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1250 NE 95 St (10)B Y: _ BUILDING PERMIT APPLICATION FBC 2004 Miami Shores Village Building Department obe - la Li c) I g 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 0/ /9-/✓N4 Q ft 5 A I4>? Phone # Owner's Address / '. d"o A/ L 9 $ 5'7 City /,j ,any , „SW 0ACr State PL Zip J go 4 a Tenant/Lessee Name Phone # Job Address (where the work is being done) / 26 /1/ 4 ° � j S j City Miami Shores Village County Miami -Dade Zip 1,/ X 2- FOLIO / PARCEL # // — 0 G - O /y 2.1 - yo Is Building Historically Designated YES NO X Contractor's Company Name / 6otiS%�QvC.T .0.f/ /Ac_ Contractor's Address 16 S 4 F7M o r City / d 04r P,¢y440 8e 6C/el Qualifier Name AWAY G X/},e/t v Architect/Engineer's Name (if applicable) Value of Work For this Permit $ F/ O ? / ,Od Type of Work: ❑Addition Describe Work: /4/57,- Alteration State /c Zip 3,7 O 0 State Certificate or Registration No. Certificate of Competency No. ❑N .c' ice A- ********** * * * * * * * * * * * * * * * * * * * * * * * ** * * *, F * * * * ** * * * ** ** * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ 105 46 CCF $ 4.-8 CO /CC Notary $ Training/Education Fee $ , (p 0 Technology Fee $ S Scanning $ .00 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Phone # Phone # Phone # ❑ Repair/Replace dcs' av . g (r Total Fee Now Due $ G.6 /l/r4tc j 90 c ; - Permit No. ISOG ` 0'-1 Master Permit No. 57s-,236-5 Square / Linear Footage Of Work: ?/ l'?°7Z -40 See Reverse side —3 ❑ Demolition Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS. and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 , by , day of , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) 0 Plans Examiner Engineer Zoning BUILDING Permit No. PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) J TT I J1N .NE lO, 1s/,ie-R Phone # Owner's Address / City mi 69111 .S zes State Ft. Zip 33/ 3 8 Tenant/Lessee Name Job Address (where the work is being done) A& 4/6 9s ST City Miami Shores Village County Miami -Dade Is huilding Historically Designated YES NO Contractor's Company Name ,l. A( �O "/If: A (Or. ? /w✓ / AZ Phone # fsy OW -X 36 Contractor's Address $' 31. 9O C City 4„,,x10,01 'd . ggoe, ` . ' State AZ Zip 330 6 a Qualifier ,L Y „ /Avy) /S Architect/Engineer's Name (if applicable) Yet tSySS.IQ:.� q S ep ..., of Work F t his D.......:t A 2 0 A!•/ / of Work: ❑Addition ? ibe Work: /N S 711 1 .4L Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department fo050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 quo ± Footage Of Work: 9 /ai Alteration ❑New? ❑ Repair/Replace �. 0 Demolition Tun. 41_ /h /Q 4 a 6 E T u lx►' saes O vir2, S'x r s V Ao /. i 1T I ; tom- . is p Gl c0 `, Structural Plan Review. $ Phone # Phone # CCF$ Technology Fee $ Bond $ Zip 3 * * * * * * * * * * * * * * ** Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. 1 understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant:' As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is - issued., In the ,absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before m day of 7u 1 y , 2006, by who is personally known to me or who has produced As identification and who did NOTA . PUBLIC: Sign: Prin My Commission Expires: t/ / 9/ J * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * ** (C State Certificate or Registration No. Ctf-(,° 4/939 6 APPLICATION APPROVED BY: Chc 10/14/03 Contractor The foregoing instrument was acknowledged before me this 74' day of 3/ , 2044, by X19/00 49 who is personally known to n e or who has produced as identification and who did take an o My Commission Expires: 0, /D petency Holder) Certificate of Competency No. ************************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Moak -Carnes • • • • • •••• . • • , • • • • 433.251 • ... • •••• . • • - • ..• ° 90'0010* ****** • •• •• ••• • • i • • ••• • • • 12 1 e'4 8. 462.74' i.i&Fro& * w **** NB 126 Ave • •• • • • •• •,• • •• • • ••••** • ••0000 ••••• • • • • s••• • ••o•oo • • • • • •o•000 • • • • • • • • • • • • • • • • • • • • 17.75' . I t OneStoxyCBS ez) rgl I (20 f, Cam M 1 s-4 Steps v c\ I = .., • , F. , ;41 1 —=''' ' . ; / "////////1* '//////////// ., .... ; i % / -. 1.35 MI Teruo %' 1 % • JiLOO PI 44 II , .. Deck ,c ' ' t i nod 3 Northeast r 95th Street • .—r .-0■0—rro 125.00' 27411 As Pavement N WOO W x 0.08' f l a ti &I x t • 304' 6829' 4 80.00' ItiOr of Way 44.00"' 21.00' Asphalt ParksvitY 8,40 CDS 1 J N WOO DO' E t t At 11. hitt-161 0.08' dis no id 0 d-• , 3 D ��8/ 1 � 17 16 15 14 13 12 11 10 '� 6 5 4 3 2 1 2 3 4 5 6 7 8 9 10 11 12 13 1 x • • Sheet 1 of_ Locatipll �S • . PROPERTYADDRESS: ABBREVIATIONS 1250 Northeast 95th Street Miami, Florida 33138 Surveyors Notes: #1 ' Lands Shown Hereon were not abreacted for F•asanent and/or Right of Way Records #2 llaachmadc htfierniZiade Camay Public Wads Dep. N/A #3 Bearings as Shown hereon are Based wpm Northeast 950 Street N90°00'0011 #4 Please see Abbreviations aodLeg nd S. Scale ofArswiox 1•=20' #6 Drawn By: Aliens! 02.05 -2006 #7 Comploor Mold Stony Dais: 02-01 -2006 #a Mac No 2006 #9 LastBevisx #1O Legal De on Famished by client #11 Mst6meia captioned Piopes ty was surveyed and descnbed based an the Lys/ Description Provided by Client #12 This Certificadon is only for the bads as dssenbed kin not acertification Wilde, Zeniag or Arced= ant ADSIRACTNOT REVIEWED. #13 Moe may be salami Rernictiamr not shown on this envoy themmg found in the Public Reoordv ofMismi •Deeds County. aramingion of ABSTRACT OF TITLE will have to benumb to determine =ante if any affbctinB this property. #14AWJRACY:Thetweeted use ofthebent as classified in theMmnmm Mah®Lal Steadies (61617 6FAC), is •fiesidentiar. The Permian= relative &taooeacesausy fix this type ofbounds:y 1 foot ha 14000 fret The aocmary obtained by souraresnost sad calculation era close d geometric flgore leas found to Mood this #15 Feriadatiros aad/arfootings ihatmgy moss beyond the boundary l nos ofthopans&haein dean ibodaro not shown lemon. I € t?. ■ T1 tI .L • • 1 _LJ ••• ; ■ • .. ••• • •• • 1 • Northeast 9 h • • • • . • • • • • •• •. Northeast 94th Sleet • •tlaCtIODARCR ARL .useas AAY AMR®ays AP1 .4110110/1110111 RDO 41C IaD L DM<cIQiC04@ CLP 411111N =MB COL 470111ie1 CISP,0011CRIOSUIRITYPOIS • KITRICIIMUJORMS COO AONCRIRRRRi tOISL1LeI PL1lW.LIGWRWMi Clr Aa{rR.AT DJ).L •OLONA OI. W W RIUHm INC Orr LT-P. SLICOOWVROCRImrAD mu. -tr tertawseeeIeer D8 AaIIDmIANT UP. .441O►DiCN RL •pRNlLOOI RDIR,ROO ONCILIpi RR. 4CO DIIR L SD •40LINDOIIC 101 O IO •IRMONAL VI A1CRIZO R L u : •tearrnOaeoLYAOI r LL A1311/wt IRAL4OLPAR O NA ..044RTOtLL D Imo. AR C "' 01. •O�.DILMMOCIAR C L .0111111 P ee•RaLrM erraaffee COO RV. KARIOMOIQm P.C. •RROOXCOMPROZ WAY A.RLVAT IL •1wr1IR R AIAVID IRE AMMO= W AOONtdWAY LDS •eTR41Lmt UV. AMT■ORlR. . DIP •erwt. . A®elALL T T •Conan A)R Di AIT ussaa )r .W V.V. • WM ,�R�,DR VAR A)OmORRrIRa --�-� •Y.D)La3IaICI KISVAIL •QIQSADIL C _ •gun nit .DDIDITTIZEPROMNI ANeD•D :PARE ILUDI •i.O . • AR1CDaDAD Aa®e.AT ANmID)R 0 API OZ� • • . •• • • • •. • • • .. • • . • • • • 1 . • • . • • • • • . . • . •••• •••. • 1 PT.RVATION INFORMATION: 120652 0093 „AEU 03-02-1994 8.00' 10.02' Garage FL Elev. N/A Comm Panel Panel # Firm Zone : Date of Finn • Base Flood Elev. : F. Floor Elev. Suffix: II it1 Elev. Ref to NGVD 1929 CERTIFIED ONLY TO: DIANNE O. FISCHE R V KTUALBANK, ifs Successors and/ or Assigns A.T.IIVLA. KLUGER, PERETZ, KAPLAN & & BERLIN, P1. FIRST MERICAN TITLE INSURANCE LEGAL DESCRIPTION The West 1/2 of Lot 7 and all of Lots and 9 Block 85 Qf "MIAMI according to the Plat Thereof as recorded in Plat Book 10 at Page 37, of the Public Records of Miami Dade County, Florida. This amass that the survey ofthe property des dbedWeanvansmade=dwapsrper *fin Art name I eeera the minim I. STATE OF FLORIDA COUNTY OF DADE The undersigned Affiant, DA9 1 4 4 a' / /.5-ye / , does here by attest that the attached survey, performed by /9/> 5 . € at, ',A/,' //Q performed on OS/gad 4, , is an accurate representation of the existing conditions and locations of all Structures on the property as of this date. The purpose of the Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which may now exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may effect final inspections as applicable to this or other permits. Further, Affiant sayeth naught. Witness (sign and print) SWORN TO AND SUBSCRIBED before me this , day of Tcr Y zoo 6 Affiant is personally known to me /14 Miami Shores Village JOSEPH LEBLANC Way Pik • Si* d Roddy CamftionEgiresFeb 19,2010 Convulsion 9 0065514 Bonded : National Notary Assn. 10050 Northeast Second Avenue Miami Shores, Florida 33138 -2382 Telephone: (305) 795 -2207 Fax: (305) 756 -8972 www.miamishoresvillage.com AFFIDAVIT Affiant/Property Owner Witn s (sign and print) produced I'Z AO 4.4 vela- /Lt G j; . ) Zaii,s - as identification. Jun 19 06 11;41a D & E BRICK PAVERS CORP. DI IC Brick Pavers O . Fcs r S 4280 Q5 s4- PREPARATION: Driveway Patio Walkway Sidewalk Pool Deck Other 40 _ n SPECIAL DETAILS: WE HEREBY PROPOSE TO CONTRACT PRICE OF: PAYABLE AS FOLLOWS: EXCAVATION: I_ � BY MACHINE .JBY HAND l Concrete r Asphalt _ . _ Grass i Other OWNER TO PROVIDE: SURVEY, 25 AMP ELECTRICITY AND WATER. OWNER IS TO BE RESPONSIBLE FOR UNDERGROUND UTILITIES (INCLUDING SPRINKLERS), ETC. L. G. L. C ON STRUCTIONJNC/ D & E BRICK PAVERS CORP. 265 SW 9 CT POMPANO BECH,FL 33060 279 SW LANGFIELD AVE. PORT ST. LUCIE,FL 34984 PH:954 588 - 4720/954 593- 2355/FAX:772 343 -1684 CDNTRACT tt) 200 9201. )+ 31 -)ors (772).343 1684 p.1 We hereby propose to furnish material and labor for the installation of paving stones. INSTALLATION: Driveway Patio J Walkway Sidewalk [1 Pool Deck X Coping [I The Li Diamondbrite Other' S J All instataltions have a 2 year Labor Warranty. OF CONTRACT PRICE FREIGHT PERMIT & PROCESSING FEE TOTAL CONTRACT F D ISH MA ERIAL ND ABOR • . iPLETE WITH ABOVE SPECIFI ,� T { IONS, FOR THE �� jl • :� Irk r - 1 COLLARS. ( S "T' % ADVANCE DEPOSIT % ON DELIVERY OF PAVERS + PERMIT = FREIGHT ON 80 % COWLETION OF INSTALLATION % ON COMPLETION OF INSTALLATION MANAGEMENT OVER: X SAND BASE ROCK & SAND Thick Pavers Thir1 Pavers Other 0 White Cement [1 Gray Cement ( S (5 (S ($ T5122• sob ZiP�( $ 78 63 27 co $T FULL PAYMENT IS DUE UPON COMPLETION OF WORK. MONIES CANNOT BE WITHHELD IF WORK IS COMPLETED AS OUTLINED. ALL MATERIAL I5 WARRANTED BY THE. MANUFACTURER. ALL WORK TO BE COMPLETED [N A SUBSTANTIAL WORKMANLIKE MANNER ACCORDING TO SPECIFICATIONS SUBMITTED PER STANDARD PRACTICES. ANY ALTERATION OR DERIVATION FROM ABOVE SPECIFICATIONS INVOLVING EXTRA COSTS' WILL BE EXECUTED ONLY UPON WRITTEN ORDERS FROM HOMEOWNER, AND WILL BECOME AN EXTRA CHARGE OVER AND ABOVE THE CONTRACT PRICE. OWNER TO CARRY FIRE, HURRICANE, TORNADO, AND OTHER NECESSARY INSURANCE. CONTRACT SUBJECT TO MANAGEMENT APPROVAL REPRESENTATIVE TWO YEARS WARRANTY ON WORKMANSFUP, NOTE: THIS PROPOSAL MAY BE ViTTFIDRAWN BY D &E BRICK PAVERS, CORP. IF NOT ACC WITHIN 'S, I ACCEPTANCE OF PROPOSAL THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED. D&E BRICK PAVERS, CORP. IS AUTHORIZED TO DO THE WORK AS SPECIFIED. PAYMFIvTrc\ Primary Zone: 1400 SINGLE FAMILY RESIDENCE 2004 CLUC: 0001 RESIDENTIAL- SINGLE FAMILY $205,013 Beds /Baths: 4/5 $242,320 Floors: 2 $447,333 Living Units: 1 $216,957 Adj Sq Footage: 3,648 $25,000 Lot Size: 12,500 SQ FT $500 Year Built: 1959 $25,500 Legal Description: 5 -6 53 42 MIAMI SHORES SEC 3 PB 10 -37 W1/2 OF LOT 7 & LOTS 8 & BLK 85 LOT SIZE IRREGULAR COC 24286 -0505 02 2006 1 9 Year: 2005 2004 Land Value: $277,965 $205,013 Building Value: $263,276 $242,320 Market Value: $541,241 $447,333 Assessed Value: $223,466 $216,957 Homestead Exemption: $25,000 $25,000 Disability Exemption: $500 $500 Total Exemptions: $25,500 $25,500 Taxable Value: $197,966 $191,457 Folio No.: 11- 3206 - 014 -4070 Property: 1250 NE 95 ST Mailing Address: DIANNE 0 FISHER 1250 NE 95 ST MIAMI SHORES FL 33138- Sale O /R: 24286 -0505 Sale Date: 2/2006 Sale Amount: $925,000 mia idade.gov 4 My Home Property Information Report