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1065 NE 94 St (7)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ' / 3 - Job Address 10(0 s / v E 5 TH" ax Folio Legal Description L 4 J b l ft /5 A PO i / Historically Designated: / Tenant L{., /I-2 ( &ht Pc.--41 Owner's Address I gro- Contracting Co. CAS 6 i e 5444.. -4=tbAi S < < 5 Qualifier 131_,0.4) State #C,& C l} 57 3!) 3 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION K i - t - LL Cos-6 FEES: PERMIT T= Square Ft. Estimated Cost (value) /06 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructioga zoning. Furthermore, I authorize the above -named contractpr-to do the work stated. f owner and/or Condo ident Date Signature of Contractor or Owner - Builder ot: as to Owner Date My O a'isi EstreleaAL NOTARY SEAL SANDRA M VONTIEL . COMMISSION NUMBER Q CC401261 > MY COMMISSION .EXP. OF FA-0 AUG . 17,1999 RADON Address (Poo 4 SS# - Phone Not My C.C.F. 11 NOTARY APPROVED: Zoning Buildin Mechanical Plumbing )1 — 0 Yes No X Master Permit # 3 MO Phone 75 — 7 3 /? 01 �,,,,,,��g s f�{ y ,, p ,E� AL NOTARY ° L O .7., SANDRA MI MONTIEL r ( ,T r COMMISSION NUMBER N ' < CC401261 Q � 'SAY COMMISSION , EXP. � OF F L O AUG. ri 19 98 .... Electrical TOTAL DUE Date .39)?3)7erk7 6—/q -Qf Date Engineering 45 50 WAl2 30 WH L BAl2 34 WH L WA1830 WHGL DISH. 24" 36" REFR -2 WB3615WH DP1834 WH WA1830 WH R 106 33 / 39 . � 33 107 RA WB3015WH WA1830 WHGR DP1534 BA2134 WH WH R BA2134 WH L WA2130 WH L WAl2 30 WH R 23 32 7 1z 127 COMBO W/D PE2483WH BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Cpl PERMIT N? 5163 MIAMI SHORES VILLAGE. FLORIDA DATE 3 " Lot pertaining thereto and in strict conformity with cepting this permit I assume responsibility for f ,/ 4' B1 Work to be performed under this Permit_ Signed t"'%. � b I?t L 1 - C. Jr - Subdi- vision Value of c Project $ permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. INSPECTOR In consideration of the issuance to me Contractor's License No. `'` * " '� • `�` 1 u ,- 195 Amount of Permit $ /'BY: of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- all work done by either, myself, my agent, servant or employee. CONTRACTOIR BUILDER BY AUTHORITY 6 BUILDING ELECTRICAL PLUMBING ROOFING Owner of ! Building Architect Contractor or Builder ❑ PERMIT N? 13219 Work to be performed under this Permit Legal Lot Bl. Description Address of Building ` � r' f CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE_ `j 3 S L -- 195— Signed: • Subdi- vision Contractor's License No Value of f Amt. of Project $ f / r ` �" Permit This permit is granted to the contractor or budder 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 responibilitzlozzork done by his - agents, servants or employees. BY INSPECTOR In consideration of the issuance to me of this permit I agree to perfprm 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 ti� MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building E PERMIT N? 14393 Cl ❑ Work to be performed under this Permit Architect _ Contractor or Builder Legal Lot II Bl. Description Address of Building 1 :t, CONTRACTOR OR BUILDER Signed: Subdi- vision Value of Project $ / ♦ f}4 L� � t DATE 195 Contractor's License No. .r 4 . $ .. .> 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 plates, 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 regulatio:�s 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 wo: k done by his agents, servants or employees. 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 . „ BUILDING t PERMIT A N9 102 Owner of Building_':y -= _ n NAME Architect acrd or-- ergi�retr_� ' ` b__ °j NAME Contractor or °Bd'r___ $ AMOUN Dated__ Proposed Location 1/4 LOT NAME ADDRESS RECD.I PAYMENT ACCT. DEPT. 1 9., MIAMI SHORES VILLA BUILDING INSPECTION "DEPARTMIr 1 `�I'' ADDRESS ADDRESS NO. t/- eq./ • LICENSE NO. 1 LICENSE NO. s BLOCK 1 IVtS(ON This permit is issued to `241:4+1_.1 ri. To_MM the building above described. as per applic l on. Plans and Specifications heretofore in this office. This permit is granted upon the express cond tipa that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in actor r nae i and compliance with the building laws of the State of Florida and with the building ordinances and zonin: , <ws of Miami Shores Village, and rulestaad regulations of the building department of MOrni Shores Village. This permit may be revoked at anyone .. ,on the violation of any provisions of .said laws, ordinances or rules and regulations, o„ upon za ny change in the plans and specifications until y tie building inspector. INSPECTOt In consideration of the issuance to me of this permit T hereby _ <agree to the proposed construction in strict conformity with the applicaticin plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, ntl 1 building ordinances and ,zoning laws of Miami Shores Village and. alt rules and regulations of the building d etnient of Miami Shor - NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approiva1 has been oh rom the Pla A re- inspection fee of $ 1.00 will be made when such re- inspection is made necessary by improper not• e for inspection or faulty materials and /or w Boafd. a an4ip. i PERMIT A N9 102 PLAggruntIt BUILDING wner of Building__ Proposed Location Architect and74ryr—f1TetTrer_2- Contractor oriiniklef_____ -/ 1 NAME 4 1. .2. - SUB$tVISION ." This permit is issued to the building above described, as per app1icrfon, Plans and Specifications heretofore LOT 4 kk NAME NAME regulations of the building department of M laws, ordinances or rules and regulations, o $ AMOUN in this office. This permit is granted upon the express 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 with the building ordinances and zonin ws of Miami Shores Village, and rules and on the violation of any provisions of said the building inspector. ,Shores Village. This permit may be revoked at any „time v tipon an3f change the plans and specifications undul ed } ' • .;'` , -t="....A.