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660 NE 95 St (2)OPPVIIIIIMMIKTFIRes 11WH3d ONIH3AOO 3ALL331OHd H11M JNI0iIf19 dO 3OVd NO auvo NO 031V310N1 SY DNINDVB 01 N31SVI aO 113N31SVd H11M dVld N33f1OSIA ao 30031 3A11031OHd „e x ,� L 'X VW 'N1W �,8 t 3aVW 38 11IM NOI103dSNI ON HO Sa0HJ 3 N ONIMO110A 3H110 3NO A8 80r 3E11 AO 1NOEIA 3Hl NO a3AV1dSIa 38 1Sf I auvo 111NH:13d SIHI DISPLAY THIS CARD ON FRONT OF JOB 1 NOI1VH13N3d .,8t NIW 1 MIAMI SHORES VILLAGE '09 ONDIOV9 .8L x „LL 'NIW BUILDING PERMIT PERMIT #1g) I�� • lZ4i DATE Ode ��r v w� OWNER 660 DA 03. ADDRESS 460 ut q51$ 37/, 11W4 F7 33/J 1 CONTRACTOR Fy P � MSIIlew oft ,IAG PERMIT TYPE AfrearitAx /i drone J bwiew "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.” STRUCTURAL INSPECTION TYPE INSPECTOR DATE, Footing c 4t Slab a Columns / Poured Cells 3rd Floor Rough Slab Jenn -Aire Tie Beam Y i ' .. 4 a a Rake Beam 2nd Floor Slab v , 2nd Floor Columns .x 2nd Floor Tie Beam Exhaust Fan Rough Water Service Roof Sheating Wall Sheathing Pool Heat Pump Floor Sheating Irrigation int: Ext: Fire Dampers Truss, Roof Truss, Floor \, b Store Front . Vacuum Pipe Rough Buck Lath Vacuum Pipe Final Pool Piping MECHANICAL INSPECTION TYPE INSPECTOR DATE Uridgr A/C Pipe Top Out Slab condensate 2nd Floor Rough 3rd Floor Rough Slab Jenn -Aire Condensate Rough Duct Suppression Test Rough Pipe -' Septic .x Sewer Exhaust Fan Rough Water Service Hood Rough Gas Rough Pool Heat Pump Gas Final Irrigation int: Ext: Fire Dampers Well Fireplace Vent \, b Pressure Test . Vacuum Pipe Rough Fire Sprinkler Final Pool Maindrain Vacuum Pipe Final Pool Piping Equipment Anchor FINAL Suppression Test Tuct Detector Ventilation Pressure Test FINAL PLUMBING INSPECTION TYPE INSPECTOR DATE Ground Rough Top Out 2nd Floor Rough 3rd Floor Rough Condensate Drainfield Suppression Test Septic Sewer Water Service L P Tank Gas Rough Gas Final Irrigation int: Ext: Well Interceptor Pressure Test Fire Sprinkler Final Pool Maindrain Pool Piping FINAL NO INSPECTION WILL BE MADE UNLESS PERMIT CARD IS DISPLAYED AND APPROVED PLANS ARE READILY AVAILABLE WORK MUST BE COMPLETED PRIOR TO REQUESTING INSPECTIONS 24 HOUR NOTICE FOR ALL INSPECTIONS STRUCTURAL INSPECTION TYPE Window Installation Door Installation Tin Cap Mop in Progress Tile in Progress Shingle in Progress Framing Insulation Drywall Sidewalk Driveway Form / Rock Storm Shutter Anchors Pool Steel Pool / Patio Deck NSPECTOR DATE FINAL INSPECTION RECORD Work is allowed Monday through Saturday 7:30 A.M. to 6:00 P No work is allowed on Sub clays or Holidays,. , o u lY , ELECTRICAL INSPECTION TYPE Temporary Pole Footer Grounding Slab Service Rough B. Alarm Prewire T.V. Prewire Intercom Prewire Phone Prewire B. Alarm Final T.V. Final Intercom Final Phone Final 30 Day Temp Power Pool Grounding Pool Slab NSPECTOR DATE FINAL FOR INSPECTIONS CALL 305 - 795 -2204 INSPECTION REQUESTS ARE ACCEPTED DURING THE HOURS OF 8:30 AM TO 3:30 PM FOR INSPECTIONS THE FOLLOWING BUSINESS DAY. CERTIFICATE OF OCCUPANCY MUST BE SECURED BEFORE THIS BUILDING CAN BE USED FOR ANY PURPOSE DO NOT REMOVE THIS CARD BEFORE COMPLETION OFFICE PHONE NUMBER: 305 - 795 -2204 c?"c ess - b -- f ac tz4c BUILDING PERMIT APPLICATIO FBC 2001 Permit Type (circle) Miami Shores Village-; Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: C' ' '" 2079 Owner's Name (Fee Simple Titleholder) G. Go 0.-40 4.11 /is Oe14 77diPhone # Owner's Address 1 4 0 AiE 9r 5 77eE��T City A 41 s,4 State c!..- Tenant /Lessee Name Phone # Job Address (where the work is being done) l+G O Are '1' .Sr City Miami Shores Village County Miami -Da is Building Historically Designated YES NO �( Zip 33/a/ Zip 3 3/3 Contractor's Company Name F4 / eo,Snev�7-7 o.'J S (iC /Ai& Phone # Contractor's Address 3O / We'd / 0 T¢,,+6 City/4+J d State r L Zip 3 3 fti0 9 Qualifier t)e-f e, ��,,J,c STtr.,.) Describe Work: Total Fee Now Due $ (Continued on opposite side) * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 9-t *V- / ?)/F State Certificate or Registration No. L, G-C P t i D S ra 9 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: ❑Addition Alteration ['New ❑ Repair/Replace ❑ Demolition Square Footage Of Work: ,etiteo_b 6z. -74. (c e C Submittal Fee $ -' , Permit Fee $ 0) 9 CCF $ , cg, 430 coicc S'a — Notary $ -".r±� Training/Education Fee $ i r 40 Technology Fee $ - 4,76 Scanning $ ‘6,....._ Radon $ �" Zoning — .. Bond $ Code Enforcement $ Structural Plan Review. $ . �d' • Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Le Z, Mortgage Lender's Ads ess City State Zip Application is hereby made to obtain a permit to do the work and installations-as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE' RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Chc 05/13/03 Signature ,, , - (:U2t(tacK L Acjivner or Agent The foregoing instrument was acknowledged before me this / day of fq,v,/i‘411, 200 f , by who is personally known to me or who has produced I! �L � siL' As ide ftliyyJ10 did take an oath. NOTAR it ; off'•• '1 Y PUBLIC: J -,4,:. 91 Z Sign: O /l� 1Ci1L(' /�?�'�'' e ' r"nj / _ o • �N DD233J�2 � a • Q: 6./e *vii;Q Cc* * * * * * * * * * * * ** Print: P G� v ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: 'cable) Signature Contractor The foregoing instrument was acknowledged before me this /R day of J/9vvuA4C4. , 20Dx, by Eft c et//CEZs 7677D who is personally known to me or whq s produced own 114 as ;ntiti�}��lr take an oath. NOTARY PUBLIC: ` sue\ • p�MISSlo4, • 4� ! 9 Sign: i3Y' 'JAN 26 25 0 • Print: /`1/%et, ,tk. p.----. _ My Commission Exp ss , '•.••••• 6 • \\ ` �� **** * * * * * * * * * * * * * * * * * * * * * * * * * * llll * * * * * * * * * * * * ** ** **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) WOO CO Alto/VIM � v .vt Itsor c - Phone # 3o5 . 