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117 NE 95 St (8)APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY I, - Kin , hereby apply for a certificate to re- occupy the single family residence known as : (address) Legal Description: Lot: BIock I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. .G� C �� Applicant V .. ��� i- � �,> a Date �,— .5 - og-62./?J Print Name *********************************************** * * * * * * * * * * * * * * * * * * * * * * ** * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Contact Name:1 Ailic L a -�1I t8'► 1 y J / Telephone. , �S ? 93 Or/ 0 Buyer Seller Realtor Company Name' cn Application Fee ($50) paid: Cash Check No. Inspected by: F. LUB I EN Approved X Denied 9/7/00 Date Comments: /� 7e g Miami Shores, Florida. PAGE 1 OF 2 PB & PG: THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES - VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE- FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. 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 Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single - family residential purposes. 'CERTIFICATE OF RE- OCCUPANCY PAGE 2 OF 2 MIAMI SHORES VILLAGE, FLORIDA By: Er / Date of Certification: 9/7/00 To Whom It May Concern: The above property is considered to be a single family residence.. There exists an accessory building which has living facilities.. This is considered non- conforming, but is legal provided it is not rented or used as a separate housekeeping unit. Yours truly, Re: i17 N. E. 95th St. U ) : 91.A1 Frank LuBien, Director Building & Zoning FL : j c 10050 N. E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138 (305) 758-8000 July 31, 1986 780 TAMIAMI CANAL ROAD, MIAMI, FL. 33144 MOM: NHS CONCRETE TO HAVE 2500 PSI COMPRESSIVE STRENGTH IN 28 DAYS. STEEL TO BE ASTM 36. FOUNDATION TO BE ROCK AND /OR SAND. r NOT TO SCALE. - -I =T Imo: ios p1 CH AR Lo 117 WE �5 S-rte e T HIM-41 SN4oRES, F'L TOP OF ANTENNA + SATELLITE ANTENNA FOUNDATION '2 SATELLITE DISH 10'4' ANTENNA HESt1 - - - - - - - -- 4 I/ t 0.D SCHEDULE 40 x "1 ' POLE. (,4 WON :11 -illnir- 6/6 -10/10 W.W.M. CAGE # 10 CU GROUND TO HOSE BIBB OR TO GROUND AT ELECTRICAL SERVICE. v...) jA II :. /./.... - / - .,-,/ I 2)(4. • ' , • . - k. ,. - / "----- 1.4m t 1E' , . , . 1 _ —.- „ Lck'- 3 Eva w A? PU. O, f LW( (,41 • S. T9. _ 2 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 5_24- 93 Job Address / 9s 4 SGu,l Tax Folio // .`■°W � . 3 ,175,0 Legal Description / g/ S 2 ) Owner / Lessee / Tenant 70 111 S 'ct, -fn / Master Permit # Owner's Address men. -.e_ a r 4 e2 So Phone C3asl 7 , 5 - q 3 4 7 Contracting Cot/ itt4,4 Address Qualifier SS# - State li Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRI ION 2n.1qQfPa /iob, i Q s'a m ie' dc iAIL!_'■._ -_ . - .ICA. A., Squar Ft. / Estimated Cost(value) /i c - o, av 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 construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. x / 4 6 6arg I-- ignature of owner and /or Condo President Signature of Contractor or Owner- Builder D -te: Noiary`a -'to Owner and o - President My Commzsr, t brlig S P h( (2, (LE? JO8 H R. COLL TTI ROTARY FOLIC STATE OF FLORIDA ** * ny Ca>r1s; on E,*. SEPT. 410 994 * * * * FEES: PERMIT /5b RADON C.C.F. APPROVED: * Date Notary as to Contractor or Owner- Builder My Commission Expires: Fire Other Zoning Buildin: Electrical Mechanical Plumbing Engineering Phone ' " NOTARY TOTAL DUE GENERAL CONDITIONS GENERAL CONDTIJNS : The "General Conditions of the Contract" ( Standard form of the Americian Institute of Architects) shall be considered a part of this specification and shall become a part of the contract. Each Contractor shall compute in his esti- mate and properly pay and discharge any obligation due the State of Florida under the provisions of Chapter 15,787, Laws of Florida, Acots of 1931 known as the Documentary Stamp Tax Act. Each Contractor shall compute in his esti- mate and properly pay and discharge any obligations due the United States of America or the State of Florida under the provisions of the Federal Social Security Act ( R. R. 7260) enacted by the 74th Congress. Each eontraotor er sub - contractor or supply dealer shall compute in their eost and properly pay and discharge any obligation cue the Skate of Florida under the provisions of Chapter 16848, laws of Florida, Acts of 1936, known as the "Retail Sales &et ", or "Chain Store Act ". CONTRACTOR'S LIABILITY IN$URANCS: The Contractor shall maintain such insurance as will protect him from clams under workmen's compensation acts and from any other claims for damages for personal injury, ineluding death, which may arise from operations under this Contract, whether such operations be by himself, or by any sub - contractor or any one directly or indirectly employed by either of them, Certifioat : of such insurance shall be filed with the Owner, with a clause in such certificate requiring at least five (5) days written notice in the event of cancellation, and shall be subject to his approval for adequacy of protection, PERMITS: The contractor shall take out and pay for the building permit and all ether permits required. BUILDING CODE: The Buildin Cede, laws*, ordinances, and the regulations of the Building Inspection Department of the City shall be followed in every particular, even though the provisions contained in them are net specifically mentioned, repeated or shown in these specifications or on the plane. LAYING OUTL The owner will provide enginee stakes at the out h corners of the property. The his own work and be responsible for its correctness. le P1UTLCTION OF TREES? ETC: The Contractor shall beiesp psibles, for damage to trees by h sub - contractors or their employees. Any tree within twenty (20) feet of construction work shallbe high. T h e o of shall repleaes and side alk sla ) • CL. UP: The Contractor shall at all times keep the building and premises reasonably free •f