BUILDINGSoutheen F : ell
t
KEN PHOENIX
MARKETING MANAGER
l
TELEPHONE 635 -3231
AREA CODE 305
MARKETING
1479 N.W. 27th AVENUE
MIAMI, FLORIDA 33125
Disapproved
(Signed) e' ;
ate
uilding l rpcctor
MIAMI SHORES
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...�1kgasS Z_..gP_..._...._.___,......... ,197
�.E/V/Y.ETiy /0: ,4Ya --/!/ /k _. NO !o / Set' c �v�-sr
Owner's Name and Address C ........ - .._
Registered Architect and /or Engineer 4 � 4 M 4. ,7. . L�. .... _
TIT PM Ill 222 1 2 el TI
Name and address of licensed contractor /Y/14'' Oar. 6-A
Locati n and legal description of lot to be built on:
Lot �° � ..el-fj , 6 ./ 2. 7... Block e/ Subdivision.,/ /"/ 5y0,ES, /✓T /f /,G E
Street and Number where work is to be done 107/ 1$/E 2s s
State work to be done and purpose of building (by floors) 2'. ,'&, 414r/ -/ ,,,"roc F,t...2r:/T/ .Aa.1 — �
$jv.4® -E e lao.gr• —
and for no other purpose.
New Bui!ding Remodeling )( Addition X Repairs X No. of Stories .
To be constructed of C•4...5 Kind of foundation ' Roof Covering. .. !''a - /"
t
Estimated Total cost of improvements $ ,mount of Permit 3. 31,7r
Zone cubage required ___. Plan Cubage
Distance to next nearest building.vle i/ wtsT - 24/ ‘&71" 451 gize of Building Lot
Maximum live load to be borne by each floor ,4
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 !ler:rH / / ,i /t> 7/ 4,6" �fS '7-
The undersigned applicant for this huilding,pennit does hereby certify that he understands and accepts his obligations as an employer
of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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 Je performed under this
permit, as are licensed by Miami Shores Village. �-�'
Remarks (Signed ),7
G./ f
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
Read, Sworn to and Subscribed before me.
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.
gi
Permit No.._.. �( Date
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 31.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty
materials anu /or workmanship.
Citu
c1144.
Owner's Name and Address
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.
Registered Architect and /or Engineer aee...44e— f� e .04A<.7
Name and address of licensed contractor , d/.4 1-
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)..-_--. 57_ af?.. fl dv`: .....
.... ��e4;',. r0 ,PP es ....��� ._.._l di G7 /.. i
and for no other purpose.
New Building Remodeling X Addition X Repairs' X No. of Stories... /.. / .•.2. _
To be constructed of Kind of foundation. .►? &4a. .j'vG .terms Roof Covering.- .,C.Gitl/.
1 G'p.aT./ _c I -.- ����yE_ 7• )
Estimated Total cost of improvements $.t .7i 72 5 v'T Amount of Permit $.
Zone cubage required plan Cubage
Distance to nxt nearest building. Size of Building Lot
Maximum live load to be borne by each floor 7 ...
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
sue' •
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 : T rformed under this
pennit, as are licensed by Miami Shores Village. '�/ y/
Remarks... (Signed )
.!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,
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..
(Signed)
Building Inspector My Commission Expires
Chairman
Mcrnber
`` ember ......
Council Approved
41 6L' /VV y ,lfM°oiy�
Notary Public, State of Florida
PLANNING BOARD DATE
Member
Member
Member
Date Disapproved Date
NOTE: A charge of $1.00 will be made for making 'corrections or changes to this application after approval has been obtained from
the Planning Board.
A re inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
1
=d representing the interest of Miguel Almeida
from RU -5 to BU -1A on property located at
= equested covenants had been submitted; how -
ng to this matter had been approved on first
got scheduled until April 20, 1976. There -
this application be deferred until after
=r Phillips, that the application of Miguel
ferred until the meeting of May 11, 1976.
finer Oesterle, and upon being put to a vote,
Ruvin was absent.
iefore the members of the Board in connection
and Angel Perez for: Change of Zone from -
:he West side of Canal C -102N lying Westerly
133rd Place, between theo. SW 219th Street
stated the attorney for the applicant was
tin Attorney, and Mr. Gomez replied that he
- z 'that only an. Attorney could represent Mr.
a letter had been received from the applicant
Heretofore noted, be withdrawn without prejudice.
.y Commissioners
:y *, Florida April 13, 1976
COURTS
NATION SHEET
—1977
79
DE DETAIL EXPLANATION
1 Professional
$6,000.00
3 Court Maintenance 6,660.00
4 Membership and Office Mail Expense
5 Based on $33.0J per Month
6 Based on $60.00 per Month
8 Average $60.00 per Month
12 Professional Association Subscriptions
13 Laundry Expense
1` ppWRr.OR
. �RiR�►
•
e f t s ? oar ', oo "' c<.. 031 "w •,a' : ,uv .::
SI ATE OF FLORIDA ,3flepartment of 1lrafeNSional c AnD Occupational pegulntinn
CONSTRUCTION INDUSTRY LICENSING BOARD
me NO. EATU1 NO
07/ RP 00229126 198
THE REGISTEReD Cf1MMERCIA'1; POtiL CONTR
NAMED BELOW HAS REGIST,ERE':r
UNDER THE PROVISIONS OF CHAPTER 468 . : FOItt
*THE YEAR EXPIRING ; JUNE .30. 1G77.. (MUST
- : , ; .MEET ALL LOCAL 'LICENSING REQUIREMENTS
'! TO CONTRACTING IN ANY AREA)
HOLLIS. RICHARd :F
HARRIS REMODELING CORP
550 NW ANSIN'BLVD
. AHALLANDALE .. FL ° 33009
DISPLAY IN A CONSPICUOU§ PLACE
1
$t CI ?ARV or P O 'n mcl
AND DC( JVAIIONIM 1110,N A, A,N
STATE OF FLORIDA
Pepartment of professional 4Nnb (Occupational Xleplation
CONTT. INDUSTRY LICENSING BOARD
HOLLIS. RICHARD•F
HARRIS REMODELING CORP
(INDIV• MUST MEET LOCAL LICENSING
RED.. PRIOR TO CONTR. IN ANY AREA)
REGISTERED COMMERCIAL POOL CONTR
HAS PAID THE FEE REQUIRED BY CHAPTER 468
FOR THE YEAR EXPIRING 'JUNE 3 0 . 1977
SIONATUR1
PLEASE REAR IMPORTANT
INFORMA'T'ION UN REVERSE sl/MnAa "'r "u . '"'"
\GOVRRN.OR AND ,■ IIIVAIIONnI NI I.1 ••
WALLET CARD — FOLD HERS
CONSTRUCTION INDUSTRY LICENSING BOARt.
