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BUILDINGG I J o b A d d r e s s I v = w / 4E ` - 3 Legal Descript1on ¶t✓. ' /4) ) PR 10 - Owner/Lessee / Tenant t 0,i 1 I 14- Sr. 1 Master Permit # Owner's Address l Q � l 4 `�' ► 4 FL � / 2 Phon ; S / 3 J Contracting Co. J ® � V J L IS " Qualifier 2 EC-te'U' ,1A- State # C6C 047 38C, Municipal # Competency # Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one . BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION e-- LE -lam eptAC 134Ti't cr C F )C I v e 3 "Foe- ZI) 4c.. I S -r/'u. 0 eC2OMc Square Ft. Estimated Cost value Sn9 D 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 un ' erstand 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 wo i ' 111 a done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work ignature of owner and/or Condo Notary as to • My Commiss FEES: PERMIT 9/ RADON APPROVED: Zoning Building Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 3 / 1 0h91 Date a3�q Tax Folio 1 1 - 5 O � - 7 O rically Designated: Yes No ss# (_ Address My Commission Expires: Address C.C.F. 3 •00 NOTARY BOND 6 / ��57 1 Ins. 03.031- o. j 7- 1° ctor or Owner-Builder _ �g_ 02 V'-0 Date, .adod — 443 Electrical r) No : to Contractor or Owner- Builder OFF1CIAL NOTARY SFAL GLADYS J VILLAR NOTARY PUBLIC STATE OF FL C UDA COMMISSION NO. CC71 4103 MY COMMISSION EXP. MAR. 1,21Y2 pQ TOTAL DUE / Date Plumbing Structural Engineer STATE OF FLORIDA, COUNTY OF DADE I HEREBY CERTIFY fhol this is a true e 7 Tij orlginalf:led in ihis�� w'TNESS my nd and ONIcia! Soul. HA.iVE . ' ��I CLER K � �� uil and County coy r< a il + o.C By NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: LOT VO im d C5T l f RCK / ' • I ry 4 w 10 t()5 sT 2. Description of improvement: g C L U� e 134 rixtt-A 3. Owner(s) name and address: E LI 4- LG - P4 / Coitf / 32 (A3 � 4 c,T' Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: MOD re-7, 3 ) iLiDur2 S T.�Jc-- 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) q-Ce cd,rw Signature o1 Owner Print Owners Nam r I PC ' 1 s _CA 1 nQJ Sworn to and subscribed before me this « 2�iday of ((/�p , 19 Notary Public Print Notary's Name My Commission Expires: , A. 0. 19 OFFICIAL NOTARY SEAL DARLENE AORD COMMISSION NO. C0169810 N EXP. AUG. 99 R 151227 1999 MAR 24 09:03 Prepared by:abeCfl �ettettaceet ddress: Slav ski S( r I j FC • 02/11/99 15:49 APPLICATION FOR CERTIFICATE OF RE-OCCUPANCY $305 670 1840 Sp A- ( to re- occupy the single family residence lmown as : (address) LAWYERS ►-, CPCS ) t ,Qf) hey apply for a certificate Miami Shores, Florida. Legal Description: Lot. . ( 1 O La 12. Le 1 Block O PB & PCT:_ I 0 I hereby certify that I understand that the zoning of the property is for single- famnly residential use and that it is unlawful for more than one family to �� Shores � certifies ° that the Certificate of Re- Occupancy that may be issued by referenced property is being uSed for single-family purposes and that such Certificate does not constitute any representation, warranty or certificon as to the condition of the dwelling or other structures on such property. Applies �--� Print Name 4,*************************** r * ** :'�s** ** ***.= :: * *.* * :. * *: : *** * * * * * * * * * * : * *_ For purposes of conducting the inspection required by Section 902 of the Miami Shores Land �(�-� lease contact: 4 rJ� -8 0. l � Development and Zoning Code, p C� he -N9- 13 ( C I p 1 ell TelePhd�d�"'�c� P check No. Application Fee (S50) paid: Cash F. LUBIEN Approved X Denied Inspected by: Comments: PAGE 1 OF 2 Date 2/ Q002 02/11/99 15:50 • 22305 670 1840 CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for purposes of re- occupancy pursuant to Sections 901 and 902 of the Maori Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single - family residential purposes. THIS CERlik'CATE VERIFIES THAT REFERENCED PROPERTY HAS BEEN INSPECTED TO PRESENTLY AND HAS BEEN DETERMINED COMPLY WITH THE SCHEDULE OF RE OF THE r CODE MIAMI SHORES LAND AND DEVELOP THAT EACH PERTAINING SOLELY TO THE REQUIREMENT ONE -FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE -FAMILY DWELLING oCONSTITUTE ONLY; ANY REPRESENTATION OR HOWEVER, THIS CER1. �CATE DOES TO _Litt: CONDITION OF THE DWELLING OR OTHER STRUCTURES ON T PREMISES DESCRIBED , OR ANY CONDrrION, AND INTERESTED PERSONS ARE ADVISED A ENCOURAGED TO MAKE THEIR OWN INSP PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. PAGE 2 OF 2 MIAMI S ORES VILLAGE, FLORIDA By Date of Certification: 2 /18 / 99 410113 I N D l'■• X of SPEGIFICEICNS For renio.ence for D. A. Pruitt, 7liaril Springs, Florida Upton C. Esing, ieitert Architct, 310 Madeira Ave. General Conditions Excavation, Concrete and Cement Work Maeonry i2rk number and Millork Tile Work Carpentry Work Fooling and Sheet metal Work Steel Cash and Screens Flcerfl,ng Electric W1r:7.ng and Fixtures Plurcbing and Fixtures Lathing, Plastering and Stucco Grading and Sodding Painting and Glazing SolEL? water Heater Miscellaneous Iwo WO/ ale SONY 11111A i! - 'mat - • A 1 0 , 1 4 '' • I ..../^1(.12,, '. 