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161 NE 92 St (4)Date 8-44-d2, Time � i Type Insp' n 41 A/ berg e "1. Permit No. 2 P �` 1 // p' Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request T/4/ , ,S$P 3OS A/8 VW For Inspector: 1 -/3 - 02 Name & Approved Correction Re- Insp'n Fee ❑ oo).- 3\-) Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request 2 Date 7 ' o2 Time P.,?ooz 11i Correction Re-Insp'n Fee Ruove 363 2,18 For Inspector:.. , Name PAID RE- INSPECTION FEE ON 3/31/2006 Passed Inspector Comments t_ (-_-_---: 3 - 4._- e-c� � `1 2 - G i Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -17659 Inspection Date: 05/22/2006 Inspector: Grande, Claudio Owner: RESEK, CATHERINE VERA Job Address: 161 92 Street NE Project: <NONE> Miami Shores Village, FL Contractor: RELIABLE CONCRETE CORP. Building Department Comments Thursday, May 18, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: BP2005 -1206 Permit Type: Imported Permit Inspection Type: Final Work Classification: Driveway Phone Number Parcel Number 1132060133190 Lot: Phone: 305/229 -4945 Page 1 of 2 BUILDING PERMIT APPLICATION FBC 2001 Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES State Certificate or Registration NoC C L ` Z Architect /Engineer's Name (if applicable) $ Value of Work For this Permit Miami Shores Village Building D epartment 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical Tlumbin Mechanical Roofing Owner's Name (Fee Simple Titleholder) �� �Lck.. Q Phone # Owner's Address City \c_J \ S ° /1 State —t L. Zip Tenant/Lessee Name cttl Contractor's Company Name Contractor's Address 1 p ) S. Ig 00,1 City 7 ` - - (1 ° tate 4�-- Zip 33 IS Qualifier CG.,,.. L v 2.260 Type of Work: ['Addition ❑Alteration [New ❑ Repair /Replace ❑ Demolition Describe Work: 16 ( AZ q 2 s'LLQ County Miami -Dade c filed CS" Submittal Fee $ -00 Permit Fee $ 2A - Notary $ • - 00 , Training /Education Fee $ 0 . ( O Scanning $ 3 ,C0 Radon $ Zoning Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) 383_ Master Permit No. Phone # C \to iPhone # Certificate of Competency No. Phone # Square Footage Of Work: CCF $ O - eo CO /CC Technology Fee $ 3. Z-0 Bond $ ZCO Permit No.T? ZOO 5 -17_06 Zip 70)326.4o4_ 1 f 5 Sa Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commence ent must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the bsence of such posted notice, the inspection will be proved and a reinspection fee will be charged. Signature Owner or Agent The fore ring inst ment was acknowledged before me this day of who is personally known to me or who has produced Sign: Print: My Commission Expires: APPLICATION APPROVED BY: chc 05/13/03 , 200_5 by I - As id and who did take an oath. NOTARY PUB I 11111 �� Contractor e foregoing instrument was acknowledged before me this 1 (.L (.L day ofi 1)54 ,20dc, Catv.;lo M` Cc)t• who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: _ - Sign: Print: Miiimorirmrlimma `�►: �• t, MY COMMISSION # DD 414358 aC EXPIRES: April 4, 2009 My Commission Exp ************************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * *,y* * * ** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** l 5. 7 4 ,'4e- 0947 Y Plans Examiner Engineer Zoning WHEREAS, COVENANT CpF CONSTRUCTION WITHIN RIGHT OF WAY al-` - 4 o_42c - If ereinafter referred to as the Owner of the following described property: Legal description/foliog: Lot Block Subdivision Tax Folio R: requests permission to install: (owner) within the public road right of way of [`'�Asph ; It, concret brick pavers [ ] Landsca (] Other want: SIiorei Vage �e 92 sA (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: 1. To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida by the Village Manager of Miami Shores Village (or his fully authorized representative). SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE ;J thi / E) day of ()CI Zr—DCDS 6 t nJ SIGNED. SEALED AND DELIVERED in the presence of: 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (305) -756 -8972 PPR O4-cf 4.11 . "'L"t„' , 'STATE OF FLORIDA) COUNTY OF DADE) v)-t< The undersigned Affiant, act:19:, ,does hereby attest that the (property own attached survey, performed by (name of surveyor's company) performed on , is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable-to- this- or_other permits.. Further, Affiant sayeth naught. / --�– Witness(sign and print) A i • vYro • owner SWORN TO AND SUBSCRIBED before me this 1j day of A.,��, —©C Affiant is personally known to me, produced as identification. I Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2005 -1206 Printed: 8/19/2005 Applicant: CATHERINE VERA Owner: RESEK JOB ADDRESS: 161 NE 92 Parcel # 1132060133190 Work: STAMPED CONCRETE DRIVEWAY AND APRON Signed: (Contractor or Builder) Building hermit RESEK CATHERINE VERA ST Contractor RELIABLE CONCRETE CORP. Contractor's Address: 1101 SW 18 CT Local Phone: 305/229 - 4945 Permit Status: APPROVED Permit Expiration: 2/12/2006 Construction Value: $2,250.00 BY: h - US OK M ;�Pam �u Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 22 & 23 �c„cl Bc,r --d BLK 23 OR 17671 -1067 Fees: FEE2005 -11247 FEE2005 -11412 FEE2005 -11413 FEE2005 -11414 FEE2005 -11415 FEE2005 -11416 FEE2005 -11417 FEE2005 -11418 Description Submittal Fee Building Fee CCF Notary Fee Training and Education Fee Technology Fee Scanning Fee Builders Bond Total Fees: Amount ($50.00) $125.00 $1.80 $5.00 $0.60 $3.20 $3.00 $300.00 $388.60 Total Fees: $388.60 Total Receipts: $0.00 AUG 2 9 PAID c >� t= 9-726 1.4 18)59, Signed: (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 accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. I nspection Number: INSP -12842 Inspection Date: 03/23/2006 Inspector: Grande, Claudio Owner: RESEK, CATHERINE VERA Job Address: 161 92 Street NE Miami Shores Village, FL Project: <NONE> Contractor: RELIABLE CONCRETE CORP. Buildinct Department Comments Wednesday, March 22, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 PermifNumber: BP2005 -1206 Permit Type: Imported Permit Inspection Type: Final Work Classification: Driveway Block: Phone Number Parcel Number 1132060133190 Lot: Phone: 305/229 -4945 Page 2 of 2 Passed Inspector Comments 1 0 f-Q/Yk- ahr / 6k c,`0 ,1P e, fkua ( -- "Zctiz Failed Correction Needed Re- Inspectio.,# Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. y op until I nspection Number: INSP -12842 Inspection Date: 03/23/2006 Inspector: Grande, Claudio Owner: RESEK, CATHERINE VERA Job Address: 161 92 Street NE Miami Shores Village, FL Project: <NONE> Contractor: RELIABLE CONCRETE CORP. Buildinct Department Comments Wednesday, March 22, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 PermifNumber: BP2005 -1206 Permit Type: Imported Permit Inspection Type: Final Work Classification: Driveway Block: Phone Number Parcel Number 1132060133190 Lot: Phone: 305/229 -4945 Page 2 of 2 Z� rAgKLIA'( o, ( cr • . •_ •• •• / rL PRO,. SURVEYOR IF:K, „wOy .1 .....e • N' t.''; h': •f,7 •. _ n.,,b� - i'.i"'.T ^ ... - a D MAPPER NO. SCALE 0 [)RA \VN 13\' �A Zoni Approv:1d NO 1 VALID 1% "1'IlU)tFI' 111E SI(.NA' AND TIIE: ODIC INA I. RAISED S t:A I.01 FLORIDA LICENSED SIMK\ EVOK AND MIA1'PK • • •I% 1e0 • 11 I1 Z3 11 7 r-! 15 This property described as: Lots 22 and 23, Block 23 AN AMENDED PLAT OF MIAMI SHORES SECTION NO.1, according to the Plat thereof,.as recorded in Plat Book 10, Page 70 of the Public Records of Dade County, Florida. A BOUNDARY SURVEY I hereby certify that the survey repre- sented hereon meets the minimum technical standards set forth by the Board of Land Surveyors in chapter 61G17-6 Florida Administr. ve Code pursuant to Section 472.. a. Statutes re are no encroach e s. overla easements appear i : on the PI er than as show eto. • • • • • •• • 4 0 • • 4 • • • • • • • • ' ••• • • • e • • • 1 ••• 1e • v ••t • i •O ee 47 1 • 7• • • •_ • • • • • • • • • • • • • • 11 11 11 FIELD DA'Z'E •- • e • 130 1 I4 °nt-t0 .oC4T lo�l K�TGl4 of 2 r PROPERTY OF: Resek. Catherine Vera, 161 N.E. 92nd Street, Miami Shores, Florida LANNI ?S AND (;ARC.'IA, INC. L.13. # 2098 SURVEYORS-MAPPERS-LAND I'LANNI•:I(S Iu:NF: AI(;t F svIvt:5 1'.S.11. # 4327 Office address: 359 Alcac3lr Avenue, (oral Gables, Florida 3313-1 (305) 666 -791)9 (954) 523 -8663 • v0 cr y CEP: x �o n 5w1 P 2 r4 r 9 1 a 1 7, oco L I t C(. u 35 Nlrr %'A 1.1 U 1vrril0Ur 111E SIGNA'r(IK AND TOE UKH:INAI. KA15EU SEAL OF FLORIDA LICENSED SUR% EYON AND 11AYYK r-• n\ *v' t—'10 I I 1 1 u 7 • • • • • Co • C • • • ••• '• I • • • • I• • • ••• • • • • ••• ••••_ • �•j @ • o' • ;4 • _ ,lam • el • - • • •• l-� eN\ ri This property described as: Lots 22 and 23, Block 23 AN AMENDED PLAT OF MIAMI SHORES SECTION NO.1, according to the Plat thereof,.as recorded in Plat Book 10, Page 70 of the Public Records of Dade County, Florida. A BOUNDARY SURVEY I hereby certify that the survey repre- sented hereon meets the minimum technical standards set forth by the Board of land Surveyors in chapter 61G17 -6 Florida Administr. ve Code pursuant to Section 472• a. Statutes re are no encroach • e • s. overla • easements appear i on the PI. • er than as show eto. 3Z DM . NO. l� $S'v vCJ • ••• • JJ.. • • • It • • • 3 FIELD DATE 1(0 13" I•45.00 (t1) •)) °,Zt -tv yT�i l o T IOt� K5T6I -t • • ••• el) _ e • -.• •o•- • • • b o e • • 1• • • 6 of 2 PROPERTY OF: Resek . Catherine Vera, 161 N.E. 92nd Street, Miami Shores, Florida LANNI ?S AND GARCIA, INC. At 2098 SURVEYORS-MAPPERS-LAND PLANNERS PRO/. SURVEYOR 1(E :NE: AI(:l'F:svlvE:1 I'.S.NI. p 4327 ()ffirr address: 359 Alcauar Avenue, ('oral (:abler. Florida 3313-1 1305) 666 - 7909 (95.1) 523 -8663 SCALE / D RAN 11 5 "() Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 building Permit Permit Number: BP2002 -1112 Q Printed: 6/18/2002 Page 1 of 1 Applicant: CATHERINE VERA RESEK Owner: RESEK CATHERINE VERA JOB ADDRESS: 161 NE 92 ST tJ Contractor Contractor's Address: Local Phone: 4 Parcel # 1132060133190 Fees: Le Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 22 & 23 BLK 23 OR 17671 - 1067 Descript Amount FEE2002 -3420 FEE2002 -3421 Building Permit Application Fee $60.00 $1.20 Total Fees: $66.20 CCF FEE2002 -3422 Notary Fee $5. Total Receipts: $0.00 Total Fees: $66 .20 Permit Status: Work: WOOD DECK (REAR OF HOUSE) Signed: Permit Expiration: 12/15/2002 Construction Value: $1,200.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to 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. (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: ({/ '�`"" (Contractor or Builder) BY: OSCAR RESEK OR CATHERINE A. RESEK 161 N.E. 92ND ST. MIAMI SHORES, FL 33138; Pay to they Order of lLh,.c �h� F ' COMMERCIAL BANK OF FLORIDA Brickell Office 501 Brickell Key Drive, Miami, Florida 88181 For I :0660 &O3 ? ?s: l•3053 25? 20 611' 40 20 4020 63- 1037!660 3 ELECTRICAL "1'1'1'1: Minimum Fee on'. TYPE Dryer QT1'. "1'VI'1.: Outlet, Appliance QTY. TYPE Refrigeration, Tons '1'1'1'E Service Repair ()Ty.- A/C Central 1 -3 Ton Cooling Tower Fan Heating Strips, each Outlet, Wall Vent Hood, Cost Service, Temporary A/C Wall/Win. Tons A/C Central 4 -7 Ton Dryer Vents, Number of Fire Pump Paint Booth Outlet, Switch Ventilation, Cost Signs Air Handler, Tons A/C Central 8 -15 Ton Ductwork, Cost of Fixture - Fluorescent Piping, Flammable Liquid Oven Periodic Inspections Space Heater (kw) Barbecue A/C Central 16-20 Ton Fire Sprinkler System Fixture Light Process/Pressure Piping Parking Lot Lights Supply, AC Well Spas/Hot Tubs Bath Fan - Vented, # A/C Central 20+ Ton Fireplaces, Number of Flood Lights Pressure Vessel Plugmold/Strip Temporary Toilet Subfeeds, No. of Amps Catch Basin A/C Window Gas - Propane FPL - Load Central Pump, Re- circulate Posts Temporary Water Closet Swim Pool, Commercial Clothes Washer Air Conditioners Gas Piping Garbage Disposal Pump, Replace - Pool Range/Range Top Urinal Swim Pool, Residential Dental Chair Chiller Grease Trap Generators, etc. Pump, Sprinkler Receptacles Utility - Sewer Switchboards