----- .--.7.--'--■-- -4.„4" ;,'. RECD. PAYMENT ACCT. DEPT. i a 0 building In consideration of the issuance to me of this permit I hereby ; to the proposed construction in strict conformity with the application and ns and specifications thereof heretofore by me submitted, and in , compliance with all provisions of all bng laws of the _State of Florida, all the building ordinances and zoning laws of Miami Shores Village anA r all rules and regulations of the building. department of Miimi Shores yitlage. f:-/ Dated 1 , 19_,13 , _ ,. , ,__ , , .,„,, ,-, SEAL) „....• NOTE: A charge of $1.00 will be made for making corrections or changes to this application after apptoVal has been obtaillierrff:;m the Planning Board. A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for' inspection or faulty materials and/or workmanship. 1 /— ." o 2 ADDRESS ADDRESS ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT INSPECTOR NO. • To LICENSE NO. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement ur rue plans and specifications herewith submitted for the build • inc 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 iuilding 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 Charles W. Killinasworth,_ _ No ».._.. Street — NZ.. altb...5.tgeAt Registered Architect and /or Engineer Dr. R. J. Rischia Name and address of licensed contrector...pwngr/auy],de.r. — Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1.055...N..E .._941b...Street » -- State work to be done and purpose of building (by floors) _Addition of Family. Room __ STATE OF FLORIDA, 1 . COUNTY OF DADE. i ss. and for no other purpose. New Building Remodeling Addition X Repairs No. of Stories one _ To be constructed of .............CBS Kind of foundation Con.Oreete...FAating Roof 1 Covering ...Gone.rete...Tile••_..__ Estimated Total cost of improvements $ 16,000 Amount of Perm $ 1 $ Zone cubage required plan Cubage `J I t t Distance .to next nearest building 3 Size of Building Lot 2.5 .. x._ 11II .._......._ ... ......................_.._...._ 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 G. W. Killingsworth. 1065 NoKthgast 94th. $treet• l?i.wn_i, Shores, Florida 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 or 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(tbcontractors, on wor to be perfprmed under this pennit, as are licensed by Miami Shores Village. Remarks. (Signe Building Inspector It.... ..t•ttttTtlTt /ttt. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared . i1.'lingswo th to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. Owner /Builder of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that 0.11 fads therein by him stated ar we.. Permit No.. � r" 1 Date Z ' 9 ) Read, Sworn to and Subscribed before me. Disapproved I \ !.. Date Notary Public, State of Florida (Signed) My Commiuion Expires ....._... » »_.__ »._ PLANNING BOARD DATE Chairman Mcmbcr Mcrr,ber Member Member .. .. ».....__....._..._.— ...._ Member .._._ — Council Approved Date Disapproved Date NUTI:: X 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 anti /or workmanship. Type Insp'n 9 ��'CSL.�G l��6 ks b Permit No. /D 0 3 — 9 Name //� ` l� Address ! (/ 6s /i/ 4� ?+ $ Company f fi r1" Phone # For Inspector: e 6 / ■ame & Date Approved Correctior Re -Insp' MIAMI SHORES VILLAGE C) BUILDING DEPARTMENT 0\ 305- 795 -2204 Building Inspection Request Date AV \o3 Time -10.e MIAMI SHORES VILLAGE , BUILDING DEPARTMENT 4\ 305- 795 -2204 M Building Inspection Request Date r Y \03 Time Type Insp'n Permit No. Name Approved Correction Re- Insp'n Fee , / o3 9 Address /06 A a Of-5, Company P 1 fi Phone # For Inspector: g \f-e- q ame & Date ,›If 0 o MIAMI SHORES VILLAGE. FLORIDA BUILDING EZI ELECTRICAL ❑ PERMIT N? PLUMBING ❑ N . 9 9 81 ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building a Architect Contractor or Builder Legal Description Lot f Address of Building 'CONTRACTOR OR BUILDER BI. Subdi- vision Sq. Ft Value of Project DATE •-R • Contractor's License No 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 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 B t sing Inspection Request Date i J Time Type Insp'n a ) Permit No. o2, 3— G0d-- Name ' — nc,MI t . Address ti v 6 l -L S Company - S ` 1 For Inspector: Approved Correction Re- Insp'n Fee Name & Date 335 Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bui s ing Inspection Request Date i Time Tye Ty Insp'n t Q L .) -`. � T ! SP c1 Oa Permit No, Name Address Company Phone # Approved Correction Re- Insp'n Fee XCEY�Vi�,�ti l . IUbS Nt 94 S+ For Inspector:' I Name & Date 33 85 MI•AMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Req Date ' ( r Time Type Insp'n IL-art Y ' Permit No. `UP ei - cCJ - � 1 Name NE-- q Address \ Q(3 9 5 Compan Phone # For Inspector: el Approved Correction Re- Insp'n Fee ❑ e & Date �i�c�e 7 sp 0011 nirry. ., • .• • tratit.* • %, vt.7 ••,'" 01041111X ••• • '',"" ;1 • I„ - i• 4,. " 4. • :7 , :• "; • 11;0" • • • . ' • - .74 9yrf..1 .'! 4• , : - •• * J.:4 4 ,T71 -.5PV' • • 4 • .5 , ' • . , • • t • # tat t ''' r' , r• • • . .14 , fr* - - • "..■••• , 1; „" • ' 1 - 1 , ".•••. .? 1 -• 4:3 " • '4'4441.4444!..41/41, 4 4.• ik • -•• Albriner '"1" * " • ; - • . • r. • • • ., • " . ,„ • • 4 ' •‘•": • •t■ ; e • -.4 • "f .. .90 . ,•-• •;-..7.-`,4, ...,,. . • ' • ... — -.' • 44,i :-....,..... ' ' ' e .,-.-'1.- 1 4.:...„*•.,, ..A.";'::•4 '' :•', " ... ... r ' " • ,-. ' . :3! ' ..;:;" L' '..... l'ii ..i:1.