POST OFFICE BOX 8621 .
JACKSONVILLE. FL 32211
1 A U I)I•I? CONTROL NO, KILK NO
097988 RP002292
HATCH NO.
158
FE , \ NI I I I N I'
$10.00
el-
S4!naturcuf11 )I( r
CI:R 1 II I('A'I T.f)1= COMI'FTENCY
( OI • IIAI.I.ANI)ALIi. PLORI I)A
. This Certifies that Richard F. Hollis .
was on the date of this Certificate duly, registered as a'
Spec. Contr./Swimming Pool Construction
in contittntity with the regulati n ed on e reverse side I rcol, and
for the year ahme stated. j e
Rusiness Name & Address:
Rictlard F. Holllis
Harris Remodeling Corp.
..d /b /a Princess Cabinets
550 Ansin Blvd.
Hallandale, Fla
For 1976 19 77
Building ficial
e _ 374
LOCATION
Id
Id
0
J
0
LL
Is hereby Licensed to Engage in Business or Occupation of Classification
060 CONTRACTOR /SWIMMING POOL 'SPECIALTY
WARREN GILBERT;, PRESIDENT
RICHARD HOLLIS, ,QUALIFIER
HARRIS RLMODELIPJG CORP, D/ 3/A
HARP4 S POOLS
550 ANSIN BLVD
- HALLANDALE, FL 33009
CLR'I'II I('A'I F01' ('OMI'I':'I F:N('Y
This ('erlificate is valid only for the year indicated
on the face hereof. Must he renewed by 12/31/77
(Thp. 9/30/77)
This Certificate of Competency is ' issued in
accordance with the provisions of the
ORDINANCE and the rules and regulations of the
City of Hallandale, Florida.
$15m r n � J e
This is your current Certificate of Competency for the (TIN
OI HAI.LANDALE, FLORIDA. Please he prepared to
present this card upon demand by the 13uil.ding Department
orally other official.
, CITY OF HALLANDALE, FLORIDA
NAME OF BUSINESS T
ICENSE
CITY TAX COW -Citm
11 POST THIS LICENSE IN A CONSPICUOUS PLACE �� ""'�"""""" +IL3FE _� + "`"" tlC3F�]i —M ^•' �: :A
LICENSE NUMBER
AMOUNT PAID
PENALTY
DATE
001099
11/2.3/76
1976/77
FOR THE PERIOD COMMENCING OCTOBE
1sr AND ENDING SEPTEMBER 30m OF TI-
YEARS SHOWN ABOVE.
NOTICE - In the event business for which th
license was issued changes hands, said licen
may be transferred within 10 days of such than
or will become null and void. MI persona t
due on said business must be p of sup
trar er w be granted. l ��..�
50_ 00
, J f
1
BROWARD COUNTY; FLORIDA .
COUNTYbOCCUP,ATIONAL LICENSE
P RIOT 6'," BER 1 197 SEPTEMBER 30 1977''
❑ RENEWAL .NEW':.SECfION' •, �'• t tAt
THIS LICENSE M J T. BE'..
. NSPICIOUSLY RP, 001
DISPLAYED TO PUBLIC THE , 14047 .'
LOCATION ADDRESS BELOW ►' ,�`
550 Antall '«
�t1nd1. , Fia 33009
fD
N
TAR
LIBRARY
PENALTY
TRANSFER
ACK TAX
THIS LICENSE"P T VALID UNTIL,
MACHINE RF.CEIPTED BY 1HE
REVENUE COLLECTOR WITH DATE,
TRANSACTION NUMBER, . A N D
' TOTAL AMOUNT PAID.
ACCOUNT NUMBER
541.65
Harris '0014,
c/o rr$6 8eToldtig' Corp.
, f
8 .:Webb,' ibavid. 8. • •
L _ 590 Ansiti 8V'1d • , 189 1 100
a 1 lO F1 3300
IS HEREB LIC �+ E I ROWA�_RQQ CO TO ENOAGE
IN THE + $11AV UPATION OF' '
