61 NE 93 St (5)Date
Type Insp
Permit No.
N
'[IAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Company Z)-(").,,,
Phone #
For Inspector:
Approve
Correction
Re- Insp'n Fee
Ti
° 1
9
ELECTRICAL
"FITE
Minimum Fee
Q'I'1'.
'I " 'PE
Dryer
QTY.
TYPE
Outlet, Appliance
Q'F1'.
'I'vi'F:
Service Repair
Qi'l'.
A/C Central 1 -3 Ton
Fan
Outlet, Wall
Service, Temporary
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
MECHANICAL
TYPE
Minimum Fee
QTY.
TYPE
Condensate Drain
QTY.
TYPE
Generator
QTY.
TYPE
Refrigeration, Tons
QTY".
A/C Central, Tons
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.
TYPE
Soakage Pit
QTY.
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 2
IMPORTANT NOTICES
DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
STATE OF FLORIDA, COUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE
nt Iseime Print Name
Sworn to and subs 'bed before me this Q 1 of _: Sworn to and subscribed before me this day of
�0 6 1 1
Signature of Notary Public - State of Florida Signature of Notary Public - State of Florida
SEAL:
Personally known
"•4 Line Castel
*'! - *My Commission CC902784
''+..,,S Expires January 17 2004
OR, Produced Identification
Signature of Contractor./ Qualifier
SEAL:
PERMIT APPLICATION
Personally known OR, Produced Identification
Type of Identification Produced: Type of Identification Produced:
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
Name
WO Ai C 1.n Lc. C?- � SALnNInf\)
BY
D TE
id �JQ�
Zoning
a
Electrical
Alteration Interior
Mechanical
Demolish
Relocation of Structure
Plumbing
Shell Only
Foundation Only
Fire
Add'l Attachment
Other
Public Works
Add'I Detachment
Other
Structural
/
Building Official
j
/Q /7 Lc..--\...
PROPERTY OWNER
Name
WO Ai C 1.n Lc. C?- � SALnNInf\)
Address 6 Ni C b/ J r J J {-
Ml a r," , c j' r+ : f L. N 3 '
Home Telephone - 0 c CI 9 07'
Business Telephone
Fax
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'l Attachment
Other
Add'I Detachment
Other
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
- PERMIT FEES
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.) $
Inspector State Educational Fund $
State DCA (Radon) $
Code Enforcement Fine
Zoning Review
Notary
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
0
( 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 $ (O 9 O 0
ISSUING OFFICIAL
REVIEWED AND PREPARED BY:
DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL 0 (305) 795 -2207 FAX (305) 756 -8972 o http : / /www.miamishoresvillage.com
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
X . Job Address:
Folio Number
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.
Lot
Address
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
Apt City
Block Ce)45-frue:rn n oci 7`6 / 'f.
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Master Permit No.
Subsidiary Permit No.
fs 1110,m.
FL-
State
PERMIT APPLICATION
:33/
Zip
escription of Work C. mo i t D h unauthorized)!
Subdivision PB PG Zoning Linear Feet
Current Use of Property Square Feet / p� Units Floors
/ D
Proposed Use of Property Value of Work .00 Bldg Value
Tenant Information Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
Name
License No.
Address
Telephone Fax
Qualifier Name
t H
• 4 1 )
N
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a
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37.5'
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m 127.50, .
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9.95'
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p 17'
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49.45'
47.50'
CONC..
127.50'
LOT 21, BLOCK 3
2
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33.8'
= LEGEND a�
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CONC.
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— // — Mood fine OM =rate Yeti 8180. to d k' � bic O Q.E. °4 Matntaa+a GQiord
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t] Ym fine •t1. Pure► Pde AR found Iran Reber Eamment T•Tangent
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Q.
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37.5'
37.5'
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.
m
▪ •
30.00'
r CONC. WALK
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31 90'
0
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REMAINDE LOT 19, BLOCK 3
4 49.45'
▪ 9.95'
° —
a � V
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8.00' -<
2
n
17'
47.50'
127.50'
CONC.
127.50'
LOT 21, BLOCK 3
0
N
HO
POOL
"= 33.8'
HO too
CONC.
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= LEGEND 0.4
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rn
rn — OM — overhead Um thr (9 •Coble Box F M. 4 nd . Note U.E. 'Ec Ossetian R=Rodius
A,./ e
— 1 -- // -- Mood rocs ® .Meter Meter F1MC. ■Faced Nal & Oise. OE
N — x — Ctwh ljdc Few Ita .Cetde Baton FP. •farad Iron Ppe
. — Iran Fens 'o..Pbeer PoM AR. •Farad Von Reber O.M.