^ '-. ...;--.4 • "i.iii4 C elott ♦ y . r u . V 1 ' rtislr ttalti s rr; tr= = !rfilik.'4 7 4•■ IIN}0101',; • ".■ " " t cio - ,sv't4tr ,•• • •, ••.; , • A - , ' • 1 : r, -1"tei•" • • '`,(!` t „ ; ! k ,3i.'•!" -a'.‘ • .< r • . • At 4 ' "*. io oi» »fr 14 4c • . ' • ' . 11,1 7t. !F •k, 7 .0 t-71.4 vt: •,:, • , t'A .•••*;" ' •) • . • • •••••• .■ 1 4' ' 4 • • r 414 • r . , :11 • t'.40 *Z. ,"'." ,• 4 : • 7- * trrt, ; • .....1.i.44,1%3P. • 24: qL•" Ae •Yr.71 `.• • • %. , 7„„ : ; ■„, * *t ;01 ' AA. .7' A I. , .44 • ; e' 1 4 f • t :4 ' - 7 ' Al ,., • • • • ;,3w41. • „,.t ■44 • ..- CAR •,,• • • - 1-• , 4.4-1 , . • 11, i 2 •"Vr• 6 4 44. 4 . 7r- , "1" • Olt '3: 9 f 7 • ,.k .="".• • — • - „ • • • 7' • • .' • , . • ,. • , ' . . • e ^ • ,. • .„- . . . „.. " . •••••••',•,.•'••` . a w•r GEORGE LA VIGNE ELECTRIC ELECTRICAL CONTRACTORS and ENGINEERS 176 N. E. 20th St., Miami, Florida The Service You Will Appreciate" PLUMBING 637 N. E. First Avenue MIAMI ' ! i I OLD *TAE WATER U S SUER w•TER \COUL DEFLE RA"S COLLECTS RA Any Size or Shape Cement Butt Modernized Dobie Walls JAN. 1939 JOHNS MANVELLE PRODUCTS Phone 4 -5153 Lupton - Steel Sash Reynold's Metallation PHONES: 2 -8496 2 -8497 SOUTHERN BRICK & TILE CO. PHONE 3-4616 A. E. CHRISTEN, Inc. THE NEW SOLAR with U. S. Super Water Coil The biggest step forward in heating efficiency in a great many years. ENGINEERS and CONTRACTORS Distributors for Westinghouse Air Conditioning U. S. Foundry & Mfg. Corp. "25 Years of Fine Reputation" 422 N. W. 1st Court Phone 2 -8202 DUNAN BRICK YARDS GREATER MIAMI BRICK Co., Inc. Phone 8 - 2135 P. O. Box 1784 MIAMI, FLORIDA MORTGAGE LOANS FHA INSURED MORTGAGE. SYSTEM 5504 N. W. 2nd Avenue AMERICAN BANK AND TRUST CO. MEMBER FEDERAL DEPOSIT INSURANCE CORPORATION 139 N. E. 1sT STREET L ACME SUPPLY CO. ROOFING and SHEET METAL CONTRACTORS JOHNS - MANVILLE APPROVED ROOFERS RODNEY MILLER LUDMAN CORPORATION WHOLESALE DISTRIBUTORS 116 N. E. 6th Street — Miami, Florida Storage Yard:- 3427 N. Miami Ave. — Phone: 3 DUNBRIK COMMON — TINTED — GLAZED GRUBBS BROTHERS CONCRETE and MASONRY J. B. FORBES & COMPANY PLUMBING CONTRACTORS 216 S. W. 12th Avenue MIAMI, FLORIDA Phone 7 -5508 Phone 2 -1759 HEATING PHONE 2 4595 Miami, Florida New and Secondhand Clay Brick Face and Fire Brick MIAMI PYRAMID TILE ROOFS HURRICANE PROOF Phone 2 -6497 134 N. E. 6th Street — BUILDING CONTRACTOR — — Coral Gables - Miami - Miami Beach Reinforcing Steel Steel Building Specialties PHONE 2 -2206 Phone 2 -4872 PUBLISHED BY V. S. LLOYD. P. 0. BOX 321, MIAMI. FLORIDA KELLS PRESS OF CORAL GABLES ME WILLIAM S HAN KLI N ARCHITECT 2128 PONCE DE LEON BLVD. CORAL GABLES, FLORIDA SPECIFICATIONS FOR RESIDENCE BYRON D. KIRBY LOT11, KIEBY'_' S ADDITION TO MIAMI SHOPt'S FLOPIDA These Plans and Specifications are the Property of the Architect, and MUST BE RETURNED TO HIM at the Completion of the Work. Set No Date Commission No 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. j ' Date..__ 9j23[ / 6 9 , 19 ,-N Owner's Name and Address Mr. McKinney - 106 E. 94 St.Mi . Shores . S t Registered Architect and /or Engineer Orkin Exterminating Co . Inc 1960 N. W. 27 Ave. % a ml 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 _ 1065 N.E. 911 St.M. Shores State work to be done and purpose of building (by floors) Nylon Tent Fumigation Vikane 18 — 21s hours. Res. 19# Garage 6# $328 ;00 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required .Plan Cubage DIstance to next nearest building__.. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to .. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, 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 subcontrac ors on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 true. Permit No 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 hecn 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. Street and Number where work is to be done o cc? C > . ti.. 4 ct = rLLAG E .,rttiTION DEPARTMENT -,-trieLICATION FOR BUILDING PERMIT rbn' is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build - r.g 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 ulations of the 1uilding Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved s and specifications must be kept at building during progress of the work. Date )t' Zr'" (0 'a— , 19 Owner's Name and Address.. &d c #` e 41,itak _ 1 . No 1C� Street �... C -_ d ft-- Re Architect and /or Engineer Name and address of licensed contractor Cap.? A ._ 4 _Z. ,_l E.vi- C.0:.Ada.._11.1.. "tv__l_ Ca Location and legal description of lot to be built on: Lot Block Subdivision (s, State work to be done and purpose of building (by floors)_F .nn,>,.G.t -Tx.p_ • 11 — �95.4� T C1 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 $ L 30 Amount of Permit $ 5' Zone cubage required plan Cubage Distance to next nearest building. Size of Building Lot Maximum live load to be borne by each floor I hereby 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 •ed by him in the work to be performed under this p y p 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 (Si 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. Permit No 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. TYPE INSPECTION DATE Initial DATE Initial DATE Initial • DATE Initial SETBACKS PILING 1 FOOTINGS STEM WALL CAP ! GRADE BEAM i FLOOR SLAB LINTEL COLUMN TIE BEAM FRAMING LATHING COPING or RAKE i ROOF: TIN CAP ROOF: FINISH OFF - STREET PARKING FINAL APPROVAL ALTERATIONS REPAIRS ADDITIONS AIR -COND. DUCTS INSPECTOR'S REPORT Group Building Type Zoning Sewer Division Line & Grade Survey Electrical Plumbing Fire Prevention /04, @, N Owner's Name Owner's Address Legal description of Building Site: Lot Purpose