS DESCR IPTION 7.7q1. a.'._ ^ ^j_ 1 i_ rtzc „ 1 -'rm. 0 Q•2 het hs–ccr ^.nerl i orr;h..1iving room -"o r9:7– haJ_l— i.rinz - .7..,." ALTERATION k ,C_?.."1 °'�. ; _ ' : ' C. e DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. egfr ISSUED /-/7- S� BY �3 C� -d TO 6e-oai E 3-14 • BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPEC BY FOUNDATION DATE FEE TEMPORARY SERVICE $ BEAMS & LINTELS i � / ®' i �" • $ SEWER FRAMING SOLAR HEATER $ GAS $ . $ INSPECTIONS FINAL BY RE INSPECT BY RE- INSPEC BY ROUGHING CLEAN-UP GAS CONTRACTOR �% ' ��. fir t - ' , -.'' + PHONE PERMIT NO. DATE 1- 5— .:,. FEE $ NEW BLDG. 'k 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK iZ - 'L 7 S .- LsiZq , $ SEWER $ SOLAR HEATER $ GAS $ . $ INSPECTIONS DATE BY RE INSPECT BY RE- INSPEC BY ROUGHING GAS SEWER SEPTIC TANK SOLAR HEATER FIXTURES ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR PHONE PERMIT NO. -'. • - 1 DATE FEE $ NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN. RANGE CONN. FIXTURES & FINAL, -i, BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS APPROVAL. TO POWER CO. FOR SERVICE DATE / .` BY INSPECTIONS DATE I BY INSPECTIONS DATE BY FOUNDATION 1 ROOF SEPTIC TANK FEE BEAMS & LINTELS I POOL $ - - TUB & TOP OUT FRAMING SOLAR HEATER $ AIR COND. $ GAS FINAL MOTORS S CLEAN UP S FIXTURES SLAB SEPTIC TANK S SLAB S SOLAR HEATER FIXTURES & FINAL SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE RE- INSPECT BY S SEPTIC TANK FEE TEMPORARY SERVICE $ SEWER $ - - TUB & TOP OUT $ SOLAR HEATER $ RANGE CONN. $ GAS SEWER MOTORS S RANGE CONN. S FIXTURES It INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE ROUGHING $ - - TUB & TOP OUT $ RANGE CONN. SEWER MOTORS RANGE CONN. S FIXTURES SEPTIC TANK S S SOLAR HEATER FIXTURES & FINAL FIXTURES GAS CONTRACTOR Ref- "- CL't✓G -7/e' c.' PHONE PERMIT NO. Je 34* 1 DATE —7— '7-1 `7 FEE S S 2 NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ROUGHING $ - - H. W. HEATER CONN. $ RANGE CONN. $ MOTORS RANGE CONN. S FIXTURES S S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT' BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS ` - Il CONTRACTOR PERMIT NO. NEW BLDG. PLUMBING PERMITS & INSPECTIONS I DATE 1 ALTERATION 1 ADDITION PHONE FEE S REPAIRS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY OWNER'S NAME t� It Baas S�►s_t.1',ems PRESENT ADDRESS A I2. i4.� . 'j2 c +. LICENSE NO. PHONE NO. JOB LOCATION (ST. OR P( .) 12 S 4 W W. erZ .,..` P Sf- LOT 1 A BLOCK 3 UBDIVISIO . L e e, � .., GENERAL CONTRACTOR P I , \ IG I / 4 /1 4 (i"tD/1 e ADDRESS �t /, �� PHONE NO, LICENSE NO. � V / BUILDING PERMIT NO. 1 1 Z13 DATE 4•1•...-19 S 0o PERMIT FEE $ Iv BUILDER'S BOND NO. DATE (h.._ ZONE REQUIREMENTS CU. FT. PLAN CUBE /0 • ?CI CU. FT. EST. COST S v II345 O O431 ' •� D ^, L) DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: R. `J /.0_S. ' r� DATE G- NEW CONSTRUCTION TYPE CZ % STORIES One ROOF CONSTRUCTION e-..., I4 INTERIOR CONSTRUCTION I ...(sle4 a- I, ' Cm.... r-- REPAIRS ` D ESC R PTION /� tai. (o � r • IB L S •Z r-e1- (��•tt Q . Ce(Il .� ALTERATION DESCRIPTION ADDITION ,1 //�� s a"R 4 t 4 ..V SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTFO TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE (\14'..0 ° 0 I! v 7. I• 0 , t om _.. 32 43 1 • • t " Kam__:- , -. . :-::.a...:3. -X. . L . /. n c; } '. 95 • II : I II II 11 II 11 II II U II .II • • ii• :IJ b . 1' .'t • a •a n 't) '"*j VI • (`J (D ' n H- r- (D 0 , (D• O • tD . CL • 0 0 N 7 '1 .rfi ., .. rl . f ,..� tL ■•'. 41' . • • (D F!