Summary Details: Property Information: Sale Information: [Close window] Assessment Information: [Click here to Print] This report was created on 6/23/2006 7:45:26 AM for reference purposes only. Web Site © 2002 Miami -Dade County. All rights reserved. NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. ,/ /r? ; x "O/ /—" / f STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 3. Owner(s) name and address: f 4/v /V : ' Interest in property: £3 sa ', Rz; Name and address of fee simple titleholder: 4. Contractor's name and address: 5. Surety: (Payment bond required by owner from contractor, if any) Name and Address: Amount of bond $ 6. Lender's name and address: iv/ 1111111111111111111 11111111111111111111111111 C F N 700 t'yRO E'; .c c?' OR Nk 24751 Ps 3300; (1Ps) RECORDED 07/25/2006 11:5239 HARVEY RUV'IN? CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE 1. Legal description of property and street / address: ifMi Sgc' SFc- 3 107 ) a 7.5 407,p 8 4 c ! -ern SSW /2.s -o a(! 4" 7 .1" : r m /'9 rh r 5 'Va Q ACT /E'er 3 3 9 38 2. Description of improvement: //VS 9r1qhvA' 7'M434sth Chi'R.8 , ;emits 6.7.-EfR. Ass .A/C-.. At dick- 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name and Address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and Address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Signature of Owner U Print Owner's Name / AA.N I 0 Sworn to and subscribed before me this 7 f4- day of g" y , 20 0 . Address: , g6i N `► , ' G r A / ? G I t 7( Fb r? ? 10,3 Notary Public: P. int -1a ce/ 0 % - == --- 6'gzil4'C ∎TE OF F!_OP ti. u N s n om'— CE p. RTif -Yyh3, mI n th! JFy ,i:ti , - ' . \ %�O ftE� ' e :flat fif d ti;s Gfirca Or', _ G' ! ! An 20 i 'NtSS mv , "Ad dy ^, Off, ° a : n ` rs r a , o: t\ f . :!ni :.C.. A n�I,,,/ ,..c-ii r),4N,,, 7.,-• ,r•. .C22:• Prepared by .o.E- ZAZ4.4,✓ c- JOSEPH LEBLANC Notary PubSe - Stab of Pala C om nbalon Expires Feb 19, 2010 Commission 1 DD495514 Issue Date: 7/24/2006 Owner's Name: AMELIA LITHGOW Permit Type: Driveways /Sidewalks /Slabs Work Classification: New Job Address: 1250 95 Street NE Contractor(s) LGL CONSTRUCTION INC. Phone 954 - 822 -3452 Primary Contractor Yes Comments: RESURFACE WITH MARBLE DECK FOR POOL Additional Information Type of Work: PAVERS Additional Info: Bond Return : Classification: Residential 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, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Miami Shores Village, FL 33138- Fees Due CCF Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $4.80 $1.60 $125.00 $3.00 $3.00 $137.40 Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 01/20/2007 Invoice Number DS - 7 - 06 - 25623 Total: Parcel #: Block: Section: Permit Status: APPROVED Permit Number: DS - - - 1924 Total Square Feet: 912 Total Valuation: $ 8,049.00 Re • uired Ins • ections Foundation Sidewalk Landscaping Final Amt Due $137.40 JUL 2 5 px CSC Phone: 1132060144070 Lot: PB: Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. L V Iris Inspection Date: 08/08/2006 Inspector: Grande, Claudio Owner: LITHGOW, AMELIA Job Address: 1250 95 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: LGL CONSTRUCTION INC. Building Department Comments Monday, August 7, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 AUG 1 0 OD Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Block: Phone Number Parcel Number 1132060144070 Lot: Phone: 954 - 822 -3452 Page 1 of 2 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until L V Iris Inspection Date: 08/08/2006 Inspector: Grande, Claudio Owner: LITHGOW, AMELIA Job Address: 1250 95 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: LGL CONSTRUCTION INC. Building Department Comments Monday, August 7, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 AUG 1 0 OD Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Block: Phone Number Parcel Number 1132060144070 Lot: Phone: 954 - 822 -3452 Page 1 of 2 Date Tuesday, July 25, 2006 07/25/2006 Check Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: DS -7 -06 -1924 Invoice Number: DS -7 -06 -25623 Applicant: AMELIA LITHGOW Company Name: Owner Address: 1250 NE 95 ST MIAMI, FL 33138 -2550 Job Address: 1250 95 Street NE Miami Shores Village, FL 33138- Payment Type Check Number 6064 Amount $137.40 Change $0.00 Total Payment: $137.40 Page 1 of 1 Inspection Number: INSP -11244 Inspection Date: 03/15/2006 Inspector: Perez, JanPierre Owner: LITHGOW, AMELIA Job Address: 1250 95 Street NE Project: <NONE> Tuesday, March 14, 2006 Miami Shores Village, FL 33138- Contractor: BOSTICK DEREK Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Pho . (305)795 -2204 Fax: (305)756 -8972 Block: • Permit Number MC -3-06 -547 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060144070 Lot: Page 2 of 2 Passed Inspector Comments PO 0 -1) 1 7 ,...../ r V i ki \;-.) IL Failed Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled re inspection fee is paid. until Inspection Number: INSP -11244 Inspection Date: 03/15/2006 Inspector: Perez, JanPierre Owner: LITHGOW, AMELIA Job Address: 1250 95 Street NE Project: <NONE> Tuesday, March 14, 2006 Miami Shores Village, FL 33138- Contractor: BOSTICK DEREK Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Pho . (305)795 -2204 Fax: (305)756 -8972 Block: • Permit Number MC -3-06 -547 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060144070 Lot: Page 2 of 2 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 6s >; 76"f--6 9 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida. and all provisions of the Laws of the State of Florida. t11 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 Jr t. A copy of approved plans and specifications must be kept at building during progress of the work. Date 3 02 a-i? 19 'L Owner's Name and ,ddress DAtiI �J /n. LJSy 7000---621. No./O CO / Street /f/ / q S Registered Architect andior Engineer GOg con/ Moc.K. L' Name and address of licensed contractor 6 D 0 /7 ��/�5 Location and legal description of lot to be built on: Lot Block Subdivision x� t 75-30 Ai 6 fq11 c /!