76 I- D ®7 1 Owner's Address (t► (00 L) £ City M t WW■ 1, •'.e S State PC Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 � , ` Zip 2 / 3 it Te e WI I /i1,tJV4 L _ /3O CI'( Phone # 3C5 7 J o 1 _r Job Address (where the work is being done) ( City Miami Shores Village County Miami-Dade Zip .3 1 d Is Building .Historically Designated YES NO V Contractor's Company Name Contractor's Address City Qualifier State Certificate or Registration No. $ Value of Work For this Permit State Architect/Engineer's Name (if applicable) r L& 411 e- i "CAS Phone # ,3 05 (IL/ 3_ 75 1 . J20 Type of Work: ❑Addition EIAlteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: Add ADA ecryt , f r� , � . res. 4tcvoly . U p c cud e S A S 4'cyw( R 14C e / / C_ S.Y S4eA41 , * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ ( 9^00 Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ Zoning Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) Permit No. — 124 Master Permit No. Phone # ompetency No. Square Footage Of Work: CCF $ 3055- (logy -5Z 9 CO /CC Technology Fee $ Bond $ V 9,50 , C6 C1 1�. /7 1 Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable Taws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signaturex The foregoing instrument was ac day of(a, 20 ©q by who is pers NOT Sign: Print: My Commission Expire * * * * * * * * * * * * * * * * * * * * * ** Chc 05/13/03 Owner or Agent Contractor this A The foregoing instrument was acknowledged before me this dged before ly known to me or who has produced APPLICATION APPROVED BY: State Zip T Signature day of NOTARY PUBLIC: l')';7707 ,20 who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. Sign: Print: , , i ' s: ul 13, 2007 $o'Wed 7h My Commission Expires: A antic Bond ******************** mi4cAm*, t********************** ,t * * * * * * * * * * *,t * * * * * * * * * * * * * * ** ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Sep. 15, 2004 Building Dept. Village of Miami Shores 10050 N.E. 2 Ave. Miami Shores 33138 Ref# BPO This letter certifies that J. Haldane Soutar and William L. Bach are authorized as project managers for the remodeling project of the building at the above address and are authorized to act on behalf of the 660 Condominium Association. Respectfully, . Haldane Soutar, DDS President ‘d, 3ct "4,17 Linda F. Bach, MD Vice President 660 Condominium Association 660 NE 95 St. Miami Shores, FL 33138 FR I. F CONSTRUCT I ON Submitted To: 660 Condominium Association 660 N.E. 95 Street Miami Shores, FL. 33138 Client: Bill Bach AUTHORIZED SIGNATURE ✓ elk FAX NO. : 954 - 454 -1259 Jan. 26 2005 10:11AM P2 F&F Construction Services, Inc. 301 HA V. 10th Terrace, Hallandale, FL 33009 License C6(060569 954 434 1948 Office / 934 454 1359 Fax Date: Page: 1 December 27, 2004 CONTRACT We hereby propose to furnish material and labor In accordance with attached specifications for the sum of One Hundred Sixty Four Thousand Nine Hundred Forty Seven Dollars & 00(100 ($164,947.00). Payment to be made as follows: Deposit In the amount of Ten Thousand Dollars & 00/100 (S10,000.O0). Additional Deposit of . Draws on request. All work to be completed in a workman Ilko manner according to standard practices. Any alteration or deviation from above specifications Involving extra costs will be executed only upon written Orders, and will become an extra charge aver and above the estimate, all agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. We are fully covered by Liability Insurance_ In case suit shall be gh , for the collection of this obligation, or the same has to be collected upon demand of a a ttorney; Purchaser hereby agrees to nary reasonable attorneys fees for ma ing suche ll oi_ interest for any portion of the balance which Is thirty days past due. 7 (-C DATE ACCEPTANCE OF PROPOSAL - The above pricer, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment shall be made as outlined above. Y AU N IZED DATE ///0 13Viiid /6q zo, — Pee. is a5, a ,3,o� piwvi b / -e.c. — 3S, 6 8.;" qz 96a plze, 0P etnIce,v 6,4,71,4d< Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/3/2005 Applicant: WILLIAM BACH Owner: BACH WILLIAM JOB ADDRESS: 660 NE 95 ST Contractor Local Phone: 305 - 525 -1427 Parcel # 1132060500010 Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -1246 F & F CONSTRUCTION SERVICES INC Contractor's Address: 301 NW 10TH TERRACE Page 1 of 1 Legal Description: 660 CONDO UNITA UNDIV 38.91% INT IN COMMON ELEMENTS OFF REC Fees: Description Amount FEE2005 -1408 Building Fee $2,908.00 FEE2005 -1409 CCF $58.20 FEE2005 -1410 CO /CC $50.00 FEE2005 -1416 Training and Education Fee $19.40 FEE2005 -1422 Technology Fee $72.70 FEE2005 -1423 Scanning Fee $66.00 FEE2005 -1424 Structural Fee $50.00 FEE2005 -1444 Submittal Fee ($250.00) Total Fees: $2,974.30 Total Fee42,974.30 Total Receipts: $0.00 151 FZ3 0 9 PAID Permit Status: APPROVED Permit Expiration: 3/13/2005 Construction Value: $20,000.00 Work: RENOVATIONS INTERIOR REMODELING AND EXTERIOR RAMP AS PER PLANS In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Owner's Name and Address_ -_. Registered Architect and /or Engineer Name and address of licensed contractor ( I 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 buildin o 0 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. , 19 No (by floors) 5 ��l " � � ... and for no o; er purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kin off foundati 1V. Roof C Covering Estimated Total cost of improvements $__.k 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 pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the e of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s bcontractors, on wo to - performed wider this permit, as are licensed by Miami Shores Village. Remarks (Sign , C�-�- n " • -> >• 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 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 I ! 