• 4: • () 1-1: .)1,. Qr' ..kr. ,. 't Z, c /`-% 0 M. rD .t _ • . .a, : 0 (D N . O 000. • 0 Z 0 x rr;•N•. • 0. f.,. (D rt l- b' O • 0 -J O r•' rn. rt • 4 � / - o, I , ('J.r t b (‘) i 1 tr (.0 b , ,/ //. 0 ) 0 77 "0 M C" • ) r - n . • • ,7n 'JS "t7 •17 ca • C7 't tl :4' ∎X I ♦ ( YkT }�y ,�.� �`�y a + 7 ;r r � 1 a yi n V Y . y' , y _ , r r 1Pi •'4K � V+ [, a,�7r. e4�'r• �\ ,�t ti.i t , ' iY � ` s .7.>. rY4 , a n e i �j i r}rF l � .4 K tit . y ' J Y L r� • i N i i [ � '' 1 +V �' : .�' W arr 1: i At r - r jJ i., F Q s . R i aat . � r ii + rte�{(,t . ' t .4 r * r • i : ' Y't ° [' P•'t1' " •7 ''C i ( )hq s f ' +..w�+.i�ay. 'r--- r . ir , t 1 ;--- ----,------.:;-----------_,----------- _ ....... - _ _ ). 11 1 ,••••1' f --, . ' A •3 • .7. t. ',=t....";TED BY SU3 FlEt7ZE:■!. PERMIT APPLICATI 111 N FOR MIAMI SHORES VILLAGE ° Date #7-023 - 7 7 °Job Address 4,25'1/ N E mot' .2n d S>< Tax Folio Legal Description /d7 /5 o d k 3 /JQ�/ 1 - o ✓ �, Historically Designated: Yes No i ° Owner/Lessee / Tenant —4 3 - 0 3 , Master Permit # X 2053 ° Owner's Address l a ?t/ C' . 33 3S) a Phone C30 5 7 5 ) - / a l 1 ' Contracting Co. MFR Address 9 (4 0 "(t W, 1 "1 `µ` Ai - 4� t L� �• G44 Qualifier SS# Phone ° State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN ° WORK DESCRIPTION &I11 ° S Ft. (O ? X4 a O.5 - g- WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. UILK\ lb\a -ico( 10- 03-9n •° Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT APPROVED: Zoning Building Mechanical Plumbing -rrd Aovae - Plac 1 .5-I4e a#red 6/ RADON C.C.F. Estimated Cost (value) 3 /300" ignature of Contractor or Owner - Builder Date Rotary as to Contractor or Owner - Builder Date My C ssioa . _ � RY Poe OFFICIAL bOTAFW SEAL ei SAGA E9 ZIO TIIfL r * COMMISSION BBUtj®( n ` +:a CC4012 1 �� 4:' C3tl CO€1�IS€SION1 P. OF F.O AUG. 19 1 S Z NOTARY � . Electrical BOND TOTAL DUE L I Ga 2 Engineering ... LAWTON CHILES Governor JAMES F. MURLEY Secretary FLOUDA UYS va dCth g Feld ?6 Ovens Ktivar Sril212 %near. Doi& 32050iW GUN BUNN mwdC C cmi • Feld Mite lss EzeSoee• bow Fbida 37004641 SOMIROIMA UCOMITOIFEE ►.Q Ber MICONAIL Maw Wan. Flee MS94192 STATE OF FLORIDA DEPARTMENT OF COMMUNITY AFFAIRS ° Helping Floridians c -ease safe, vibrant, sustainable communities' Mr. Lewis Hartley Robin Builders PO Box 1067 Lake Wales FL 33859 June 17. 1997 RE: 1996 -97 Annual Renewal Based on the 1994 -SBC's Manufacturers 1.D. Number: RBI -13 This Approval Expires June 30. 1998 Dear Mr. Hartley: It is my pleasure to inform you that the Department of Community Affairs has renewed Robin Builders approval to manufacture guard shacks. commercial. storage buiidings and residential lawn storage sheds for installation in Florida. These buildings must meet the windspeed of the geographic area they are installed. This renewal is ("ranted pursuant to inspection of your submitted pians which were found by this department and your inspection/plans review agency to be in compliance with the applicable codes. On site installation requirements are specifically and entireiv reserved to local government. These requirements must be reasonable and uniformiv applied the same as for conventional construction. A state certified building must bear a Department of Community Affairs insignia of approval. The insignia is evidence to local government that the building is constructed to meetmirimus safety standards and is safe. sanitary and structurally sound. A copy of this letter must be attached to the approved plans when making application for local building permits. Sincerely. Lawrence H. Jordan. Building Official Codes and Standards Office LHJ :sc cc: FSC 2555 SHUMARD OAK BOULEVARD • TALLAHASSEE, FLORIDA 32399 -2100 Phone: 904 . 