� Ii /i /S[- !/ .fig /Pc o ' prO 6 Street and Number where work is to be done ," 5 /l/ F 1 3 ST State work to be done and purpose of building (by floors). state exterior colors (submit samples) AlS7RUL, NG ul f - FA L ; 1G-47. D bc6 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 S J Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all 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 obligatons 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 •osted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to a �..loy only suc subcontracto . on ork to be performed under this permit. as are licensed by Miami Shores Village. /� Remarks (Signed) eo,2 751D STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared 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 7 0 Disapproved �� r' ! Date Amount of Permit S Read. Sworn to and Subscribed before me. 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 $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials andior workmanship. Miami Shores Village Building & Zoning Dept. 10050 N.E. 2nd Avenue Miami Shores, Fl 33138 ATT: Frank Lubian RE.Property : 1250 N.E. 93rd St. Miami Shores, Fl 33138 Dear Mr. Lubian, This letter is to request an inspection of the above reference property for a compliance letter for a conversion of the garage to a 4th bedroom. Please be advised this conversion was completed 18 years ago. Or a letter stating this conversion has been grandfathered in. Enclosed is a check for $37.50 for the cost of this inspection. Your prompt attention will be greatly'•appreciated. ely, Donna Dalton Mortgage Processor DGC Dow Guarantee Corp. LICENSED MORTGAGE BANKER 3/25/92 9700 N.E. 2nd AVENUE - MIAMI SHORES. FLORIDA 33138 - [305] 751 -3232 - FAX (305) 757 -2929 TO: RE: DATE: FROM: FL /sm /l4icuiii c Ciun, P�d��L' 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138-2382 TELEPHONE (305) 758 - 8000 FAX (305) 756-8972 WHOM IT MAY CONCERN 1250 N.E. 93 STREET MARCH 31, 1992 FRANK LUBIEN, BUILDING AND ZONING DIRECTOR On March 20, 1992, I inspected the above captioned property which is a three bedroom residence with a garage which has been con- verted into a habitable room. Frank LuBien Building Official • PERMIT APPLICATIOr4 FOR MIAMI SHORES VILLAGE Date / Job Address/A50 /W X0=4: Tax Folio// 3&a0 ' O/4 «o / C Legal Description Owner/Lessee / Tenant 19-urcQ I Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: Historically Designated: Yes No FEES: PERMIT 3 5 RADON C.C.F. d s NOTARY Master Permit # Phone L./Xs Owner's Address 415-0 ��i 9 I Contracting Co. 6 S d A( � ✓ �� S Address &I-2/ c y /C r& t/. Qualifier ii _ // Ae Z. /,5 76g.t10-Y777 State # e"? /4 # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 5& /I' /%u # - *v r.}/PI, �Cise� S `r / �� � s �D�N� '4/ / ,1 GAL M7 .mss- /a x k. p r, t Square Ft. Estimated Cost (value) 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. 11 ARY S • /BUD TWYFORD N• Y PUBLIC STATE OF FLORIDA COMMISSION NO. CC366558 MY COMMISSION EXP. APR.1 1998 • udder Signatur ?.__ !Contract• • • ' My Commission Exp .1 TOTAL DUE Date Date APPROVED: Zoning Building Electrical Mechanical Plumbing ' Engineering ; 7 L' G�'v5s Arc 1:k 0 i y .4 c.�- a M..Cb, Lon ed/ 2/ a5 ' X l e a4 : l5.,0.-uzeP /� J r ,G d u4� , ci AAA IT t2sc z 2saa � s z 11/2. AMERICAS 10052 NW 89th Ave_,-.Medley, FL. 33175 DATE: ? — ct SCALE: �: T • ' Sc c24 DRAWN BY: FOLIO n: j _ 3a0G. - 0,7J JOB: ; 5 J E / a �7vi AFFIDAVIT: This installation shall comply with NFPA NFPA m 58, as well as all state & local codes and regu1ati oris Page off " 54, CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 981 Owner, Agent or Tenant of Building LotW 7,8,9 Remarks • Miami Shores Village, Florida, 9/25/59 David Lithgow Block R5 Subdivision Miami Shnres Street Address 1250 NE 95th St Approved use by occupancy Bd - 5 Bath Res. & Switmning ®off # 3 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 buildings or structures. Plan Cube - 34,361 C, Tax Value - 17,181 c�� ✓. Pool T.V. - 1,500 BUILDING DIVISION V'/NER'S NAME f . gig. --I f.,..0 L „ - ,i - Goy. PRESENT ADDRESS LICENSE NO. PHONE O. - JOB LOCn. ' ST. OR AVE.) G - ' LOT / BLOCK 1 SUBDIVISION GENERAL CONTtsACTOR 61JR,..) 7 C_p,os7. a • R ADDRESS A .�� 06 � . Z7� � PHONE NO. LICENSE NO. 3�� � BUILDING PERMIT NO. �.t� a DATE - ZZ - ` 1 P ERMIT FEE $ !(p BUILDER•S BON NO. 2 3,` b DATE 4 _ ZONE 1� Za REQUIREMENTS ZS 0 a CU. FT. PLAN CU'BE 3¢ 3C.( CU. FT. ,o EST. COST E So, OO D 747. GJ44.,U0- // 7 / Q•i -4- /./4 ri ot A. c.. DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: &J. 92. .0.-2.,4.47,€9,..4.0 DAT= . // /� 2 �- NEW CONSTRUCTION TYPE C. 1 S! STORIES f Z ROOF CONSTRUCTION 7 r L� . INTERIOR CONSTRUCTION 4 a 60/'+.3 - S 0,.. REPAIRS DESCRIPTION 2- y 6 _. L �LFL o : _ �' Are. ALTERATION DESCRIPTION cP __ C 4 7 Ti--e c ' -17e ' � } 4~.. -G i �L. ----. + .+11G el 4.'u S ----' ADDITION SUBMITTED TO PLANNING BOARD APPROVED it TED REFERRED TO COUNCIL / REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS �/ CERTIFICATE OF OCCUPANCY NO. S O I ��1' I S r Z.. 3 �,� 6L�al' ISSUED BY � TO D�'f9 L 'J ( l\ C'i Gas BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE - L INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION TEMPORARY SERVICE ROOF DATE e it ce FEE I $ X6 .- $ BE),MS & LINTELS H. W. HEATER CONN. 1 $ POOL 2 7y FRAMING ,� .. � ...5e C__ / 61,,, , AIR COND. SEWER SEWER FINAL ( 1 CLEAN UP $ SOLAR HEATER SEPTIC TANK 1 FIXTIJRFS & FINAL 1 $ SL 1 74a o� eaa. 21- 11 /1 SPECIALS PERMITS DATE BY RE- INSPECT PERMIT NO. I DATE I FEE TEMPORARY SERVICE ROUGHING DATE e it ce FEE I $ X6 .- $ TEMPORARY SERVICE CZ 4,C4 H. W. HEATER CONN. 1 $ SEPTIC TANK 7 LI 2 7y MOTORS ,� .. � ...5e C__ / 61,,, , I $ P= Z SEWER SEWER ( 1 $ SOLAR HEATER SEPTIC TANK 1 FIXTIJRFS & FINAL 1 $ SOLAR HEATER /1 I S /�GR)AS FIXTURES ,tom u INSPECTIONS DATE BY RE- INSPECT BY RE - INSPECT BY ROUGHING DATE e it ce FEE I $ X6 .