Emmert ref Q °. 1■Ta►9mt
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305-795-2204
Printed: 10 /4/2002
Applicant: JUNON
Owner: SALOMON
JOB ADDRESS: 61
Contractor
Local Phone:
Parcel # 1132060130410
Permit Status: APPROVED Permit Expiration: 4/2/2003 Construction Value: $100.00
Work: DEMOLISH UNUTHORIZED CONSTRUCTION CASE #007814
Signed:
Description Amount
2 -5571 Building Permit Application Fee $60.00
2 -5572 CCF $0.60
Total Fees: $60.60
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.
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: It.,44■Loyi ... )10.421.401, 4 69 0 %-
NE 93
Building Permit
Permit Number: BP2002 -1696
SALOMON
JUNON
ST
Contractor's Address:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 20 & E1/2 LOT 19 BLK 3 LOT SIZE
(Contractor or Builder) BY:
Total Fees: $60.60
Total Receipts: $0.00
(INSPECTOR) BY:
REG CO1 100702 1258 MCt01 001773 ASH
$60.60
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby wade 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.
Owners Name and Address ...S e h ' ../ A-0 .u..
Registered Architect and /or Engineer --, al c.4 e 4
Name and address of licensed contractor i- T4 ' /-5 Z c .
Location and legal description of lot to be built on:
No ..................__. Street l CI. £ 93_
Lotv?U d t h- bC / Block 3 // Subdivision :l.. ;a ®® lria Aav
;74. Street and Number where work is to be done .J-F 93
It
_State work to be done and purpose of building (by floors) n y
S GU/iim ; nS
/ and for no other purpose.
Addition Repairs No. of Stories
R Covering
New Building Remodeling
To be constructed of Kind pf foundation
b
Estimated Total cost of improvements $ t 00 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 -- ntractors employed by hint
in the work to be performed under this permit; and will post or cause to be posted or inspection on the site a w k such public notice
or notices as are required by the Act. The undersigned agrees to employ only such I -u •ntractors..p wor3 • • rformed under this
pennit, 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
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.
irl - i Date 1
Permit No
Disapproved !s !�� -�.. Date
(Signed)
Building Inspector
Chainnan
Member
Member ...... _-- -- ._..._.__......
Council Approved
Member
Member
Member -
Date Disapproved
Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
or changes to this application after approval
NOTE: A charge of $1.00 will be made for making corrections
the Planning Board.
A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice
materials and /or workmanship.
to me well known,
Notary Public, State of Florida
My Commission Expires
Date
has been obtained from
for inspectiom or faulty
Owners 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
Disapproved
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby wade 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 spcctor
Subdivision
Street and Number where work is to be done. /
State work to be done and purpose of building (by floors)
Date......_. 1 _..__._ . _...._. ,19.2
.... No 4.r./ ...._.. Streets' /. ;
2 14:p 1
T
..... .............
and for no other purpose.
Repairs No. of Stories
Roof Covering
IZ- EC
New Building Remodeling Addition
To be constructed of l:indf foundation
'
�- '
Estimated Total cost of improvements $ P . - 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to performed under this
pennit, as are licensed by Miami Shores Village. / r
Remarks (Signed)..
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
therein by him star e true. /
Permit No 197 Date + (' ( 7
STATE OF FLORIDA, j
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
application, and that he did sign the same, and that all facts
orn to and Subscribed before me.
to me well known,
otary Public, State of Florida
My Commission xpires
PL . ` INC 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
A re inspection fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
R/0".10
ci
2 I
BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE, FLORIDA
❑
DATE. ° '" j 19
PERMIT 3773 Contractor's
License No.
❑ Work to be performed under this Permit
Owner of '
Building
Architect
Contractor
or Builder
Legal Lot
Description
CONTRACTOR OR BUILDER
B1
Subdi-
vision
a'>
Address of � ' r Value of ( Amount of
Building ,. , • "' ' Project i $ I 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 applica-
tion 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 respon-
sibility for work done by his agents, servants or employees. , :
I
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 as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
ABBOT PRINT
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 Mianii
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 Mianii 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. 1n!
(J n Date '' %Lk• 3d , 1963
Owner's Name and Address._ _�N \LS 0 No - Street__
- !--'• -
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision ,
Street and Number where work is to be done ( 1 e- q t '
State work to be done and purpose of building (by floors) ti
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 $ t ° 0 7/ g
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 u- ntractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signe ) U 4 g > .GL X. `
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No 37_ __ 3 Date / -3 /— - Read, Sworn to and Subscribed before me.
Disapproved Date.