3 3 Date // �' Read, Sworn to and Subscribed before me. Disapproved � Date Notary Public, State of Florida (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. Address Company Phone # Inspection Date Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Re- Insp'n Fee ❑ r-"icnl Type Insp'n Permit No. 'E PO4 - Name __Cc2a70 NF qS3-)- FIndeJen. X14 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. Remarks ( S STATE OF FLORIDA, COUNTY OF DADE. j ss Disapproved Date (Signed) Date e y Owner's Name and Address._.... .41 Sys. a7 No.. Registered Architect and /or Engineer...... _ ._ V._ !) � t 9 Name and address of licensed contractor. � n \ 4 ,./ 4s _y (-, AO ` 9 • Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done ... 0j. 'NN • Z t State work to be done and purpose of building (by floors) ". 't r ■ 1 2. ,lamt . \': --• c Kind of foundation Roof Covering OC Estimated Total cost of improvements $ * ' Amount of Permit $ • �t' o ;tom e,t_, and for no other purpose. New Building Remodeling \ Addition Repairs No. of Stories To be constructed of 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 a site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s . contractors --op ork to be performed under this permit, as are licensed by Miami Shores Village. ��� • (: , Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, rsonally 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.. 2-1r V C) Date ' • S Read, Sworn to and Subscribed before me. 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. BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block S Su61 / o Street and Number where work is to be done Cf���r State work to be done and purpose of building (by floors) MIAMI SHORES VILLAGE New Building Re •deling Addition To be constructed of Kind of foundation Estimated Estimated Total cost of improvements $ -- ___i2 ss. Building • Date 1/ l ate Date // , 19 No Street Qs V and for no other purpose. Repairs No. of Stories Roof Covering Amount of Permit $ `J Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, ob wqrk to be perform d under ' permit, as are licensed by Miami Shores Village. �• Remarks (Signed) Y )^. STATE OF FLORIDA, COUNTY OF DADE. 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 .15L(.1 Disapproved (Signed) Read, Sworn to and Subscribed before me. Notary Public, State of Florida pector My Commission Expires PLANNING BOARD DATE Chairman Member Member / Member Member ___________ _________ Member Council App !vim!' 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 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 Disapproved t't � Date (Signed) Building Inspect APPLICATION FOR BUILDING PERMIT MIAMI SHE] � ES VILLAGE BUILDING INSPE DEPARTMENT 1— w Owner's Name and Address. - Registered Architect and /or Engineer Name and address of licensed contrac Location and legal description of lot to be bu'It on: u Lot �_ c'2 Block 0 Subdivision Street and Number where work is to be done L - - - -.� V‘ State work to be done and purpose of building (by floors) ° a Cho Read, Sworn to and Subscribed before me. a. _ = and for no other purpose. New Building Remodeling 8 e . Addition Repairs No. of Stories 8 To be constructed of Kind of oundation Roof Covering Estimated Total cost of improvements $ Amount of Permit Zone cubage required Plan Cuba e sF /J Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor it all the Tans d sp if ations for said building. All notices with reference to the building and its construction may 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 bcon ractors . work to be performed under this permit, as are licensed by Miami Shores Village. Remarks 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 a Notary Public, State of Florida Commission Expires PLANNING BOARD DATE Chairman V 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 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. 1 • MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT • n moo., � �s NIO 6 �(treet -- A C , ,J.T 7 i_Q" • Owner's Name and Address Registered Architect and /or Engineer.... ``jI� Name and address of licensed contract r_ " Location and legal description of lot to be built on: • Lot At" Block 6 Subdivision. ^"D ZAge 4 :17 Street and Number where work is to be done L.FP ( 0 `1'f% • C o q State work to be done and purpose of building (by floors) New Building Remodeling_ Addition No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements i c,t 0 �� Amount of Permit $ 2.3 0 z Zone cubage required plan Cubage }�_ Distance to next nearest building Size of Building L'- Maximum live load to be borne by each floor Date Date. Repairs I hereby s all the lans and specifications fpr 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 o the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only sm. •cont actors, o , or to be performed under this permit, as are licensed by Miami Shores Village. , Remarks (Sig Notary Public, State of Florida and for no other purpose. 