Discharge Well Clear Violations Ice Maker Heat Recovery Pump, Sump Refrigerator, Comm. (p/PH) Utility - Water Temp Serv., Construction Dishwasher Compactor Indirect Wastes Low -volt, Burglar Relay Repair Refrigerator, Domestic Vacuum Pump Temp for Test - 30 days Disposal Deep Freezer Interceptor Low -volt, Fire Roof Inlet Renew - Temp Service Water Closet Domestic Well Demolition Laundry Tray Low -volt, Intercom/Teleph. Septic Connection Repair Circuits Water Heater Drainfield, 4" Tile/Res. Dishwasher Lavatory Low -volt, Television Septic Tank Service, Number of Amps Water Heater New Drains, Area MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QFY. 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 Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE. Drains, Roof QTY. TYPE: Miscellaneous Fixture QTY. 'I'VI'E Soakage Pit QTV. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 2 I \1PORTANT 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 . 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. A3F1 YV�IT - Please read ca 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, 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. STA = OF ORIDA, COUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE ature o Owner CR A . ,.gstk Print Name worn to and subscribed before me this day of Signature of Notary Public - State of Florida Signature of Notary Public - State of Florida SEAL: SEAL: Signature of Contractor / Qualifier PERMIT APPLICATION Print Name Sworn to and subscribed before me this day of Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: r 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 0/576 Zoning (2,0/5. Electrical Mechanical Repair Plumbing Demolish Fire Relocation of Structure Public Works Foundation Only Structural 4.1 - Building Official 7 /��/j/� Add'l Detachment PROPERTY OWNER Name dl Ar riERINE A . RESEk Address r c / N. E q 2 s j . MiAMi S HORES / FL 33/38 Home Telephone (30 5) r7 Si - q 6 S '9 Business Telephone ( 5 O p e G - 59 '1 a 3 Fax (3os 5 - 33 ' TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'1 Attachment Other Add'l Detachment Other 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 Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERIIIT FEES $ (S ©° OD $ 1 , a 0 ( sq.ft. = x/1000 x ¢.60) $ 6 ,o0 (¢.005 /sq.ft.) (Q.01 /sq.ft.) PERMIT APPLICATION LI CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ( ' 4710 ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPRO\AL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com INSTRUCTIONS - The following steps must be taken to obtain a permit from the illiami 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 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. A PPLICATION P(N.k:_k Address: / C / N , C . Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 9e, s ?. Apt. Folio Number ascription of Work W001 I' EC..k (REAR OF HO USE) Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. HI'AH► „SHORES City PERMIT APPLICATION )- c,D • // / 2 State FL 33138 Zip Zoning Linear Feet Square Feet Units Floors 4.lue of Work 02 00 Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Bldg Value ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Miami Shores Village, Fla. OWNER f- C. -e ADDRESS 1 1D 1 ( f . \ X. 1 INSPECTION TIME READY A-o PERMIT NO. CONTRACTOR DATE TELEPHONE NO. 11 INSPECTOR 8 "f DATE To 1111 1r. ,z._2 ❑ URGENT Date d A.M. Time PM W I L ' YO _ WER OUT From of Phone vi 4 0 2 Phone Area Code Number Fax Area Code Number /2€1511414"- I Signed Ext. Quill Corporation 1 -800 -789 -1331 #7 -92001 Reorder No. Planning & Zoning meeting - 3 - March 16, 2000 metal utility shed under S516(e). Mr. Sturman seconded the motion for discussion. Upon further discussion, the vote on the motion was; Mr. Crutchfield YES; Mr.s' Fernandez, Powell, Sturman and McCoy NO. The motion failed. #00- 0316 -04 Catherine V. and Oscar Resek 161 NE 92 Street Variance — Sec. 523.1: fish pond not masonry construction