of Building THIS SPACE REPRESENTS THE LOT: INDICATE THE BUILDING IN SPACE SHOWING THE DISTANCE FROM LOT LINES AND OTHER BUILDINGS. Permit No. D' FORM 798 (REV.) APPLICATION FOR BUILDING PERMIT Application is hereby made for a building permit and the approval of the detailed plans and specifications herewith submitted for the building or other structure herein described. This application is subject to the Building Ordinance and all other Ord- inances of the City of Miami, Laws of the State of Florida and Rules and Regulations of the Building Division applicable thereto. A copy of approved plans and specifica- tions must be kept at building site during progress of the work. All employers of labor are subject to the provisions of the Florida Workmen's Compensation Act. George McKinney 1065 N.F. 94 St. CITY OF OFFICE OF BUILDING INSPECTOR Date Jan. 23, 1962 Registered Architect and /or Engineer Phone Licensed Contractor's Name Guarantee ETterminnting On. Licensed Contractor's Address 3 911 S.w . 22 Terr _ Block Subdivision Address where work is to be done 1065 N.E. 94 St. STATE OF FLORIDA ss COUNTY OF DADE ores FLORIDA Explain nature of work to be done (by floors)E-rmi g .ti nn for T)rywnnd. Termites New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof covering Taalt I�r 24000 Plumbing No Elect. Yes Alterations, Etc. $ 230.00 Distance to next nearest building 20 west Size of Building Lot and for no other purpose. Before me, the undersigned authority, authorized to admin- ister oaths and take ackn.wled•ments personally appeared who, after being first duly s 'rn upon oath deposes and says • that he is the applicant fo a b.tlding permit and that he has made and read the foregoi application and that the statements therein contained are true and correct. Signed Guarantee Exterminating Co. Sworn and subscribed to before me this day of , 19 Date Issued Issued By Fee $ My Commission expires , 19 NOTARY PUBLIC, STATE OF FLORIDA AT LARGE Group Building Type Zoning Sewer Division Line & Grade Survey Electrical Plumbing Fire Prevention Owner's Name Owner's Address FORM 798 (REV.) APPLICATION FOR BUILDING PERMIT Application is hereby made for a building permit and the approval of the detailed plans and specifications herewith submitted for the building or other structure herein described. This application is subject to the Building Ordinance and all other Ord- inances of the City of Miami, Laws of the State of Florida and Rules and Regulations of the Building Division applicable thereto. A copy of approved plans and specifica- tions must be kept at building site during progress of the work. All employers of labor are subject to the provisions of the Florida Workmen's Compensation Act. George IleKinney 1065 R.P. 94 St. CITY OF OFFICE OF BUILDING INSPECTOR Date Jan. 23, 1962 Registered Architect and /or Engineer Phone Licensed Contractor's Name Gua.p,An.pt,, '•5!tE9rrl'1 wort ne t':A Licensed Contractor's Address 3211 S06, 22 Terre Legal description of Building Site: Lot Block Subdivision Address where work is to be done Purpose of Building 10655 N.E. 94 St. Explain nature of work to be done (by floors) rm j C+,tinn for Ylrywond• Termiten • New Building Remodeling Addition Repairs No.. of Stories To be constructed of Kind of foundation Roof covering Taal Ste. l�'Cu • 24000 Plumbing Yes Elect. Yes Alterations, Etc. $ 230.00 Distance to next nearest building 20 West Size of Building Lot THIS SPACE REPRESENTS THE LOT: INDICATE THE BUILDING IN SPACE SHOWING THE DISTANCE FROM LOT LINES AND OTHER BUILDINGS. Permit No. L' Date Is sued Issued By Fee $ STATE OF FLORIDA COUNTY OF DADE ss ° FLORIDA and for no other purpose. Before me, the undersigned authority, authorized to admin- ister oaths and t _a.elenowledgmeni.a, } personally appeared who, after being first duly .'r upon oath deposes and says • that he is the applicant f. a building permit and that he has made and read the forego' . • application and that the statements therein contained are tr and correct. Signed Guarantee Exterminating Co, Sworn and subscribed to before me this day of , 19 NOTARY PUBLIC. STATE OF FLORIDA AT LARGE My Commission expires , 19 TYPE INSPECTION DATE Initial DATE Initial DATE Initial DATE Initial SETBACKS PILING FOOTINGS STEM WALL CAP GRADE BEAM FLOOR SLAB LINTEL COLUMN TIE BEAM FRAMING LATHING COPING or RAKE ROOF: TIN CAP ROOF: FINISH OFF - STREET PARKING FINAL APPROVAL INSPECTOR'S REPORT ALTERATIONS REPAIRS ADDITIONS AIR -COND. DUCTS 4 APPLICATION NO. FOR PERMIT TO FUMIGATE WITH CYANIDE METHYL BROMIDE ACRITET 1. Vocation of B to be fumigated 1 065 11• )4 Ct• 2. Name and address of owner of premises _ Ccor,,s T'3 s:1nney 3. Type, size and ccnstructicn of building ho-c 34 oto _ 0'1$ la.. Is entire building to be fumigated ?_ 5. If riot, state that portion 6. Apprcximate number of cubic feet of space in building or in portion to be fumigated a 7. Kind and quantity of fumigant to be used and manner of application and length of fumigation period kautt44. 4 r 3. Distance of nearest building and direction from building to be fumigated A P P L I C T I O N ! t ?ca 9. In what manner will vents to exterior of building be sealed? 10. Date fuiniga +.ion will begin i.p9, Time It is hereby agreed to station a guard on the premises to be fumigated during the fumigation period and to post suitable placards at each entrance into the building bearing the following words in letters at least two inches by one in size: "flPNGFR - TI.IS BUILDING UNDER FUMIGATION WITH A DEADLY GAS". 12. It is hereby agreed to make such provisions that all openings into the building may be opened from the outside after the period of fumigation is over and to take such other precautions as may be necessary to insure that all of the fumigant is removed from the building before anyone is permitted to enter. 