- $ TEMPORARY SERVICE CZ 4,C4 H. W. HEATER CONN. RANGE CONN. TUB & TOP OUT $ MOTORS 5 FIXTURES SEWER S 5 SEPTIC TANK FIXTIJRFS & FINAL SOLAR HEATER FIXTURES GAS CONTRACTOR C J �u P_ � d , �C ` PHONE J /-= PERMIT NO. eIJ�' / 1 DATE 'fl R7 FEE $ NEW BLDG. yam-- 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. -7+/GN 4 /,. DATE e it ce FEE I $ X6 .- $ TEMPORARY SERVICE CZ 4,C4 H. W. HEATER CONN. RANGE CONN. I $ MOTORS 5 FIXTURES S 5 INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING I H. W. HEATER CONN RANGE CONN. FIXTIJRFS & FINAL q. ■ Vti 1L��fP BUILDING INSPECTIONS eft -S-2- PLUMBING PERMITS CONTRACTORM CDA on K.. € y / - PERMIT NO. d ' 1 DATE s-=,C .7 1 ALTERATION 1 ADDITION NEW BLDG. & INSPECTIONS PHONE FEE $ o•O'� REPAIRS ELECTRICAL PERMITS & INSPECTIONS APPROVAL. TO POWER CO. FOR SERVICE DATE BY ITEMS AMOUNT SUB CONTRACTORS & SUPPLii;i S NAME & ADDRESS 1. Architectural Fee (plans) Walter W. Baggesen T _& g Pavia 2 Asphalt walks drives etc,1 3. Cabinets - Bath Vanity .,, ;, , • • • - 4, Cabinets - Kitchen n n 5. Cabinets - Medicine Farray!B Hardware 6. Cabinets - Unit Closet 7, Cleaniri Avast Cnnatrnrti nn (:n. n r! n 8, Clearing Site 9. Concrete - Foundation,Slabs,Beams ,JUfa „1e Tnrh,atrie r„, It n n 10. Concrete - Walks drives 11. Contractors Fee 12. Electric Fixtures 411Y., 13. Electric Wiring Grimm R1entrir ( 14. E.ui.ment Rental 15. Excavation Avant Construction Co. 16. Fill for Slab 17. Floors - Finish wood & kitchen Rowell- Southern Corp, American Terr -zzo Co 18. Floors - Terrazzo 19. Garage lioors Crawford Door Sales 20. Glass Slidin: Doors Carco Industries 21. Hardware.- Finish Farrey's Hardware 22. Hardware - Rou.h 23 . Hc_ating 24. Insurance - Liability,comp. -bond Liberty Mutual Insurance Co. 25. Labor - Payroll 26. Labor - Contract 27. Labor - Contract 28. Landsca ing, Fill, Grading" Owner U.S. Plastering Co. 29. Lath, Plaster, Stucco 30. Lumber (All)e Renuart Lumber Yards, Inc. 31. Masonr Labor A .,•,t C• ,- ti..K ' •. 32. Masonr Materials Block"' ilia = , - i_ _ - . - ior Mi 11 work 33. Millwork 34. Miscellaneous 35. Ornamental Iron Work 36. Oven & Plate - Built -in Owner 37. Overhead 38. Painting L.V. McNah Painting 39. Permits Temporary Power 40. Piling (Foundation 41. Plumbing Complete W • ,;,,, , _: • ,- 42. Pool - Swimming $.t.ern & .Taffrr 43. Roofing & Sheet Metal Work Kemp k Guest Rnnfing 44.Roof Trusses - Pre -fab, R Rennart T , . - • . . - 45. Screen Enclosures 46° Septic Tank or Sewerage 47. Shower or Tub Enclosures Carco Industries 48. Steel - Reinforcin: & strl. Bushnell Steel 49, Supervision 50. Surve s 51. Tile & Marble °'erican errazzo o. �- 52. Water - Public 53. Water - Well & Pump tern & Jaffer ___ 54. Windows - Glazing & Screens -neral Window Co. 55. Window Frames - Concrete Miami Shores Village APPLICATION FOR FINAL INSPECTION Prior to a final inspection this application must be filled out; if sub contractors have failed to take out permits the general contractor shall be responsible for the permit and fee. A final ?•_ipection must be made prior to the release to Florida Power and Light Co, and the issueance of a certificate of occupancy. OWNER Mr. & Mrs. David A. Lit hgow JOB ADDRESS 1250 N_.E. 95th St. LOT_a 7,8,9 BLOCK 85 SUB. Miami Shores Sec. 3 BUILDER Avant Construction Co., Inc.DAy LABOR CONTRACT DATE 4 -20 1959 TOTAL Application is herebfor the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This applicatic/.. lade 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 ordinance. if 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 f approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address l-I ri4000J - DA Jtr 1' Registered Architect and /or Engineer 1 1 1 VT C' A F. LL 1 C YI R R LE.S Name and address of licensed contractor Location d legal descri tion of lot to e be built on: � Lot /`� �� Block �^" Subdivision s v i{ �� �a �C� ` / �� '7 1 Street and Number where work is to be done 1 Q50 N E • 1 5 STR >_ ` State work to be done and purpose of building (by floors). state exterior colors (submit samples) 1 fs ST(A► I / /ELI ✓[slog 2e .EI✓ . SYSi Eni /D )i /fl /)j /f c✓ O F /J r New Building Remodeling Addition Repairs No. of Stories T o be constructed of S T S E L At La (t't (( (.)U(\ Kind of foundation co ..e e Te Roof Covering Estimated 'Ibtal cost of improvements S o+► 1 2 8.70 Amount of Permit S 5 `jc 0 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor 1 hereby submit all 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 obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Supplement, and has complied with the provisions thereof. and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors. on work to be performed under this permit. as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. Before me. the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. Disapproved (Signed) J ss. APPLICATION FOR BUILDING PERMIT O 74. Date Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date Read. Sworn to and Subscribed before me. Date / /a 19 O S No /c950 Street /J. E. Q S SreEET .SP►TF LL IT // • u U Notary Public. State of Florida e(GiIT and for no other purpose. to me well known. My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. 1 1v'9 7t 02— / / / • AJ7 eP • 7/ ,—N 7»V..4 eS57,.2 FE./r A' 2,4 • e;7/ - _ Ate- ri / ; . , /4 7>' 4- .'A/ fe 1 P 7 • 0 L - 7„2",„>? . - -•. , (7, i f 4-- 1 .1 v . • :6 4 1 , •"-Ni 1 L.1 - 1 it- 474 <--•,-<.-"'' -: e e A „A.-; 4(\i„ /- 2:2) A-? Q, • 11. THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT VARIANCE(S) LISTED IN "REMARKS" MIAMI SHORES BUILDING AND ZONING UNLESS SPECIFICALLY LISTED BELOW. AND COUNTY LAWS MUST BE COMPLIED Autho'i'ed Signature Date • WITH NO VARIANCES • WITH NO OTHER DEVIATIVS FROM THE ORDINANCES WILL BE PERMITTED, ALL OTHER APPI ICABLE STATE WITH BY ALL PARTIES. FIRE DEPARTMENT PUBLIC WORKS POLICE DEPARTMENT BUILDING DIRECTOR A VW PLANEING & ZONM BOAR!) VILLAGE COUNCIL APPROVAL PRELIMINARY: FINAL: REMARKS: COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & SUB CONTRACTORS ARE r,"'"CEP WIT" _, "" K 'OWLEDGE OF ALL BUILD. ' ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. k �_ • ,• :.4 f' X. :: ✓,off• • "1. 