' Mc -6-16 ! :1 0938 S *k *,,* 1:AU.3
PAYMENT RECEIVED AS VALIDATED ABOVE
•
..1n.r,1
FORM 123.01 -16 REV. 1975
G 2214
1 AUDrT NUMBER)
•
TYPE NAME
OF BUSINESS
ORGANIZATION
AND
MAIL TO
BUSINESS
ADDRESS
PERSONAL CERTIFICATE of ELIGIB11 ITY
THIS CET-CAE EXPIRES SEPT. 30, 1977
THIS IS TO CERTIFY THAT THE FALLOWING NAMED PERSON
IS QUALIFIED UNDER THE PROWSIONS OF CHAPTER 10, CODE
OF METROPOLITAN DADE COUNTY AS A
#15 S
tOtt5W077
THIS CERTIFICATE DOES NOT PERMIt BEARER TO CONTRACT
RICHARD F. HOLLIS
This is To certify that
HARRIS REMODELING CORP
CERTIFICATE HOLDER'S COP
CONTRACTOR'S
HARRIS REMODELING CORP
3149 W. Hallandale Blvd.
Hallandale, Fla 33009
CERTIFICATE OF COMPETENCY - BUSINESS
METROPOLITAN DADE COUNTY
G02085
123.01.84.REY.'75
I SOLE PROPRIETORt1. PARTNERSHIP U, FIRMD, OR CORPORATION XUI
having met the requirements under Chapter 10, Code of Metropolitan
Dade County, as amended, is hereby certified AS A #1S SWIMMING POOL
done under the direct supervision and control of the following named qualifying
NAME:___LICHARD F.. Hollis ==
1
CONTRACTQR''3 COPY
This Cartiticala DOES IIOT Parmit Dearer To 'Coati
.1
NOT VALID WITHOUT SIGNATURE
THIS CERTIFICATE IS VALID ON A COUNTYWIDE BASIS IN THE UNIN-
CORPORATED AREac AND-119 ALL MUNICIPALITIES OF DAVE Cowry'.
THIS CERTIFICATE AND ALL THE PRIVILE ES AND RIGHTS THEREUN-
DER ARE NOT TRAN,STERABLE ND THE IVIDUAL CERTLFIED Nr.RE
a «i.DO A.IS.YESQONSIBLE FOR F' LL
. I COMP{ ANCE WITH ALL APPLI;A5L.£
DR COON S Y ANC ) �HAFLIElL1QQF THE. _CDDE OF METSDPDLLTAN
1 ▪ u$U D sr,
O SECRETARY, CONSTRUCTION TRADES QUALIFYING pOARO
.t.Y'Ib-I 8d 0 0
PERMANENT
CONT RACTOR
NUMBER
4027
'CONTRACTOR. with all work to be
ADDRESS: 5214 SW 32nd St.- Pembroke Pi nes
(OF CU .sLIFIERi
L ni: certitica;e n vain on a countywide basis in the Umncoroorated Areas
and in au Oadc County Mun+C+palit.eS. 'The gaarityina agent and
oryani7at+(b herein have been duty quat,lled by Inc Construction
Trade .:aI�lyimn t aid, This certificate Dlcomles null and void at Such
Lim, the auilif Yen agent named ncr gin is no longer associated with In!
ab ve n amled organ 1. // Lion.
,E...E4 F I jE IS GOOC1UNTlL SEPTEMBER 30, 1977
(Sec Con ra es Q Yina Board)
I
i set u ctia adef Q ityin oa.
Trade
Name
Corp.
Name
Mailing
Address
City
State
Zip
CITY
STATE
ZIP
1978 -77
EXPIRES SEPT. 30, 1977
Business
Address Qperating In -
Dade County '
HavvierRomoOitni
550 NW Anson Blvd
Hallandale $1 33009
•
MUNICIPAL
DUE
OCT.
Is hereby, licensed to engage In bueineas,
profession, or occupation specified hereon.
Payment received as certified above
Dade County Tex Collector, Miami, Florida 33128
TRAD EHarris Remodeling Corp
NAME
CORP
NAME 550 NW Ansin Blvd
M AILI
AD HXMNX . Fl 33009
IS HEREBY LICENSED AND AUTHORIZED TO DO BUSINESS
AS A CONTRACTOR AS SPECIFIED HEREON.
DADE COUNT* OCCUPATIONAL LICENSE
' OF FLORIDA
MUST BE AT PLACE OF BUSINESS
Cart. No. State No.
g3 RENEWAL
❑ TRANSFER ORIGINAL TAX
❑ NEW LICENSE
Line Sec. Type
2 196 3peo..flldg 15
Add to Lleense
p s 4`C, t:L 2 5 `
CONTRACTOR'S OCCUPATIONAL LICENSE 28332 5
ACCT. NO.
1 76 EXPIRES (HIS LI FNS VALID v IN 1ST 9 6 SEPT: 30 91 1
MUNICIPALITIES I IS r'( [r L�t,I ON'
THIS LICENSE ISSUED IN PURSUANCE OF METROPOLITAN DADE COUNTY ORDINANCE - 66 2
BUSINESS W
IN CI
T *t 't i WRFR6. UHK I` !n)r:!
ADDRESS Operating I
DADE COUNTY 99 STATE NO
CERT. OF COMPETENCY 4027
TYKE OF CONTRACTOR
Bldg BAL HARBOUR
,pee Bldg 15 BAY HARBOR ISLANDS
BISCAYNE PARK
CORAL GABLES
EL PORTAL
FLORIDA CITY
HIALEAH
175.00 SLAND AGARDENS
AMOUNT MIAMI'
MIAMI BEACH
MIAMI SHORES
MIAMI SPRINGS
ADD'L CATEGORIES NORTH BAY VILLAGE
NORTH MIAMI
NORTH MIAMI BEACH
175.00 OPA LOCKA
TOTAL AMOUNT PENNSUCO
SOUTH MIAMI
P0102 2647 F EB 2 5 77
1 7 S V G Vvi 1 IA GARDENS WEST MIAMI
PAYMENT RECEIVED AB CERTIFIED ABOVE ^• DADS COUNTY TAX COLLECTOR, MIAMI, I I OIUDA
t N15 fONtei ERCOMC6 A RECEIPT ONLY WHEN VALIUATCO [9V Ric EINTINS MACIIINI' SFIpWINr•, NUMHEft- OAIL- AMI)IIN I' PAID
Lti LNS(iE t.iu I 1. 11.1CR
PENALTY
20332 5
Acct. No.
r
Amount
9.00
TOTAL AMOUNT
SEE REVERSE SIDE
is'c'ertrinoAt
r
.r
4
CUAUP111413 AdENT.