488 . 84 66/Suncom 278.8466 FAX: 904 . 9 2 1 .0781/Suncom 291.0781 Internet address: http: / /www.state.f1.us /comaff /dca.html V. JOHN KNEZEVICH, P.E. JOHN W. KNEZEVICH, P.E. July 10, 1997 KNEZEVICH & ASSOCIATES, INC. Mr. Harry Jordan Sheds America 9660 N.W. 77th Avenue Hialeah Gardens, Florida 33016 Re: Shed Soil Anchors Dear Mr. Jordan: CONSULTING ENGINEERS • PRODUCT TESTING Knezevich and Associates, Inc. has reviewed the 1994 South Florida Building Code, including its ASCE 7 -88 provisions and determined that the enclosed table may be used for soil anchors manufactured by Tie Down Engineering. These tables were prepared for sheds shown on State of Florida approved drawings, Nos. RCA -93, 149 -004, and 149 -005, with maximum wall height of 7' -8" and for helical, drive and slab, type anchors only. We have enclosed the Tie Down •Engineering Dr. No. MHP -101, Helix anchor, Dr. No. MHP -110, Cross Drive rock anchor, and MHP -120 Patio Slab anchor as acceptable reference drawings. One strap, 1 -1/4" wide X 0.035" thick, connecting two anchors on opposite sides shall be used. Strap models and material properties are shown on Tie Down. Engineering's Dr. No. MHP -035. 641 MOKENA DRIVE MIAMI SPRINGS, FLORIDA 33166 PHONE: (305) 883 -9571 FAX: (305) 883 -9572 2701 WEST OAKLAND PARK BLVD SUITE 240 FT LAUDERDALE, FLORIDA 33311 PHONE: (954) 677 -9500 FAX: (954) 677 -2997 SOIL ANCHORS SCHEDULE* (TIE -DOWN ENGINEERING. INC.) SIZE W x L (Fr1 TOTAL NUMBER OF ANCHORS 3x5 4 3x6 4 3x8 4 3x10 4 4x6 4 4x8 4 4 x 10 4 4x12 4 5x7 4 6x6 4 5x8 4 6x10 4 6x12 4 6x '4 6 6 x 16 6 7x9 4 8x8 4 8x10 4 8x12 4 8x14 4 8 x 16 4 8 x 18 4 9 x 20 4 8x22 4 i 8x24 4 10x10 1 4 10x12 4 10x14 4 10x16 4 10 x 18 6 10x20 6 10x22 6 10x24 6 12x12 4 12 x 14 4 12 x 16 6 12 x 18 6 12x20 6 12x22 6 12x24 8 12x30 8 14 x 14 4 14x16 6 14x18 8 14x20 8 14 x 22 8 14x24 8 14 x 30 8 'TO BE USED WITH DRAWING RCA -93 & ROBIN BLDR NO. 149 -004 & 149 -005 KNf1f:VICH & ASSOCIATES INC. 641 Mokena Drive Miami Springs, Fla. 33166 Phone (305) 883-9571 LTC 'DATE OUSCII►TION 7 -22 IrvlsloNs tie down engineering, inc. ..".+o ^..aw .0 lb T$TtI MDCEL.MPA CRosS ORtvE /4 R DII• I K.NOACK cz. IT. C.MacKAt2VICH >;«,tl NC DI. NO MU P 110 a 0. . f t f-i . p. 48 90 Rac a X6., et. Gov O INSTALLATION INSTRUCTIONS ORILL se DIA. HOLE 51/2" DEEP FOR PILOT STUD. INSERT PILOT STUD INTO HOLE. DRILL 2 -3,4" DIA. HOLES IN ROCK AT 45 DEGREES ANGLES. USING ANCHOR HEAD AS A LOCATING GUIDE. PLACE ROD THROUGH TOP & CORRESPONDING BOTTOM WEB FLANGE & INTO HOLE. DRIVE ROD TO DESIRED DEPTH. (ROD MUST BE DRIVEN INTO ROCK AT LEAST 80% OF ITS LENGTH IN/ ORDER TO ACHIEVE MINIMUM ALLOWABLE PULLOUT RESIS- TANCE.) PLACE SECOND ROD THROUGH REMAINING TOP & CORRESPONDING BOTTOM WEB FLANGE & INTO HOLE. DRIVE ROD TO DESIRED DEPTH TO LOCK. MAXIMUM PULLOUT RESISTANCE IS DEVELOPED WHEN ANCHOR HEAD IS AS LOW AS POSSIBLE AND GROUND SURFACE IS SOUD ROCK. DISTANCE FROM LOWEST EDGE OF BOTTOM FLANGE TO ROCK SURFACE SHOULD NOT E)aCEED r (INCH). p)" °SS NOTE : ;11:96.3i1, C4 ' cuEt N C Rck O) 6 uNpeEAD S WFB '�l3 vE . / p '� � ^ 'br. 9 � S mac, MATERIAL SPECIFICATIONS HEAD •AIS1•C10085%a. ROO•ASTM WELOING ELECTRODES • UNCOLN INNERSHIELD NR • 311. a ECUN BOLTS • AMA A•JQI ALTERNATE ANCHOR ROO • DIAMETER IF REQUIRED) ANCHOR FINISH • ENAMEL DIP a