1/G -4 e'e C !`l.:i At A' " 1 lI % 4 / t' C ,s9 ®;e G %viT1 J, ENDURE- A.. LIFETIME''PRO000. ;10 s , AAII •,7 " r '7i s, i MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT 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 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 &.v.�. ..........LCI. .�lJ No .....1 f°�..�. Street .� Registered Architect and /or Engineer QQ Name and address of licensed contactor Ca,- l ..�.. % (s) , -- Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done /Zg.o /1.)L. __..._._..1.5 it ._ S.i State work to be done and purpose of building (by floors) eeiis.ILe 0lei 72(..c. and for no other purpose. N ew Building Remodeling Addition Repairs ` No. of Stories v To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ /.o ° Amount of Permit & 1 ...1' Zone cubage required ,� _Plan Cubage Distance to next nearest building ,ece..I../.. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed)... Permit No.___.__ l d Date Disapproved Dat (Signed) Building Inspc NINC BOARD Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires DATE STATE OF FLORIDA, I 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, rrnd that all facts therein by him stated are true. 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 frmn the Planning Board. A rc- inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspectiom or faulty materials and /or workmanship. MIAMI SHORES VILLAGE, FLORIDA ` I. BUILDING ELECTRICAL El DATE 195- PLUMBING ID -. :PERMIT , ._ 8594 , ; • . -' Contractdt ,..1 License r10 ROOFING ❑ c t El Work to be performed under this Permit Owner of Building , Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER Bl. Subdi- vision S4. Ft 1.. Value of Project $ Amt. of Permit $ w 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. /.1. 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 thispermit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY '.,.,AUTHORITY Owner's Name and Address._ Registered Architect and /or Engineer ......... .. ...... � Name and address of licensed contractor- - Location and legal description of lot to be b ' t on: Lot Permit No Disapproved (Signed) Chairman Member Member Council Approved MIAMI SHORES VILLAGE Building nspector 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 Date__ No Street S e' 7 Block 8c / Subdivision. Street and Number where work is to be done. .__ � State work to be done and purpose of building (by floors) ,,��A l rn , ., e and for no other purpose. New Building ` Remodeling Addition Repairs No. of Stories ..__ :. . To be constructed of Kind of foundati. � r Rop�Covering. _7 Estimated Total cost of improvements $ j .2-4‘ 9 Amount of Permit $ �p � � - 3 Zone cubage required -Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the p ns and ec' ' ation for said building. All notices wit 13_ be sent to..a �.' he/6 A' Date t —1( �' ead, Sworn to and Subscribed before me. PL ' NING BOARD DATE Date 4 encee t the b ilding d its construction may The undersigned applicant for this building pen 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 :. -ctio on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such on work - performed under this permit, as are licensed by Miami Shores Village. 'I Remarks (Signed __ _ i 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. Notary Public, State of Florida My Com .ission 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- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Add Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of plans and specifications must be kept at building during progress of the work. Owner's Name and Address._ Registered Architect and /or Engineer Name and address of licensed contractor_ Location and legal description of lot to be built on: Lot Block / _Subdivvis�ion Street and Number where work is to be done- _.S- WI: State work to be done and purpose of building (by floors) Disapproved Date (Signed) APPLICATION FOR BUILDING PERMIT Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date , 19 No Street I 62 and for no other purpose. New Building Remodeling. Addition Repairs No. of Stories To be constructed of Kind of foundatiefr Rocovering_l22- ' 5 44 Estimated Total cost of improvements $__._ Amount of Permit $ ° � G °Ai►� S� 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 pec}fication for said building. All notices wit ence to the building nd its construction may be sent to.. /2,1., „4� " ' '- t .1"0 / ; -`',- -fit , The undersigned applicant for this building pen 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 , ' p ctiort on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such ibc s agt`drs,, on work e performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed 1, T. 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. Notary Public, State of Florida the build - of Miami rules and approved My Commission Expires PLANNING BOARD DATE - Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the ' building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address._.. P. �..A .Y__D...D D 7 6_6 . (4.) No / 'CO Registered Architect and /or Engineer W , (Z4D • _. A.(r ._ _ fi'..:.,:.t!� Name and address of licensed contractor ,f.$_tl _t:l__41% `X 41 � a__Q > k_ k) 6t. C , J �� A (!� " �� 1212C Location and legal description of lot to be milt on: Lot f V– 9 Block Subdivision S &C • /9 i - 7 I 5// e?' F ---:---' Street and Number where work is to be done MIAMI SHORES VILLAGE State work to be done and purpose of building (by floors) / %)..d2_ `1 Date 9' 2 r , 19 1 Street and for no other purpose. New Building Remodeling Addition � Repairs No. of Stories To be constructed of . / 3_S Kind of foundation Roof vering ....... 