7 1 2 2 2 2 2 2 3 a a 4 5 5 5 5 5 ' • GENERAL CONDITIONS The following General Conditions shall apply to all branches of the work ana to all Contractors. Proposals- The Owner reserved the right to reject any or all bids and will not necessarily accept, the lowest bid or Baas. Laws and ordinances - The work throughout shall be done in accordance with the laws and ordinances which govern and are in force in the place or locality where the work is to be done. Contractors and Fereit s✓ The Contractors shall furnish al't labor, materials, scaffoiaing, traneportaticn, etc. required to execute and conr his branch of work. Contractors small obtain and pay for all permits and licenses and shall at all times provide sufficient facilities for inspection. Each contractor shall cause to be removed from the premises from time to time, the rubbish and surplus materials resulting through the ee eBut ion and completion of his pork, keeping the premises at all times in a clean co alit ion. The Contractors shall protect the Owner from any anu all liabi;liv: es, aamages, lose whatsoever for injury to any person, perms or property. Measurement and Laying Out df Work- The contractors snail obtain all necessary me:asurernente for the proper execution and cei:p:etion of his work at the building or from other contractors as conditions demand or require. The =tractors shall verify all measure.ents at — the building and &Beheld responsible for the proper fitting of the work embodied in his contract, and shall be held responsible for the correctness of same. Guarantee- The Cont re cto re S11:1 L P.t their c en expense amend and make good any defects or a u1tg in hip zork arising from defective or improper materials or sorkseenship ehich appears. within twelve aontr.s after acceptance and completion of their work. Alterations- Shouln eny elte:rations be required during the progress of the work, the contractor shall. proceed with them upon written notice from the owner. All branches of Bork ehali be clone in a first class and wcrkr. ar_likemmanner. The Arclriteot is drawings are intended to show the work to be done under these contracts and these specifications are intended to agree with and explain the drawings, but any work ohown on drawings and not particularly specified herein or specified herein and not shown on drawings, or if evidently necessary to the satin actcry completion of any portion of these contracts shall be done as if it were both shown and specified. Any obscurity in the plans or specifications shall be explained by the Architect and hit; interpretations shall be binding upon these contractors. Ownerehip of the r:rewings- All draeinLe, specificaticns and copies thereof furnished, by the Architect are his property and they are not to be used on ether wore and ,.re to be returned to the Architect at the completion of`he work. 1 • • • The trawings and Specifications fcr the erection and completion of this building shall be subject to current rules and regu1at lone set crown in printed form by r ederal Housing Administration. All materials and workmanship throughout the entire construction shall meet with the approval of the supervising Architect of the Federal rousing Administration. • SPECIFICATION for Excavation, Concrete and cement 'Mork Permit- This contractor shall secure and pay for all costs for all necessary pewits and shall furnish water and power for building purposes at his own expense. 77cEvatice— This contractor chall clear site, remove eny necessary trees, etum e, and all other debris s. He shall lay out all footings and found- ations, and do all excavating to the required depth for all founJat ions, footings, etc, all as f hewn on plans. oncrete 'ork The contractor shall pour all fcotin s and place reinforc- ing as shown on plans.Hc shall pour all lintels, beams, slabs, etc, allas shown. The concrete, unless other fiee noted shall be mixed in the following proportions; one part fresh Florida Portland cement, 2 parts sand, 5 parts small crushed. clean rook. ement Work- All porch floors, elabe, garage floors, eteps. beams, etc. shall be installed as shown on plans. 