GALVANIZED (IF REQUIRED) 8OLT FINISH • ZINC PLATED -- TENSION 54:1L_TS (MODEL BISB) ARE Vs-i1 x 2 / "L. REX 14E4D' /SOuARE KECK CZINC PLATED) u+.) /1.1 LTrS TENSION BOLT LABELED ® FOR FRAME ATTPCI4MENT ON y — TENSION L3OLT LABELED FOR VERTICAL TENSION. R°RMHw�E.I.I T i cPri s kJ P SA- F Fi11eL Weld 1 4" or A • NOTt MATERIAL SPECIFICATIONS HEAD •MSI •cmossoa. '• ROD •IISTMA•36MOD WELDING ELECTRODES - UNCOLN INNERSHIELD NR • 311. or EQUIV. BOLTS -AST RA ALTERNATE ANCHOR ROO. • DIAMETER OF REQUIRED) ANCHOR FINISH • ENAMEL DIP or GALVANIZED OF REQUIRED) BOLT FINISH • ZINC PLATED - T -HS1ON EOL15 QiODeL bISb) AFe - 11x 2%id I.ltX I.4EAD''J /SQUAT MCCY,(LINC PLATED) /11 T5. - T[N510N 60LT LAMLED A. FOP, FPM &lava/Kt ATrACuMeMT ONLY. — TEPISiON BOLT LAEEL&O '3 FOB VEfiT ICALTlfttS10N. • LTA. I DATE DESCRIPTION REVISIONS tie down engineering, inc. 5901 wtioton 0'-. Krona GCM• 3 C» 1 TITLE .w ceL. MI224. %),M122 3/4) DOUal_ -“EUx � I AtiCt 01. IY cz. IT. C. MachANV►CW SCALE MONe 01. NO N \W - 1_+' Yr�Mr T NI 11 U rg. Pt -p rqu PicP e L • e MATERIAL SPECIFICATIONS MEAD • AISI • C 1008 5 so. ROD • ASTM A-36 MCO WELDING ELEC:RODES • UNCOLN NNERSIIELD NR • 311. or EOUIV sous • ASTM A.307 ALTERNATE ANCHOR ROD - DIAMETER (IF REGUIRED1 ANCNOR FINISH • ENAMEL DIP or GALVANIZED (IP REWIRED) BOLT FINISH • ZINC PLATED - F 4 1 4 x :5 DEEP i-OLE PIEQUIN DIN SLAb LF 0 ( °° ysr CO a P D) NOTE --- 01. IY W.N+OAGI`'+ ICAII NOME ` Inc PLA INSTALLATION INSTRUCTIONS DRILL x 3" HOLE. PLACE STEEEL EXPANSION SLEEVE OVER BOLT & PLACE INTO HOLE. PLACE WASHER OVER TIP OF EXPANSION BOLT. THREAD NUT ONTO EXPANSION BOLT & N TIGHTEN NUT OF STEEL EXPANSION S I EVE HAS BEEN HAS REMOVE NUT & WASHER. PLACE WASHER OVER EXTRUDING TIP OF EXPANSION BOLT & TIGHTEN NUT. NOTE CONCRETE TO BE 2500 PSI MIN. SLAB TO BE 4" MIN. THICKNESS WITH 6/6 x 10-10 WIRE MESH. CONCRETE SLAB SIZE TO ALLOW 4750 LBS. VERTICAL TENSION ON ANCHOR WITHOUT LIFTING SLAB. ASSUME CON. CRETE WT. OF 150 LBS. /CU FT. - TrK51Ori 50LT5 (1AODI= L. b I55) ASE E N '` PLATED L )/N - TCN51011 EOLT LABELED < FON FP.O.AA = ATTACWMENT ONLY. TENSION EOLT LADELE1D ® FOP) VEf TICAL - trN51ON. Mt. OAT) 1 DSSCIIPTION 1 6 -1 -82 UIVi :IONS tie down engineering, inc: pool Vw.oro" o.... w.e..e C..ac a) ° [ TITII MO0et- MIC5Z- PATIO SLAB ki.10-3/40R XP4.14SICNeCl -T DI. NO C. IT. C. M3C"1 .NVIC1; M-1P -120 Disapproved (Signed) Building Inspector NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build - ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the iuilding Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. g l� . Date... ..3— – Owner's Name and Address ...b5�4...$.. tL.V.t _ _ No.iZ Registered Architect and /or )yp meet 4,dCIAR„41/ w t/.02:ZiIi . R,..z Name and address of licensed contractor... Pi .._£I —) _ ill Q v`;Aisl 3 ©a .1_11 I' D 0 S Location end leg description of lot to be built on: Lot I 6 Pi Block Subdivision..... /1.� ... 1.,. „, __ _. Street and Number where work is to be done r. l - – State work to be done and purpose of building (b rs )..._....licanit•.t > tsr 9 c5_ 1 f , A. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation of Covering Estimated Total cost of improvements $...104.050 Amount of Permit !! a 4 `Z 40 t t® r 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) -tit • fro s4-- ..._ fz l. ri\ . B.cm— r .. P1 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for ' spection on the site of the rk such public notice or notices as are required by the Act. The undersigned agrees to employ only such su ntractors, l woT o be erformed under this pennit, as are licensed by Miami Shores Village. C Remarks STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority,, notary $ublic, duly authorized to administer oaths and take acknowledgments, personally ap- peared G _ft _es) Date. Chairman Member Member ...... ,.._.