1�.9 Estimated Total cost of improvements $_...2d _. r Amount of Permit $....44"" ss Zone cubage required .Plan Cubage Distance to next nearest building 0 / Size of Building Lot____ a ' X / 0 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 5968, 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 subcyntractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date – C o Read, Sworn to and Subscribed before me. Disapproved (Signed) 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. LJ D:fe Notary Public, State of Florida Building' spector \ My Commission Expires P ez,„4.:,;(2- 4:c y��� OWNER'S NAME - DAV,t> L (T0 G. ow- PRESENT ADDRESS M. % b 1J• E-•is .t. LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 1 2 s o 14.E. l e ` -t . LOT b kg 9 BLOCK aS SUBDIVISION i%'% A vv%,. S«►.z.V.-c Pc, GENERAL CONTRACTOR AVANT C._ - %r. Co . ADDRESS `0 •...0• 21 4V • PHONE NO. LICENSE NO. w BUILDING PERMIT NO. 1 %4 4-"-- DATE 4 - Z (a • O 42 PERMIT FEE $ 12 . BUILDER'S BOND NO. DATE t1/413 0."C\ 021,4 ZONE REQUIREMENTS CU. FT. 1 PLAN CUBE �i w) C7 CU. FT. EST. COST S 1 d� DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: e', /ri• ♦ T` L•■• E L. ■ DAT= ¢ _ z.s. ' . NEW CONSTRUCTION TYPE GR. % STORIES ONE ROOF CONSTRUCTION 'y34„T vP . INTERIOR CONSTRUCTION C'ft. r ?o CZ•T_ Al 00• ICI REPAI RS DESCRIPTION ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL 1 REASONS RE- SUBMITTED TO PLANNING BOARD 1 SUBMITTED TO VILLAGE COUNCIL REMARKS I CERTIFICATE OF OCCUPANCY NO. ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION BY ROOF SEPTIC TANK FEE BEAMS & LINTELS $ POOL $ TUB & TOP OUT FRAMING SOLAR HEATER $ AIR COND. $ GAS FINAL MOTORS $ CLEAN UP $ FIXTURES SLAB SEPTIC TANK $ SLAB SOLAR HEATER FIXTURES & FINAL SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE RE- INSPECT BY $ SEPTIC TANK FEE TEMPORARY SERVICE $ SEWER $ TUB & TOP OUT $ SOLAR HEATER $ RANGE CONN. $ GAS SEWER MOTORS $ RANGE CONN. $ FIXTURES INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE ROUGHING $ TUB & TOP OUT $ RANGE CONN. SEWER MOTORS RANGE CONN. $ FIXTURES SEPTIC TANK $ SC SOLAR HEATER FIXTURES & FINAL FIXTURES GAS CONTRACTOR $ 1, Z.7i1E77 FLc 7(1(L. PHONE PERMIT NO. ?O Z I DATE r-*/ 2 -4e FEE S NEW BLDG. I ALTERATION I ADDITION X REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ROUGHING $ H. W. HEATER CONN. $ RANGE CONN. S MOTORS RANGE CONN. $ FIXTURES $ SC INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL �1111 0-w%.- � il� F-�}. BUILDING TIO CONTRACTOR PERMIT NO. NEW BLDG. PLUMBING PERMITS & INSPECTIONS DATE 1 ALTERATION I ADDITION APPROVAL TO POWER CO. FOR SERVICE DATE ELECTRICAL PERMITS & INSPECTIONS /Vi/ -4- *L PHONE FEE $ REPAIRS BY 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 46 / D 4 Registered Architect and/or Engineer /� sy Name and address of licensed contractor Al / J ,e ' f ' � Oft ' .. .. ! `.3 d- o '✓ C Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done `t �C Date , 19 6 No "✓ a StreE V 7 �1` State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition X Repairs No. of Stories / To be constructed of Kind o fpundation Roof Covering • a Estimated Total cost of improvements $ ' / /d ® ' Amount of Permit $ Z--, 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 5968, 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 suc ubco actors, on work to rforned under this permit, as are licensed by Miami Shores Village. Remarks.- ._ ..... .__._.. —__. (Signed STATE OF FLORIDA, COUNTY OF DADE. J 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 e. Permit No....._______ _ Date Read, Sworn to and Subscribed before me. Disapproved ._ _ Date . /?��� _ �' \�. Notary Public, State of Florida l � . (Signed) Building Inspector/ My Commission Expires P NNINC 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. I MIAMI SHEtRE /VILLAGE 4.8ri 5 G2 Sr z -- p .r.-• , .- . r aec X73 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 specification's must be kept at building during progress of the work. . Date 3 O , 19 G 2- Owner's Name and Address A ✓/ B 4 / Ttt,�_ -O__s ,) No. /24 Street__Nt 9T_.rr._t -. Registered Architect and /or Engineer t4J4 _ /t_T !lj, (-4J • _, t— Cc Name and address of licensed contractor i9 V _fq . !7t!..T__.___. - 0 /✓ 4 T, C > .,___ /We, Location and legal description of lot to be built on: Lot t /Z4,___ i _f o• f._ Block !J Subdivision / 4 --/ J/#Qfj_ S S'eC • a, State work to be done and purpose of building (by floors) PA_rlt - Street and Number where work is to be done /2_,S7S? ht. __ • /1 S and for no other purpose. New Building Remodeling Addition ✓ Repa' No. of Stories w c 0,0 n To be constructed of C 9. 4 Kind of foundation C 0 4'e • Ce I" __ Roof Covering C-tJ -Pvex • Estimated Total cost of improvements $ ZO o O • DO eeo of Permit $ Tc> - • Zone cubage required _Plan Cubage ca 6 = 11.91-117 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 tractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed) Disapproved Date (Signed) Amount 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. Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has 'been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 4 o to f ®- 0 lb+ et s 11 . 1 ' 3 �� ° a „ --' ;UILDING =LECTRICAL 'LUMBING :OOFING )caner of uilding rchitect ontractor r Builder gal escription ddress of uilding ° PERMIT N9 9424 Lot t s MIAMI SHORES VILLAGE. 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 -refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ue 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 anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations staining to the work covered hereby whether shown on the plans or drawings or in the statements otAptcif }ions and that he assumes responsibility for work me by his agents, servants or employees. 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 rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. • Al+ CONTRACTOR OR BUILDER r r.,G,.l,,— Bi. .ry Work to be performed under this Permit . Signed Subdi- vision Sq. Ft Value of Project $ INSPECTOR BY f FLORIDA DATF. ' � Amt. of Permit $ AUTHORITY A '► Contractor's License No. , • / s-st..vr 195._ BY l7 ti • �1 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. 