1 Work The Mason shall furnish, deliver and erect all materiel for btick and stone pork; lay all concrete b le cka and clay bei ck and do any and all other items classed as reason l s work specified herein or shown on plans. All masonry work shall be done in a first class workmanlike manner and all exposed surfaces neatly and carefully pointed do completion. 2 • • Lumber and Millwork All lumber shall be of sizca as indicated on plans. 2x4, 2x 6, Lx6, 6x10, 4x6, etc., shall be #1 tom Lcng Inside tr.im shall be standard stock mold and base, 2 4 inch bast of =l cypress. Ali. framing 1u heY, not otherv.lee specified shall be long leaf Y. F. Inside 'doors shall be 1 -3/8" white Pine or Fir panel Sheathing shall be full lxS S48 #-2 com. All shutters shall be l -3/8" 41 cypress. 3 Leaf Y. P. inch door trim and of merchantable grade, doors. Tile work Four by four colored tile shall be installed in bathrooms 4 xrom floor and 6 over tub and in shower stails.Window sills shall be tile,. selected by Owner. This contractor shall furnish and install all necessary fixtures- towel bars, paper holders, soap dish.es, soap and grabs, etc. Kitchen sin;. , i Y ; drainboarc:Ss and splash back shall be tiled. All work shall se first class in every respect. Carpentry Work Carpenter shall ao all ruff and finish :pork necessary to complete this branch of work, han; doors, fit base, door trim:, closets, kitchen cases, medicine cabinets, cross brici,ge, wind brace, etc. and install all hardware. All workmaneh ip shall be first class and shall meet with the inspection and approval of others. All materials and workcaneip of this branch of work shall meet with the approval of the inspection of the federal Housing Administration. Roofing and Sheet metal `Fork Entire roof shall be covered with CO lb. slate covered felt. Joints shall be well lapped and sealed with asphalt. White (super crete ) cement shingle tile shall be carefully laid in cement. mortar over entire roof doubly lapped with minimum of 3" under lap. Ridge tile shall be properly lapped and edcurely fastened to roof. Roofer shall flash and counter flash around chimney,antX x .xf2]rXi t and solar heater tank and coils. Roofer shall furnish written guarantee with his proposal and shall provide against leaks, faulty materials or workr-.anship. • Steer sash and Screens This contractor ehall furnish and install all steel sash together with such steel screens for all steel sash as are called for on the Tlans,and specified herein.All screen shall be fitted with 18 Mesh eopper alloy screen cicth) vat swivel ac just ex's; .-=ha11 be installed. All glass shall be Grade A. ssuble strength. Flooring Ce&ect 13/16 x 2 oak floor shall be installed as shown on piens, same to be sanded end taxed. Floors shall be laid of 13/16 x 2 select grade of oak flooring, sanded smooth and filled with paste filler, and finished with t,vc or more coats of white shellac, hend sanded between coats. Electric Nork and Fixtures All wiring shall be installed as shonw on ple s. All wiring shall be done in accordance with. the ret .cnal Board of Underwriters and this contractor shall furnish a certificate of the completed job. This contractor shall hang fixtures selected by Owner. Fixture;- 42O0,QO allowance shall be allowed Owner, to be epp .ied on purchase of lighting fixtures. Plumbing and Fixturee The plumbing system includes the hot and cold water supply pipes, fixtures, and fixture traps, fittings and cocks, soil and waste line, vent pipes, building drains, septic tank, leaching tile and field, meters, etc. This contractor ,:hall secure necessary permits and pay for sane. All work shall be one in a first class workmenlike manner and shall be guaranteed free from defects. This: contractor shall install fixtures and shall be held responsible for the proper fitting of his work. PluZe i, ri g Fix ur e: s -- Eathrooni � 1 C x;;08 - 5=-0" Co resit h tub -- C 3866 - B.C.P. bath and shower fixture 1- C 33581 -E C.P. waste 1- 0 4962 -B C.P. 1x62" curtain rod 1- C 4980 C.P. snap hooks Lavatory- 0- 1991- 24 x :O lavanet C 32283 C.P. supply and waste C 52547 C.P. angle supplies with stops ftSktA2xtx xxxxgl e C 3''542 C.P. offset reducers 0 33980 C.F..1 -1/4 17 ga P. treys Clcset C 11125 J .. euton closet