rubbish, scaffold- ing, etc. Upon oompletion of the work he shall remove all rub- bish and scaffolding, sweep all weed floera, clean and solver them with building paper, wash all tiles and cement floors; olean all spate off the plaster and ether finished work; clean all glass in doors, and windows perfectly clean, inside and out, and wash all plumbing fixtures. MASONRY Clear the building site of dirt and plant life. Clean the footing trenches down to rokk, or as shown on plans. Footings, lintels, mater, walls, etc. as required by Building Department. Fill for cement, tile or brick fleors to be moral rock surfaced with crushed coral reck'puddied and tamped axe pt where otherwise shown. Cesent` floors and drive +ways 1-2•.4 concrete 3" t iiok, with top drestlin ; troweled smooth and 4hsokered `where shown, Cement flagging,, 1 -2 -4 concrete 2" thick, divided for 2" grass joints, ttp dressing colored and finished to imitate Travertine. Fireplace linings fire brick. Flue linings, fire clay tile. Calk all openings with an approved elastic compound. Stucco on concrete blocks, two coats, First meat 1 part cement, 2i parts sand., Second coat same, water - proofed with Flureset,and applied with a texture as directed. Wet the blocks before stuccoing. wall P serw.s shhown or Two coat work ceilings kk e enaand whets otherwise � bathrooms, with hard whits �uti.f'thewseoond cost anion s rooms with the hair sifted be textured to suit owner. Texture as per sample selected 'by owner. Plaster beh nd tile shall be cement on gall• wire lath. roved make of gypsum on No. 1 Other plaster shhll be an app cypress lath spaced i" apart and reinferoed at all angles with gale. wire lath 4" wide. • e.c. CARPENTRY Framing, anchoring, creosoting, •to. as required by the Building Department. Lumber and timbers shall be of merchantable quality, free from large or loose knots and other imperfections impairing durability or strength. Ordinary framing No. 2 Y. P. exposed framing No. 2 cypress,. Concrete block walls shall be furred with lx2 verticals 16" Creosote all wood in contact with masonry, including fur - ring strips. Roof sheathing lxd T&G pine with 2 nails at each bearing. Sub- flooring same, laid diagonally. Windows, standard steel casements, complete with fin on bottom side, bronze finish hardware, and screens 18 mesh. Interior finish woodwork Ne. 1 plain cypress as noted. Exterior doors 1- 3 /4 "thich, with 1 -1/4" rebated frames. Other deorc 1 -3/8" stock panel cypress, or as selected. Closet shelving pine for painting. Five shelves in linen closet, Hook strip, pole and two shelves in bedroom closets, supported in the middle If over 4' long. Medicine cabinet in bath roam with 16 x 20" Venetian mirror. Kitchen cabinets to have flush panel weed doers. Cupboards under drain board and above. A11 cupboards and closets carried up to ceiling. Stook ironing board where shown. Oak floors throughout in building - except in kitchen. Floor in kitchen -- linoleum cemented down en pine floor. Walls and celing of closets to plastered. All (lashings, etc. 16 the chimney and all rising 4" along etch 'age with an Copper drips at 'all eaves. mehawk, 30 lb. felt, thin, 21b. ROOFING Cover all roofing surgaces with 90 lb. slate coated felt mopped to sheathing, lapped 2" and mopped on the laps. Apply extra layers in valleys, over ridges and :under tlashings. •z. copper. Slash and counterflash surfaces. Valleys 14" .wide covered extra layer of felt mopped to copper. Cover all roofs with shingled but tapered, asbestos shin_le tile. 2 barrel (spas at eaves. Give o ner a written guarantee a.ainst all leaks for a period of one year. Kitchen counter to have bull -nose edge,oete back, and to slope to the sink, with bull -nose edge around sink. Bathroom to have 4n4 heat glazed floors. 4x4 matt gla ed wall tile w_th hove base, bull -nose oap and returns at all openings. Wainscot 4' -6" high, except around the tub, where it is to be 60`x6" high, In each bathroom install the following: 1 toilet paper rack 1 combination soap- holder and wall grip over each tub. 1 soap holder ) 1 toothbrush holder ) over each lavatory in bathreoma 1 glass holder ) 1 ro lie hook 1 douche bag hook 2 non -slip 30" towel bars TILE PAINTING Paint all windows and other metal two coats of metalio paint. Paint all exterior woodwork two coats of lead and oil, Walls and woodwork thr.,ughout to be sized, primed and apainted two coats lead and oil. Put enamel in the last ooat, of all work in bathrooms and kitchen. All wall in bedrooms, Dining Rooms, and Living Room to be glazed, color as selected. Woodwork in closets to be primed and painted two coats of lead and oil. Oak fl ors. finished with a coat of paste filler wiped off across the grain and then two coats of wax, each ooat polished with a heavy brush. Exterior Stucco to be painted 2 coats of lime wash with Fluresit waterproofing in lot coat, aocording to manufacturers directions. ELECTRICAL WORK Wiring to be in conduit of dimensions to comply with the City and National Codes. Not over three bands in each one run. w ir ir e to be be to be continuoui we 4 Receptacles, duplex, set 18" from floor. Switches, toggle type wi h Bakelite Plate 48" from floor except in bathreem 52 ". Belts Service 60 with 14 R. lights. Lighting fixtures furnished according to allowance but to be installed by this contractor. PLUMBING fees agiki$ngliat iere$ f }it I3 e08 144Q,pi' ei$aif11 permits and labor and materials, excavation, and refilling, brinun,, v atrr in from the street, piping and fixtures, hose cooks, pool supply, drain and overflew, deta1d must be a work shall building Provide Solar Heater and Tank and connect to hot water system. PLUMBING FIXTUR) 3 Crane Ce. or equal. Both in white BATH AND 3AIER: C -3308 C- 3866 -B C -33581 C- 4962 -0 LAVATORY: C -181 C -32381 C -38 -A C -33980 C -33678 CLOSETS: C -1125 C -13580 C -15002 KITCHEN: C- 193484 C_32751 C •19970 C -33980 from front and rear doors-all on transform r. amp.,capacity, one meter box, usin,_ 1 "conduits, C. wire. Conduits to have not over five plugs or ten 5' enamel tub C. P. T&S trim E. 0. P. `oosese Waste white duck c��xtain. 