• ‘•
,•-•`^ THE APPLICANT CERTIFI
7 'IS TRUE AND COSIRECT.
•
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Audit . �..`.. 2311......
Tho BROWARD COUNTY, FLORIDA
BOARD of EXAMINERS of GENERAL CONTRACTORS
has awarded a CERTIFICATE; OF COMPETENCY
N 74- 2.5.50- PC.._.......
To....- .- .... - RIC13ARf_ F.. HOLLIS . .......
as a SPECIALTY CONTRACTOR
in the category of Pool Construction ...
to rate as such in thc 7 incorporated area of this County.
Issued Oct . l Ex ires Sept. 30, 19 77
Authorized Boar
Authorized Boar ignaturc
{
'.�-t ..��
are i
. ii+ '
SE PT.
OCT.
NOV.
DEC. JAN.
Bo
9, ,5
cV 95
&0. oe i J/e.5
•
Date of Issue 9
Renewal Transfer
Amt. Paid $
P.ARRTS REMODELING CORP
R.F.HOLLIS
3149 W. HALLANDALE BEACH BLVD
HALLANDALE, FLA 33009
(SIIMStIN POOL CONT*9leJ '► . a 5,00DA Roan
CITY OF HOMESTEAD FLORIDA 1975-7R
City Occupational License Li cense No. er/
Application No.
For and in consideration of`the sum shown, the person, firm or cor-
poration as listed hereon is hereby licensed and privileged in the business
specified sublect to the restrictions and regulations of City of Homestead,
Fiorida.
THIS LICENSE. EXPIRES SEPTEMBER 30, 1976
DISPLAY LICENSE IN CONSPICUOUS
PLACE AT ALL T)MES
Edna B. Finder _Grp CLERK
Net transferable ix valid anions approved by tee City Clem. - Valid only wMn bearing off ;clef seat of city of Nan»sta.d.
FAILURE TO COMPLY WITH ALL APPLICABLE REGULATIONS SHALL BE GROUNDS FOR LICENSE REVOCATION. •
6 8
For automatic positioning use tht� tabulator k2y. Set tahulator at the 4 armw marks below.
ClAt'I'IFICATV 01 INSURANCE
IG! New 1'0r1: Underwriters Insurance Company
''' IT Twin (•, icy Fire lnsulance Company
This is to certify that the company designated
torch' by Co, ('ode leis i stied to the named insured
he I:41it•ie enumerated below.
IIARRIS INi)US11tIES, INC.
R. II. SMITH INSURANCE, Inc.
IIARRT`, Rimoo iLING CORPORATION
1444 Biscayne Blvd. . (305) 370 - 6483 CLORI- !\I.AN, INC. (lha PRINCESS CABINETS
Miami, Florida 33132 ' 550 ANSIN BLVD., H ALLANDALE, Fla. 33009 the
The policies indicated herein apply with respect tO! the' �hazardst and c.for'�ecnic t vera ll(r wn t l itui r s tll l c t( l y indicated
ic ■
sPccit lc•t•ntly herein but this certificate of insurance ctt �
of the insurance coverage In the policies i(Icutiliecl herein. —
- Coverage's and Limits of Liability
—
(SINGLE LIMIT)
((DUAL . LIMITS)
- - ___ _ - _.� - .....
— Property- Dania& l.lablllty
Hazards
( ;eneral Liability
Preiiiises-Opem 'ems
Independent Contractors
Completed (114erations;
Products __
Contractual (as described -
below)
Automobile Liability
Owned . \utonu,l,iles_
{fired Automobiles
Non•Olvued , \uloniuhiles -•- - --
Workmen's Compensation
and
Employers' Liability;
D October 26, 1976
4 II Dartford Eire insurance Cont patty
.
15 llartford Accident. and Indemnity Company
(31 citizens Insurant•c Company of New.lecf;ey
Policy Number
and
• Policy T('rin
(•14. Ctl(It'
5
1• A1. - - I'linud in li, ti, . \. !4.'71)
L'odny Injury and
l'roperly 1)anr,g44. 5 comity
I ity
oceot1enee
V
Named Insure(( and Address
*4•(154
each 14(4((444 (1144 rronco
21C- 794625 1. 00os 300 ,000
TO/26/76-77 ' - ,000,$
$ ,000 ,000 $ 300 ,000
S ,0011$ ,ono S ,000
S — -- 000`$ , 410(1 t \ggc'egate: ..
— — I
,00(1,S ,0410
21C-79462S
10/26/76 -77
11 .
11 11
11 11 1 1,
If policy is canceled,
written notice will he given to
5 - -- - x 000 XXKX
000; •X X X X
, 000
By
x.xxx
Bodily Injury 1 lability
$ 300,000
100 ,000
$ 100 . .000
' 100 • ,11(10
S
s
10/13/76-77
II to be assignee
I'MPLOYFR`_ 1NWR NCl?c(1MPANY,WW;n
$ ,000,000
300,0
300 ,000
-300 ,00(1
000
_. -300 ,060
t • ,Intl4en•..;It iott • `41;tt nl44i
CITY OF IIAL,LANDALE
308 South Dixie highway
Hallandale, Florida 33309
s 300 ,
$ 300 ,000
S _ 300 ,000
xNNX
300 ,000,$ 300
300 ,poos 100
--300 ,000 $ _100
, 000
,000
,000
S 100 . ,000
S 00Jmo
300 ,000
S 300.
$ 300,000
xxNN
s 300.1100
XXXX
XXXN
XXXX
Umbrella Liability
*If with respect to Automobile Liability the Policy Number entered above includes the symbol GB, A%, M\'[', MAC' or PU the word "occurrence" —
is :mended to read "accident ".