with C 13606 T „er,cnian tank ;; 9010 sheet covered seat 0 32 569 C.P. /u x 11/16 step 0 14484 floor flange • C 14510 china bolt caps • ,Ethroorn 1Z` off - same as . ath fl Latsatory - same as path -1 Shower-- 0 4261 B C.P. 1 /2" shower fixture C 17960 M C.P. drain 0 4962 B C.P. 1" x 62" rod 0 4980 C.P. snap hooks Kitchen sink Yrn4 x 30 fiat rim sink 0 32 751 0.P. swing spout faucet C 19770 C.P. utility waste 0 33980 C.P. 1-1/2 =17 ga. P.trap 0 sundry 21294 -rB two part laundry tray C 31746 $ laundry faucet 1-1/2" lead P. trap i tithing, Plastering and Stucco This contractor Jhall furnish all labor, materials, scaffolding, implements, cartage, etc. necessary for the proper executicn of this work. All interior walla and ceilings' shall be lathed with rook lath and piast ereci,wit h two coats of Red Tap or • equal'.Gypeum plasters for second coat When. first - 'coat .ie sufficiently Cary '4nd coat shall be applied; first coat shall be 2 to 1 mix- 2nd coat shall be 3 to 1 mix. Finish coat shall be of color and texture as selected by Owner. Corner beads shall be furnished cal co. exposed corners. Metal lath shall be used on walla to be covered with tile and shall be securely nailed to wood with galvanized rooting rails. Stucco- outside walla shall be stuccoed with 2 coats of cement mortar, waterproofed Aith Sec as directed by the manufacturerms. All work shall he first class in every respect, approved by Owner as to quality, texture and color. Grading and Soddiri This contractor shall do all filling and back filling and finish grading. He shall plant grass as directed by Owner. Painting and Glazing All paints shall be ready nixed and shall be approved as to quality, color and finish by Owner. Fo portion of wood, metal or plaster shall receive less than 3 coats. All sash, doors, etc., shall be glazed with A double strength glace. Stucco shall. receive 2 coats of lime and cement wash waterproofed with Sec or equ".i, as directed by manufacturers. Solar Water Heater This contractor shall furnish and install a U.urlex all metil solar water heater with 82 gallon tank with one f1Q heating; coil, well insulated and properly connected t - insure the most efficient gravity installation. System shall be guaranteed for one year. Miscellanecus ermite shields- shall oe inita1lea in accordance with the regulations '8f the F. H. A. Hardvvare -- W.0() alioA'wnce shall be allowed for the purchase of hardware to be selectee: by Owner. 5 • r f /Y1 Lir APPLICATION 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 re3ulations of the building ' Department of Miami Shores Village, sla11 be complied with, whether' specified or not. OWNER ARCHITECT •', CONTRACTOR • LOT/ f,, '/ 'BLIt SUThDIY?1SION T EF9Tn NEW ADDITION REPAIRS NUMBER OF STORI O ROOF COST (excluding Architect's fee, landscaping & garage)$/ Building to be used for ;, and no other use. I hereby submit all the plans and specifications for said building. STATE OF FLORIDA) COUNTY OF DADE ) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgment, personally appeared to me well known`, and who, being by me first duly sworn, upon oath deposes and says that he is the builder of the above described construction, that he has read the foregoing application, and that he did sign the same, and that facts stated by him are true. Read, Sworn and Subscribed before me, Notary Public (Signed) My Commission expires Chairman Member Member Secretary Building Inspector Permit No. 0 Issued Electrical Permit No. BUILDING PERMIT RECORD - i:IAMI SHORES VILLAGE FLORIDA Signed DATE Cubic Fees /24)4Cubic feet required in this Block - P NNING BOARD t a o Plumbing Permit No. Date 25/ 3 �j • Painting Plastering Lathing Electrical • MasonAcCoricrete • • '• - • Plumbing' Roofing Glazing Tile Miscellaneous. 0 c • LIST OF SUB-CONTRAdTORS . . • • , • ,:• • •••■•■•••■• • • • • . • • • . . . • • • •: • "c • „.