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 thefciregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. IL Date it 1 ) — 41" Read, Sworn to and Subscribed before me. Disapproved (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. CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N? 109 Owner, Agent or Tenant of Building Lot -► Blocky Subdivision '- it v Street Address Approved use by occupancy Remarks: This Certificate of Oc fupancy Is issue to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteratiop or remodeling of buildings or structures. ,r Miami Shores Village, Florida, a BUILDT a DIVISION OWNER'S NAME "axters Clinic PRESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 660 N.E. 95ty Street LOT BLOCK SUBDIVISION GENERAL CONTRACTOR Harrison ADDRESS 84OTSd Biscayne River Drive PHONE NO. LICENSE NO. $� BUILDING PERMIT NO. 2860 DATE 15 Dec 55 PERMIT FEE $ 8.00 BUILDER'S BOND NO. DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE CU. FT. EST. COST $ DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY DATE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCR IPTION DESCRIPTION ALTERATION Alteration of the int rior of the building existing ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RESUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. I ISSUED BY I TO BUILDING PERMIT AND INSP CTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY FOUNDATION DATE FEE TEMPORARY SERVICE 5 BEAMS & 'LINTELS $ SEWER FRAMING SOLAR HEATER $ GAS $ -- i .) '-' -- 0 , $ INSPECTIONS Fl NAL e ' i Get.e1.... Co .-tizi 11* tqf '''/•% — iiict C/ ,, ) c Z ,t1 RE-INSPECT T CLEAN-UP "/".-cA --. (3.4 a A ROUGH ING CONTRACTOR PHONE PERMIT NO. DATE . FEE S NEW BLDG. I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 5 SEPTIC TANK $ SEWER $ SOLAR HEATER $ GAS $ -- i .) '-' -- 0 , $ INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY ROUGH ING GAS SEWER SEPTIC TANK SOLAR HEATER FIXTURES CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ -- i .) '-' - Le) 1Z- 0 , $ INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY • OWNER'S NAME P PRESENT ADDRESS L LICENSE NO. P PHONE NO. 060 JOB LOCATION (ST. OR AVE.) L LOT B BLOCK S SUBDIVISION GENERAL CONTRACTOR A ADDRESS P PHONE NO. L LICENSE NO. BUILDING PERMIT NO. 559 D ��}} I B PERMIT FEE $ 83.00 BUILDER'S BOND I � PLAN CUBE 91,159 CU. FT. E �} • D DATE BUIL IN G P RMIT AND II PE TION RE OR MIAMI B.b9RES VILLAGE �%. ASS -C-cQ s /o 1 1().5 1 � � 2?' . . INSPECTIONS V DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION ` rS7ili (C.:1 °.' TEMPORARY SERVICE � { 7_;;rc .. 7 :'04 9 /0(�,. S BEAMS& LINTELS l�o J0c �- '1 .� r c SEWER FRAMING /Z'" $ r GAS fir" $ �/ I; .0c•ASi 'ails: , 6- - r✓1 ,C �' f � �� $ INSPECTIONS . DATE FINAL 0 /0 5-5 DA TE i. V ' RE- INSPECT BY CLEAN -UP 11 '// %r/ p � irkV ROUGHING a _� y CONTRACTOR _ ..s! PHONE PERMIT NO. 1 DATE �� ,(' FEE $ /, a J 5 NEW BLDG. I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE � { 7_;;rc .. 7 :'04 9 /0(�,. S SEPTIC TANK j X--.4..... / 2.--6y 0 S SEWER S SOLAR HEATER $ r GAS fir" $ �/ I; .0c•ASi 'ails: , 6- - r✓1 ,C �' f � �� $ INSPECTIONS . DATE r - 44-r 4 INSPECTIONS DA TE i. V ' RE- INSPECT BY R fINSPEGT BY ROUGHING %r/ p � irkV ROUGHING a _� y ' • � GAS / H. W. HEATER CONN. (J SEWER • RANGE CONN. SEPTIC TANK - - 1 4 - 1 ; lam' {4., SOLAR HEATER FIXTURES & FINAL 7 • ° FIXTURES / A % • CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG. 1 ALTERATION I ADDITION REPAIRS SPECIAL PERMITS . PERMIT. NO. .• DATE FEE TEMPORARY SERVICE ,... � { 7_;;rc .. 7 :'04 9 /0(�,. $ (31 u) H. W. HEATER CONN. _... -- 0 $ RANGE CONN. $ MOTORS $ FIXTURES $ �/ I; .0c•ASi 'ails: , 6- - r✓1 ,C �' f � �� $ INSPECTIONS . DATE r ,.: - INSPECT BY RE- INSPECT BY TEMP. SERVICE Qi; • OM 04+ ROUGHING a _� y ' • � H. W. HEATER CONN. (J RANGE CONN. FIXTURES & FINAL 7 • ° - 't 17 frG 2. `rSS """ 1 241 A "°"�UILQI101G CTIONS 6) PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL. TO POWER CO. FOR SERVICE DATE BY MIAMI SHORES VILLAGE, FLORIDA ING O CTRICAL ❑ DATE 195 PLUMBING ❑ PERMIT N? 8 5 01. contractor's License No ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER Bl. Subdi- vision Sq. Ft Value of Project $ Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application 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 MIAMI SHORES VILLAGE. FLORIDA BUILDING ELECTRICAL ❑ DATE 195 PLUMBING ❑ PERMIT N? 9869 Contractor's License No ROOFING ❑ Architect Contractor or Builder Legal Description Address of Building Lot ❑ Work to be performed under this Permi Owner of Building CONTRACTOR OR BUILDER . Bl. Subdi- vision Sq. Ft Value of Project $ ,. Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application 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 7 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA ❑ DATE ' - 195 ❑ PERMIT 11T° 2860 Contractor s License No. ❑ Work to be performed under this Permit. B1 Subdi- vision Value of Project $ 4 0 .0 ■ Amount of Permit $ w..� This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY e 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 cf the State of Florid. :. all ordinances of Miami Shores Village and all rules and regulations of the Building Divi :inu ofMianii Shore.; 1 iilage sh: be complied with whether herein specified or not. A copy of approved plans and specifications must be kepi at building during progress of the work. Date A U c u 5 1© 19 5 L-/ Owner's Name and Address. _D ¶ p F L (' H F. i::_ `a rr , " ' ,-; No Street_.. g Engineer W EE U �U6$'=LC— �_ 0 S0 Rt l >.2- :6 K!_t' -F' - - -- Registered Architect and /or En ineer___ Name and address of licensed contractor. _ 5 c. .F' E 7 . C O 1>'_ , '- 0 CI! 1 6 •,• K ," ! —'. 99_I - 5i-_._? 'i _j' A.'- Location and legal description of lot to be built on: Lot. I (4 1 i Block. -- - - - -- d . < . ) -- r � t Street and Number where work is to be done__ _____ _.__ __ _ %;-� _______ � -� State work to be done and purpose of building (by floors) P.' 0 5i— % ' e. • 41 and for no other purpose. New Building Remodeling Addition____ ____ __ ..... __._ Repairs.. _._ . _ _._ _ No. of Stories To be constructed of. -S _ _._ _._ Kind of foundation Estimated Thtal cost of improvements $__. _. 