� __..._._ – Council Approved Date Rea 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 estated �alre true. ��� � � ^ l� Permit No.. J" �L Date 1 d, Swopfth and Subscri PLANNING BOARD Street.AK • 331 cTZ - 31.3 iti\ ISA?jC � to me well known, Public, State of Fl rda NOTARY PUBLIC, STATE OF FLORIDA AT LARGE Mp COpm41 INOttlEXPIRES•dlf + 9.8.79 My Commission Expires .DATE Member Member Member Disapproved Date making corrections or changes to this. application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty IAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. A PLICATION FOR =;UILDING PERM 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 prpgress of the work. Owner's Name and Address C{) No.. /?.. U Streecy 94-) Registered Architect and /or ltingineet.SC..bi. ». gar — t Lh ! ZSr•!!n.- ,„,„...r. ... e. *- -: ... Name and address of licensed contractor ' fd��� .. _.. : < /<'� e* cit. — Location and legal description of lot to be built on: Lot 1 LI Block � Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) e. and for no other purpose. New Building Remodeling Addition r Repairs No. of Stories ) To be constructed of ` ) Kind of foundation '• %� ��. Roof Covering f A-'4) 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, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. (� Remarks..._ V/A 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 Permit No._ l c� Date. 6 ? Read, Sworn to and Subscribed before me. _._.! . - Disapproved Notary Public, State of Florida (Signed) �!� mmission Expires P N1NC BOARD DATE Chairman Member Member Member Member ...... Member ...._ Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained fmin the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is mode necessary by improper notice for inspection or faulty materials and /or workmanship. 7 ' se - peared MO APPLACATO0 State work to be done and purpose of building (by floors) Disapproved Date (Signed) S r‘, - FAIR ES VIILLAGE BUILDING INSPECTION DEPARTMENT. l=; UDR...DONS PE 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 Registered Architect and/or Engineer Name and address of licensed contactor C II Pi (- Location and legal description of lot to be built on: Lot Block Subdivision - a. to Street and Number where work is to be done 73 — No /Zit Street.-.2 - g r , I M / c„ S Geri-411 3 4- • r3 .f MIT and for no other purpose. New Building Remodeling Addition Repairs No. of Stories I To be constructed of Kind of foundation... Roof Roof Covering. V 1 LA 1.)P- t f('L it - Estimated Total cost of improvements $ / 'FS (t '"" Amount of Permit $... Zone cubage required _Plan Cubage Distance to next nearest building Size of Budding Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Siq»lement, and has complied with the provisions thereof, and will require similar compliance from a • atractors or su con actors ernployed by him in the work to be performed under this permit; and will post or cause to be posted for nsp ction on the site •f e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such bco actors, on work per rmed under this permit, as are licensed by Miami Shores Village. Remarks (Signed STATE OF