Notary Public, State of Florida
(Signed)
ui . mg Inspecto My Commission Expires
ING 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.
1
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 L. , 19.613
Owner's Name and Address ....._ �, / /
/�'- ---���- 1-{ -�f No.-- .-- - - - -G! Street__!V Registered Architect Architect and /or Engineer
and address of licensed contractor __ E 1-'"!_0 - /5 No 3S A( 03 0,94 c/E
Location and legal description of lot to be built on:
Lot_ /___ `/ Block 3 . Subdivision / $ r 5 , (
Street and Number where work is to be done .... .(6' %..5 5T
State work to be done and purpose of building (by floors)
A,e,d /T/oN 5 E= v At A" 0A/7 4 2AUC6.- /N A' €-A
and for no other purpose.
New Building Remodeling Addition v Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering __. & — 4 60/ LT 0 P
Estimated Total cost of improvements $./5 Amount of Permit $
Zone cubage required _Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit as are licensed by Miami Shores Village
62 4 . 1 4
r
Permit No
r,/ CA Z 11) 5 P, 77//
Remarks (Signed )_ 2 _ _)
Date. ._ /!P Read, Sworn to and Subscribed before me.
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are
Disapproved Date__ �r
Notary Public, State of Florida
(Signed) •--- - -- -- -- - --- ._ .. _ .. � _ __ _
u ding n e or 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.
•
c1
-►1 �va
N
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 U U�-1 ' ,I9 G3
No Street
Owner's Name and Address ....._. .a___..._ kA ! /\1
Registered Architect and /or Engineer..._._ __...� E /1 A / 1)
Name and address of licensed contractor k D w / /y
State work to be done and purpose of building (by floors)
1� )�1
/L OP 1._D J
'I TT'
k' Scr /t1$1
Location and legal description of lot to be built on:
Lot 2 0 E Y2 i aT 2/ Block 3 Subdivision
Street and Number where work is to be done 6 ! t' 7 3 S ll
Y'1 /A f1 /
L 1 se 6, 4.1. Z_
fief 4-3
S H v r -z
Roo /c STDR/+6 -E1 1/oft, 4L
New Building Remodeling. Addition i/ ----- Repairs No. of Stories
To be constructed of C. g.S , Kind of foundation C G IY C 2 ETC' )% Roof &gvering T I L E
Estimated Total cost of improvements $ 6 ., Z. o O , O U Amount of Permit $ 1 S
Zone cubage requ Plan Cuba ! ' 1, U ' Z ee rr
Distance to next nearest building Size of Building Lot 8 b x / 110
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 su contractors, on work to .erformed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) O� �Uit .
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 sl�ated are true.
Permit No Date
Disapproved
(Signed)
Building , spector My Commission Expires
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
and for no other purpose.
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.
e,.
T
:
A '—
IA
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tvf
t / r
, t e
•
e
•
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building_
Architect
Contracto
or Builder
Legal
Descriptic
Address
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE,
° PERMIT N? 9910
Work to be performed under this Permit
FLORIDA
DATE
Contractor's
License No
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
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.
BY AUTHORITY
195 -
I7
r
Lot
n
I Bl.
Subdi-
vision
If
Sq. Ft
Amt. of
Permit
$ ,
Value of
Project
$
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building_
Architect
Contracto
or Builder
Legal
Descriptic
Address
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE,
° PERMIT N? 9910
Work to be performed under this Permit
FLORIDA
DATE
Contractor's
License No
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
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.
BY AUTHORITY
195 -
I7
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address.. ......Ld
Registered Architect and /or Engineer
1Vame and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block
Street and Number where work is to be done
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
�fiyG
Date
bdivision.
No tl
a s,
State work be done and purpose of building (by floors)..5� -Y -- -
Addition Repairs
Street
and for no other purpose.
New Building Remodeling
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 47 O ' 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 specifica ions for said building. •Al1 notices with reference to the building and its construction may
sent to a 1 ' � ��"
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 ublic notice
or notices as are required by the Act. The undersigned agrees to employ only such subco ractors on work/Jto be serf under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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 ,VB • Date '2s % " 6 c Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed) -
Building Inspector My Commission Expires
Notary Public, State of Florida
No. of Stories
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.
E?"
gage of Miami Shores N° 4699
JOB %. o , ", °
ADDRESS a
INSPECTION li , .J i) o 44c
TIME READY
/3,_p
REMARKS
9
INSPECTOR
DATE -2° °'��
;UILDING
LECTRICAL
'LUMBING
tiOOFING
)caner of
wilding
- rchitect
ontractor
r Builder
egal Lot
iescription
ddress of
uilding
MIAMI SHORES VILLAGE. FLORIDA
o PERMIT N° 4060
0
0
B1
Work to be performed under this Permit
DATF
Subdi-
vision
Value of
Project $
This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application
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
one 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 1s
ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
srtaining 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
?ne by his agents, servants or employees.
