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332 NE 92 St (7)MIAMI SHORES VILLAGE BUILDING DEPARTM 305- 795 -2204 Building Inspection Request Date b ime Type Insp'n Permit No.' p a 003- 33 NameV Address J 3 . E q CIS Company Phone # For Inspect ( j ) 1 ) Approved Correction Re-Insp'n Fee 7 a Name & Date PROPERTY OWNER New Construction \Nam " f/v ' Enclosure Address /1Ai/ j y, i PIACI,- i . , '" a+ /�j S /1/& C, � � /Alt / Home Telephone ` / (7 ? 2 f71'.2 Q Business Telepho . . ) Alteration Interior Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'1 Attachment Other Add'I Detachment Other Step 1. ) Address: Current Use of Property Proposed Use of Property Tenant Information Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. Folio Number // 4 .. ®tb .-6 `3 ° G ‘ Lot Block loa --�c., Subdivision 4 S .S PG �j "� E. re c e... 7 /r`_ £1' en "777i • ••• PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax • • • • . • . • • • • • . • • • •• • • • • • ••• • • • • • • • v a/ter Pryfimit No. • Subsidiary 1ermit No. • • • INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores ViI •• • • • • • • • Complete the attached permit application which ptusClte si by the prVerty byyner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate process;itgbfyoijr app:cation. rQgf?ng 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 .- / - p.<e ,- ) r ..ek_ «Z moo_ t Zoning Linear Fee Square Feet 2 Units Floors / lue of Work 46 / Bldg Value. Description of Ayork Tax Assessed/Appraised Value Flood Zone Base Floor Elev. • • •• • • • • • • ••• PERMIT APPLICATION age: Page 2 STATE OF FLORIDA, COUNTY QF MIAMI -DADE Si ure of Notary i' b is - State Type of Identification Produced: • .• • • • • ••• • ••. • • • ••• • • • • • • • • • • ••• . • •• • • • • • • PERMIT APPLICATION IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVLfi 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 MAINTAIllea I11AfiL,FArl, MT SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL Rl KEP'I' fROMPDILT:4N11 DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAM I D.Ile EQU$PMEItIT t)R IICLES, 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 $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1 Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall '3, Construction Lien Law and Choosing a Contractor. Print ame n ' Print Name w- to nd subscribed before me this day df ? JtL( 1L stielldra SEAL: '9 V tutuoJ NN �$ .04099 VI BP" ua� Personally known OR, Produced Identification , 1 • Signatur ORI V A, C •'� '!*A1 Personally know day of ST Si Savour to and subscribe before me this Q 7 • 41 41. 1 -1r Addr.• FIDIASICaLOM PUBUC SIMS C7 Y OF MIAMI -DADE uced Identification Type of ldentification Produced: ELECTRICAL Tl'1'E Minimum Fee QTY. TYPE. Dryer ..• : Q ",'1'. : • . ") Y1'P: • t • tpAppl$ance QTY. TYP'? Service Repair QTY. A/C Central 1 -3 Ton Cooling Tower Fan Heating Strips, each Outlet, Wall Vent Hood, Cost Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Air Handler, Tons Signs Ductwork, Cost of A/C Central 8 -15 Ton Piping, Flammable Liquid Fixture - Fluorescent Periodic Inspections Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Bath Fan - Vented, # Parking Lot Lights Fireplaces, Number of SpadHot Tubs Pressure Vessel A/C Central 20+ Ton - Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swini Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY TYPE Condensate Drain QTY TYPE Generator QTY T1'1' QT).' Refrigeration, Tons A/C Central, Tons Bath Tub Cooling Tower Drinking Fountain Heating Strips, each Miscellaneous Repairs Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Sprinkler Repair Ductwork, Cost of Cap - Fixture Piping, Flammable Liquid Fountain Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Gas - Appliance Bath Fan - Vented, # Pump, Domestic Fireplaces, Number of Supply, AC Well Pressure Vessel Cap - Sewer - PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE. Miscellaneous Fixture QTY. TVP ? Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well Supply Page 3 • .