Location and description . of operations, automobiles, contracts, etc� lntialC (,
1�r1nC P�
(late.) Promises f operations at. 550 Ansin Blvd.,
in the State of Florida
11 thort:rd ,re.ve t
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Disapproved
(Signed)
Building I .pector
Chairman
Member
Member
Council Approved Date
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 o,f 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.
Name and address of licensed contractor n R Clattseen
Location and legal description,of lot to be built on:
8 E 2 80 M S Sec
Lot aril k Subdivision
Street and Number where work is to be d N E 99 St
State work to be done and purpose of budding (by floors) New -05idenge
Date
PLANNING BOARD DATE
Date .Afiri 1
Owner Dean R Claussen 's Name and Address No 540 .... Street___Granci...cmcaur.se
Registered Architect and/or Engin C as Markel ver 1/ 1/1 ttt t 1,1
and for no other purpose.
New Building X Remodeling Addition Repairs No. of Stories.
To be constructed of CBS Kind of foundation C.Oncret.e..Ez. S±eel Roof Covering
Estimated Total cost of improvements $ 30.000. Amount of Permit $..
n0
Z2in required _Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
perrnit, as are licensed by Miami Shores Village.
Remarks (Signed)-
Read, Sworn to
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,
therein by him stated are true.
Permit No._1922.0 Date
and that he did sign the same, and that all facts
and Subscribed before me.
Notary Public, State of Florida
My ommission Expires
Member
Member
Member
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 is made necessary by improper notice for inspection or faulty
materials anci/or workmanship.
Owner's Name 'and Address
ApOcation is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or otter structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Vil1lgo, Florida, and all provisions of the Law of the State of Florida, 311 ordinances of Miami Shores Village ?nd all rules and
regulations if the Building Division of Miami Shores Village shall be complied with whether heroin specifier) o: not. A cop %' of approved
plans and specifications must be kept at building during progress of the work.
Registered Architect and /or Engineer.__. ..... ._
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision_
Street and Number where work is to be done
State work to be done and purpose of building (by floors).
New Building
To be constructed of
Estimated Total cost of
Zone cubage required
Distance to next nearest building
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for insp ction ., the site 'f the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subco acto ., on wor to be peffprmed under this
permit, as are licensed by Miami Shores Village. / r
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No Date_ _._ /d __ -C__ Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Chairman .._ __ .
Member _
Member
Council Approved
MIAMI SHORES VILLAGE 44 6771
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
-
Date
PLANNING BOARD
DateJ4 °' `''r�''BG _ °! 19 ‘5
No. . - Street �5 '
_._ DATE
Building Inspector My Commission Expires
Notary Public, State of Florida
Member
Member ___
Member
Date Disapproved
and for no other purpose.
Remodeling Addition Repairs No. of Stories
Kind of foundation , R�o �vering
improvements $ e ff Amount of Permit $ 7'
-Plan Cubage
Size of Building Lot
__ to me well known,
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.
MIAML IQRES VILLAGE, FLA. N? 6312
JOB E'
INSPECTION
TIME READ
ADDRESS D U 6
�? J
REMARKS : GP-
INSPECTOR
DATE
MIAMI SHORES VILLAGE, FLA.
N_ 884
JOB
ADDRESS
INSPECTION J7■L/kat &'•
TIME READY (A-ia--g • Q . re1
REMARKS• /9/9 5
/ s zieNZ io7/ /1/69sSt'
INSPECTOR DAT S //0
PAID BY
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
Y A - 0. ' w a�,�c - (0)
•1 - I .. k
/9S '="
4,0 V
ii
%
•
(-
.. ''%5
a
PER. #U773 -- 7/1
K
0 od /L...
ADDRESS
1071 NZ. 95 th. STREET'
SECT
,_3
'2,r &ai1 26&27 BIK 81 R ECORD GARBAGE TAX
OWNER'S NAME
T.B. WAIKER
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.) LOT
_ 1071 N.E. 95th. STREET L2,5'25 4a1126-2V
BLOCK
81
SUBDIVISION
SECT° 3
GENERAL CONTRACTOR
SRATTHAUER -, VIALEER
ADDRESS
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO. 11 773
DATE 7/11/51
PERMIT FEE S 27000
BUILDER'S BOND
NO. DATE
ZONE REQUIREMENTS 25 ,,0 00 CU. FT.
PLAN CUBE 25,119 CU. FT.
EST. COST S 23,000.00
g
DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: P.G.
DATE
7/11/51
X
NEW CONSTRUCTION
CBS
CBS
STORIES
2
ROOF CONSTRUCTION
TILE '
INTERIOR CONSTRUCTION
oak & stonex fin. floors -piss.
REPAIRS
_ DESCRIPTION walls & Cell,
liv.. rm li din.rm. - - kit. -- den - -3 bed rms.--2 bath att. gar.
ALTERATION
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RESUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. [r ` �y I I /
ISSUED //' ' �h�;
BY �'
= d . -. U .. _
T O /
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
.J
- /Ari
7
,/ ✓
FEE
TEMPORARY SERVICE
//774
7-/2 rf
BEAMS & LINTELS
8,13 .4 I
t g.
S
SEWER
FRAMING
$
SOLAR HEATER
$
GAS
$
$
FINAL
l) - „A •,�'
//fi I
ON.
RE- INSPECT
BY
RE- INSPECT
BY
CLEAN -UP
ea
e /
CONTRACTOR . •
PHONE
PERMIT NO. //d� '' 1 DATE 7- x�
FEE $ 7 -�
NEW BLDG. I ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
//774
7-/2 rf
S
SEPTIC TANK
S
SEWER
$
SOLAR HEATER
$
GAS
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
.y -ass
7
7 ?4
GAS
P — gc. 5 1
SEWER
SEPTIC TANK
G
? -1 -n
p(4-.