FLORIDA, COUNTY OF DADE. ss• Bcfore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- 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. Notary Public, State of Florida Buil ng Inspector My Commission Expires ^ • to me well known, PL NINC BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A ch.irge of $1.00 will be made for making corrections or changes to this application after approval has been obtained fmin the PlAnning Board. A re fee of 31.00 will be charged when such re-inspection is made necessary by improper notice for inspection az faulty materials and/or workmanship. STATE OF FLORIDA, COUNTY OF DADE. j ss. Disapproved / (Signed) _ L4 3 "/ APPU_U CATU ®(N FO / Y - Y DAY Y S H O R E S V L LA S E BUILDING INSPECTION DEPARTMENT Date. ___._. p UOLDONG P(`RNIi0r 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. y , / Date � f��P ..... .19. 7 Owner's Name and Address R 1Ga1 aid che- ti 6-er No. _ _ Street .2 Registered Architect and/or Engineer / t 1 ° / 41., A 'T�.,S 4> c- - Name and address of licensed contractor. P/..IIcI ii iVE /g 57'f 8 1 i o hi , 4-4197 / Location and legal description of lot to be built on: Lot Block / Subdivision ! Street and Number where work is to be done ) Z P /14- e. 92" 2 5 State work to be done and purpose of building (by floors) EA/ T/2-7 _ t‘- A-d Q r i✓ 7 c - and for no other purpose. New Building Remodeling Addition Repairs' No. of Stories To be constructed of Kind of foundation Roof Gov g Estimated Total cost of improvements $ / e Amount of Permit $ 0 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 le - 9 a ile..A • 1 / !#to -r 4.___l�4 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su )sontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. - Remarks____ (Signed).... Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated e ,e Permit No..____L2" _ / Date r> ,, i Read, Sworn to and Subscribed before me. Notary Public, State of Florida to me well known, Building Inspector My Commission Expires PLAN ING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for maing corrections or changes to this application after approval has been obtained from the Planning Board. 9 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. . MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date__ �� G / /s , Owner's Name and Address `d /7/ / / /,�� 1,51. 6- No/ r�fQ_.7 Streetff1 < Registered Architect and /or Engineer.../&/.2.,6_04 � 1 S C / /v / der ' Name and address of licensed contractor °`^-) °'t - iz - Location and legal description of lot to be built on: Lot Block // GG LL // Subdivision _ Street and Number where work is to be done._! /VS 9 ? ' State work to be done and purpose of building (by floors )____1? ?_.L_ _ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of.. 2e.F.1e21 fe__. Kind of foundation Roof Covering Estimated Total cost of improvements $___ ® ec , Amount of Permit $ / �v 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 ssypmit / all the g lans and specifications for said building. All notices with reference to the building and its construction may be sent to_- ___ .._ /__ c.!7 -C � i____- 11_C Q_t 9 < s/{ JZ Q_as % l07.e i91- ?c-L - - -.. /z.o.A-c,s 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 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 th s'te of t work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontracto s, o. ork t be p ' ormed under this permit, as are licensed by Miami Shores Village. - Remarks____ _ (Signed) D,Ol7o 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._____LZS'0 Date Read, Sworn to and Subscribed before me. Disapproved (Signed) Dat Building Inspey or Notary Public, State of Florida My Commission Expires ANNING 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. r tt0f(f Name and address of licensed contractor_.._! 