•• • • • • .•S • :• • • • • • • ••• • • • ••• • • • • • ••• PERMIT APPLICATION • •• • ••1 • • . • . • . • INSTRUCTIONS: Please indicate the type of work bemgp8 fbrmedbanai in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION : Y DATE Zonin • Ay3 ice_ Electrical Mechanical Plumbing Fire Public Works Structural Building Official �-4e— 3 _ 7 '" Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERNIIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) Code Enforcement Fine Zoning Review Notary ••• • . . • -- • • • • ••• • ••• • . . • • .• • • • • oil: • • O PROOF OF OWNERSHIP (Attach) • . . .•• • • . .. • •• • • • ❑ HR$(D 1/M:APPROV3Iy • (Septic / Sewer) •• O IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ (&.©0 l • ••• • • • • • • • • . . .•. ., • • • ••• • ••• • (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 $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL o (305) 795 -2207 o FAX (305) 756 -8972 o http : / /www.miamishoresvillage.com Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2003 -382 Print P rnt ed : 3 712003 ed: ncu .. � � �. v..., Applicant: JEAN MARIE Owner: PAREL JOB ADDRESS: 332 NE 92 Contractor ICOA CONSTRUCTION Local Phone: 786- 326 -4041 Parcel # 1132060136460 Signed: In consideration of - iss with the plans, drawings, s myself, my agent, serva igned: is Building Permit PAREL JEAN MARIE ST Permit Status: Approved Permit Expiration: 9/3/2003 Construction Value: $1,200.00 Work: new sidewalk sidewalk replacement Page 1 of 1 Contractor's Address: 901 S. W. 4th Avenue, Apt. B1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 7 LESS E45FT LOT 8 & E1/2 OF LOT 9 Fees: Description Amount FEE2003 -1385 Building Permit Application Fee $60.00 FEE2003 - 1386 CCF $1.20 FEE2003 - 1387 Notary Fee $5.00 Total Fees: $66.20 Total Fees: $66.20 Total Receipts: $0.00 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 -mployees. ECTOR) BY: nce 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 ments or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either employes. i 1 ( 1 0 71 �/ ". 54 Mt, 401i 005356 ; i ;1 PER MI %•.�tn C:01 J� IJti.i�(J.: 11.14 sl�,fl�)1 �U�.iili. t` %.%�i %+. i•iii. .,c.; ;.i (Contractor or Builder) BY: O//S9/y • �i:w.7dr � • /. 4, W /5l / ///O /p'sri .7OW.F/A -I Ili I • • • .•. • • ••• • • . • • • • . . •• • • • • • • • • • • • • L oZ:s/ GL� 749 'STATE OF FLORIDA) COUNTY OF DADE) Affiant is • .•• • • • • • • • • •• • • • • • • • • • • • • • • • • ••• • .. : .• • X41 F • • • • • • . • • • • • •• The undersigned Affiant, attached survey, performed by r t owner) , does hereby attest that the performed op v pis an accurate representation of the existing conditions and ey) 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) SWORN TO AND SUBSCRIBED before me this S ' .y of th peo rty owner Witness(sign and print) ° a identification. 900Z'4t JogwanoN saildxs +"o 8V009IOO uo!S$IWWO3 NN Mee8 yq eleduv \. WHEREAS, following describ`6d property: Legal description /folio #: Lot Tax Folio #: requests permission to install: (owner) • Block [ ] Asphalt, concrete, brick pavers [ ] Landscaping [ ] Other within the public road right of way of • ••• ••• •• : n• ••• • ••• • •• am •• • • • • • • • � •• . • • • COV NANT OT ° NS • ••• •• • • • • • • • el .. .horei t .•. G : . 10050 fl.E SECOND AVE. : lYti SHb�tES' FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (3 -8972 • • • • • • • • • ••• •• WCTION WITHIN RIGHT OF WAY , hereinafter referred to as the Owner of the Subdivision -41-Q oKwe - turtY ,A P PR o t-f (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: I. 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 ACKNOWLEDG on this I day of • (owner' SIGNED. SEALED AND DELIVERED in the presence of: Owner's Address WORK DESCRIPTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: Date b / I lob Address 2 ,,2 N S /t Tax Folio Legal Description Owner / Lessee / Tenant F Master Permit # Co. C:)d 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 PENCE SIGN Address Square Ft. !-2 Estimated Cost(value) Ln). 