0 Cs) Amount of Permit S- 1 Zone cubage required_ .Plan Cubage Distance to next nearest building__ ..._. - Size of Building Lot Maximum live load to be borne by each floor hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to L 5 G * ' _ C 1 I ,1 C:1 I C. C? _._ 1`' C ; ' 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, Pcrmaneni Supple: nent, and h..s complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wo. k to be p:'rf.:.med 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 u: drrsigncd agrees to employ only such subcontr:.ctors, on work to be perfornn_d 1:nder this permit as are licensed by M arni Shores Village. Remarks__ . STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally p p- peared _. _ and who, being of th, abov. therein by him Permit No Disapproved (Signed) __._ Chairman __ -, Member _____ . Member ._ Council Approved. APPLICATION FOR BUILDING PERMIT by me first duly sworn, upon oath deposes and says that he is the ___ _ _________________ _ _______ ___________..... . de.c.ibed ')'astruction, CI it h has carefully read the foregoing application, and that he did sign the same, and that all facts stated are true. Date__ e.P ?/,) 19/2 D 17 :—: - ; v MIAMI SHORES VILLAGE BUILDIN1 INSPECTION DEPARTMEN "' ®cEr Su division NC l F- r A r PNE I Ai F-A Co ng__ •' (Signed) Date___ _ ...... 7 f Read, Sworn to and Subscribed before me. Notary Public State of Florida My Commission Expires- AN I G BOARD___ � 71_ /51.74 DATE � A: Member _ \�` ( Member Member _Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application ,after approval h.is he n obtained from the Planning Board. A re- inspection fee of $1.00 will be charted when s h re- inspection is m.::':e necessary by improper notice for inspection or fa ity materials an /0T—workmanship. , A G i )9S4 CP IK; 5 \ drle Ut -- -- --- - - -- -- 7 to me well known, Date 2- r C®. c c) Q ® c) 0 40 0 As iS 3 s37. o® Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/4/2004 Applicant: Owner: BACH WILLIAM JOB ADDRESS: 660 NE 95 ST Contractor Local Phone: Parcel # 1132060500010 Building Permit Permit Number: BP2004 -593 Legal Description: 660 CONDO UNITA UNDIV 38.91% INT IN COMMON ELEMENTS OFF REC Contractor's Address: Permit Status: APPROVED Permit Expiration: 10/31/2004 Construction Value: Work: 40 YEAR RECERTIFICATION REPORT Page 1 of 1 Fees: Description Amount FEE2004 - 4488 Building Fee $250.00 Total Fees: $250.00 Total Fees: $250.00 Total Receipts: $250.00 Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Ce9A.Ch As 5c9c, Phone # Owner's Address 64 a Nag 951_0 — City M jug? j 5 /eleweS State ,rte/ Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) '6"Q 4V 3-- 57 City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Square Footage Of Work: Type of Work: EAddition ❑Alteration New ❑ Repair/Replace ❑ Demolition Describe Work: (Continued on opposite side) Miami Shies Village Building Pepartment 10050 N.E.2nd Avenue, 1Tami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Li yr. / l_ /'4 -1-16. Total Fee Now Due $ Permit NoP Q y'` Master Permit No. * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ R :CO CCF $ -- CO /CC ---- Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State .. Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 _ , by , day of , 20 _ , by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. Chc 12/15/03 ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * -' ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: ! 4.0 'T Plans Examiner Engineer Zoning 9 i BUILDING RECERTIFICATION INSPECTION REPORT 660 NE 95 STREET CONDO ASSOCIATION PREPARED FOR: PROPERTY AT: 660 NE 95 STREET MIAMI SHORES, FLORIDA PREPARED BY: � s p y 0 engineering group, inc. ENGINEERING • CONSTRUCTION MANAGEMENT • INFRASTRUCTURE ASSESSMENT TELEPHONE: (3 59 / FAH: (3 592-1433 • • • April 28, 2004 660 NE 95 Street Condo Association 660 NE 95 Street Miami Shores, FL 33138 RE: 40 - Year Recertification of Building Located at 660 NE 95 Street Dear Property Owner: In accordance with Section 8 -11(0 of the Code of w Miami -Dade County, GNP Engineering Group, Inc. has performed an inspection of the building located at 660 NE 95 Street and determined the building to be structurally and electrically safe with qualifications for continued use under present occupancy The findings of our inspection are summarized in this written report that follows the Minimum Inspection Procedural Guidelines for Building Recertification and is accompanied by a set of photos depicting the condition of the building. This report does not preclude the building from subsequent inspections as deemed necessary by the Building Official. As a routine matter, in order to avoid possible misunderstanding, nothing in this report should be construed directly or indirectly as a guarantee for any portion of the structure. To the best of our knowledge and ability, this report represents an accurate appraisal of the present condition of the building based upon careful evaluation of observed conditions, to the extent possible. Should you have any questions concerning this report, please feel free to contact us at (305) 592 - 4538. Sincerely, t GNP'Eng fe Benn Attachments: Structural Report Electrical Report Photos cc: File oup, Inc. engineering group, inc. Gonzalez, P.E. An el Paredes, P.E. President 1 ice - President 4870 N.W. 102nd Avenue, Suite 201 ❑Miami, Florida 33178 ❑Tel.: 305 -592 -4538 ❑ Fax: 305 - 592 -1433 ❑ Civil Engineering ❑ Structural Engineering ❑ Construction Management ❑ Infrastructure Assessment ❑ Database Management O Data Collection ❑ 40 -Year Recertification ❑ Due Diligence • • • GNP Engineering Group, Inc. 1. DESCRIPTION OF STRUCTURE PART A - STRUCTURAL a. Name of Title: 660 Condominium Association (with the following owners): 1) Unit A — William L. Back 2) Unit B — Gloria Hayes Trustee 3) Unit