13. It is hereby greed to notify the County Health Department when the building has been prepared for fumigation. FIRM NAME fi 1 =7,fer, ADDRESS o . . 22 e'en. a 4 -4&:o ►I 4 -272c) DATE Signature of Ce ed Pest :ntr o1 Oporator in c of this fumigation job. . .. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building . or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regula- tions of the Building Division of Miami .Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. D ate - ______- - 19 Owner's Name and Address `" `-, � / No./ J — ` { � _77 7 / „ , � — Stree Registered Architect and /or Engineer f._ :' '' - t- �� /, Name and address of licensed contractor ' �` ' ` ; � l New Building t/ , To be constructed of Zone cubage required_ STATE OF FLORIDA, COUNTY OF DADE. Before me, the un appeared MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT e igned authority, a . �� Mem :. , �_� _ . - -- - � `,� ..� _- -- - -- -Member --- - - - - -- Council Approve. I> ; " gate Disapproved Location and legal description of lot to be built on: Lot /Q Block_________________ Subdivision Street and Number where work is to be done __ State work to be don nd purpose of building (by floors) 4 it -, 6= 'a ' ,a' ---'t. - ? t ,4s ,, and for no other purpose. Remodeling - -Addition P_l i_ Repairs No. o ` Sto 'es__/ ________ �4 _,__ _ Kind of foundation �/ ' Roof Covering - -- = - - - - - -- Estimated Total cost of improvements $_ �_� �______ -_____ — Amount of Permit $ -` —Plan Cubage Distance to next nearest g Building 7 buildin ___ .�_______�_ _ — _ Size of Buildin Lo Maximum live load to be borne by each floor ____^__ __________ ____ ________ _____ I hereby submit all the plats and specifi tions for said building. All notices with reference to the building and its construction may be sent to F / ,__.__1� 11 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on worVto'.be performed un this permit, as are licensed by Miami Shores Village. Remarks (Signed) t _ tary pub it, d ly authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me rst duly sworn, upon oath deposes nd says that he is the_ _____ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date // , 3 Read, Sworn to a tbscribe• : e. Disapproved ______ Date Notary Public, St of rida (Signed) l Building Inspector y C mi Expires — _ ^c -G_ ANNING BOARD = t j DATE Chairma ! " ( mi Member - ---__— __- --- --_____ -- -- - Member (over) ______Date NOTE: A charge of $ will be made for makin: 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. LIST OF CONTRACTORS, SUB- CONTRACTORS, ETd. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE 1. General Building Contractor. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical. 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Car entzy, Millwork, Awning and Shutters. 10. Cement, Lime, Plasma, Stucco, Lathing and Cast Stone. 1 1. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper - hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15. Solar Water Systems. 16. Well drillers. 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 18. and Reinforcing. Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone. 20. Electric Fixtures. 21. Illuminated Signs. 22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering. building materials for any construction project within the Village Limits and not having a .regularly established and licensed place of business in the Village. PLANNIN; BOfd D AGENDA OF ITEM NO. 1 Name o Owner /Applicant C- t'.41.14G51)\)0(k..'TN Phone . 1-6 10.5 Addres of Property, and /or Legal Description 1610 N . 9 LI'. S T Nature of request: Present Zoning: — 1/6 Parking Spaces Provided. - 194) .._._ OT- P1-P c, ifoR, A L R# Parking spaces required with addition. )•))i +� 1 ` 10 0 4- Area of present building. VOX* 4 �)S Z*tto rt./0- Ropy c.AmFoR-T. Area with proposed addition: �i Is4'1 '4 ( C'of1, 1/1510) 0/6 Setbacks as per code. Oh1`r 1./ t'E tO RecA(z I+S Setbacks provided. git51 Ks" - " �G�� 44' . Variances / ie /Z,en i ii N% J \-rto V\Pe5 INSVXf1c1 -14T R.0 PM* rOc . 71 vs. D gpm1 5c.t -m Ob N . 40i 1.1 U.W C1O AID PAN 440 "sNer 5 r -VVT \a s3116, Council Action Required Date'of Applicant Notification Planning Board Action Council Action U6), Director Building and Zoning Application is hereby made for the approval of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in com- pliance and conformation with the Building Ordinance of the 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 Department of Miami Shores Village, shall be complied with, whether specified or not. OWNER ARCHITECT'', -- =CONTRACTOR LOT /D BLK. NEW L 1DDITION TOTAL COST .iv - , ±-- ; `. • • Building to be used for, = '•... I. -e . and no other use. ua I hereby submit all the plans and specifications for said building. Signed STATE OF FLORIDA) r= <, ;. Before me, the undersigned authority, a notary,fblic, duly authorized to administer •i• the and t e .. 'kn, wl edgmerrt, personally appeared �/,.. ,_ A - __ to me well known, and who, being by m.= first du y s vorn upon oath deposes and says that he '. the builder of / e above described construction, that he has read the foregoin: application, and that he did sign the same, and that facts stated by him are tr•le Read, Sworn and Subscribed before me, /_,; / — / eA N o t ary Public (SignedY,U�„ .._ Notary Public, State of Florid. . Large My commission Expires fe . 