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 PROPE:RTY (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 MECHHANICAL 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. ** * * * * * * * * * FEES: PERMIT 4 3 4 > RADON C.C.F. 4G N APPROVED: Fire Other Phone S ignature of Contractor or Owner- Builder Date: Ca X9 9 /. 45 Notary as to Contractor or Owner- Builder My Commission Expires: O`P {iY PV OFFICIAL NOTARY SEAL ei SANDRA 11 NONTIEL * * aOMMISSI0IN NUMII1R 4.4;', < CC4O1251 MY COMMISSION .EXP. I D * ** "x(14 Lq AL 1 Electrical U- Zoning Building Mechanical Plumbing Engineering Date Legal Owner Owner's Address �v•-dN �v v7 Signature Date: 3 Description / Lessee / Tenant Notary as to Owner and/ My Commission Expires: : " ** * PERMIT APPLICATION FOR MIAMI SHORES VILLAGE //_--3.2d b - 7.2- L e i6v _ 7J Address - NZ / 74, 1 Folio ys V /42 5 Q L 4,5> I+'IS ( JAI .�12 i 4 - 4 / ',1 Master Permit # 3576C) Lam% 7 4, c ,2 . £ f.2 7 1 r 4-a7 Contracting Co. 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 47,4/- < a ?.-/ q/f � .- Xis // / - /c> 4 ).- , .s. 0. j . / - F- / , Le {i e..) .,_...,,,,, , Square Ft. Estimated Cost(value) o " I .�.r — c c..)^/R of owner and /or Condo President /Pi FEES: PERMIT i RADON C.C.P. Address Phone 2,_ ' 3 N "zQ.,,/ 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: FFeiglMdWARY SEAL Notary as to Contractor or Owner- Builder % SCOTT W DAV My Commission Expires: * COMMISSION NUMBER CC255237 MY COMMISSION EXP. ° * *5 1997k * * * * * * * ** '5 NOTARY 4, -W TOTAL DUE 1 - 1 ,40 APPROVED: Fire Other Zoning Buildin Mechanical Plumbing_ 1 Electrical Engineering aaeic/ / tis • d -bvre o. 23 S .0 377 /$f'o r •... — tot � - (fn i n s lei /.� • : • 8/ 1(/27,'�, , / • .. •• 1 . • 2a / c - 43s I 96 .33Z oacvhead f fG /C /J%orJG /6 /G+/r /C V V r il f::, %,1/7 07�z40// e. /o ' w J 0 /o e' aa0 AL -• Y / > %// W / T I %xffL:adi/ x'85. „it ?,,6f 5C. /D�.. ///4/ /, d,-. 4.tE c2/4/ • ry9hC ' o/ - 71t7/ c, ... a// 6..co/ 48 7 4 d/' / / //i 4 //i !GC// ex/ c.a' tti /96'5 S,�ETc o.� sv4%i1/ L AL ,eioTio/ /. 7h u es ' s o , 4d of 4/7 o /%f/of8 vim' The of # /a/ Z B/a 4r8 o/ . /V /, W/ ; 5-c77oA/ ,W / " oc oPod,29 /a 7%e /747/ /he e of c7s fa-care/a:" /•7 1 loo /o o f o / /he / ov6/c /- ccoros of ax/e Coosa fr,, F /ondo. l ',7d5 shourr2 herro.7 u i/c Ho/ adsfi tkd ohd /i- r7h/s • of of rCCCva! ,4, /o, 3Q4 5��/�,C� o. e37s c&,e77../CA77• //c- hcre6y cep- /4 /4777/he / o‘76-.1c7/ ".5,e67� o.G /.er/E o, 7 i e Olvve 62./e r /6GOc�r - /Of,6 %v a/•d coif /Cd /6 /4C of oar ,67oav /edge owd 60ef as ,dive ed Tuve 2y /9B5 a�'cr 00- cr /rec, -, orb ccrr7,o /es u2YM 4 fi/ / /gv 7 %%c- / / /a7 /, / (7.7a'orzes sc./ fr lh ,e Ufa /G Uf �/o ic6 !7i1:1 of ZO/il .�G,/Y/CI,Qr✓ �•2Tic� GE�1 S,e /GE's, /x .4eb.2 /e/ C /'/-., de .G =as. 2e9 lofts' 'e 0 /- 46 gB5 % o/ / %rdo. + / i/of S6t7/e FI S Fortin SkiIes, Inc. Consulting Engineers & Land Surveyors in 85 5 South Federal Highway / Boca Raton, Florida 33432 t 180 Northeast 168th Street / North Miami Beach, Florida 33162 Dade 653 -4493 / Broward 463 -7180 / Boca Raton 395 -7378 Date °� Job Address 33 -Z N � / oZ 7k. _ ' Tax Folio 77 - 3.? O ^ /J- 6 Y Legal Description L E yS / £� % 7 /�'I � ��� / 4'`/3 Owner / Lessee / Owner's Address Contracting Co. Qualifie tate # Architect /Engineer Bonding Company / Mortgagor 1 °r WORK DESCRIPTION APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Zoning G / Tenant s 2 L / 6/4,e/ < 1 0( - J£ - �'�i� ast Permit # ✓ , o9l Z Phone g5 74 7 4- 2 5-4-'''' 4 2�� -'''' N c prL 4(2 Notary as to Owner and /or Condo President My Commission Expires: Address ** * * * * * * * * * * * FEES: PERMIT J 7 ` - RADON C.C.F. , d Mechanical Plumbing_ SS# - - Phone �7.) - fit icipal # Competency # Ins.Co. /�"-, Address Address Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE 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. ;-- - VA -1-12 a�_ /2- j1/4a_/ Signature of owner and /or Condo President Sig atur of Contractor or Owner- Builder Date: Date . Notary My Co Fire Jw . uilding Electrical Other Engineering NOTARY 6 TOTAL DUE /are ** STATE OF FLORIDA f/ COUNTY OF DADE. APPLICATION FOR BUILDING PERMIT SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of 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 ? A'2 /466-17 19 Q� , Owner's Name and Address �/ 4/✓° i9'Q /� � L No.3Jal Stre %t W e %Ge (JzTr f / gle /G /.