1x62" C. P. Curtain unt'ticap '22x18" Conquer W. C. Lavatory. 17 C. P. Waste C. P. Supplies C. P. P. Trap C. P. Logs J. A. Newton Closet Hsumode Tank White se. „t glangs package 1/2 x 11116 C. P. angle step. 20x30” 0. R. A. 3. C. P. G. P. Waste 3i Ga. C. P. sink Faucet P Trap ALLOWAA ES: SHOWER: C- 4261 -B- C. P. 1/2" shower Fixture C- 17960 -U C. P. Drain 04962 -0 36° white duck Curtain unti. This contractor to allow the following for items set forth below, but is to include in his price for installation of same; Finish Hardware Electric Fixtures Medicine Cabinet Cast Stone Atantal $40.00 35.00 30.00 25.00 SPECIFICATION of LABOR AND MAT R tALS REQUIRED FOR CONSTRUCTION OF A RESIDENCE for MR. AID MRS. D. A. PRUITT Lot 18 and Last half of Lot 17 Block 20 Miami Shores -- Section 1 Miami, Fla. In accordance with the accompanying drawings prepared by The architectural office of Frank A. Sexton Robert 0. Baxter - -Mgr. No. STREET F LOT LOT PART OF BLOCK SUBDIVISION - :' BU DING T� ED esidencep FO o el a » y' ' 3 4 - r ? W ! ' -014"" FRONT DEPTH HEIGHT STORIES TYPE OF C 8 RU• ION BU DING T� ED esidencep FO o el ROOF { i COST OF BUILDING a+" PERMIT FEE " l 6 - AI Frame, 'I'I rete Stucco • BUILDING PERMIT Dated _• '.j` III" Owner of Building _ "'�E "f"fX f,f ' �/•*�i(,�r�!�^'f Architect Contractor or Builder ,19 Miat Shores Village, Florida, PROPOSED LOCATION DESCRIPTION OF BUILDING MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR ,19 N9 561 To /! This permit is issued to the building above described, as per application, Plans and Specificatio eretofore filed in this office. This permit is g .' upon the express condition that all facts stated in the application are true and that the constructs 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 t violation of any provisions of said regulations ordinances or rules and regulations, or upon any change in the plans and specifications unautho ' uilding inspector. e 1' 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 depa tme of Mi. • Shores Village. AL) No. STREET PART OF LOT LOT BLOCK SUBDIVISION CONSTRUCTION • BUILDIpPO TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE FONT DEPTH: HEIGHT STORIES TYPE OF CONSTRUCTION • BUILDIpPO TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE Frame, Tile Concrete, Stucco � Residemee, Ants•, Store, Hotel � �l /t ,r r': r BUILDING PERMIT Owner of Building Architect....:. " / Contractor or Builder. ; ....:_, '"' l t=i� ''•f x �. Miami Shores' Village, Florida, PROPOSED LOCATION DESCRIPTION OF BUILDING Posted on Tax Roll This permit is hereby issued to _ • . - _ _ To the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the ex- press condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and 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,,iipon a change in the plans and specifications •uthorized by the building inspector. In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of F oiid'a, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Mia Shor @s Village. , I 9c.I%1' Dated ! OFFICE OF BUILDING INSPECR f • , I93 . MIAMI SHORES VILLAGE N9 . 238 1 t BUILDING INSPECTOR Disapproved .. (Signed) MIAMI SHORES VILLAGE Date BUILDING INSPECTION DEPARTMENT 1 APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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 a' building during progress of the work. Date February 12 3962 ,19 Owner's Name and Address._ 14re BLizebeth B• Mart No 1 Street Ss L 99 Street Registered Architect and /or Engineer Name and address of licensed contractor CRICIII rXTENIILATILO C�2& T % "._ 1960 . R.. a..27 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 117 N. S 95 Street, ri Shore° State work to be done and purpose of building (by floors) Nylon Tent Fumigation Aaritet . • 36 to 48 bra. 1 gal8 • 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 Ft• Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, 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 ender this permit; and will post or cause to be posted f • inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only s ch s..contractors, work to be performed under this permit, as are licensed by Miami Shores Village. Remarks__ ... (Sign Notary Public, State of Florida 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. Building Inspector My Commission Expires PLANNING BOARD DATE Chainnan 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 VI LLAG E 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. • ' '' * No l► Street it Registered Architect and /or Engineer Name and address of licensed contractor „ -:=3 +' itg60 V. Zlti. vg..., r Location and legal description of lot to be built on: Lot Block ubdivision Street and Number where work is to be done g` no StrOOtt. niCtral. C le m State work to be do ne and purpose of building (by floors) tylon Tent FtlikTtion it t •• % . 40 11 , 14 (j as twory 32 , 3.962 ,19 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 12 a Uarti Distance to next nearest building 1 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' spection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such , i. ontractors, on work to be performed un4j this permit, as are licensed by Miami Shores Village. i Remarks (Signe Vvvf- -1-1° ,l: y -d 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. peared MIAMI SHORES VILLAGE ..