20 1940 My Commission expires ** * ** * .,. * * :;. Cubic Feet,ilJ2/ Feet required in this Block .2.0e0a PL�NNIN.. BO Chairman Member Member Secretary Building Inspector Permit No.05 7o3 Issued t Electrical Permit No. t.) BUILDING PERMIT • RECORD MIAMI SHORES VILLAGE FLORIDA APPLICATION SUBDIVI'SION 7-e ' ' STR .T ## REPAIRS OF STORIES "_ROOF DATE Plumbing Permit No. Date 29 �" Painting Plastering Lathing Electrical Plumbing JOB ADDRESS REMARKS: Mason & Concrete VI SHORES VILLAGE, FLA. LISTUB-CONTRACTORS TA_ K,INA/E-=-ci o‘r INSPECTION pi/44 C TIME READY forc-L— /_ s-6 N? 7241 t 7.1 DATE OWNER'S NAME G. C . /N 1 C; ,.> , a 4 PRESENT ADDRESS ,041--- We. fi � LICENSE NO. PHONE NO, JOB LOCATION (ST. 0 AVE) /6c4 A C d' fi / BLOCK SUBDIVISION Al 4( t c,'S 40,7,a eve.... CONTRACTOR O K7 1, c' c ADDRESS d kiii Q ^` PHONE NO. LICENSE NO. BUILDING PE IT NO. SS p/ DATE 3.'1 Q'p PERMIT FEE $ � BUILDER'S BOND NO. DATE it t t ZONE REQUIREMENTS CU. FT. �y ` _ � O PLAN CUBE chi i CU. FT. ES T. COST $ � .7•4•N‘. L) d `, E G 4- O r DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY:`•44- • AA %Ir'Ir.....a. ( DATE 3.- Z. - Q NEW CONSTRUCTION TYPE c- �' S STORIES or' ROOF CONSTRUCTION 'Fa ...-7 J INTERIO CONSTRUCTION ,. r rz n £ G 3 r a - REPAIRS DESCRIPTION i ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTEf TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. e ,,,I ISSUED 4 � �� BY �" �y 0 TO /- 4 ,0�/ r BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE c INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION S SEPTIC TANK ROOF TEMPORARY SERVICE $ BEAMS & LINTELS $ POOL $ SOLAR HEATER FRAMING RANGE CONN. $ AIR COND. SEWER MOTORS FINAL RANGE CONN. S CLEAN UP S SEPTIC TANK SLAB S SLAB FIXTURES & FINAL SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE RE- INSPECT BY S SEPTIC TANK FEE TEMPORARY SERVICE $ SEWER $ TUB & TOP OUT $ SOLAR HEATER $ RANGE CONN. $ GAS SEWER MOTORS S RANGE CONN. S FIXTURES S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE ROUGHING $ TUB & TOP OUT $ RANGE CONN. SEWER MOTORS RANGE CONN. S FIXTURES SEPTIC TANK S S SOLAR HEATER FIXTURES & FINAL FIXTURES GAS CONTRACTOR L v Z r2_ E , --E c - +C_ PHONE PERMIT NO. \ 4--- I DATE 3 -1-\ - "u FEE Z 8o NEW BLDG. I ALTERATION 1 ADDITION " REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ROUGHING $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS RANGE CONN. S FIXTURES S S INSPECTIONS DATE BY RE - INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL IIFFErI CONTRACTOR PERMIT NO. NEW BLDG. t� + i). 5 T UI LDING INSPECTIONS - PLUMBING PERMITS & INSPECTIONS I DATE ALTERATION 1 ADDITION ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE PHONE FEE S REPAIRS BY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building 4 '' .5+' c a Architect Contractor or Builder Legal Description Address of Building • MIAMI SHORES VIL.AGE. FLORIDA is D tao.itickw Lot l' B1. CONTRACTOR OR BUI 1. x PERMIT N° Signed- Work to be pe'rormed under this Permit el Subdi- vision Value of Protect $ 4-So SPECTOR License No. i 195 Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application 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 one by his agents, servants or employees. In consideration of the issuance to me of this permit I agree to perform the work covered ereunder 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• cepting this permit I assume sponsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY 6 INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION_ 3 1 i• .33 FEE TEMPORARY SERVICE TEMPORARY SERVICE $ BEAMS & LINTELS 4 7• S 3 Ps#0>• $ SEWER RANGE CONN. FRAMING y ` �� ° (T� ° a A 4-; G, 1, $ GAS FIXTURES $ $ $ INSPECTIONS FINAL ?e ;•M3Ww RE- INSPECT BY RE- INSPECT BY CLEAN -UP n & a 0 CONTRACTOR PHONE PERMIT NO. 1 DATE FEE $ NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE TEMPORARY SERVICE $ SEPTIC TANK H. W. HEATER CONN. $ SEWER RANGE CONN. $ SOLAR HEATER MOTORS $ GAS FIXTURES $ $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING TEMP. SERVICE GAS ROUGHING SEWER H. W. HEATER CONN. SEPTIC TANK RANGE CONN. SOLAR HEATER. FIXTURES FIX.'.'UP.,ES & FINAL CONTRACTOR PHONE PERMIT NO. 1 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 $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN. RANGE CONN. FIX.'.'UP.,ES & FINAL BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY • - OWNER'S NAME Lucian.8rown PRESENT ADDRESS LICENSE NO. PHONE NO � 1 JOB LOCATION (ST. OR AVE.) 1065 N.E. 94th Street LOT 0 BLOCK SUBDIVISION /e-t..-e- t -: GENERAL CONTRACTOR owner ADDRESS PHONE NO. LICENSE NO. •• BUILDING PERMIT NO. 14393 DATE 3-1.3-53 /y0 PERMIT FEE $ 5.0 BUILDER'S BOND NO. DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE 1000 CU. FT. EST. COST $ ,000 DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: DATE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS IPTION -,Servants uarters quarters - q ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS /� CERTIFICATE OF OCCUPANCY NO. / / / / G9� ISSUED ‘'3 d� e/J 4tot BY Al ��J �//� " .,, TO V✓��/ ° --e BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE N9 1761 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Owner, Agent or Tenant of Building Lot Miami. Shores Village, F1a. Block Subdivision Street Address `0 t •i/ Ni' • g O l c Approved use by occupancy Remarks- This Certificate of Occupancy is issued to the above named V--0L)L 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 os the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. tr� BUILDING DIVISION PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER � � , , h i » . / L f z 1940 0' / 1 /� #-t7 O // -3 4 /�L j 5 A. . .t / 1941 OWAPYMilrrglrr �_, terM/MNIPPW, 1942 / O oc ' [� T )/' a / 1943 �o 0 1 /a - � Al 0-#-1i l- a? _vs- � 7 ,5 7fY /o t %L_.., ... 111.,:.., .