✓ FQs 1.. ✓Registered Architect and/or Engineer ✓Name and address of licensed contractor ••.7 / / &-- /4'c C Location and legal descripti �of of to be built on: 1A �,{ Lot / 1 E " CI '1 t i Yoc U �y� v Subdivision / g1 /ge& / rl I►hV 11 3g. �J p/ L D 6.. and Number where work is to be State work to be done and purpose of building (by floors). state exterior colors (submit samples) 4 — NIL) fatAi i n./ / YJ 0 L and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering stimated Total cost of improvements S -5-4ri9 Q • Amount of Permit S V I" Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the 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 wily 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 agr•es to em ..y only su subcontractors. on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed( Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared 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 foregoin application, and that he did sign the same. and that all facts therein by him stated are true. Permit No. Ot Date '61 t ` ` Disapproved IADW Date Notary Public. State of Florida (Signed) Read, Sworn to and Subscribed before me. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. / • • • • ••• /a7// /e ,d fr • i� d: 377. /9 20 � 1 4. '(,2 • • 251'0/ v Cf 5Z7 �e p al 1' x a.aek //o43 S / /Xb /FTYC, , • j9 ,Z 23' -vr,e uhx� ave.-head wticg t\ I �zr sz-,/euo %Z" re /e ///l0rk /t /G:f1 is / S�fD /� // /4/ a / /1v a7 c/f ago //' o cYo'c.Gvr fe/cri� o � c ant. ,iii o 0 7 c'° / % / it /Pet d/-?// 44 .� &/W . e' ' ad' @ 4 94c,6 -d-r rki Ai .c.a . /cc.c 48 .9x/ g//&' .7e' 9' A/O7 S,��Tcr5T O/s' csa4I - Y ,4- The u rs/ o. o / c/ of �/Z 0 / % / /o /B oAt/ /Lie ass // , a/ off Z B/ 4'8 o/ ✓ o. s�Sb2=5 5C77CA/ ,c/0. / " occorc7 76 /he / oh/ /here a/ os records :/ //7 / oh/ /oo/ /o of �7e � o / /he / oa6 /c /- eco■ds o/ 'e Court , '%/7 . /.47,x7 sh060r2 he..�ror> 're r/0/ 065fiZ ed a 'd /r '7, 7 of • acy o/ rata -o! ,-4 /0, 344 7x7/. -e, . e375 •¢res f c/e77P /c'77• scrim A / /he ovc v' oc 2V &Y " o/ 7 4e oivve o'.ribcd r 0/,6/'d / s five and tarred /6 4e o/ oat" .4/>oav /edg• a/ Ad .6e a/ as sa/ve ed ,rave g7 /785 ate/ or- el/rec./I/0.7 card c u/4 The ri;/ rirxvh7 . ec , wCL7/ 5c/ frlh /he S/afG d / /a/7th G - 6' o/ ciao i ,2, 77'x, G 11/x; S,e/GC=s, /�z: Lbr/ /c /C /0r%7, �//ce ,4 . lorr7' curve o/' /1/0 7853 ✓ G /7fe o/ / %fdo. */Vo/ S= 7 /ed u Fortin Lea 9 Skiles, Inc Consulting Engineers & Land Surveyors ❑ 855 South Federal Highway / Boca Raton, Florida 33432 O 180 Northeast 168th Street / North Miami Beach, Florida 33162 Dade 653 -4493 / Broward 463 -7180 / Boca Raton 395 -7378 /AO • /39 Date l c / /l Miami Shores Village Building and Zoning Department Attention: Building Official SWIMMING POOL_OWNER'S..CERTIFICATION I certify that I am the legal owner of the property described as located at ,-.. -3a /06 ja —,,j —x In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, ddes not eliminate the need for obtaining a permit and erecting an approved barrier pridr to final inspectioh and use of the pool. Legal Owner Note: This certification is to be submitted with a swimming pool permit application in duplicate. Application is hereby made for the approval of the detailed statement or we plans and specifications herewith submitted for the build • ine 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. Marl .���__..._...., Owner's Name and Address .....J.eag) — R. .. ...: A� _. No..7y`7...`, �..71. ?�5treet_.B ,' 2 .N_� q ' Z. 57 Registered Architect and /or Engineer..... •fI.'2 O O L P i f 7 ,4.k... :1:1 . <.