Mr. Berg recommended approval of the request provided that setbacks are met and provided that a protective pool enclosure fence is maintained. Upon further discussion, the Board recalled an application for an above ground pool which they had denied. They further stated their concerns with regard to filtration of the pond as well as the safety of a fence. Mr. McCoy moved to deny the request. Mr. Fernandez seconded the motion. The vote was Misters Fernandez, Powell, Sturman and McCoy — YES and Mr. Crutchfield - NO. The request was denied 4 -1. # 00- 0316 -05 Patricia Montoya Variance — Sec. 518 — 6' fence 10658 NE 10 Court Mr. LuBien stated the applicant was not present. Mr. Fernandez moved to table this item. Mr. Sturman seconded the motion and the vote was unanimous in favor. ITEM# III BOARD REPORTS/DISCUSSION A. Parking Study Mr. Berg began the discussion by asking the Board to review the staff report and analysis of how Other municipalities calculate parking requirements for schools. Landscaping is very much a part of parking design and should also be considered. Upon further discussion, Mr. Berg suggested that he will draft an ordinance with regard to revised parking requirements including landscaping.. Mr. Berg stated he should have the drafted ordinance by the next scheduled meeting. The Board asked Mr. Berg also to consider compact car vs full size car and shared parking while drafting the ordinance. B. Open -air Cafes The drafted ordinance was reviewed and because the Board wanted to make changes, Mr. Berg suggested the Board review the proposed ordinance and submits their individual suggestions to him for possible revisions. The Board agreed to hold a workshop on the subject. otion for adjournment was made at 10:55 PM 7 Q-7 Veronica A. Galli, Recording Secretary Norman Pow airman PERMIT APPLICCATIOON FOR MIAMI SHORES VILLAGE Date 0 1 ) 1 0 Job Address JI N' la �' ` ' Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant DcQ. n _ f S Master Permit # 1/.7 2 / , Owner's Address I (01 N\ E 12 Si • Phone 3D S - - goo 2- Contracting Co. 0 W M' Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN t ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION (y)CL S On ai 030trb _ i o u v Square Ft. S S 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. OWNERS 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. C /0eG 0// •)0 Sign ture of Contractor o Owner- Builder Si ture of owner and/o ondo President Da e Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT RADON Estimated Cost (value) )00. 00 Date Notary as to Contractor or Owner- Builder Date My Commission Expires: C.C.F. r 106 NOTARY BOND 6 APPROVED: TOTAL DUE_ Zoning Building i ,/ `r ' Electrical Mechanical Plumbing Structural Engineer PowG fz_ Bab • t 1••1 1 1 w • � 011 G rocv _................7..... • � r � I I'i 1: ..__. _..�,_ ,,..,.,_,��,.__.__,_�. _.r,.. -- »- _. 11.....1a7 .. Z! GL. F s- N 1 Il t 2 . 7207 1; • • �I. .10 Iz4 ZZ t ZO,I I`Io 3:7 ;"• \ c 45 P • • 404 MIAMI SHORES VILLAG BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date �_ Type Insp'n c _( k ivorm Permit No. 1S Name I (0t qzs+ Address Ra31 � ' • Company 10104, fO� Phone # Inspection Date 9i2-Ce Approved ❑ Correction ;g1 Re- Insp'n Fee ❑ 0oc-✓z 62 1,3 6 teleJ,o- Vn c7( � u - OPr -CC5 (Aei s-i PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 6- 2 ? ob Address / / k &J 4"- 5 2 ) Tax Folio Legal Description J V / Historically Designated: Yes No Owner/Lessee / Tenant a ra..4_ ,/ t.�. �( Master Permit # 5c Phone Contracting Co. jOS' �� C � Address Z..0 Z3 O 44 /c, c /4 13 ‘4, j4 / SS# 6 P 7/ ?3 State # Municipal # Competency # an or9/ ,9c yp Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Owner's Address /(/ / /b ? z - Pi d Qualifier E .h A)/4 « WORK DESCRIPTION Square Ft Estimated Cost (value) 9 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE Poi 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. Sign of owner and/or Condo President Date Notary : ;�_¢ . - 'AltildiVISIMPlaitlAigentora My Commission Expires: FEES: PERMIT RADON APPROVED: Zoning Mechanical c �A 0 912 Cp,.a I �� 19R/As C.C.F. NOTARY Building Electrical Signature 4 — ten "N e - r ' 8 i — =~ = Date „ s �7T MMISSION # CC 85646 i w�_ . , EX J 19. 