SOLAR HEATER.
I
FIXTURES
4 j. (.) .J 27•
c � ' .
CONTRACTOR Y P--c.'
PHONE
PERMIT NO. / 04 ) GJ DATE 9 / 3 --(4
, ___ FEE $ j ^
ALTERATION
NEW BLDG. I f
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
//774
7-/2 rf
$ /°.'
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
S
FIXTURES
$
5
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
7-13 -xi
,.1.1`
ROUGHING
P — gc. 5 1
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
BUILDING INSPECTIONS `/ • / ' � Q 4�1'
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and I gal description of �of be built on:
Lot..X £ .. cg 6 °r! P`- 7 Subdivision ��-
Street and 'umber where work is to be done ,l Q.. .l. . 2
State work to be done and purpose of building (by floors)
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
MIAMI SHORES VILLAGE Sqc2.
BUILDING INSPECTION DEPARTMENT.
APPLICATION FOR BUILDING PERMIT
No ..... Street—/.Q ?1. Y(5
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 S. 1 1
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 theFlorida 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 inspecti• on the site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such y ntra; . :, on work o be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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.._I9a71 Date / 1 ,0 7 . 2. .L2.7-- -_._ -_ Read, Sworn to and Subscribed before me.
Disapproved
` ,,D Notary Public, State of Florida Date
(Signed) ....INtC� - -- —
Build; Inspector My Commission Expires
to me well known,
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the 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 budding during progress of the work.
,19=7
O.vncr's Namc and Address .. / /,.f.?/. br.H.. ../7/ Street...1 ✓. ._..%s � g
Registered Architect and/or Engineer
Name and address of licensed contractor Q./? /...C....,
Location and legal description of lot to be built on:
Lot. 2 �,K.�k.. -.l� Block 1/ Subdivision 0./?fl' ._.. / /7/41 P 6 ' . :
Street and Number where work is to be done 2.P. (f/ .. 6 ' 1
State work to be done and purpose of budding (by floors) 7 5-7-
5' 2 ' '4f' X1_ 6/ . ..._ o t/
"J 5VI.L/9' /a /f at ikjr
and for no other purpose.
New Building Remodeling 7' Addition Repairs No. of Stories..... /.
To be constructed of Lek Kind of �� foundation...J0.!!tQr'.4 C�o. Roof Covering "?!1.9
Estimated Total cost of improvements $ .P O
Amount of Permit $.
Zone cubage required plan Cubage
Size of Building Lot
Distance to next nearest building aZ .3 FT
lfaximum 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 %Vorkmen'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 . , armed under this
pennit, as are licensed by Miami Shores Village
Remarks
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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. __./
6-
Date v [ -7 7
Disapproved Date
L � _ -
r
(Signed) 7)/
Bui ding Insi
Chairman
Mfcrnbcr
,fember _._..._._..._.�._._
Council Approved Date
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re-inspection fee of 31.00 will be charged
materials and /or workmanship.
r
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT.
APPLICATION FOR BUILDING PERMIT
,,1111 11,1,•,,,,,[1,11”1"1”.,11•
•
(Signed)
PLANNING BOARD DATE
Read, Sworn to and Subscribed before me.
to me well known,
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
Disapproved Date
Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
OWNER'S NAME
Q
C t-lc %-1 � l • fc c2 et,Q . l
PRESENT ADDRESS
y
/� ( - 7 of ( - t • 6 ` c€
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OtyV )
1 O ? ( t4 • C . c 1 . t
LOT
'/_ 4 2i 2,7
/ BLOCK
0
SUBDIVISION �+
14 er dF .t.E J e-q
GENERAL CONTRACTOR
o —a a.--
ADDRESS
PHONE NO,
LICENSE NO.
BUILDING PERMIT NO. / ( O / ? -(
�
DATE 6r -3 - ", ("
yam,
PERMIT FEE$ ° -1
BUILDER'S BOND
NO. `� DATE
Pi JOI L I Oc't
ZONE REQUIREMENTS CU. FT.
/
PLAN CUBE 1135 • Z s CU. FT.
cow
.--
�+
EST. COST $ ac:.'
DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: t••>' 2• ''.-- 4-0 j —
DATL
z3 -?
NEW CONSTRUCTION
TYPE
L
STORIES
Cv,e
I ROOF CONSTRUCTION
• T1( .
INTERIOR CONSTRUCTION
Fc FA. ,2me,. -„` — 7 -
REPAIRS
DESCRIPTION / /�
diI72 �e�p O de _ Ode. „T -c`e L P�'=7� 4 1
ALTERATION
/ DESCRIPTION
l� l C� --
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.
ISSUED
BY
I TO
v11
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
$
SEWER
ROOF
TEMPORARY SERVICE
$
BEAMS & LINTELS
TUB & TOP OUT
PO � O y�
C AW '. N D.C" f
/�// /
9,4 a/-7 &
p
'� a`.
FRAMING
RANGE CONN.
FINAL
SEWER
CLEAN UP
t
SLAB
I S
SEPTIC TANK
SLAB
FIXTURES & FINAL
SOLAR HEATER
TEMPORARY SERVICE
DATE BY
RE- INSPECT
$
SEPTIC TANK
BY
ROUGHING
$
SEWER
FEE
TEMPORARY SERVICE
$
SOLAR HEATER
TUB & TOP OUT
H. W. HEATER CONN.
$
GAS
5
RANGE CONN.
$
SEWER
MOTORS
t
INSPECTIONS
DATE BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
TUB & TOP OUT
H. W. HEATER CONN.
H. W. HEATER CONN
5
RANGE CONN.