- 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 Mrs. Elizabeth B. Martin N 117 Street N. E. 95 Street Registered Architect and /or Engineer Name and address of licensed contractor ORKIN EXTERMINATING COMPANY, Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 117 N. E. 95 Street, Miami Shores State work to be done and purpose of building (by floors) Nylon Tent Fumigation Acritet .. )6 to 48 hrs. 14 gals, 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 12 Ft • West Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, 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 fo pection 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 ork to be performed under this permit, as are licensed by Miami Shores Village. (Signed STATE OF FLORIDA, COUNTY OF DADE. I 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 or) true. Permit No. Z� Date ((� ' Read, Sworn to and Subscribed before me. Disapproved �, 7 ate (Signed) ? Ill lding Insp for BUILDING INSPECTION DEPARTMENT Date February 12, 1962 ANNING BOARD DATE f ,19 Notary Public, State of Florida My Commission Expires 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 fmm 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. ADDRESS.,-.1960 N. W., 27th Avel:ue Miami, Florida APPLICA.TION FOR PERMIT TO FUMIGATE WITH VIKAANE I',THYL BROMIDE • A.CRITET Z Application No. Date Fobruaryr 12, 2962 1. Location of building to be fumigated '117 1+ EL& 95 Stro,t, Z:lami Shores,. PUMA 2. Name and_.addrees of owner of premises ate tit B. %Ain Semi 3. Type, size and construction of buildin 1StODY C 3 4. Is entire building to 'be fumigated? roe 5. 'If not, what portion? 6. Approximate number of cubic feet of spa in building or in portion to be - fumigated ,290000 7. Kind and quanity of fumigant to be asedand manner of application and length of.fummigation period AOritot . 36 tO 4* bra. 14 gas. 8. Distance of nearest building and three on from buil ing to be fumiga ed 1214;4%144 IT - Mat at manner will vents to ex_te °tor of building to be sealed? . t o Tent Pum ti.t ( • 10. - -,date when fumigation ion will b i.t e It is hereby agreed to station -: guard On the premises to be during ::t the fumigation period and to'po suits le placards at each entrance to the building bearing the follcwing lords ini letters at least two inches by one inch in size; "DAI;GER, THIS BU"LDING UNDER FUMIGATION WITH A DEADLY GAS" 12. It is hereby agreed to.make si h provisions that all•openings.into the building may be opened from th. outsidefafter the • period of fumigation is over and to take such other p- ;cautions as may be becessary to insure that all of the-fumigant is remove;- from the.building. before anyone is permitted.. to enter. 13. It is hereby ag:^eed notif the County Health Department when the building has been prepared for fumigation, FIRM NAME...ORKIN EK1 0., INC. Signature of Certifiec3l/Pest Control Operator in arge of this fumigation job. ❑ PERMIT N° 15540 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ❑ Work to be performed under this Permit Architect Contractor or Builder =" Legal Lot 11 BL Description Address of Building / / 7 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. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Signed• Subdi- vision Value of Project $ DATE f / 7 . 195 Contractor's License No BY Amt. of Permit $ 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 _.. / 4 w NO. a ii - STItEET PART OF LOT LOT BL'K ,,,SUBDIVISION 'l Outlets : 1Ktftbrs ac es Generattfrs Steels Water Heaters Signs Billboards Other Apparatus Permit Fee F*" / ! ( 2. ELECTRICAL PERMIT N. B. —This Permit must be on splay on the premises during the co �yruciipn.. «..,. Owner of Building tractor or Electrician 1 *;t Y l iarni =.fhores F L O R I D A OFFICE OF ELECTRICAL DEP f, iami Shores Village, Fla LO CAT1 O N DESCRIPTION OF WORK NUMBER OF RTMENT 19 .1 ..' N9 796 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 are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical 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 chal}g in the plans and specifications unauthorized by4 , Electrical Inspector. this Department. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, al'the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. r, A y Dated_ -"" ) ! , 19:: 4 (Seal) NO. -Mo STREET PART OF LOT LOT BL'K Signs SUBDIVISION / !T i+ ter . i t i ! l �., r ii l s � // Outlets -Mo Receptac)ks Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee ....s „e // 7 /41. ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Dated t iami =fhores91llage OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , F 1. O R 1 D A Co ctor or Electrician 9, } � f : _- _ � ' `r= �' � "� r' L LO C AT I O DESCRIPTION OF WORK NUMBER OF e 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 are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical 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 this Department. _. 4 , Electrical Inspe or. • 19 it '� �.:� .�t;�,r�. •'#• N? 412 • In consideration of the issuance to me of the foregoing Electrical Permit, I h reby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. (Seal) W NO. STREET PART OF LOT LOT BL'K SUBDIVISION /` Other Apparatus Permit Fee Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee / r ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building z . Contractor or Electrician aiami cJhores9lllage F L O H 1 D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , / 19 LO CATI 0 N DESCRIPTION OF WORK NUMBER OF N° 638 • 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 are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical 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 this Department. , Electrical Inspec or — In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree'to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated "' ' 1 9 ,r' t ", f x r t , a.4 Y (Seal) NO. STREET PART OF LOT LOT BL'K UBDIVISION /11 1 fi i , Art-/, /r g6 4 2:// Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee 51_ 42- i / c fl o r &L...._.....