C — Julie Soutar 4) Unit D — Julie Soutar 5) Unit E — Jill A. Reed b. Street Address: 660 NE 95 Street, Miami Shores, Florida c. Legal Description: 1) Unit A — 660 CONDO UNIT A ELEMENTS OFF REC 12877 -4177 2) Unit B — 660 CONDO UNIT B ELEMENTS OFF REC 12877 -4177 3) Unit C — 660 CONDO UNIT C ELEMENTS OFF REC 12877 -4177 4) Unit D — 660 CONDO UNIT D ELEMENTS OFF REC 12877 -4177 5) Unit E — 660 CONDO UNIT E ELEMENTS OFF REC 12877 -4177 b. d. Owner's Name: 660 Condominium Association (with the following owners): 1) Unit A — William L. Back 2) Unit B — Gloria Hayes Trustee 3) Unit C - Julie Soutar 4) Unit D — Julie Soutar 5) Unit E — Jill A. Reed f. Building Official Folio Number: 1) Unit A — 11- 3206 - 050 -0010 Angel Paredes, P.E License no. 44096 S 1 of 7 UNDIV 38.91% INT IN COMMOM OR 19251 -1076 0800 1 itiJNDIV 17.77% INT IN COMMON OR 13021 -4341 0986 1 UNDIV 14.34% INT IN COMMON OR 15299 -487 1091 4 UNDIV 15.98% INT IN COMMON OR 15299 -486 1091 4 UNDIV 16.00% INT IN COMMON OR 14906 -2368 0291 1 INSPECTION REPORT e. Owner's Mailing Address: 1) Unit A — 660 NE 95 St., Miami Shores, FL 33138 -2758 2) Unit B — 660 NE 95 St., Suite 7, Miami Shores, FL 33138 -2758 3) Unit C — 660 NE 95 St., Unit C, Miami Shores, FL 33138 -2758 4) Unit D — 660 NE 95 St., Unit D, Miami Shores, FL 33138 -2758 5) Unit E — 660 NE 95 St., Unit E, Miami Shores, FL 33138 -2758 • GNP Engineering Group, Inc. INSPECTION REPORT g. h. Building Code Occupancy Classification: Group B Occupancy i. Present Use: Business J• 2) Unit B — 11- 3206 - 050 -0020 3) Unit C —11- 3206 - 050 -0030 4) Unit D — 11- 3206 - 050 -0040 5) Unit E —11- 3206 - 050 -0050 Year Built: 1954 General Description: One -story building, approx. 5,500 SF, CBS construction (refer to Photos). k. Nature of Present Loading: Offices 1. Additions to Original Structure: None yisible. 2. INSPECTIONS: • a. Date of Notice of Required Inspection: N/A b. Date of Actual Inspection: April 23, 2004 c. Name and Qualification of Individual Submitting Inspection Report: Angel S. Paredes, P.E. (License #44096) 11 d. Description of Any Laboratory or Other Formal Testing: Not required; used manual and visual inspection procedures. e. Accessibility for Inspection: Building was accessible at time of inspection. 3. REPAIRS: a. Structural Repair: [ X J None Required [N /A] Required / Description Angel Paredes, P.E License no. 44096 S 2 of 7 • GNP Engineering Group, Inc. INSPECTION REPORT b. Comments: This report is only intended to identify structural deficiencies and to recommend that repairs be made to the structure, if needed. This report is not intended to identify means and methods of repair, nor is this report to be construed as a design document to be used for permitting and construction. If required, the Owner will be responsible for obtaining the services of a Registered Professional Engineer, or "Design Engineer ", to design any remedial work required to repair the structural deficiencies as identified in this report. In addition, the Owner will be responsible for obtaining the necessary permits for construction and for having a licensed Contractor perform the work in accordance with the requirements of the Florida Building Code. 4. SUPPORTING DATA a. 7 Sheets of Written Data (Part A) b. 2 Photographs (Part A & Part B) c. N/A Drawing (Plan) 5. PRESENT CONDITION OF STRUCTURE a. General Alignment: Good condition. [N /A] Bulging - None observed during inspection. [N /A] Settlement - None observed during inspection. [N /A] Deflection - None observed during inspection. [N /A] Expansion - No expansion above normal observed during inspection. [N /A] Contraction - No contraction above' normal observed during inspection. b. Portions Showing Distress: None observed. c. Surface Conditions: Good condition. d. Cracks: Hairline sized stucco cracks. Angel Paredes, P.E License no. 44096 S 3 of 7 • GNP Engineering Group, Inc. INSPECTION REPORT e. General Extent of Deterioration: No significant deterioration of structure observed. f. Previous Patching or Repairs: None observed. 6. MASONRY BEARING WALLS a. Concrete Masonry Units: Good condition. b. Reinforced Concrete Tie Columns: Good condition. c. Reinforced Concrete Tie Beams: Good condition. d. Lintels: N/A e. Other Type Bond Beams: N/A f. Masonry Finishes (Exterior): 1) Stucco - Good condition. 2) Veneer — N/A 3) Paint - Good condition. 4) Other - N/A h. Masonry Finishes (Interior): 1) Vapor Barrier - N/A 2) Furring & Plaster - Good condition. 3) Paneling — N/A 4) Paint — Good condition. 5) Other - N/A i. Cracks: Angel Paredes, P.E License no. 44096 S 4 of 7 • • GNP Engineering Group, Inc. INSPECTION REPORT • 1) Location — No cracks observed in concrete masonry walls. 2) Description - N/A j. Spalling: 1) Location - No spalling observed in concrete masonry walls. 2) Description - N/A k. Rebar Corrosion: [ X ] None Visible [N /A] Minor (patching will suffice) [N /A] Significant (but patching will suffice) [N /A] Significant (structural repairs req>i<ired) / Description 7. FLOOR & ROOF SYSTEMS a. Roof System: 1) Description — The building has a sloping roof with barrel tiles supported by a steel framing system. 2) Heavy Equipment and Condition of Supports — Cooling tower supports observed to be in poor condition. 