2001 J�v ' � Al 1 b E1�Sy P L Ic Underwritten: ' z ' 9 7 " ' T C' Notary as io Co � O r or owner- t3ulder Date My Commissior(Expires: TOTAL DUE Plumbing Engineering jejr MIAMI HO -. E5 VILLAGE BUILDING INSPECTARN DEPARTMENT PPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. 447 / __ Date - -- - — " , 19—... Owner's Name and Address ? d . �'�r /- /) • No.. -0-1_ Street 4 ,� � ' Registered Architect and /or Engineer 6.71 Li4.? //?, �� 1- __,77/1 .E _ _ DS Name and address of licensed contractor Location and legal description of lot to be built on: Lot— 24 h Block — _C! Street and Number where work is to be done State work to be done and purpose of building (by floors) STATE OF FLORIDA, u ' COUNTY OF DADE. Before me, the undersigned authority, appeared Disapproved (Signed) Chairman Member - Member Council App Building Inspector Date Member ember Member -and for no other purpose.. New Building Remodeling Addition_- Repairs No. of Stories--- __ _---__-- To be constructed of___f��� _ —__ Kind of foundation ' - Roof Covering___ o Estimated Total cost of improvements $ — Amount of Permit $____ l ___ Zone cubage required ` a o ® Plan Cubage Ov 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 be understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) et-- �' !� a notary public, duly authorized to administer oaths and take acknowledgments, persobally • to' Mme 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 P ANNING BOARD ✓i� .�. _fir _ �, �. 4 is; .1 J� ,. /1 !►. r T, NOTE: A charge of $1.00 will be made for maki g corrections or changes to this application after approval has been obtained from Date Disapproved Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires DATE o ff ,.. • - sue''' ,o . • • 7'46/ —mate 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. STATE OF FLORIDA) SS COUNTY OF DADE ) W A - 6/ P A - 144 1 . 2 ) of the Village of Miami Shores, County of Dade and State of Florida, being duly sworn, doth depose and says that under the provisions of Section B -368, Sub - section (d), of the Building Code of Miami Shores Village he desires to build E �f�9iI ,t SiDE/YCE on Lot . Block _of i .,,, / _ subdivision; that he is the owner of said property, and will do the work personally, and that he will, at such times as are required by the Zoning and Building Directors - 1. File plans and specifications and obtain approval of Village Planning Board and of the Building Inspector. 2. Apply for and secure a permit. 3. Pay the required fees for license and for permit. 4. Execute the work in accordance with the provisions of the Zoning Building, and Electrical Codes of Miami Shores Village. 5. Apply for inspections, 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workman's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certificates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing contractors or sub - contractors other than thoso properly licensed by Miami Shores Village or any part or portion of the work including, but not limited to, general contrapting, plumbing, heating, electrical, septic tank, solar system, lathing,,tilo, torrazo, painting, roofing and shoot metal work or installation. P.R. 9. Not sot himself up as a "Contractor ". 10. Execute Builder's Bond. And further this Deponent says not. AFF'1 )J VtT SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY of 1. Signature of Applicant. 2. Signature of Officer administering oath6 i 2. �. D., 19 BUILDING ELECTRICAL PLUMBING Owner of Building fr Work to be performed under this Permit Architect Contractor or Builder i J i ° at; Legal Lot Description 4 7 Address of Building ®� MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 5412 Subdi- vision DATE Valu of G 6 Proje ct ". S J e Contractor's License No 6° DC Amt. of Permit Co 194 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by th 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 re cha wi .ut a .