*16 ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the constr7tion. o p Owner of Buildinec - ¢- .. Contractor or Electricia A cY Llam i Shores9llage F L 0 R D A OFFICE OF ELECTRICAL DEPARTMENT 5 Miami Shores Village, Fla , 71r c 19. LOCATION N? 397 • DESCRIPTION OF WORK this Department. • NUMBER OF 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 are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical 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 s • cifi�ations unauthorizedby t fr • �/ , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the propo - - d construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and r egulations of the Electrical Department of Miami Shores Village. Dated ..�- it/ , 19 �"" y • tot (Seal) BUILDING ELECTRICAL PLUMBING ❑ ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N? 15697 ❑ Work to be performed under this Permit DATE 195 Contractor's License No Architect .,. Contractor or Builder Legal Lot II Bt. Description Address of Building 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. Subdi- vision CONTRACTOR OR BUILDER Value of Project $ Amt. of Permit $ 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 BUILDING ELECTRICAL PLUMBING Owner of '- Building Architect Contractor or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N° • 4136 Work to be performed under this Permit Subdi- vision Address f i if t ,;' t < # 4 zq" Value of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wil 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 • t By INSPECT 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 phis permit ) assume responsibility for all work done by either myself, my agent, servant or employee. Project DATE Contractor's License No. Amt. of Permit BY . AUTHORITY t's4 194 4%4 r • Street and Number where work is to be done 1 . MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR: BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans end 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 Name and address of licensed contractor Location 4nd legal description of lot to be built on: Lot___) Block Subdivision i f Date — � , I9 J Owner's Name and Address____ __ t 't._�_ No.__ /__ /__ P Street____ 1� — State work to be done and purpose of building (by floors) 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, 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 subc trarprs, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signet l - — = t` •1! 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 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. • t OWNS A CT" 4 STATE OF FLORIDA) COUNTY OF DADE ) Cubic Feet Chaff rmaau ember Member Secretary Building Inspector 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 r ot. CONTRACTOR - th Li - STREET #�,/ /,_. NEW ADDITION REPAIRS NUMBER OF STORIES ROOF TOTAL COST $ i / 4 'S a U Building to be used for.. ,L44 and no other use. I hereby submit all the plans and specifications for said building. BUILDING PERMIT RECORD MIAMI SHORES VILLAGE FLORIDA Before me, the undersigndd a thority, a notary public, duly authorized to administer hs s take c,,knowledgme personally appeared 4,,,, ��.4,���. -� to me well known, and who, being by me first sworn, upon oath deposes and says that he is the(btiilder of the above described construction, that he has read t e foregoing application, and that he did sign the same, and that facts stated by him are true. Read, Sworn and Subscribed before me, ,, s� e;/' Notary Public (Signed f _ Permit No., `2 Issued t Electrical Permit No. APPLICATION My Commission expires Signed J DATE K , / • • = 1 7 Cubic Feet required in this Block. qtr PLANNING BOARD ew z a / Date urnbing Permit No. 9 i Painting Plastering Lathing Electrical Mason & Concrete Plumbing Roofing Glazing Tile Miscellaneous LIST OF 3UB- CONTRW TORS 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 • 4 0 e Registered Architect and /or Engineer Name and address of licensed contractor___ _ 4? __ 1 it Gd C • ° a / i _ ®fit 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)__ Zone cubage required Distance to next nearest building Disapprov (Signed) B 1d g Inspector ate Chai ' an Member Member New Building Remodeling Addition Repairs To be constructed of Kind of ounda _ Roof Covering Estimated Total cost of improvements $_____ a —___— Amount of Permit $ — Plan Cubage_ 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 subcontrac s, on work to be performe under this permit, as are licensed by Miami Shores Village. Remarks (Signed) ) ` '`ems` �'"4.�s• c?sy? - -- ned and for no other purpose. No. of Stories—___—__—__ 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.__ L e � Date _ p, Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BEARD DATE 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. BUILDIN INSPECTION DEPARTMEN' APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the deviled statemen• of the plans and specifications herewith submitted for the build- ing or o h, • :ructure her i described. This ri-licatic is made in compliance and con-o• ty w.th the Building Ordinance of Mia ri Shores Vi11aie, or da, and all pro. isions of the Laws c f the State of Fh,rid. all o d nances ,,f Mi ni Shores Village and all rules and regu :anion, of the Building Div.. i of lain Sho, illage I '1 e ro• ipl.ed with, whether herein specified or not. A copy of approved plans and specificati .ns• must be key at building durin progress of tl.e wcrk. Date ° G?' 19 Owner' Name and Address 0 ' & No Street. _ -- Registered Architect and /or Engineer._. Name :nd address of licensed contractor. - - - - - - --- -- -- Location and legal description of lot to be built on: Lot. Block__ ____ Subdivision Street and Number where work is to be done_ 1/ 7 State work to be and purpose of building MIAMI SHORES VILLAGE oors) and for no other purpose. New Building_ - Remodeling__ ____ _ ._. Addition____ ____ _ __ _____ __ _ Repairs. _ _ _ No. of Stories. To be constructed of_ ___ _ _ Kind of foundation Roof Cov " ta1 cost of improvements S C)° p $ - - __ . �� Amount o` Permit $ Zone ^ubage required_ __. _.Plan Cubage_____ - Distance to next nearest building__ _ _ _ __Size of Building Lot Maximum live load to be borne by each floor . hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to