2-0 MIAMI SHORES V I L L A G E ' e C' ,19J Owner's Name and Address.... _ S . D? ✓ J 7) i T /16 4mo Street Registered Architect and /or Engineer t-IJ•(.) • BR . c,4 Q i, 11.1°. le . 055 , -- , �`� Name and address of licensed contractor AYA Co , Vsd ,. a 36 ® fi,G'✓ 1 7 Jv`�"c7e, m® Z//J f-f� Disapproved Date (Signed) m Estimated Total cost of improvements $ � f O a.a/ 3 os'A °mount Date Location and legal description of lot to be built on: C Lot__/ LA1 . 1"4-% 9 Block (3 Subdivision ..__ *1:_ ( ✓h. S'' Street and Number where work is to be done 1 fr1 S 7) /1 ., e - 9 .5 State work to be done and purpose of building (by floors) r F7t74 . g c.' S and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructe of C_!._ Kind of foundation "} AK i �� er�C Roof Covering 774e 4e • . of Permit $.'1(, t �o 00 Zone cubage required .Plan Cubage Distance to next nearest building.__.__. r Size of Building Lot 1 rX 1 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 buildips and its construction ua be sent to AV I._ri /1f $' j e0 3 6 o 46.4}. - 7 Alfy g r M1 Arm I �aJ� 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.ntractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) '= STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member .. Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. - - 6 1> - i1/4/c.E.. _ /24-7) -A(.. -, !‘c T7 /e- n ,34L-o 3. /7- 46 24 O Ze c " L4" E ‘ r ---/ /0= 4 ef,4 ..e ,'----,e, ;-_ --- 4 7e9 , 2 4r" I d fez- :--- Z. ob /ea F7 ..-:- 7'. oz› T --& -- -er 4- = 2.6. , L., /I 7c.79c. 8 ,e , g/A-7// 24. 0 zp if ge4- 3) %ae 44/ d*: ,e/7 e Jo 7,17 -4- 7 /6itziE '4E-7 er 17 .= 4 .1_064)6V 7,a;tC / 7 7.9 c— refy, 7. / /Yo. 6 4/. 4"; , 34 6,5 a7 F.. 6e7/ 74.40e, p 7.= /Z /e/ 79 / es/ a,, /„sz - z/ joci. 00 •D 4 -7 4, ` CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 1330 Miami Shores Village, Florida, 5 Owner, Agent or Tenant of Building DAVID LITHGOW Lot VI• 7, all g, %lock 85 Subdivision Miami 9rhores ` 3 Street Address Approved use by occupancy PAVALIAN ADDITION Remarks 2 75 2 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 buildings or structures. Plan Cube 1191 1250 N.E. 95th Street Tax Value 595 1 v BUILDING DIVISION .OWNER'S NAME ____ Z .) . PRESENT ADDRESS t ' 44 -1 .Z0 N . L . J )? LICENSE NO. PHONE NO. JOB LO,.. . ,:> 2 AVE.) LOT 1/-S 13 - E • `i C S� Y1(.4-7- 654. V-7 BLOCK I 8r - SUBDIVISION I til.m.A.A.4_, "c s ca c.. Is 3 GENERAL CONTRACTOR ADDRESS k �IN Ni C�« R.4x.cLO� Cc - t J.. PHONE NO. LICENSE NO. 14-3 z BUILDING PERMIT NO. ZiSZ DATE •2' � PERMIT FEE $ 1 � BUILDER•S BOND NO. DATE A O0dI'°A '-- �° ZONE REQUIREMENTS CU. FT. PLAN CU'BE / CU. FT. a' EST. COST S (�- � DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: ' 44 . ��A�`i46L. _ 4- C. T Z 2, NEW CONSTRUCTION TYPE S STORIES Dec ROOF CONSTRUCTION �o/�i�Fic / INTERIO CONSTRUCTION �[ 4.4.3)::N9 c Qa .� y 4 .i REPAIRS DESCRIPTION n f v / 4 �jr) �Oit7 /T /O0- --- 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 NOA3 I ISSUED 1 .1. ‘1 BY `M I TO 440,04.4.f1 %4 / Q't+� BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS I DATE BY % iOUNDATION I ROOF $ BEAMe & LINTELS POOL $ F111L PAAMING AIR COND. SOLAR HEATER H. W. HFATER CONN $ GAS CLEAN UP $ e SLAB SEPTIC TANK SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE RE - INSPECT BY $ SEPTIC TANK $ SEWER $ SOLAR HEATER H. W. HFATER CONN $ GAS $ RANGE CONN. e INSPECTIONS DATE BY RE- INSPECT BY RE - INSPECT BY ROUGHING ROUGHING TUB & TOP OUT H. W. HFATER CONN SEWER RANGE CONN. SEPTIC TANK FIXTURES & FINAL SOLAR HEATER FIXTURES GAS ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR 3 J7 G/ ^c...Z Ce e.. PHONE PERMIT NO. 7.78.f 1 DATE 4-9.6'x- FEE $ NEW BLDG. I ALTERATION I ADDITION SV REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ e INSPECTIONS DATE BY RE - INSPECT BY RE- INSPECT BY TFMP. SERVICE ROUGHING H. W. HFATER CONN RANGE CONN. FIXTURES & FINAL ‘tVVe{ t1J0vr4 SBUILDING INSPECTIONS 41 - ' 2 %111. CONTRACTOR Q �� +'H- �C�OrL.. Aes r:`l PERM IT NO. PERMIT NO. 'Veel 1 DATE 4- „lo - 7, — NEW BLDG. 1 ALTERATION I ADDITION ,R PLUMBING PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE PHONE FEE $ REPAIRS CALL PATRICK DUFFY REALTOR TO MEET YOU AT THE HOUSE. 305 - 904 -4803 Passed Inspector Comme is D 2 `� • 7c-- r Y Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until 'Inspection Number: INSP -8385 Inspection Date: 02/01/2006 Inspector: Desharnis, George Owner: Job Address: 1250 95 Street NE Project: <NONE> Contractor: Miami Shores Village, FL 33138- Building Department Comments Tuesday, January 31, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phon (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: RC -1-06 -250 J Permit Type; Residential Construction Inspec Type: Re Occupancy Work Classification: Re- Occupancy Phone Number Parcel Number 1132060144070 Lot: Page 2 of 2 Rev. 10/02/03) 1 RE- OCCUPANCY APPLICATION Date le. 3� 6 PA-Mt Seller Contact Name Buyer Property Address City Miami Shores State Fl 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 the property. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate. Applicant Name pi ck [ i?�9 ` j /}'G a 126 by The foregoing instrument was acknowledged before me this JO day of produced as identification and who did take an oath. NOTARY PUBLIC: Sign: ? \ ikk g Print: LO I s . • 1- 1& Q My Commission Expires: Building Officials Approval: Miami Shores Village Building Department / T who ispersonally known to me or who has LOIS E. UNDLEY ,= MY COMMISSION # DD 361851 eJ EXPIRES: December 15, 2008 Bonded Thru Notary Pt&tc Underwrlten 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 Permit Nok "Ofe L3D LocID Phone 0631 P (WO Company Name ' L.-T( 7 zip 3)fQ 20 0 (0 Re -Occ. $60.00 Notary $5.00 CCF $0.60 Total 6 -Go JAM 31 2006 /900 Date 01/31/2006 Permit Receipt Permit Number: RC -1 -06 -250 Invoice Number: RC -1 -06 -23668 Applicant: Company Name: W DAVID LITHGOW JR ET AL Payment Type CheckNum Check 14488 Amount $60.60 Total Payment: $60.60 Tuesday, January 31, 2006 Page 1 of 1