DRIVEWAYBUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE 195
❑ PERMIT N? 7388 Contractor's
License No.
❑
❑ Work to be performed under this Permit
CONTRACTOR OR BUILDER
Bl.
Subdi-
vision
Value of
Project $
it
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
1- erefor 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 bo revoked at any
true if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed- ' 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 spec fications 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 a lent, servant or employee.
BY AUTHORITY
PERMIT APPLICATION FOR MYIIAMI SHORES VILLAGE
Date Job Address G l� V � � Tax Folio
Legal Description
Owner/Lessee / Tenant
Owner's Address
Contracting Co.
Square Ft.
4
t,J M Lv
Signature of owner and/or Condo President Date
Histo:ncally Designated: Yes No
'1
Master Permit # T / 71/
Phone
Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL R } OOFIING � PAVINNG FENCE SIGN
WORK DESCRIPTION V� WAY 0 X 625 X
'YlLR�r 7�OO4'7c c C` l t
Address
Address
Address
Estimated Cost (value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of Contractor or Owner- Builder Date
Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder Date
My Commission Expires: My Commission Expires:
// o . s V (041%.0 ��-
FEES: PERMIT // • a RADON C.C.F. .60 NOTARY ✓ BOND
TOTAL DUE , ? -
APPROVED: f ERA-c S R`> IA/ho F aoP' oSi8N HI S
�y
Zoning Bi Electrical
Mechanical Plumbing Engineering
MIAMI SHORES VILLAGE
BUILDING & ZONING DEPARTMENT
CODE ENFORCEMENT DIVISION
10050 N.E. Second Avenue
Miami Shores, Florida 33138
(305) 795 -2204
NOTIC OF VIOLATION
DATE: tf GRID # 7 / 2
2,9aw 9& ST
INSPECTION MADE OF THE ABOVE PREMISES THIS DATE
DISCLOSES THAT YOU ARE IN VIOLATION OF:
PREMISES:
O BOA — Boat on Premises
O BUS — Business tom Residence
O CVR — Corm Vehicle In Rea Zorn
O FOL — Failure to Obtain Oec Lk
O FOW — U:Uawfd Animals on Premises
O GN — General Unsightliras
O HHL — Hedge/Fence Beyond Limits
O (TR — Ira roper TrulmsntlR&usc
O IVP — Wick on Promises
O LSP — Lock d Oft Street Parking
O WN - Maintaining $ Nuisance
O OIF — 6lsrgrowr Foliage
0 Other
O.f/5
� ii/ /`/ylO2t / � e�t h2l7
ON OR IDEFORE THE (-1 DAY OF
O ORW — Obstructions d Right/Way
O PLC — Pet L 'nation & Control
O RVP — Rec. Vehicle on Premises
O WF — Unsightly Fas SofWEster*
O WO — Unlawful Occupancy
O WP — Untended Pets
O S — Unlawful rcdr
Stre
U — Unautt Constr./PM/rations
O URM — Unlawful Roofing Materials
O USM — Unardf► Storage of Materials
O USP — UNawtrd Sign on Remises
o usv - UnIwful SiQr en Vehicle
EMENT OFFICER
ve0./.2;
YOU Id COMPLY BY: t
rz /� N/»' 1
945
FAILURE TO COMPLY WILL RESULT IN CHARGES BEING
FILED AGAINST YOU WITH THECODE ENFORCEMENT BOARD
OF MIAMI SHORES
RECEIVED BY:
(COMPLIANCE INFORMATION ON BACK)
MIAMI SHORES VILLAGE
BUILDING ZONING DEPARTMENT
CODE ENFORCEMENT DIVISION
10050 N.E Second Avenue
Miami Shores, Florida 33138
(305) 795 -2204
NOTICE, OF VIOLATBON
e GRID #
z9' xmls 9 5T
INSPECTION MADE OF THE ABOVE PREMISES THIS DATE
DISCLOSES THAT YOU ARE IN VIOLATION OF:
DATE
PREMISES:
O BOA — Boat on Nordin
O BUS — Business from Rufdenoe
O CVR — Con Weide In Rea Zone
O FOL — Failure to Obtain Oct Lk.
O FOW — Unbalul Animals on Premises
O G/U — Cabral UnsipliNinasa
O HHL — Hedge/Face Beyond Limits
O ITR — lmDrooe Treatment/Refuse
O IVP — Inoperable Wide on Remises
p LSP — tack o1 011 Street Parking
O MIN — Mailaining a Buiwnce
O O!F — Overgrow lope
0 Other
"4€45. 14' .k/a;
/41i56f l2if
YOU COMPLY BY: 7
ON OR BEFORE THE A r DAY OF
o ORW — instructions or RiphtIWay
O PLC — Pot Wagon 8 Control
O RVP — Roc. Vehicle on Premises
O WF — Uzi,* FasciaISofflVExterior
O WO — UntaMAul Occupancy .
D WP — IE flMed Pots
O SNS — U:1Md Strcture
UCA — Unautk ConsttJAlterations
O URM — Unlawful Roofing Materials
O USM — Unauth Storage of Materials
O USP — Unlawful Sign on Premises
O USV — t:ntarrful Sign on vehicle
FAILURE TO COMPLY WILL RESULT IN CHARGES BEING
FILED AGAINST YOU WITH T • DE ENFORCEMENT BOARD
OF MIAMI SHORES
NF
CEMENT OFFICER
945
RECEIVED BY
(COMPLIANCE INFORMATION ON BACK)
�', �. # 'Si'i' LT4� `Y. ~'S4•` �` ,•4' wY_'\Y • ;r��iXA1 R3
•
aq�
•
it
+.
-2 .441- )
•
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 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 2 , 19
Owner's Name and Address
� � � ' � � � ' ` No 2 76/7; c Street
Registered Architect and /or Engineer..
yy .
Name and address of licensed contractor .__ /.. f.�.a;..i" c9
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
e '.�
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stones
To be constructed of_.__ L'_ SV ' 1.. Kind of foundation Roof Covering
O B
Estimated Total cost of improvements $ 2, � - ,mount of Permit $ =°
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5968, 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)J,7U` `44/1%.°`
Chairman
Member
Member
Council Approved Date
PLANNING BOARD DATE
Notary Public, State of Florida
STATE OF FLORIDA,
COUNTY OF DADE. j ss
Before me, the undersigned authority, a notary public, duly authcrized 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 tat 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 himjtgted are ' /
Permit No ' " Date �' Read, Sworn to and Subscribed before me.
Disapproved , - Date
(Signed) ' s.-- . - . ,_ -�
Building Inspector //. My Commission Expires
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
/ V,