STATE OF FLORIDA, COUNTY OF DADE. ss. The unde signed appli ant for this budding permit does hereby certify that he understands and accepts his obligations as an employer of 1. bor under he Florida Workmen's Compensation Act being S• , tion 5966 Col p led Gen al Laws of Florida P r anon Sipple rent. and h s compl ed w he prov'aons thereof, and will require s•milar coma lance from all contractors or sub - contractors emplo .ed by him in the wo k to be p rf -med under th's pern it and ill post or cause to be posted for inspection on the site of the work su :h public public note- e or .otices as are requir d by the Act. The u. d. r ign d agrees to employ only such ubcontr. ctor on work to be perforn, . der this permit as are licensed by M ami Shores N il': ge. Remarks - (Signed) X Before me, the undersigned authority, a notary public, duly authorized to administer oaths ,..nd take acknowledgments, personally ap- peared _. _ and who, being by me first d. ly sworn, upon oath depoees and says that he is the of th abov. described .-istruction t, h has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tr ie. Permit No /2 , .7 _ __ Date__ a ___ _____ Read, Sworn to and Subscribed before me. Disapproved _ Date__ ( Signed) - - -- - -- - - -- - -- --- - - -- Building Inspector My Com:nission Expires_ Notary Public State of Florida PLANNING BOARD _DATE Chairman Member Member ____ _ _ ______ ___ __ _ Member Member _ Member Council Approved .Date Disapproved .to me well known, Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application Ift, r approval his been obtained from the Plain ng Board A re-inspection fee of $1.00 will be charged when such re- inspection is nra .1e necessary by improper notice for inspe:•h;m or fa• ity materials and /or workmanship. DOOR MOTHS d OF CENTER STILES 9' -1' TO 11' -10" 2 12' -0" TO 13' -10" 3 14' -Q' TO 15' -1D 4 15' - 11' TO 16' -10' 5 DOOR HEIGHT CONSISTS OF 6' -6" 2 SECTIONS 18' 2 SECTIONS 21' 6' -9' 1 SECTION 18' 3 SECTIONS 21' 7' 4 SECTIONS 21' - 7' -3 - - 7' -6 5 SECTIONS 18' - T -9 4 SECTIONS 18' 1 SECTION 21' 8' 3 SECTIONS 18" 2 SECTIONS 21' 8' -3" 2 SECTIONS 18' 3 SECTIONS 21. 8' -0 1 SECTION 18 4 SECTIONS 21 e' -9' 5 SECTIONS 21' - 9' 6 SECTIONS 18' - 9' -3' 5 SECTIONS 18' 1 SECTION 21' 9' - 6' 4 SECTIONS 18' 2 SECTIONS 21' 9' -9" 3 SECTIONS 18' 3 SECTIONS 21' 10' 2 SECTIONS 18' 4 SECTIONS 21' 10' -3" 1 SECTION 18" 5 SECTIONS 21' 10' -6' 6 SECTIONS 21' - 10' -9' 6 SECTIONS 18" 1 SECTION 21' 11' 5 SECTIONS 18' 2 SECTIONS 21" 11' -3" 4 SECTIONS 18' 3 SECTIONS 21" 11' -6' 3 SECTIONS 18' 4 SECTIONS 21' 11' -9' 2 SECTIONS 18' 5 SECTIONS 21' 12' 1 SECTIONS 18' 6 SECTIONS 21' 12' -3' 7 SECTIONS 21' - 12' -6' 6 SECTIONS 18' 2 SECTIONS 21' 12' -9' 5 SECTIONS 18' 3 SECTIONS 21" 13' 4 SECTIONS 18' 4 SECTIONS 21. 13'- 3' 3 SECTIONS 18" 5 SECTIONS 21' 13' -6" 2 SECTIONS 18' 6 SECTIONS 21. 13' -9" 1 SECTION 18' 7 SECTIONS 21' 14' 8 SECTIONS 21' - 14' -.3 6 SECTIONS 18' 3 SECTIONS 21' 14' -6' 5 SECTIONS 18" 4 SECTIONS 21' 14' -9' 4 SECTIONS 18' 5 SECTIONS 21' 15' 3 SECTIONS 18' 6 SECTIONS 21' 15' -3' 2 SECTIONS 18' 7 SECTIONS 21' 15' -6' 1 SECTION 18' 8 SECTIONS 21' 15' -9' 9 SECTIONS 21' - 16' 6 SECTIONS 18' 4 SECTIONS 21' SCHEDULE 'A Ii 1 111 1 II li ll II � I li � rA w r rA W TA W I 111■InI I 1■ � III 1 =1III 0 �1 A 11 r kliti i0„--lium.i. .. .- ..- .- FlidnieliiIIINNEmn R, ilIl I ii I P � cc �� ilrIP ri„ ��� �r��� A A A A A 'V i i v k Ali 1��1i I��il 1=n 1 1�- it i I II �� 11 iI visi.721,,,....a .. ' PUSH NUT CENTER STILES SEE SCH. 'A' OPTIONAL VENT MAXIMUM OPENING AREA 120 S0. IN. MAX. DOOR WIDTH 16' -2" 7 -1/' X 14 GA. GALV. S ROLLER HINGE FASTENED W/ (6) # 14 X 1/2" SMS 7 -1/2" X 18 GA. GALV. STEEL CENTER HINGE. FASTENED W/ (4) /f 14 X 1/2' SMS 7 X 7 GALV. AIRCRAFT TYPE CABLE & NICO -PRESS SLEEVE W/ MIN. 5 TO 1 SAFETY FACTOR LOCK 2/ DOOR 3/4" W X .15 THICK LATCH 1 SPRING LOADED SLIDE BOLT LOCK (BOTH SIDES) FASTENED W/ (4) ij 14 X 5/8" S.M.S. 5/8" MIN. LOCK ENGAGEMENT CONFORMS TO SFBC 3603.2 REGARDING GARAGE DOORS 3" X 6- 7/16" X 12 GA. STEEL FIXTURE FASTENED w/ (3) if 14 X 5/8" SMS OUTSIDE HANDLE 2 PUSH NUT 0 CENTER STILE OUTSIDE KEYED LOCK LOCK BAR LOCKING SHOWN ALTERNATE TO LOCK SHOWN ABOVE LOCK BAR GUIDES INSTALLED ON END STILE W/ (4) fi 14 X 5/8" SMS .151 X 3/4" W LOCK BAR ENGAGES IN TRACK ON EACH SIDE OF DOOR 1. INSIDE ELEVATION RAISED PANEL EMBOSSED DOOR GENERAL NOTES THIS STRUCTURE IS DESIGNED AS PER THE SOUTH FLORIDA BUILDING CODE 1994 EDITION FOR DADE COUNTY. ALSO FOR WIND LOADS AS PER ASCE 7 -88 USING CORRESPONDING LOADS. ' 2. ANCHORS SHALL BE AS LISTED, SPACED AS SHOWN ON DETAILS. ANCHOR EMBEDMENT TO BASE MATERIAL SHALL BE BEYOND WALL DRESSING OR STUCCO. 3. ALL BOLTS, NUTS AND WASHERS SHALL BE ZINC PLATED CARBON STEEL. 4. ANCHORING OR LOADING CONDITIONS OTHER THAN THOSE SHOWN IN THESE DETAILS ARE NOT PART OF THIS APPROVAL. Enqr: DR. HUMAYOUN FAR000 ST RUCTURES FLA. PE 1 16557 cl _ t • • 4. 2 zzi 0 DAB DOOR MODEL 824 MAX. SIZE 16 -2" WIDE X 16 -0" HIGH DESIGN PRESSURE RATING = + 42.0 PSF - 44.0 PSF HIS DRAWING IS PROPERTY OF DAB DOORS INC. COPYRIGHT 1998. TRADEMARK PROTECTED 00 NOT REPRODUCE WITHOUT WRITTEN CONSENT. PATENT PENDING THE SCUTE .._7 .0 ILU 1;G iii C0MPl !Y.NC OFFICE ACCEPTANC q_B_O�o� .07 v 1 C to C 0 ' 91 (D 0 w rh a .1 = y v Lei t0 Z 00 w O' O 1 3 a C O 0. 