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 -_ / a t et PI i 1) ' SI+ co, 6 Registered Architect and /or Engineer fit/ 3 c-°^ cf S70 6,0 G -C / / PZ. o a. Q L Location and legal description of lot to be built on: Lot ' Block 3 Subdivision VA ci Street and Number where work is to be done 1 State work to be done and purpose of building (by floors) Disapproved __ -- - --• Date__ ( Signed) Date.. 19 No Street L a e re, Pr" l S o Pe s y � 2,4 e i41_f - s S4e. h( 15 ee. 1 0 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of C_l3S Kind of foundation P OQs_, -_ 9, d NO Q le S Roof Covering � 6 G c Estimated Total cost of improvements $ 360Z ' uo 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 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 su. ontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks__ ......... - - (Signed) Building Inspector 1 My Commission Expires STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No , l .. Z 73 Date G — //9 _--. Read, Sworn to and Subscribed before me. Notary Public, State of Florida PLC ` NING 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. BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA ❑ PERMIT N? 2456 Work to be oe Owner of Building DA'I'F 195_ Contractor's License No. { #eiffIPeitiitit Architect Contractor or Builder Legal Lot' Subdi- Description —� Bl vision Address of , p Value of Building ci This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER Project $ Amount of 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 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 Permit $ 6 ¢ Owner's Name and Address j� Registered Architect and /or Engineer - /_'. Name and address of licensed contractor Location . • : a1 description of lot to be luilt on: dribi - _ Block 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 hereiq/specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Lot Street and Number where work is to be done State work to be done and purpose of building (by floors) peared o- MIA'MI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT CHs E 13 A , '�',�.� Permit No Date ''''' Disapproved ‘��� (Signed) _ .• ,DL�._ 1.n r[g1nspedtor ate Date Z , 18' Street Read, Sworn to and Subscribed before me. My Commission Expires and for no other purpose. New Building Remodeling Addition Repairs No. of Stories ..__ To be constructed of e r S Kind of foundation :... ar...ti . • • q Roof Covering Estimated Total cost of improvements $ / ount o lermit $..,_� Zone cubage required �� .�� ... Q_� plan Cubage _ 41._, Distance to next nearest building Size of Building Lot __. Maximum live load to be borne by each floor I hereby b all the plans nd ecifica 'ons f psaid building. All notices with reference to the building and its construction may be sent to.. ' .‘ 9 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 hint in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such suDcontra ors, on work performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- to me well known, and who, being by me first duly sworn, upon oath' deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida 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.