3) Types of Drains /Scuppers and Condition — N/A 4) General Condition - The roof surface was observed to be in good condition. There were no visible signs of water intrusion observed in the building. b. Floor System: Floor system consists of a reinforced concrete slab supported pre -cast concrete joists. Floor coverings, furniture and stored materials prohibited a visual inspection of the entire floor surface. However, the visible areas of the floor system were observed to be in good condition. c. Concealed Spaces Opened for Inspection: Angel Paredes, P.E License no. 44096 S 5 of 7 ttic space and crawl space with limited • access and visibility. • • GNP Engineering Group, Inc 8. STEEL FRAMING SYSTEMS a. Description: Square steel columns and I- beams. b. Exposed Steel: Paint observed to be in good condition with no corrosion visible. c. Concrete or Other Fireproofing: N/A d. Elevator Sheave Beams & Connections, and Machine Floor Beams: N/A e. Concealed Spaces Opened for Inspection: visibility. f. General Condition: Good condition. 9. CONCRETE FRAMING SYSTEMS a. Description: CBS construction with reinforced concrete columns, beams and pre -cast concrete joists. b. Cracking /Spalling: [ X ] Not Significant [N /A] c . Location and Description of Members Affected and Type General Condition: Good condition; no structural deficiencies were observed. d. Rebar Corrosion: [ X ] None Visible [N /A] Location and Description of Memb Affected [N /A] Significant (but patching will suffi ue) Angel Paredes, P.E License no. 44096 S 6 of 7 INSPECTION REPORT Attic space with limited access and • • • GNP Enpineering Group, Inc. [N /A] Significant (structural repairs required) e. Samples Chipped Out in Small Areas: [X ] No [N /A] Yes / Description f. Concealed Spaces Opened for Inspection: visibility. 10. WINDOWS a. Type: Aluminum frame, awning and fixed type windows. b. Anchorage: Screws observed to be in good condition. c. Sealants: Good condition. d. Interior Seals: Good condition. e. General Condition: Good condition. 11. WOOD FRAMING (N /A) a. Type: N/A b. Metal Fittings: N/A c. Joints: N/A d. Drainage: N/A e. Ventilation: N/A f. Concealed Spaces Opened for Inspection: N/A Angel Paredes, P.E License no. 44096 S 7 of 7 Crawl space with limited access and INSPECTION REPORT • • • 1. DESCRIPTION OF STRUCTURE c. Legal Description: 1) Unit A — 660 CONDO UNIT A ELEMENTS OFF REC 12877 -4177 2) Unit B — 660 CONDO UNIT B ELEMENTS OFF REC 12877 -4177 3) Unit C — 660 CONDO UNIT C ELEMENTS OFF REC 12877 -4177 4) Unit D — 660 CONDO UNIT D ELEMENTS OFF REC 12877 -4177 5) Unit E — 660 CONDO UNIT E ELEMENTS OFF REC 12877 -4177 f. Building Official Folio Number: 1) Unit A — 11- 3206 - 050 -0010 2) Unit B —11- 3206 - 050 -0020 Page E -1 of 8 GNP Engineering Group, Inc. INSPECTION REPORT PART B - ELECTRICAL a. Name of Title: 660 Condominium Association with the following owners): 1) Unit A — William L. Back 2) Unit B — Gloria Hayes Trustee 3) Unit C — Julie Soutar 4) Unit D — Julie Soutar 5) Unit E — Jill A. Reed b. Street Address: 660 NE 95 Street, Miami Shores, Florida UljDIV 38.91% INT IN COMMOM ORS 19251 -1076 0800 1 UNDIV 17.77% INT IN COMMON Ok 13021 -4341 0986 1 UNDIV 14.34% INT IN COMMON OR'15299 -487 1091 4 UNDIV 15.98% INT IN COMMON 011°15299 -486 1091 4 UNDIV 16.00% INT IN COMMON OR'!14906 -2368 0291 1 b. d. Owner's Name: 660 Condominium Association (with the following owners): 1) Unit A — William L. Back 2) Unit B — Gloria Hayes Trustee 3) Unit C — Julie Soutar 4) Unit D — Julie Soutar 5) Unit E — Jill A. Reed e. Owner's Mailing Address: 1) Unit A — 660 NE 95 St., Miami Shorty, FL 33138 -2758 2) Unit B — 660 NE 95 St., Suite 7, Miami Shores, FL 33138 -2758 3) Unit C — 660 NE 95 St., Unit C, Miami Shores, FL 33138 -2758 4) Unit D — 660 NE 95 St., Unit D, Miami Shores, FL 33138 -2758 5) Unit E — 660 NE 95 St., Unit E, Miami Shores, FL 33138 -2758 Benny P. Gonzalez PE #50746 • • • GNP Engineering Group, Inc. INSPECTION REPORT g. J• 3) Unit C —11- 3206 - 050 -0030 4) Unit D — 11- 3206 - 050 -0040 5) Unit E —11- 3206 - 050 -0050 Year Built: 1954 h. Building Code Occupancy Classification: Group B Occupancy i. Present Use: Business 3. REPAIRS: a. Electrical Repair: [N /A] None Required [ X ] Required / Description — Refer t b. Comments: General Description: One -story building, approx. 5,500 SF, CBS construction (refer to Photos). k. Nature of Present Loading: Offices 1. Additions to Original Structure: None visible. 2. INSPECTIONS: a. Date of Notice of Required Inspection: N/A b. Date of Actual Inspection: April 23, 2004 c. Description of Any Laboratory or Other Formal Testing: Not required; used manual and visual inspection procedures. d. Accessibility for Inspection: The building was accessible at time of inspection. Section 19. This report is only intended to identify electrical deficiencies in the buildings and to recommend that repairs be made to the electrical system, if needed. This report is not intended to identify means and methods of repair, nor is Page E -2 of 8 Benny P. Gonzalez PE #50746 • • • GNP Engineering Group, Inc. INSPECTION REPORT this report to be construed as a design document to be used for permitting and construction. If required, the Owner will be responsible for obtaining the services of a Registered Professional Engineer, or "Design Engineer ", to design any remedial work required to repair the electrical deficiencies as identified in this report. In addition, the Owner will be responsible for obtaining the necessary permits for construction and for having a licensed Contractor perform the work in accordance with the requirements of the Florida Building Code. 4. SUPPORTING DATA a. 8 Sheets of Written Data (Part B) b. 2 Photographs (Part A & Part B) c. N/A Drawing (Plan) 5. ELECTRIC SERVICE a. Estimated Size, Amperage: 400 Amps [ X ] Fuses [ ] Breaker b. Phase: [ X ] Three Phase [ ] ;Single Phase c. Condition: [ X ] Good [ ] 'Fair [ ] Needs Repair d. Comments: Service entrance is located on east side of building. 6. METER AND ELECTRIC ROOMS a. Clearances: [ X ] Good [ ] Fair [ 1 Requires Correction b. Comments: No comments. 