0 to v v O O 0 'O 0 z 0 LJ a z m Ui nJ a i C m .0 0 a L drawing no. 98 -12 (sheet 1 of 3 1ST SECTION (BOTTOM) REINFORCING 16 GA. X 2-1/4" X 2" CALV. STEEL U.BAR REINFORCING TRUSS 0 TOP OF PANEL TRUSS FASTENED TO INTERMEDIATE VERTICAL STILES W/ TWO ij 14 X 5/8" S.M.S. AND TO END STILES WITH FOUR ij 14 X 5/8" SUS 16 GA. X 2 -1/4" X 2" CALV. STEEL U.BAR REINFORCING TRUSS 0 BOTTOM OF PANEL TRUSS FASTENED TO INTERMEDIATE VERTICAL STILES W/ TWO # 14 X 5/8" S.M.S. AND TO END STILES WITH FOUR i 14 X 5/8" SMS STEEL TRACK BRACKET FASTENED TO WOOD JAMB WITH - ONE 5/16" X 1 -5/8" LAG SCREW SOUTHERN PINE 0.55 S.G. BOTTOM SEAL .058 ALUM PLATE WITH 1/8" X 1" S.M.S. ® 48" 0.C. AND TUBULAR RUBBER WEATHERSTRIPPING 14 GA. GALV. STEEL TRACK FASTENED TO TRACK PLATES W/ 1/4 -20 X 5/8" TRUSS HO. SLOTTED M.S. Sr LOCK NUT OPTIONAL STOP MOULDING BY. DOOR INSTALLER 13 GA. STEEL TRACK BRACKETS SEE SHEET 2 FOR SPACING • _ # 14 X 5/8" SMS 6 PER HINGE 7/16" PUSHNUT INSTALLED ON ROLLER SHAFT INTERMEDIATE SECTIONS REINFORCING 16 GA. X 2 -1/4" X 2" CALV. STEEL U.BAR REINFORCING TRUSS 0 CENTER OF PANEL TRUSS FASTENED TO INTERMEDIATE VERTICAL STILES W/ TWO // 14 X 5/8" S.M.S. AND TO END STILES WITH FOUR # 14 X 5/8" SMS 1/2" X 1 -3/4" X 1/16" VERT. ALUM TUBE (6063 -T6) GLUED TO PANEL AND SECURED TO END STILE WITH 3/16" POP RIVETS @ 12" 0.C. 18 GA. CALV. STEEL CENTER HINGE 1- 7/8" X 2 -5/8" X 18 GA. STEEL CENTER STILE. CLUED & RIVETED TO SECTION B —@ TOP SECTION REINFORCING y 14 X 5/8" S.M.S. 4/ HINGE PANEL ROLLER HINGE 16 GA. X 2-1/4" X 2" CALV. STEEL U.BAR REINFORCING TRUSS TRUSS FASTENED TO INTERMEDIATE VERTICAL STILES W/ TWO # 14 X 5/8" S.M.S. AND TO END STILES WITH FOUR ij 14 X 5/8" SMS 3/4" X 2 -1 /2" x 18 GA. STEEL ENO STILE POP RIVETS \ \ \ \\ s 3/8" SLEEVE ANCHORS 1- 1/4" MIN. EMBED INTO MASONRY 1 PER BRACKET 24 CA. STEEL PANEL FLAPS BENT OVER PANEL 1/2" PUNCHED HOLES © 4" 0.C. THIS DRAWING IS PROPERTY OF DAB DOORS INC_ COPYRIGHT 1998. TRAOEMARK PROTECTED DO NOT REPRODUCE WITHOUT WRITTEN CONSENT. Enqr: DR. HUMAYOUN FAR000 STRUCTURES FLA. PE # 16557 ALL RIVETS ARE 3/16" DIAMETER f END STILE PATENT PENDING S'iC:T ., r: it 1t ; ; ;, ? :! C 'DE jQJ��'� riv UCT CIOiiTRO' %I: S-ON INC; CO) : CC'.0L. -.PVC 0! FiCE A.CCE ?TA C D E t'1i " 0 5 ' In 0 m 0 N 03 T U d ' 0 CC 0 0 0 0 0 J Q z w 0 V) CC —J z 0 0 i C to c 0 S c 0 0. 0 v 0 ' O O. 0 0 0 0 6 a O v L U J r ) drawing no. 98 -12 (sheet 2 of 3 DOOR • SECTION HEIGHTS BRACKET PLACEMENTS HEIGHT 1 ST 2N0 3R0 4TH 5TH 81 82 83 84 85 86 B7 B8 6' -0" 18" 13" 18" 18" N/A 1" 11 -3/4" 23" 34" 45" 56" 67" - 6' -6" 21" 18" 18" 21" N/A 1" 11 -3/4" 23" ' 34" 45" 56" 67" - 7' -0" 21" 21" 21" 21" N/A 1 11 -3/4" 23 34" 45" 56" 67" 78 -1/4" 7' -6" 18" 18 18" 18" 18" 1" 11 -3/4" 23 34" 45" 56" 67" 78 -1/4" 3 -0" 21" 18" 18" 18" 21 " 1 " 11-3/4" 23" 34" 45" 56" 67" 78-1/4" � HORIZONTAL REINFORCEMENT 1/2" xl -3/4" x1/16" ALUM TUBE (6063 -T6) GLUED TO PANEL AND FASTENED TO VERTICAL STILES WITH (2) 3/16" POP RIVETS HORIZONTAL REINFORCEMENT 1/2" X1 -3/4" X1 /16" ALUM TUBE (6063 -T6) CUT TO MISS RIB GLUED TO PANEL AND FASTENED TO VERTICAL STILES WITH (2) 3/16" POP RIVETS 21" PANEL SECTION A -A SEE SHEET 2 FOR LOCATION OF REINFORCING TRUSSES POP RIVETS 14 GA. GALV. STEEL ADJUSTABLE SLIDE FASTENED TO BRACKET / w/ 5/ - 1 8 X 3/4" HEX HEAD M. SCREWS 8c NUTS. 12 GA. GALV. STEEL TOP ROLLER BRACKET (DOUBLE) FASTENED w/ (4) N 14 X 5/8" S.M.S. 7/16" DIA X 3 -3/4" ROLLER SHAFT OPTICNAL EPS- EXPANDED POLYSTYRENE INSULATION BY APACHE PRODUCTS CO. DENSITY = 1.07 PCF N.O.A. # 95- 0626.01 14 GA. GALV. STEEL ROLLER HINGES FASTENED w/ (6) # 14 x 5/8" SMS MIN. 24 GA ROLL FORMED STEEL PANEL DRAWING QUALITY 0 - 40 MIN. YIELD STRENGTH = 34 KSI WITH PRIMER AND BAKED -ON POLYSTER PAINTED TOP COAT APPLIED TO BOTH SIDES OF STEEL 12 GA. GALV. STEEL BOTTOM BRACKET FASTENED w/ (4) ij 14 x 5/8" SMS SECTIONS ARE NUMBERED STARTING AT THE BOTTOM FOR DOORS MORE THAN 8 FT. HIGH. USE ADDITIONAL TOP BRACKETS AT 10" O.C. 5/16" X 1 -5/8" LAG SCREWS INTO W000 OR 5/16" SLEEVE ANCHORS WITH 1 -1/4" EMBED INTO MASONRY 3 PER BRACKET 2 -1/2" X 4 X 13 GA. STEEL PLATES WELDED TO 1 -1/2" X 1 -1/2" X 14 GA. ANGLE USE (4) 1/4 -20 SS BOLT & NUTS TO JOIN STRAIGHT AND CURVED TRACK SECTIONS THIS ORAWING IS PROPERTY OF DAB DOORS INC. COPYRIGHT 1998, TRADEMARK PROTECTED DO NOT REPRODUCE WITHOUT WRITTEN CONSENT. PATENT PENDING w M CAST ALUM( �/ CABLE DRUM 14 GA. GALV. STEEL TRACK HORIZ. TRACK LENGTH = OPENING HEIGHT PLUS 12 IN. W000 FRAME BUILDINGS STUD WALLS OR DOOR OPENING SHALL BE FRAMED SOLID BY NOT LESS THAN (3) 2X6 PRESSURE TREATED GRADE 2 OR BETTER WOOD STUDS. STUD WALLS TO BE CONT. FROM FOOTING TO TIE BEAM. W000 BUCK CONNECTION TO MASONRY TRACK SHALL BE SECURED WITH TRACK BRACKETS TO PRESSURE TREATED 2X6 WOOD JAMBS WHICH SHALL BE ANCHORED TO GROUTED REINFORCED MASONRY BLOCK WALL OR CONC. COLUMN W/ 1/4" TAPCONS WITH 1-3/4" EMBED AND A SPACING OF 10" 0.C. OR 3/8" DIA. SLEEVE ANCHORS 1 -3/4" EMBED AND A 'SPACING OF 12" 0.C. THE BLOCK WALL CELLS SHALL BE GROUT FILLED AND REINFORCED WITH FOUR # 5 BARS EXTENDING INTO FOOTING AND INTO TIE BEAMS. ALL BARS SHALL BE CONTINUOUS FROM TIE BEAMS TO FOOTING. PREPARATION OF JAMBS BY OTHERS \ 2" X 3 -1/2" X 12 GA. STEEL ANGLES 2 -3/16" HIGH CONNECTED TO TRACK WITH ONE 1/4" BOLTS & NUTS. Enyr: DR. HUMAYOUN FAR000 STRUCTURES FLA. PE (I 16557 mi TRACK CONFIGURATION HORIZ. TRACK SUPPORT AS REOD. BY DOOR INSTALLER - CCD_ COMPL:.-.NCE p ) FF C r';CLEPT .t:!C. N" . cVQ- 0110 'O — J z 0 4-- 0 0 cr s 0 - 0 W M Q Q Co CO !Y N cn 0 W V) 0 Z v J r")Q Z 11 w v r O O 0 W CD Z r- Z W N W LY c O N •> 4) co Q U 0 \ N ' 0 5 is 0 m 0 N c 0 U N v 'O v O 0 0 drawing no. 98 -12 (sheet 3 of 3 " METRO -DkDE METROFOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING PRODUCT CONTROL NOTICE OF ACCEPTANCE DAB Door Company, Inc. 12195 NW 98th Avenue Hialeah Gardens FL 33016 Your application for Product Approval of: 24 ga. Raised Panel Embossed Garage Door under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: applicant along with Dab Doors Inc. drawing No. 98-12, issued on 04/03/98, revised on 07/25/98, with Miami- Dade County Product Control Approval Stamp. has been recommended for acceptance by the Building Code Compliance office to be used in Dade County, Florida under the specific conditions set forth on pages 2 et. seq. and the Standard Conditions on page 3. This approval shall not be valid after the expiration date stated below. The Office of Code Compliance reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The applicant shall re- evaluate this product or material should any ammendments to the South Florida Building