SEWER
MOTORS
I S
FIXTURES
I S
SEPTIC TANK
FIXTURES & FINAL
SOLAR HEATER
FIXTURES
GAS
CONTRACTOR 1C-C.7 vt d'- , C '2.7 f ,{
PHONE
PERMIT NO. f 6. 7- - 1 DATE 5 a 3 -
FEE S V J .-.
NEW BLDG. I ALTERATION (/ I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
H. W. HEATER CONN
5
RANGE CONN.
$
MOTORS
I S
FIXTURES
I S
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
CONTRACTOR L.E[.( %H ?fO CJIx
PERMIT NO. /f7 3 I DATE .2- 3' C,
NEW BLDG. 1 ALTERATION V I ADDITION
SPECIALS PERMITS PERMIT NO. DATE
PHONE
FEE $ "
REPAIRS �---
FEE
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
OWNER•S NAME
John B. Walker
PRESENT ADDRESS
1071 N.E. 95th. Bt
LICENSE NO.
PHONE NO.
•iOB LOCATION (ST. OR AVE.) LOT
1071 N..'E. 95th. St. L.25 of 25 alit
I BLOCK
26/27 -81
SUBDIVISION
Miami Shores Sec. 3
GENERAL CONTRACTOR
Modern Construction Co. Inc.
ADDRESS
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO. 5762
L
DATE 10 - 5 - 64
PERMIT FEE $ 10.00
BUILDER'S BOND
NO. DATE -
ZONE REQUIREMENTS CU. FT.
PLAN CUBE 3 CU. FT.
EST. COST $ 2500.
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: William R. Bradford
DATE-
I 10 -5-64
NEW CONSTRUCTION
TYPE
CBS
STORIES
1
ROOF CONSTRUCTION
Built up
INTERIOR CONSTRUCTION
I Bedroom Addition
REPAIRS
DESCRIPTION
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.��r/
I ISSUED
BY 144( ?-•4 7
TO L 4,..J & 1,144_k_-(_
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE BY (I
INSPECTIONS DATE
BY
FOUNDATION I
I ROOF
SEWER
BEAMS & LINTELS 1
I POOL
FRAMING •
I AIR COND.
$
GAS
FINAL
$
CLEAN UP
RANGE CONN.
e
SLAB
$
SEWER
SLAB
FIXTURES
$
SEPTIC TANK
TEMPORARY SERVICE
DATE BY
$
SEPTIC TANK
RE- INSPECT
$
SEWER
DATE
$
SOLAR HEATER
$
GAS
TUB & TOP OUT
$
$
RANGE CONN.
e
INSPECTIONS
DATE BY
RE - INSPECT
BY
RE- INSPECT
BY
ROUGHING
DATE
FEE
TEMPORARY SERVICE
$
TUB & TOP OUT
H. W. HEATER CONN
$
RANGE CONN.
$
SEWER
$
FIXTURES
$
SEPTIC TANK
C
FIXTURES & FINAL
SOLAR HEATER
FIXTURES
GAS
CONTRACTOR
PHONE
PERMIT NO. I DATE
FEE $
NEW BLDG. I ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
H. W. HEATER CONN
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
C
INSPECTIONS DATE
BY
RE- INSPECTI BY
RE- INSPECTI BY
TEMP SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
CONTRACTOR
PERMIT NO.
NEW BLDG.
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
PHONE
FEE $
I DATE
1 ALTERATION I ADDITION
SPECIALS PERMITS PERMIT NO. 1 DATE
ELECTRICAL PERMITS & INSPECTIONS
. APPROVAL TO POWER CO. FOR SERVICE DATE
REPAIRS
BY
FEE
•CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 1559
Miami Shores Village, Florida,
12-30-64
Owner, Agent or Tenant of Building John B. WRlkpr
all 26/27
LotE 25' of 25 Bloch 81 Subdivision Miami Shorps SPn, 3
Street Address 1071 N. E. 95th. St.
Approved use by occupancy Bedroom addition
Remarks # 5762
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 pertaining to
the erection, construction, alteration or remodeling of buildin•s or structures.
Plan cube - 3638
Tax value - $1819.00
BUILDING DIVISION
N9 1441
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla ,
Owner, Agent or Tenant of Building
Lot - Block Subdivision
Street Address
Approved use by occupancy
Remarks.
This Certificate of Occupancy is issued to the above named
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
BUILDING DIVISION
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
PERMIT Nt 11773
I I
11
❑ Work to be performed under this Permit
Architect
Contractor
or Builder _ :_ • C) •
Legal Lot., , n
Description
Address of
Building
ti w
This permit is granted to the contractor or builder named above to construct the building or tgxnstaflpthe equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding trt the aic# will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitte4..ta approved by the pr er mum,p'pal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plan a changed wi s u autlip nation. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the r a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawing ,,or in t "' • e . r specifications and that he assumes responsibility for work
done by his agents, servants or employees. •
►:"
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
{
Bl. •
• - N-■ "Z • zi
{il
4 '•'ti -C
Subdi-
vision
Value of
Project
BY
$
DATE
•
4a
1951_
Contractor's
License No
V -r
sa r� 3 . v '
A
Sir .3
', Amt. of
wr
} Jr Permit $
. , -Amy 1
AUTHORITY
Signed • 1 � °� � 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.
Location and legal description of lot to be built on:
Lot Part 25 a11267 81
New Building X
Disapproved
(Signed)
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.
Owner's Name and Address Bra tthauer & Walker
Registered Architect and /or Engineer
Name and address of licensed contractor __S _aci_Sl t. ___(J'.Q_a____57s°z___ 'Pr 71st ST.