7. GUTTERS (N /A) a. Location: N/A b. Condition: [ ] Good [ ] Requires Repair Page E -3 of 8 ii'enny P. Gonzalez PE #50746 • • • GNP Engineering Group, Inc. INSPECTION REPORT c. Comments: N/A Page E - 4 of 8 8. ELECTRICAL PANELS a. Panel #1 1) Location: Hallway 2) Condition: [ X ] Good 1 1 Requires Repair 3) Comments: Fuse panel (200 amps max. rating) for Unit A. b. Panel #2 1) Location: Hallway 2) Condition: [ X ] Good [ ] Requires Repair 3) Comments: Fuse panel (200 amps max. rating) for Unit A. c. Panel #3 1) Location: Hallway 2) Condition: [ X ] Good [ ] Requires Repair 3) Comments: Fuse panel (200 amps ,max. rating) for Unit B. d. Panel #4 1) Location: Hallway 2) Condition: [ X ] Good [ ] Requires Repair 3) Comments: Fuse panel (200 amps max. rating) for Unit B. e. Panel #5 1) Location: Hallway 2) Condition: [ X ] Good [ ] Requires Repair Benny P. Gonzalez PE #50746' • • • GNP Engineering Group, Inc. INSPECTION REPORT 3) Comments: Fuse panel (200 amps max. rating) for Unit C. f. Panel #6 1) Location: Unit D 2) Condition: [ X ] Good [ ] Requires Repair 3) Comments: Fuse panel (200 amps 'max. rating) for Unit D. g. Panel #7 1) Location: Unit E 2) Condition: [ X ] Good [ ] Requires Repair 3) Comments: Circuit breaker panel (250 amps max. rating) for Unit E. h. House Panel 1) Location: Utility Room 2) Condition: [ X ] Good [ ] Requires Repair 3) Comments: Fuse panel (200 amps max. rating) for house power. 9. BRANCH CIRCUITS a. Identified: [ X ] Yes [ ] No, must be identified. b. Conductors: [ X ] Good [ ] Deteriorated [ ] Must Be Replaced c. Comments: No comments. 10. GROUNDING OF SERVICE a. Condition: [ X ] Good [ ] Requires Repair b. Comments: No comments. Page E -5 of 8 Benny P. Gonzalez PE #50746 • 11. GROUNDING OF EQUIPMENT • GNP Engineering Group, Inc. INSPECTION REPORT a. Condition: [ X ] Good [ ] Requires Repair b. Comments: No comments. 12. CONDUIT RACEWAYS a. Condition: [ X ] Good [ ] Requires Repair a. Comments: No comments. 13. CONDUCTORS a. Condition: [ X ] Good [ ] Requires Repair b. Comments: No comments. • 14. WIRING METHODS, CABLES & CONDITION a. Types: [ X ] Conduit Raceways: [ X ] Good [N /A] Conduit PVC: [ ] Good [N /A] NM Cable: [ ] Good [N /A] BX Cable: [ ] Good b. Comments: No comments. 15. EMERGENCY LIGHTING (N /A) Page E -6 of 8 [ ] Requires Repair [ ] Requires Repair [ ] Requires Repair [ ] Requires Repair a. Condition: [ ] Good [ ] Requires Repair [ X ] None b. Comments: Emergency lights not required as per Section 39.2.9.1 of the. Life Safety Code Handbook. Benny P. Gonzalez PE #50746 GNP Engineering Group, Inc. INSPECTION REPORT • 16. BUILDING EGRESS ILLUMINATION a. Condition: [ X ] Good [ ] Requires Repair [ ] None b. Comments: No comments. • • 17. FIRE ALARM SYSTEM (N /A) a. Condition: [ ] Good . [ ] Requires Repair [ X ] None b. Comments: Fire alarm system not required as per Chapter 39 of the NFPA Life Safety Code Handbook. 18. SMOKE DETECTORS (N /A) a. Condition: [ ] Good [ ] Requires Repair [ X ] None b. Comments: Refer to comments in section '# 17. 19. EXIT LIGHTS a. Condition: [ ] Good [ X ] Requires Repair [ X ] None b. Comments: Exit lights are required as per Section 39.2.10 of the NFPA Life Safety Code Handbook. 20. EMERGENCY GENERATOR (N /A) a. Condition: [ ] Good [ ] Requires Repair [ X ] None b. Comments: N/A 21. WIRING IN OPEN OR UNDER COVER PARKING GARAGE AREAS a. Condition: [ X ] Good [ ] Requires Repair b. Comments: No comments. Page E - 7 of 8 [ Benny P. Gonzalez PE #50746 • • • GNP Engineering Group, Inc. INSPECTION REPORT 22. OPEN OR UNDERCOVER PARKING AREAS AND EGRESS ILLUMINATION a. Condition: [ X ] Good [ ] Requires Additional [ ] None b. Comments: Illumination for parking area provided in accordance with Chapter 8 of the Code of Miami -Dade County. 23. SWIMMING POOL WIRING (N /A) a. Condition: [ ] Good [ ] Requires Repair [ X ] None b. Comments: N/A 24. WIRING TO MECHANICAL EQUIPMENT a. Condition: [ X ] Good [ ] Requires Repair [ 1 None b. Comments: No comments. Page E -8 of 8 Benny P. Gonzalez PE #50746 660 NE 95 Street, Miami Shores, Florida Q©mEn Group, Inc. 40 -Year Recertification MIAMI SHORES VILL GE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING.,.PERMIT Application iF hereby made for the approyal of the detailed statemenhef 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__ ._Q�_ Owner's Name and Address.. �l • . _ J/ fll� t No. _..U. ..tO..V Registered Architect and /or Engineer . -y L 1 k" '4 Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision ✓ y Street and Number where work is to be done GL� 9/ �C_t ._____`' " N'�?!"/ State work to be done and purpose of building (by floors) A ,' 'L Building Inspector ate NOTE: A charge of $1.00 will be made for the Planning Board. A re-inspection fee of $1.00 will be charged materials and/or workmanship. Chairman Member Member Council Approved Date Pp CO Q PLA ING BOARD DATE 1942)' Street/., = and for no other purpose. New Building Remodeling X Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Cove ng Estimated Total cost of improvements $ / � � Amount of Permit $ 3 �' Zone cubage required plan Cubage DIstance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work ..to be performed under this permit, as are licensed by Miami Shores Village. � Remarks ( Signed )' 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. 1 Permit No Date Rea. Sworn to and Subscribed before me. Disapproved (Signed) Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessa4y by improper notice for inspection or faulty MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date L (— (0 Type Insp'n / " 'C' /q+fc,p1 — T2-u1� • Permit No. ad/ CI�J Name Y' ( 0 Co (4. C Address (Q 0 CUE c?5 Company 1, c(454 C4Oi4' Phone # N2-7 Inspection Date Correction Re-Insp'n Fee ❑ Ah I 0 vc. �S �- COvtc Sly f� F /, 14') / O �� �� Na- �