� �, - (R) 1944 A o O b tt s t 1945 M Q U 1946 1947 • All \ 1948 /... 4C) /°Z /.�� /y /a. f� 7/7e7 ,/, // �/ / 1 - ‘-5 7 /157/ /, v / kg 4/40 / �� /D 1949 / , .NiJti�iA / /J+-�D -7ri 1950 " /;3 / - - o „ LOCATION 1065 N. E. 94th Street / ;; g GARBAGE TAX RECORD by_ year annual tax period used amount paid date paid receipt # //— /7-5 /fa* , T / 4 • • • 1065 1 E. 94th St. CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 1104 Miami Shores Village, Florida, 6 -24.-60 Owner, Agent or Tenant of Building G • C G.C. Mc KINNEY Lot 10 Block Subdivision KIRBY' S ADDITION Street Address 1065 N.E. 94th St. Approved use by occupancy ADDITI ON TO GARAGE Remarks. # 9981 This Certificate of Occupancy is issued to the above named OWNER 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 N. ning to the erection, construction, alteration or remodeling of buildings or struct , es. Plan Cube 815 Tax Value 408 BUILDING DIVISION CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N? 684 Owner, Agent or Tenant of Building George C. McKinney Lot 10 Miami Shores Village, Florida, 1/1/58 Block Subdivision Kirby's Addition Street Address 1065 NE 94th St. Approved use by occupancy Screen Porch Addition Remarks • This Certificate of Occupancy is issued to the above named Own er 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, alteration or remodeling of buildings or structures. Plan Cube - 1491 Tax Value - 746 BUILDING DIVISION / A OWNER'S NAME •: u kill PRESENT ADDRESS ]t9 5N. E . 94 atLtre t LICENSE NO. PHONE NO. JOB LO ATION ( . OR VE.) 1065 n .E. 94 O 10 O SUBDIVISION KIRBYS ADDITION Owner builder ADDRESS LICENSE NO. BUILDING PERMIT NO. 5276 DATE 4 -2 -57 PERMIT FEE $ 5.00 BUILDER'S BOND NO. DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE 1491 CU. FT. EST. COST S 450 V DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY C. H. Markel H DATE 4 -2 -57 NEW CONSTRUCTION TYPE Screen STORIES One ROOF CONSTRUCTION Fiber Glass INTERIOR CONSTRUCTION Screen porch Addition REPAIRS DESCR IPTION ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS I / /y1 d ,�/ �j CERTIFICATE OF OCCUPANCY NO. ISSUED �v J �/�i s BY G� Q� C. m= N K. a "Y a-7 . TO 6 BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE m m } m F 0 IL MIAMI SHORES VILLAGE, FLA. JOB ADD SS /06, q � INSPECTION TIME READY o a yo . REMARKS: }I m 1 I N9 5811 INSPECTOR 613Q- ' / DATE T "1 I "I I `I I rf "'I "'I "'I I II I "'I "I "'I "'I "'I I 1 1 I "I `'II I r I . i "I fft } m } m W 1- Q 0 } z z 0 0 re Z • Z w 0 I w 3 I � W I < 0 W 0 re W 4 6 0 1- .1 4 O d C Q - � MIAMI SHORES ILLAGE 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. (� /� jf Date M di , 19 Z `) Owner's Name and Address._" ° ' � • d `.Q 6/ o1 Al., No / Pb V Street.._ -• q'$r Registered Architect and /or Engineer ` a Name and address of licensed contractor J 1° .--/L- v ■ L ` D %Z. Z_ Location and legal description of lot to be built on: / Lot / 0 Block Subdivision .. 6 .d 7->d l Street and Number where work is to be done .._. l d �Y ' f State work to be done and purpose of building (by floors) '- � ri p _ Z " T c ti 2 1 0 N l� ��2 --4.5 and for no other purpose. New Building Remodeling Addition ✓ Repairs No. of Stories. To be constructed of__ h - Kind of foundation Roof Covering.i8 VP JF /fi 7 ° . Estimated Total cost of improvements $ ® � Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot 7.5" I d v Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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. Permit No / 1 _ Date ° � Read, Sworn to and Subscribed before me. Disapproved G' ,� 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. It 1 rte.. cg d . I? f` 4- a Owner's Name and Address_ ___,,L MIAMI ti SHORES VILLAGE STATE OF FLORIDA, COUNTY OF DADE. ss. BUILDING INSPECTION DEPARTMENT P PLICATION 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. c Registered Architect and /or Engineer Name and address of licensed contractor C jmL- C114- OL 2a? a0/bk CORAL 4fSf34w Location and legal description of lot to be built on: Lot Block Subdivision � + Street and Number where work is to be done__________ I__ 0 k 1' Fc______ /___ __ State work to be done and purpose of building (by floors)_____ if Ito) ) A New Building Remodeling To be constructed of Kind of foundation Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor • I hereby submit all the plans and specifications for said building. All notices _with Aference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. / r Remarks ( Signed )- - -i�� ` C4?"0-2A 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 ((?_ 3 Date 4 -) '& Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building In My Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. Date q , 191 No. /01.s— Streetg _ SY , f^ and for no other purpose. Addition Repairs No. of Stories aa Roof Covering Amount of Permit $ t] _.Plan Cubage __Size of Building Lot • PLANNING BOARD DATE y -Too Notary Public, State of Florida Commission Expires Member Member Member Disapproved Date or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty Owner's Name and Address. `,.e//,t? r/4/E y Name and address of licensed contractor MIAMI ,SHORES VILLAGE BUILDIN 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. Registered Architect and /or Engineer O1 But Date No/ Street Location and legal description of lot to be built on: Lot JP Block Subdivision --1 x. X S ,9QA 1 7) Street and Number where work is to be done. 0 F_ State work to be done and purpose of building (by floors) 'ij and for no other purpose. New Building Remodeling. Addition Repairs Nofof Stories To be constructed of Kind of foundation Roof Covering /7. W 80e ii}SS s n Estimated Total cost of improvements $ h l � 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 subcontractors, on ork to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 true. Permit No .S Co Date 4- — — a — J7 Read, Sworn to and Subscribed before me. Disapproved (Signed) LI. Notary Public, State of Florida Building Insp ctor 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. of av 2--1 / 3 _e5 s L-/ 2r Feu t g A /Y7i f Ko 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 LL � ' IL , 19/ 7 Owner's Name and Address ,CO� &' . /11 11042 ._A / ..,p Iviav No.1. 