Code be enacted affecting this product or material. The Building Code Compliance Office reserves the the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.:98- 0506.07 Expires:10 /01/01 THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. Approved: 10 /01/98 -1- Internet mail address: postmaster @buildingcodeonline.com BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 Raul Rodriguez Product Control Supervisor 1 ' s anger. Director Building Code Compliance Dept. Metropolitan Dade County Homepage: http : / /www.buildingcodeonline.com DAB DOOR COMPANY, INC. ACCEPTANCE NO: 98- 0506.07 APPROVED : OCT 0 1 1998 EXPIRES . lGICT Q I Mt NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE 1.1 This approves a 16' wide sectional door as described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County (SFBC) for the location where the pressure requirements as determined by SFBC Chapter 23, do not exceed the design pressure rating values indicated on the approved drawings. 2. PRODUCT DESCRIPTION 2.1 The DAB 16' wide Sectional Door and its components shall be built in strict compliance with the following documents: Drawing No. 98 -12, titled "Sectional Residential Garage Door ", prepared by Al- Farooq Corporation, dated 04/03/98, with latest revision on 07/25/98, Sheet 1 through 3 of 3, bearing the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade Product Control Division. These documents shall hereinafter be referred to as the approved drawings. 3. LIMITATIONS 3.1 Units with dimensions equal to or smaller than those shown in the approved drawings shall qualify under this approval. 4. INSTALLATION 4.1 The Sectional Door and its components shall be installed in strict compliance with the approved drawings 4.2 The installation of this door does not require Hurricane Protection Systems. 5. LABELING 5.1 Each door shall bear a permanent label with the manufacturer's name or logo, city, state and the following,statement "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for Building Permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance 6.1.2 Duplicate copies of the approved drawings, as defined in Section 2 of this Notice of Acceptance, clearly marked to show the components selected for the proposed installation 6.1.3 Any other document required by the Building Official or the SFBC in order to properly evaluate the installation of the system -2- Candido Font, PE, Sr. Product Control Examiner Product Control Division DAB DOORS COMPANY INC. ACCEPTANCE NO.: 98- 0506.07 OCT 0 1 1998 e 1 n1 APPROVED EXPIRES NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and /or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process. b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purpose. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1, 2 and this last page 3. Candido Font. PE, Sr. Product Control Examiner Product Control Division END OF THIS ACCEPTANCE -3- C PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date I �b Job Address 1 1 ,) C qs- 1 % Tax Folio , 9 3201 — 0 ( 3 — 27 0 rr s � v\ralZfet-1:144 ' tiLl 1 `� Legal Description 9_,W • stoncalll y Designated a : Yes No Owner/Lessee / Tenant 57/1 (-- VA 1f} "r r»j ;, Master Permit # Owner's Address 921 r 72. S T fifii 331 6 Phone 365 - 75 6 °- � 3 Contracting Co. CIZ PYWFo I b00T CD. Address 339 /J E (a9 Si Qualifier J141V 1 3 L CC State # AV/1 Municipal # Competency # qq BS 00 10 S Ins. Co. Hiller Architect/Engineer N/ Address Bonding Company AV la Address Mortgagor N / ft Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 12P pLcu e e no, 7 (vale 1 Ltw' Square Ft. pia 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 11 wo will be done in compliance with all applicable laws regulating authorize the above -named contractor to do ' e wo stated. construe on and zoning. F d/or Condo Notary -t6 Owner and/ My Commission Expire FEES: PERMIT APPROVED: Zoning Mechanical Soy z6.7 ate !!!!!l ! !!!!!!!!!!!!!!!!!!!!!!!!!!!! ) /// Margaret R. �! E4- Notary Public. State n f TA omission No. I:. ; 0 of LLo lro sston pxp. 07/09/200'1 1- 8Q0-3- NOTARY - PIi. Notary Service R Bonyng Co. 111111 MMS 1111 )N) 1 %%111S11111SSNNNS RADON .... ( ' Z/ 7 /7$ SS# - 72 - 1,23? Phone (300 -S 9 - 3 Estimated Cost (value) Signa Notary as to C My Commissi 0 NOTARY". d ,I•S 00 e of Contractor or Owner- Builder trpctor or Owner - Builder x pires: Electrical q -a ,- t� Date N, JENNIFER JOHNSON A WO MY COMMISSION # CC 903127 Itor EXPIRES: Jan 18, 2004 i .eOP3- NOTARY Fie, Notary SsMce 8 Bonding Co. Date Plumbing Structural Engineer Painting Plastering Lathing... Electrical ---m mulik, Mason &- Concre,o Plumbing . / Roofing Glazing_ Tile Mi_scellantous LIST OF SUB - CONTRACTORS • t 41 ,11111 { • w. BUILDING PERMIT RECORD MIAMI SHORES VILLAGE FLORIDA DATE 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 . Build ; Ordinance of the Miami Shores Village, Florida, and all 2rovisions of the Laws of the State of Florida, all 0,,,rdimances of Miami Shores Village, and all rules and regulations of the building Department of Miami Shores Village, shall be eompliee with, whether specified or not. OWNER f . 'Y ARCHITECT__ STATE OF FLORIDA) COUNTY OF DADE ) Chairman Member Member Secretary My Commission expires • PLANNING B0ATD CONTRACTOR LOT' --' ; '] E STR.�ET, N ADDITION_ REPAIRS NUMBER OF STORIa ROOF COI' (excluding Architect's fee, landscaping & garage) _ ___ Building to be used for and no other use. I hereby submit all the plans and specifica.tior.s for said building. Signed Before me, the undersigned authority, a notary public, duly authorized to ad_ninistar oaths and take acknowledgment, personally appeared to me well known, and who, heinE by me first duly :,corn, 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 rne, Notary Public (Signed) Cubic Feet -Cubic feet required in this Block tg,t . •-ci c 4 CJ'( raj Building Inspector Permit No • -� Issued to Date Electrical Permit No. Plumbing Permit No. ,i