• , , :! : , • • `, : FRONT. DEPTH HEIGHT STORIES TYPE OF CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE Frame, Tile Concrete, Stucco Residence, Apts., Stores, Hotel BUILDING PERMIT NO. Dated , 19 DESCRIPTION OF BUILDING Iv Owner of Building Architect Contractor or Builder PROPOSED LOCATION MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR Miami Shores Village, Florida, , 19 STREET PART OF LOT LOT BLOCK SUBDIVISION •9 260 This permit is issued to To the building above described, as per application, Plans and Specifications heretofore filed 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 zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. BUILDING INSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. (SEAL) r No. DEPTH Q STRE T y' PART OF LOT LOT BLOCK COST OF BUILDING SU BDIVISI J H 4,. N l� , F 1 1 I Q r p k ca ' d 7 ' � FRONT1 DEPTH HEIGHT STORIES TYPE OF `YQ NSTftt;CTION BUILDING TD BE USED FOR ROo" COST OF BUILDING PERMIT FEE ' ,.i( P " I ./ ,� 6 6�� 'JP" '' I 1 it A Frame, Tile Conc?ste, Stucco Residence, Apts., Stores; Hotel i ' t BUILDING PERMIT Owner of Building Contractor pr Builder( • This permit is issued to s MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTQR Miami Shores Vi age, Florida, '� � > - , 19� y _. Architect PROPOSED LOCATION DESCRIPTION OF BUILDING 260 the building above described, as per application, Plans and Specifications heretofore filed 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 zoning laws of Miami Shores Village, and rules and ulations of the building department of Miami Shores Village. This permit may be revoked at an imp, upon the violation of any provisions of said s, ordinances or rules and regulations, or upon any change in the plans and specifications una rtzed- iy the building inspector. /G .y In consideration of the issuance and plans and specifications thereof building ord' antes and zoning laws Dated �/ To 6_ ♦ t i'' I ��./I I BUILDING INSPECTOR t to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application heretofore by me submitted, attd in compliance with all provisions of all building laws of the State of Florida, all the of Miami Shores Village aped - all rules and regulations of the building department of Miami Shores Village. ' 19( ;i (SEAL) by for MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring ad apparatus installed,at has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Range watts. Water Heater watts Power: Connected load H. P. Space Heaters watts Other Apparatus 4,0 Address owner, acid occupied as Number of Lighting Circuits r PERMIT No. 44 4/ ELECTRICAL INSPECTOR. BUILDING afefRiGAL PERMIT A N? _ 823 --..N.-P-1.1144}31414G ner of Building NAME hitect and/or Engineer NAME .ontractor or Builder ...— ADDRESS ADDRESS ADDRESS , NAME Proposed Location .....: LOT BLOCK SUB-DIVISION NO. STREET 4 e v. 7 . This permit is issued to • ,, To I ' j. the building above described, as per application, Plans and Specifications heretofore filed 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 zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. $ AMOUNT Dated_ MIAMI SHORES VILLAGE BUILDING INTCTION DEPARTMEN CICENSE NO. ------- ------- RECD. PAYMENT ACCT. DEPT. INSPECTOR In consideration of the issuance to me of Vs permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village rd all rules and regulations of the building department of Miami, Shores illage. , 1 , - • LICENSE NO. (SEAL) 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 made when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. c4e, PAID BY ---- 6). YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER 1940 • /0 . //7/ /''a 2e. i 1E (0) 1941 /�.d / - 3 " 4'/ 0 2 02 0cz mil / / L1 � , 1942 /d d 6 c ^ .1.4 , At / ' 1943 / - /m / -' 1 r V g . . 6 1l/ • / il ' '/ 7 _r/ _ • d ( 1944 ./P° /2 - z11n / - t 4 / 5 6361 66 4'3 a. 'vV Oc-0-- t 1945 /19 . 0 0 • 1v ..„1_,-�� 1946 /o• o / - 77 -64 /V-1l7_ >/67/ / 7 754 , / r u N 1947 /v, o a a IS ♦, 1948 ft Or/ 1L - 3/ Y7 ', /2.- /7 °if 7 /4) v; /1 ,r 1 e 1949 It r/ - rte Y'? � �; 'r ri 1 V /--- 9-se ./4P iy /K'77 11 /f (1 1950 LOCATION 105 N. E. 95th Street �( �, � �_ x `� ,`�, ��� E. GARBAGE TAX RECORD 105 N. E. 95th St. by • M. A. Scott /9-s7 721,A,I,uz. _6_ .year annual tax amount paid date paid _piod used receipt # /A- 76,s- / 7 a 9 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 8120../62 , 19 Owner's Name and Address.... Earl Scott No 10 Street N • E • 95th St., Registered Architect and /or Engineer Name and address of licensed contractor Owner— Builder Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) To replace three slabs of sidewalk section in front of above residence. 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 $ IMO 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 rovisions 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 gg are true. 1 Permit No _�f" 52- Date Read, Sworn to and Subscribed before me. Disapproved Date ( Signed) ✓) ui ding Inspector Notary Public, State of Florida 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.