•••,,,• e,,.nrtfw,•:•n,.n„ erg e , : Name and address of 1icInsed contractor 'I.C>.fC. K .n lr 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)q1.N0 � ei... t 1 and for no other purpose. New Building Remodeling I( Addition Repairs No. of Stories To be constructed of Kind of foundation f Covering Estimated Total cost of improvements $ 2 ,.0 0 O .2- be sent to / er cv2per STATE OF FLORIDA, COUNTY OF DADE. j ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Building Inspector 3 32 1■f Gri 00 Amount of Permit 5,. 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 sub it all the plans and specifications for said building. All notices with reference to the building and its construction may and has complied with the provisions thereof, and will require similar compliance from all in the work to be performed render this permit; and will post or cause to be posted for insp or notices as are required by the Act. The undersigned agrees to employ only such subco pcnnit, as are licensed by Miami Shores Village. Rem.uks (Signed) The undersigned applicant for this building permit dots hereby crrtify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General La s of Florida, Permanent Su » leurent, ntract ction act Disapproved. .. Date. Notary Public, State of Florida My Commission Expires s or sub - contractors employed by him the site of the work such public notice s, on work to be performed under this Bcfore 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 x/5 Date Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Citairnan Member Mfcrr,ber 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 PLrnnir.g Board. A re-inspection Ice of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. Application Is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for thee® - 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 cf the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the building Division of Miami Shores Village shalt be complied with, whether herein specified or not. A copy nt approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Registered Architect and /or Engineer 4.0 Name and address of licensed contractor MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date __ ... Street- t A. 47 No... _.3 3.2- e e J ,/ • Gam• 2r Loca i desiiptfon of lot to be n: 6 1 Lot �� Block.... - -- Subdividers - �1 Street and Number where work is to be done State work to be done and purpose of building (by floors) ---... .A S _.".''.C. i l and for no other purpose. Addition • - -- -- -- -- - ---- - -•_ -- Repairs __ .- _......___ _ .... No. of Stories .... . Roof Covering ... ..... .. . -.. . New Building.- ......_. -_ .. Remodeling To be constructed of Kind of founda Estimated pr '� 7'atal cost of improvements $.._._� �.. Amount of Permit 8 Zone cubage required --- ... --- ------------ -• - - -. _ _..-------- _•_-- •-- •---- .-- _ -___ -- ..Plan Cubage -. - -. _ -- Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor t hereby submit all the plans and specilie•ations 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 a an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida. ;Permanent Supplement, and h u complied with the provlsions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint in the work to be performed under this pemvit; 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 performs d under this permit. as are licensed by Miami Shores Village. . Remarks.- (Signec1).6V442. STATE OF FLORIDA, COUNTY OF DADE. j Disapproved • - (Signed) -. - - •_, 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 th' abOv. a cribed rnnstr � .__ that be has t ll therein by him stated are true. Permit No.__../. Date __L-_' Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Chairman .. Member - Member . - - - - - — - __ _ ._. Member Member _.... __ _ - - Member Council Approved. _Date Disapproved ..._ ... . j ai 3 3 c i .1 4 Notary Public, State of Florida My Com:nission Expires. Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hccu obtained from the Planning Board. A re- inspection fee of 81.00 will be charged when such re- inspection is mule necessary by improper notice for inspection or fanity materials and /or workmanship. BUILDING [1 ELECTRICAL f PLUMBING n ROOFING ❑ Work to be performed under this Permit Owner of Building f . Architect Contractor or Builder Legal Description. Address of Building Lot This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: .. .. BY 1 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 MIAMI SHORES VILLAGE, FLORIDA PERMIT IT? 12787 Bl. Subdi- vision Value of Project DATE— Contractor's License No Amt. of Permit $ BY AUTHORITY . • ❑ PERMIT N? 15967 E BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ❑ Work to be performed under this Permit Architect 0 Contractor or Builder Legal Lot II Bt. Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Subdi- vision r Address of _ _ q / Value of / Amt. of C ° Building , `�..:> // r ` 91 +�,^ „• ,,J' „ � Project $ . G ,, S ,✓ ^ t r Permit $ .r 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 t he assumes responsibility for work done by his agents, servants or employees. i Signed: � ) ^'; .. . 6 .- __ BY k.,,AJ ` ., dF +. INSPECTOR In consideration of the issuance to me of this permit I agree to kerfotjm 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. BY A t I ' i,t' f If DATE - . i <i .... AUTHORITY 195 Contractor's License No . 3/41 - 4 ,-, 1111 1( l / Application is hereby march for the approval of the detailed statement of the plans and specifications herewith submitted for the build - or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami 'res Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and ilations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved s and specifications must be kept at building during progress of the work. vner's Name and Address j____C_ _t_4__��Q�?�L n :- No egistered Architect and /or Engineer 4 %t 4_ ____ �} �' . r .Jame and address of licensed contractor _1_' ��_` _ci1 e� _ location and legal description of lot to be built on: Lot Block Subdivision__ Street and Number where work is to be done�'i_. �f • State work to be done end purpose of building (by floors)_ New Building Remodeling To be constructed of 4_, /4r+4 Kind of foundation /0-- 00 - 1_ILA Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to • The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. if Remarks (Signed) . -- ,'L= - 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,ideposes and say that he is the of the abov4 described constriction, that he has 're filly read the (foregoing application, and that he did sign the same, and that all facts therein by hiln stated are tru Permit No g I Dah ` Read, Sworn to and Subscribed before me. Disapproved �� Date; ( Signed) I,PPLICATION FOR BUILDING PERMIT IAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date Addition Repairs Amount of Permit $__ _Plan Cubage _5 L => Size of Building Lot ,- 1 , 19. 5 �. 2-. Street_Z_ and for no other purpose. No. of Stories Roof Covering • Notary Public, State of Florida Building nspecto• / My Commission Expires PLANNINC3' 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. %0, Lsp, 3 3 sa7 7 62 MIAMI SHORES VILLAGE 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. BUILDING INSPECTION DEPARTMENT iz% G' APPLICATION FOR BUILDING PERMIT gn j Owner's Name and Addressi ._'„. _,4 ! r 4(s __ �u__a�t No 4. StreeterrA_� %i__. Registered Architect and /or Engineer __L 4 — Name and address of licensed contractor_ `_ �__ ___L_�_ _______' Location and legal description of lot to be built on: . _ Block / .1 Subdivision __.r State work to be done and purpose of building (by floors) r Street and Number where work is to be done ---- - - - - -- and for no other purpose. New Building 1__c.. Remodeling Addition • Repairs No. of Stories To be constructed of r. • Kind of foundation___ Roof, Covering Estimated Total cost of improvements $ Zone cubage required ( j Distance to next nearest building_ Maximum live load to be borne by each floor ---- --:-------------- ____ –_ Amount of Permit $ _ , • _Plan Cubage E� n • , Size of Building Lot_„ kJ Date , r ., �;/ i4 1 t ) / • I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may . . r . , r.