Building Inspector
Subdivision
Street and Number where work is to be done 10-7
State work to be done and purpose of building (by floors) –_ — Residence
Remodeling Addition Repairs No. of Stories 1
To be constructed of Kind of foundation Roof Covering Ti l�
Estimated Total cost of improvements $ $53_._QQ ___Amount of Permit $ il ..QQ
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 Br_a_t_thatusr_ E__- 131 -___S
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 Floridti, 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
peared
Date
Chairman
Member
Member
Council Approved
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 AUgU s ti 31 , 19 51
No 1480NE Street 131st St.
Miami Shores Section 3
and for no other purpose.
Member
Member
Member
Date Disapproved
PLANNING BOARD DATE
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-
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 i/ Date • Bead, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
or changes to this application after approval
Date
has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
CONTRACTOR OR BUILDER
Work to
N° 5762
DATE
Contractor's
License
j4 r . Mersa
Architect
Contractor
or Builder
Legal Lot II Subdi-
Description Bl vision
Address of Value of II Amount of
Building Project $ ll Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed. INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac.
cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee.
BY AUTHORITY
19'
AI1OT
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...CrY .0 ... ..!!'� - ...�i.:�Q �,t4.•..�
Location and legal description of lot to be built on:
L Block ! / is _ Subdivision
Street and Number where work is to be done 2.7L L .�,
Stat wor to be done and p ose of building (by fl rs)... - - ---
••441117174-•••• . .t._ and for no other purpose.
Remodeling Addition Repairs No. of Stories
To be constructed of Kind of 76/4 foundation Roof Covering
Estimated Total cost of improvements $ - i2 D Amount of Permit $..•.... S: CJO
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
New Building
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of Libor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such su ntractors, on woe to be Derford der • •
pennit, as are licensed by Miami Shores Village.
Remarks (Signed) ,.�C1� � �
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. /7-6 Permit No._— ._�. 1 Date t Read, Sworn to and Subscribed before me.
Disapproved Date..
(Signed) 1- �. ..: -��
Building Insp for
MIAMI SHORES VILLAGE
Date.....
..._l.. . No
Notary Public, State of Florida
My Commission Expires
•
PLANNING BOARD DATE
Chairman Member
\lernber 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 fce of $1.00 will be charged when such re- inspection is mado necessary by improper notice for inspection or faulty
materials and /or workmanship.
Zone cubage required
Distance to next nearest building
MIAMI SHORES VILLAGE i 14,
BUILDING INSPECTION DEPARTMENT.
APPLICATION FOR BUILDING PERMIT
Application is hereby trade 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 he Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and sp ' i tions must be kept at building during progress of the work.
1 v— - f /.... p Date..._..._... ..... _ _.1....._._........ , 197_2
Owner's Name =. d •� 0 .t� P M PS C� . 1 4 . r .v:1..1 No / 6./—.. Street /1/4/ &._J
Registered Architect and /or Engineer C hat 1^ t e •S 1..L.. •c—Ct R: 1.., .... .. „,,...,,., „... „,- ., ....
..
Name and address of licensed contractor uarv V.,g o.c . S, . vi.a,.. kiw rxlw$1 Irt . , l . V
Location and legal description of lot to be built on: �
Subdivision J c� w! , i r r v
l a �o� . ' . / O , m S . � � j Sec L t g TIl J'
Lot. Block 191 . .
All o4-10.1. 'LbL7 ,� .. .. � _o
Street and Number where work is to be done _... _.. _ .
State work to be dine and purpose of building (by fl000rs).. /. l.
t. ..‘. _ -3 t9 61.142..E .1... __.. .. .... s�.t?_. /__._.._ _
_.._ Y.°.:9111 E n..C. . Lir•e
and for no other purpose.
New Building Remodeling
To be constructed of..67L4.f114.e_ Kind of foundation
Estimated Total cost of improvements $...SG.e
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.
Addition. .X
Repairs No. of Stories
Roof Covering
Amount of Permit $,.
_._.._... Cubage
Size of Building Lot / '5 X.d ..l
Maximum live Load to be borne by each floor
T1tezzlhy submit - k�F all the plans and specifications for said building. All notices w'th reference to the b ilding and its construction may
be sent to..6.t,.k`�,. t,' L 5 5 O �� �� s�t.sn . 1,k V a .a. .a .� ...� . \.�....3.3Ga9
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 •. •ntractors, on work to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks._ (
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
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��,,ss tated are true.
Permit No. _I it �� Date z 7 Read, Sworn to and Subscribed before me.
Disapproved Da
45)/ ____.
(Signed)
Building spector
PLANNING BOARD _.._ DATE
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
Disapproved
or changes to this application after approval
to me well known,
Date
has been obtained from
when such re- inspection is made necessary by improper notice for inspection et faulty
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.
MIAMI,;ORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date
.TUL 2
Owner's Name and Address a L No Street
Registered Architect and /or Engineer
STATE OF FLORIDA, I
COUNTY OF DADE. Ss'
/t v/1/
Name and address of licensed contractor f Tr �yF — /7.
Location and legal description of lot to be built on:
Lot EBJ 1.01.7 - 41- d -?-L "$ Block l r
Street and Number where work is to be done 1 O Dr
State work to be done and purpose of building (by floors)
Subdivision_ 2.5 CT 1.3 •
To be constructed of C 6 $ Kind of foundation Po
and for no other purpose.
New Building X Remodeling Addition Repairs No. of Stories
Ro fering
Estimated Total cost of improvements $_.a_2 J0'� Amount of Permit $ _
Zone cubage required �_ _Plan Cubage 2• S 1 t 4
Distance to next nearest building ) S ' Size of Building Lot 1 -2:5,o A I 9 . 4'
Maximum live load to be borne by each floor '1 V •
rite
19 ' 5
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 gke¢!'z !__till e - J ?
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_��✓' _�� �? - P��
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 _ _ 2 ` Date t 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.