Signed. fi $Y+
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered her under 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's
License No.
Amount of
Permit $
�. r.
195 . ci
CONTRACTOR OR BUILDER BY AUTHORITY e„easz
UILDING
LECTRICAL
LUMBING
caner of f
wilding , : „t,Asta�J
•t,o
MIAMI SHORES VILLAGE, FLORIDA
DATE - ` 194_2
PERMIT N° 5423
Work to be performed under this Permit
rchitect
ontractor
= Builder
egal
escription
ddress of
iilding
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 w th 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 - changge,• wi .ut authorization. A further condition upon which this
rmit is granted is the understanding that the contractor or builder named above asstiteies titt' spo i.ility . a thorough knowledge of the ordinances and
gulations pertaining to the work covered hereby whether shown on the plans or .�. �... s or specifications and that he assumes respon-
:ility for work done by his agents, servants or employees.
Lot ' Bl.
Signed.
R
issuance to me of this permit I agree to perform the wo cov ed hereunder in compliance with all ordinances and regulations
^formity with the plans, drawings, statements or specif' ations submitted to the proper authorities of Miami Shores Village.
- 4 hility for all work done by either myself, my agent, servant or employee.
eN."Oin
Subdi-
vision
1.
Value of %CVO r ,
Project VP
Contractor's
License No.
Amt. of 41 t,'?) Permit . .,
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
CONTRACT •R OR BUILDER
vIIAMI SHORES VILLAGE, F
PERMIT N2 5423
Work to be performed under this Permit a 4.4%.,
‘lQA
S'e
Loto2 1 f g lI I l Bl.
Address of / Value of a Amt. of
( ,).S
Building � � � � Project � �DD -1 ' Permit � � S t)
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 app i
cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with 7
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be rev(
at any time if the work is not done in compliance with such ordinances or if the plans than l • w' lout authorization A further condition upon whit
es
33
permit is granted is the understanding 'that the contractor or builder named above a
regulations pertaining to the work covered hereby whether shown on the plans or
sibility for work done by his'agents, servants or employees.
Signed.
Subdi- 91/' 5.‘
vision
SPE • OR
By
1 942_
esp /sibilit or a thorough knowledge of the ordinance
IF is or specifications and that he assumes rq
In consideration of the issuance to me of this permit I agree to perform the w.rk c• erect hereunder in compliance with all ordinances and r^-
pertaining thereto and in strict conformity with the plans, drawings, statements or spec' cations submitted to the proper dIrlerities of Miame'
In accepting this pe it I assume responsibility for all work done by either myself, my agent, servant or employee.
)41'
N'o.
STREET
FART OF LOT
LOT
BLOCK
SUBDIVISION
i /
yiffSKtM
ROOF
.
0
1:-�- - ,,,���:,� 4.
�y�
FnONT
DEPTH
IiEIGRT
STORIES
TYPE
•N -: • OTION
BUILDING TO DE USED FOR
ROOF
COST OF BUIt.ULNG
Pen - ,,,trr EE
Y
F a •,
{
il!
oncrete. Stucco
Residence, del
2
. i
gee
gl' , '.‹,.
�J/
BUILDING PERMIT
Dated .
Owner of Building . Q ? . 047s0..
Architect. 7 • . ..
Contractor or Builder
/D
FFIC /' OF BUILDING INSPECTOR
„/ '
iami Shor 's Village,. Florida, "' 6� 4 ' 3 , 193... .
•
PROPOSED LOCATION
DESCRIPTION OF BUILDING
MIAMI SHORES VILLAGE
N9 151
Posted on Tax 8311
r �
This permit is hereby issued to 4 _ t dAte't :4 " = ' ___ To _tnt_t`•
the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the ex-
press condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications
submitted, and in accordance and compliance with the building laws of the State of Florida and withthe building ordinances and zoning laws
of Miami Shores Village, and rules and regulations of the building department of Miami Shores Vlpa . This permit may be revoked at any
time upon the violation of any provisions of said laws, ordinances or rules and regulations,- o i1ttio ny change in the plans and specifications
u nauthorized by the building inspector.
In consideration of the issuance to me of this, building permit I hereby agree to do the proposed construction in strict conformity with the
application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisionp of all building laws of the
State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules 'Ind regulatioof the building department
of Miami Shores Village.
BUILDING INSPECTOR
(SEAL)