+.rization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above F umes th•spo A ' )rh;' ford a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or awin nth :tats lei +R or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed . By 41w. ® R Jn consideration of the issuance to me of this permit I agree to perform the wor cov '`d here nder in compliance with all ordinances and regulations i 1pertamjng ther -. o and in strict conformity with the plans, drawings, statements or specific "ions submitted to the proper authorities of Miami Shores Village. In acceptin is permit I assume n .onsibility for all work done by either myself, my agent, servant or employee. o CO •• OR B „4 o ; 4 91 BY AUTHORITY UILDING LECTRICAL LUMBING 'wner of wilding rchitect : ontractor Builder In consideration of Ttaining thereto and in accepting, this permit I l CO MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N° 5412 Work to be ;performed under this Permit 1194 Contractor's License No egal Lot Bl. Subdi- escription vision ddress of Value of Amt. of uildin Project h' , 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 appli- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any ans, drawings, statements or specifications that may have been submitted to and approved by the, proper municipal authorities. This Permit may be revoked any time if the work is not done in compliance with such ordinances or if the plans are changelwithout authorization. A further condition upon which this !rmit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and gulations pertaining to the work covered hereby whether shown on the plans or drawings :in th_e stateme or specifications and that he assumes respon- :ility for work done by his agents, servants or employees. r Signed' By • IS ECTOR the issuance to me of this pennit I agree to perform the work`-covered hereunder in compliance with all ordinances and regulations strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. assume responsibility for all work done by either myself, my agent, servant or employee. OR BU DER BY AUTHORITY ;UILDING :LECTRICAL ' LUMBING GOOFING )caner of ; uilding ,rchitect ontractor r Builder .egal Lot tescription .ddress of uilding MIAMI SHORES VILLAGE. FLORIDA ❑ DATE 195 ❑ PERMIT N° 2660 Contractor's License No. ❑ 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 construct the building or to install the equipment or device described in the application erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any me 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 ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ertaining 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 one 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 ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- pting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY a BUILDING ELECTRICAL El PLUMBING ❑ ROOFING 7r ❑ Owner of Building Architect Contractor or Builder Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA Address of Building 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. /: i t ; . 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER EIE{MIT N9 9295 Bl. Work to be performed under this Permit Subdi- vision Sq. Ft Value of Project $ BY AUTHORITY DATE Contractor's License No Amt. of Permit $ Remarks__ _. Chair Mem Mein Council Approved AP LBCATB®N F R G PER IT New Building_ _ Remodeling To be constructed of . __ Kind of foundation._._ Di.sapprovr i, fptf� _ .___ Date (Signed MBAN111 SF ;ORES V LL G[ BUILDING INSPECTION DEPARTMEN" Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or ocher structure her.