� be sent to___ r � � .1. I ' 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 subcontract•rs, on ork to be performed under this permit, as are licensed by,Miami Shores Village. 0 /, - 1 �� Remarks ( Signed) ‘44 __ _ /__ _ , 19 s o 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 me firt duly sworn, upon oath deposes and says that he is t of the above d ,'bed onstructio , at he has carefu ' read)he foregoing , cation, and that he did sign the same, and that all facts therein by him Permit No are = __ + Read, Sworn to and Subscribed before me. Disapprov " Date � / Notary Public, State of Florida Building Inspector ) \ ;,' My Commission Expires PLANNING BOARD DATE Chairman Member Member Member _ Member — Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. APPLICATION 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. ems Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision__ Street and Number where work is to be done State work to be done and purpose of building (by floors) __ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building 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 s actors, on work to be sperfp;med under this permit, as are licensed by Miami Shores Remarks (Signed) STATE OF FLORIDA, I COUNTY OF DADE. ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date Notary Public, State of Florida No 33?--- Street__° 72 ,1 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._ _ g 2 Date 2 — t - / � ST _ Read, Sworn to and Subscribed before me. Disapproved Date ( Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be 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. BUIL, ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE r R MIT N? 6636 Work to be performe f l under, t , s Permit BY 21 if SPECTOR Contracto License No AUTHORITY 194 a / .2 ,, Architect Contractor or Builder%' Legal Description Address of Building This permit is granted to the contractor or .uilder named above to construct the .uilding Zr to install e equipment or evice escribed in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed m 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 anytime if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon . ich this permit is granted is the understanding that the contractor or builder named above assumes the resppo for a thorough knowledge of the and regulations pertaining to the work covered hereby whether shown on the plans or . a . . gs or ' the . a cents or spec cations and that - s� � on- Aidso sibility for work done by his agents, servants or employees. � Signed: Ig consideration of the issuance to me of this permit I agree to-p rf fo the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawing's, st ments or specifications submitted to the properrlthorities of Pgia9i, o�s Village. In acc . • tin pe - a . me responsibility for all work don byer myself, my agent, servant or employee. ;UILDING LECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description i t 7 !r � V Lot . . 4 7 Address of 7 Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 6636 Work to be performed under this Permit f r • Bl. 2 .av-/- Subdi- vision Value of Project DATE Contractor' License No. Arnt. of Permit This permit is granted to the contractor or b ilder named above to construct the building or to install the equipment or . °vie . cribed in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed i 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 w ich this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the o . i a nd regulations pertaining to the work covered hereby whether shown on the plans or dra s or in the @at• ents or specif' ations and that he Fon- sibility for work done by his agents, servants or employees. Signed: In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in- cornpli pertaining thereto an in stric conformity with the plans, drawings, statements or specification bmitted In ac - _ this aen it/l�s me responsibility for a work done by either myself, my agent, ser � — BY