47 Street._ :_ Registered Architect and /or Engineer �} Name and address of licensed contractor �P' te R- ' v )), Location and legal description of lot to be built on: Lot Block Subdivision , Street and Number where work is to be done /en) �Y - t _r._ g d� State work to be done and purpose of building (by floors) 17 aAte+%u 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 $ . A O T, r 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. Remarks (Signed) : PLANNING BOARD 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 true. Permit No / ` 3 Date 11 / Read, Sworn to and Subscribed before me. Disapproved (Signed) Buildin spector My Commission Expires Notary Public, State of Florida 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. 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 Owner's Name and Address.... � � j No /'`'C )tre' Registered Architect and /or Engineer Name and address of licensed contractor i" 2 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done .,�.® S State work to be done and purpose of building (by floors) New Building Remodeling.__.. A.:ition To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) r" STATE OF FLORIDA, f� 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 co truction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are - ue. Permit No e y >l Date / - '�' `� ! Read, Sworn to and Subscribed before me. and for no other purpose. Repairs No. of Stories to me well known, Disapproved fi Dat Notary Public, State of Florida (Signed) Building I,�ector 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. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor STATE OF FLORIDA, COUNTY OF DADE. and who, being by me fi of the above described c therein by him sta ed Permit No Disapprov (Signed) Chairman Member Member Council Approved ss. NOTE: A charge of $1..00 will be made for m the Planning Board. A re- inspection fee of $1.00 will be materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Location and legal description of lot to be built on: Lot Block � r Subdivision_ Street and Number where work is to be done i Q 4_ct__ State work to be done and purpose of building (by floors )____/alker Date a,. 4-1 e ,_f7 cir.0. 0.4.. New Building __ Remo ing e.d ddition To be constructed of___ Kind of ndation__ Cr'► ,ex_7 Estimated Total cost of improvements $_../P.11.0 0 .0 , Amount of Permit $ Zone cubage required ✓ flan Cubage ilk Distance to next nearest building • / Size of Building Lot I/ Maximum live load to be borne by each floor i ead, Sworn to and Subscribed before me. 19 No Street and for no other purpose. epairs No. of Stories Roof Covering ® I hereby 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 work to a performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed) ans and specifications for said building. All notices with reference to the building and its construction may Before me, the unders ned a thority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, sworn, upon oath deposes and says that he is the_ . ion, that he has carefully read the foregoing application, and that he did sign the same, and that all facts Notary Public, State of Florida My Commission Expires BOARD DATE Member Member Member Date Disapproved Date ing corrections or changes to this application after approval has been obtained from charged when such re- inspection is made necessary by improper notice for inspection or faulty gq(oola. Qe C 0 too z_ Qielo G di33 ; 047 ° v (Do )(fo looe) 0 fri4-x,c, 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 _ _(r ._ _e Location and legal description of lot to be built on: Lot Block Subdivision. Street and Number where work is to be done._ JO 6 4 and who, being by me of the above described therein by him stated Permit No Disapproved (Signed) Chairman Member Member t MIAMI SHORES VILLAGE `�j� Date _ 19 0 ilk /�L-�� No.J.�d Street r s A` ` � r. State work to be done and purpose of building (by floors) . 9 --� :J and for no other purpose. New Building Remodeling. Addition Repairs To be constructed of Kind of foundation Roof C overing Estimated Total cost of improvements $ r2 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 th work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed No. of Stories Read, Sworn to and Subscribed before me. L 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, first duly sworn, upon oath deposes and says that he is the construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts true Date Buil • ing Inspector PLANNING BOARD DATE Member Member Member Notary Public, State of Florida My Commission Expires 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 81.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date [ ,2- Time Type Insp'n Permit No. b C1O Name \CCi s Address W(05 5 Company E • Phone # s — 5;4-5 J ;4-. , \`T -9- For Inspector: B? 9 12 Z Name & Date Approved Correction Re- Insp'n Fee ❑ 1tct3e er,Vi .o C'row • Date nci I 3 Permit No. 50 03 - IV Name Nicr C h&c, . Address tOG S J G4 Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Company Phone # For Inspector: " I I� Approved Correction Re- Insp'n Fee Time Name & Date