-1, described. This application is made in compliance and conformity with the Building Ordinance of Miai.ii Shores Village, Florida, and all provisions of the Laws cf the State of Florida. all o*dinances of Mi •,nu Shores Village and all rules and regulations of the Building DiviLinn of Niianu Shorn, iilage •h c'1 ')e complied with, whether herein specified or not. A copy ot approved plans and specifications must be ket + at building during progress of the work. � ° ' Date 4 ) 1 9/ - 7 .. ,� . 1 �4 Owner's Name and Address._ ° roz,Q, o p �,4a,� No / ./. __ -.. Street_. (/y # 4 22)_ . Registered Architect and /or Engineer .- M pl .. .6i) 0 Name and address of licem.ed contractor OW. ! B 08e, Location and legal description of lot to be built on: Lot. 9 -- Block.._ - -- jj P;] __ _....._ Subdivision____. 471 GV Street and Number where work is to be done /Al ( F ,f2 .e2.2. .2. e 7 State work to be done and purpose of building (by floors) _ ° _ 0P.0___'4 , . _ 6 a a_f -- __.._.eiv..e'..4_ z Repairs_ _ Estimated :tal cost of improvements $ 0p Amount c` Permit $_- Zone "ubage required __. .Plan Cubage__ 4 .Distance to next nearest building.. ..7 _Size of Building Lot..../..6.-0.X- / n Maximum live load to be borne by each floor . hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to s Gam? .d P o W --- -o f 9' The undersigned applicant for this building permit does hereby certify inat he understands and accepts his obligations as an employer of 1- under he Florida Workmen's Compensation Act. bc'ng S_ lion 5966, Co:'-piled General Laws of Florida P rmanrn; Snppl. ,lent, and h s complied w;th the prov; :ions thereof, and will require sm m m iiar compliance from all contractors or sub - contractors cplo -•ed by hint in the wo k to be p ri ,-med under this permit: and will post or cause to be posted for inspection on the site of the work su.:h public• notp e or .- otices as are requir d by the Act. The undcr•igncd agrees to employ only such subcot . ctors, on work to be perform, d ., der this permit as are licensed by M am, Shores ‘ illage. f C� (Signe ° STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths :aid take acknowledgments, personally ap- peared and who, bein by me first d ly sworn, upon oath d ores and says that the ot th abov. d. -t ibed ; truct'pn t. + h has ..redly read the e m application, and that he did sign the same, and that ..11 facts therein by him tated are Permit No.. ____ / _. 1te___ y ead, Sworn to and Subscribed before me. ding Inspector // My Com:nission Ex — PLANNING BOARD -DATE Member .... Member Member ... Notary Public State of Florida and for no other purpose. No. of Stories . . ow> ring_. n.t� . to me well known, .Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or ;:hanges to this application Ift --r approval 1, ,s be, a obtained from the Plain' -ng Board. A re- inspection fee of $].00 will be charged when such re- inspection is m:: ie necessary by improper notice fc -r inspr Poo or la. ity materials and /or workmanship. /2 °0 fic/ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date �6 � , 19 Owner's Name and Address ��'�A- °4- No Street Registered Architect and /or Engineer Name and address of licensed contractor Cr IA)"^- 9 > Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done _ 1 6 ( • 1 'c 2 V • State work to be done and purpose of building (by floors) 4 4" Utl-e-t., - y - 1 ($.., and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation R f Covering Estimated Total cost of improvements $ Amount of Permit $ .x Zone cubage 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 subco• tractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed STATE OF FLORIDA, COUNTY OF DADE. ss • Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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 t Date Permit No Disapproved Da e: ,^ ( Signed) L' ee Building Inspector Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Chainnan Member Member .. Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of 51.00 will be charged materials and /or workmanship. Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty