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1285 NE 95 St (2)Miami Shores Village Building Department open;/ q, f'ec , 212i,2, 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 04 - .5'09 Job Name 7 'r9a/e it /22.4 5 STRUCTURAL CRITIQUE SHEET 41zo10¢ /Z' /aide d,e4/ 29 r-e /is a- AY S x 1 Z 7/e ,J ea-//d4 if .5 Wt_ # I. lies g )2' 4 , , �/' S ide � ' d Add r.e.S5 Miami Shores Village L D o Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. ' " 50 Job Name )RilLE"'‘ WAN, UILDING CRI ' QUE SHEET COMAA614, odPx" i'eU a Located at: Produced Owner VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE STATEMENT being the legal property owner, for the property Legally described as L u'' 30 - F - rn.7 ` o Lc h G I f 3 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7),,gnd I have read and understand the following disclosure Statement, which entitles me to work as my own contractor, I further understand that I as the owner must appear in person to complete all applications. DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two-family residence or a farm out - building. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) initial of reviewing clerk. The foregoing instrument Was acknowledged before me this (9 day of Ppyrt 1 , 20 0 if By LINn w"lnv v whoi as identification and who did take an oath. Not ss.,.;YP'4 Francois MacLellan ° Commission #DD262004 a . `� j Expires: Dec 14, 2007 Bonded Thru " "" Atlantic Bonding Co., Inc. PREPARED BY: BA.1 A' A NORTH BURTON B & LEE 11955 West Dixie Highway Miami, Florida 33161 Folio No. 11- 3206 - 014 -3931 WARRANTY DEED THIS INDENTURE, made this 6 day of July, 2001, between ROBERT A. HANSEN and HELEN I. HANSEN, his wife, grantor, and LINDA TONDEUR, a single woman, whose post office address is 1224 NE 96th Street, Miami Shores, Florida 33138, grantee, WITNESSETH, That said grantor, for and in consideration of the sum of Ten Dollars and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Miami -Dade County, Florida, to -wit: SUBJECT TO: Conditions, restrictions, reservations, limitations and easements ofrecord, if any, but any such interests that may have been terminated are not hereby reimposed; and subject to applicable zoning ordinances and taxes and assessments for the year 2001, and subsequent years. And said grantor does hereby fully warrant the title to said land, and will defend the same against the lawful claims of all persons whomsoever. IN WITNESS WHEREOF, Grantor has hereunto set grantor's hand and seal the day and year first above written. Sign-.., 'ealed and delivered in nce: Lot 15 and the West 30 Feet of Lot 14 in Block 84 of MIAMI SHORES SECTION 3 according to the Plat thereof, as recorded in Plat Book 10 Page 37 of the public records of Miami -Dade County, Florida. MARCIA L. KILGORE STATE OF FLORIDA COUNTY OF MIAMI -DADE c al Pip, BARBARA NORTH BURTON * COMMISSION NUMBER CC684829 MY COMMISSION EORES OF FA OCT. 28 2001 ROBERT A. HANSEN 1224 NE 96th Street Miami Shores, Florida 33 HELEN I. HANSEN 1224 NE 96th Street Miami Shores, Florida 33138 RE— Recorded to correct scrivener's error in the page number of the legal description. BEFORE ME, the undersigned authority, personally appeared ROBERT A. HANSEN and HELEN I. HANSEN, his wife, who executed and acknowledged before me that the foregoing instrument was executed freely and voluntarily for the purposes therein expressed, and who are personally known to me or who produced drivers licenses as identification. WITNESS my hand and official seal this ..ay of July, 2001. qr NOTAR PUBLIC My Commission Expires: i '5PG2659 KEC 19 815 PG. 3201 018533045 2001 SEP 28 10:45 a o 1R409500 2001 AUG 02 1.1:n DOCSTPDEE 21172.00 SURTX 0.00 HARVEY RUVIN, CLERK DADE COUNTY, FL RECORDED IN (Y-FN JAL RECORDS tit.tM CF cape COL Ii7Y, FLORIDA RECORD VERIFIED HARVEY RUM CLERK CIRCUIT COURT IxiCORDED IN oFF,CI4. RECOgDS BOCA OF DAQE cowry, FL CYLQ4 RECORD VERIFIED HARVEY RUVIN CLERK CIRCUIT couI?r adZistJ L A.ARC. A/C . AIR CONDITIONER PAD. A.E.. ANCHOR EASEMENT. A/R . ALUMINUM ROOF. NS . ALUMINUM SHED. ASPH.. ASPHALT. B.C.. BLOCK CORNER. BLDG.. BUILDING. B.M. . BENCH MARK. 8.0.8.. BASIS OF BEARINGS. C.. CALCULATED. C.B.. CATCH BASIN. C.B.S.. CONCRETE BLOCK STRUCTURE. CBW . CONCRETE BLOCK WALL. CH.. CHORD DISTANCE. CH. 8.. CHORD BEARING. CL.. CLEAR. C.L.F.. CHAIN UNK FENCE. C.M.E.. CANAL MAINTENANCE EASEMENT. CONC.. CONCRETE. C.P.. CONC. PORCH. C.S.. CONCRETE SLAB. D.E.. DRAINAGE EASEMENT D.M.E.. DRAINAGE MAINTENANCE EASEMENT. DRIVE.. DRIVEWAY. o . DEGREES. E.. EAST. E.T.P.. ELECTRIC TRANSFORMER PAO. ELEV.. ELEVATION. ENCR. - ENCROACHMENT. F.H.. FIRE HYDRANT. F.I.P.. FOUND IRON PIPE. F.I.R.. FOUND IRON R00. F.F.E.. FINISHED FLOOR ELEVATION. 5582 N.W. 71h STREET, SUITE 202 Nona MIAMI, FLORIDA 33128 ttru ars TELEPHONE: (305) 264.2680 FAX: (305) 264-0229 ORAWNBY: LAND SURVEYORS Survey of Lot: 15 Block: 84 Subdivision: MIAMI SHORES SECTION NO. 3 According to the Plat thereof as recorded in the Plat Book No. 10 at Page No. 36 of the public records of MIAMI -DADE County, Florida. Property Address: 1224 NE 96 ST, MIAMI, FL 33138 For: LINDA TONDEUR . LOCATION SKETCH Scale 1" = N•rS ABBREVIATIONS AND MEANING F.N.D.. FOUND NAIL 8 DISK FR.. FRAME. FT.. FEET. FNIP. FEDERAL NATIONAL INSURANCE PROGRAM F.N. FOUND NAIL. H.. HIGH (HEIGHT). IN. 8 E0.. INGRESS AND EGRESS EASEMENT. L.P. - LIGHT POLE. LF.E.. LOWEST FLOOR ELEVATION. L ME. - LAKE MAINTENANCE EASEMENT. ' . MINUTES. M.. MEASURED, DISTANCE. MON. MONUMENT. M/H.. MANHOLE M/L.. MONUMENT LINE. N.A.P.. NOT A PART OF. NOVD. NATIONAL GEODETIC VERTICAL DATUM. N.. NORTH. N.T.S. = NOT TO SCALE. - NO.. NUMBER. 0/S.. OFFSET. OH.. OVERHEAD. O.H.L.. OVERHEAD UTILITY LINES OVH. OVERHANG. O.R.B.. OFFICIAL RECORD BOOK PVMT.. PAVEMENT. PL. PLANTER. P/L.. PROPERTY LINE. P.C.C.. POINT OF COMPOUND CURVE. P.C.. POINT OF CURVE. PT.. POINT OF TANGENCY. POC.. POINT OF COMMENCEMENT P08.. POINT OF BEGINNING. • P.R.C.. POINT OF REVERSE CURVE. PROP. COR.. PROPERTY CORNER. P.B. PLAT BOOK. PC.. PAGE. PWY . PARKWAY. PRM . PERMANENT REFERENCE MONUMENT. P.L.S.. PROFESSIONAL LAND SURVEYOR. R. = RECORDED DISTANCE. RR.. RAILROAD. RES.. RESIDENCE. RAN. = RIGHT -OF -WAY. RAD.. RADIUS OR RADIAL. R.P.. RADIUS POINT. AGE. - RANGE. SEC.. SECTION. STY.. STORY. SWK.. SIDEWALK. S.I.P.. SET IRON PIPE L.B. 16044 S. SOUTH. S.N.D. . SET NAIL 8 DISK L.8.16044. SP.. SCREENED PORCH. SECONDS, T. = TANGENT. TWP.. TOWNSHIP. U.E.. UTIUTY EASEMENT, UTIL.. UTIUTY. U.P.. UTILITY POLE. W.M. . WATER METER. W.F. WOOD FENCE. W.S. WOOD SHED. e . CENTRAL ANGLE. W.. WEST. C - CENTER LINE. X . ANGLE. LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY): EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THE PROPERTY. THIS SURVEY 1S SUBJECT TO DEDICATIONS, LIMITATIONS. RESTRICTIONS. RESERVATIONS OR EASEMENTS OF RECORD. LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY. BOUNDARY SURVEY MEANS A DRAWING AND/OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE FIELD. COULD BE DRAWN AT A SHOWN SCALE AND/OR NOT TO SCALE. EASEMENTS AS SHOWN ARE PER PLAT BOOK, UNLESS OTHERWISE SHOWN. THE TERM 'ENCROACHMENT' MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS ARCHITECTS SHALL VERIFY ZONING REGULATIONS, RESTRICTIONS AND SETBACKS AND THEY WILL BE RESPONSIBLE OF SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN A NEW CONSTRUCTION, UNLESS OTHERWISE NOTED, THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTINGS AND/OR FOUNDATIONS. FENCE OWNERSHIP NOT DETERMINED. THIS PLAN OF SURVEY. HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF T1IE ENTITIES NAMED HEREON, THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY: THE FNIP FL000 MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LAND TO BE Situated in Zone: AE Community /Panel /Suffix Date of Firm: 07/17/1995 Base Flood Elevation Certified to: LINDA TONDEUR ATTORNEYS' TITLE INSURANCE FUND INC. RONALD H. KAUFFMAN, ESQUIRE WELLS FARGO HOME MORTGAGE, ITS SUCCESSORS AND /OR 3 IJ 0.00 Y1 M k � 0 .00 x 3J SURVEY No. so' 712 '34 71 LEGEND TYPICAL SURVEYORS'S NOTES: 1). IF SHO REFERRED TO AN ASSUMED MERI IN THE DESCRIPTION OF THE PRO 11 IEN BEARINGS ARE REFERRED T OWNSHIP MAPS. 2). IF SHOWN, ELEVATIONS ARE R EFERRED TO G ELEV OF N.G.V.D. OF 1929. 3) THIS IS A SPECIFIC PURPOSE 4). THE CLOSURE IN THE BOUNDA ABOVE 1:7500 FT. I HEREBY CERTIFY: THAT THIS 'BO OF THE PROPERTY DESCRIBED HER EON, AS RECENTLY SURVEYED AND DRAWN SUPERVISION. COMPUE8 WITH THE TECHNICAL STANDARDS AS SET FOR THE FLORIDA BOARD OF PROFESSI LAND SURVEYORS IN CHAPTER 81017.6, ADMINISTRATIVE CODE PURSUAN TO 472.027, FLORIDA STATUTES. SHEET NO. / OF & BY _7i70441/ IBARRA (DATE OF FIELD ). PROFESSIO AL LAND SURVEYOR N STATE OF FLORIDA. (VAUD COPIES BEAR THE EMBOSSED SEAL OF THE SURVEYOR). REVISED ON REVISED ON 120652- 0093' -J 8FT ASSIGNS 11 Date: 07/18/2001 7S s WOOD FENCE. CHAIN LINK FENCE. C.B.S. WALL (C.B.W.) ING ELEVATIONS. SED ELEVATIONS. INOS ARE SAID PLAT NOT, Y IS UEY• Y Zo y WORK). 1 0007565 SURVEY WILL NO LAND AID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID i RECEIPT NUMBER NI t I I V47rigar \ ® 1940 . &r /07 .11) �� /L /�j 1941 , ate .. / /'1 ~ i�i r' � ' 1 ,'L 42 l4 /• ` . / ✓} a . / s 1ti _ _Al - � �� . 1943 ' ®8 .� O ..) .caJ o 1944 A, 0 /// I J JL 1945 / • 0-e) (- Po, (Lc 76 q2_ Iit 11.,1 . It 1 1 ' ti No VII I 1946 ; ei no ,, �y I " 0 . _ —�// �.. !I�i �� —al 1 "' , �I 1947 / 1 e 0 /- 1 - - 7,(— �� /2- f.-? � �' f� 0 /,') 2�� / 4 s / 1948 / Z• 00 ig - 3/`5 /R.0 i I / 1949 �� ' l/ IA" gi— ! I /.../-5/- 5e) 'i, �� .2- el f 1 7- 57-5 4,.0 /..9 7.7 f /� // 1950 LOCATION 1285 N 95th St.3 r� ' «, GARBAGE TAX RECORD 1285 N. E. 95th St. by J.. A. Trotter year annual tax period used amount paid date paid receipt ij /957 Ocr /a / -s/ /-5 /6 5/ Cp MIAivil SHORES VILLAGE, FLA. JOB ADDRESS 1 � '" a INSPECTION S(.4.6 Pr) °z � F C TIME READY (" - l l--CI REMARKS: N9 5481 INSPECTOR DATE MIAMI SHORES•VILLAGE\ 5 D BUILDING DEPARTMENT 305- 795 -2204 1 ( 6 5 Building Inspection Request Dates fl L Type Insp'n Permit No. Name Address Compan Phone # Inspection Date Approved Correction Re- Insp'n Fee 0 5e X a exi-e. omiss Atoo 5h MIAMI SHORES •VILLAGE BUILDING DEPARTMENT \� 305- 795 -2204 Building Inspection Request Date 5 Type Insp'n Col (3m r) Permit No. P'P 04- Name L1 NDCi Address 10.=D4 tl VE q G3) Company CD C___V 'V Phone # Inspection Date 5)5 Approved Correction Re- Insp'n Fee Dat Type Insp'n Permit No. Name 7\) Address o�� ( ,� V.P Company /// Phone # Inspection Date 37 l 7 / 0 Approved Correction Re- Insp'n Fee MIAMI SHOS \PILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request y 0(4 5 9 c:(-; MIAMI SHOVES sVILLAGE BUILDING DEPARTMENT l C� 305- 795 -2204 305 /5., Building Inspection Request t Type lnsp'n Permit No. O 3 0 9 Name 1 A Address j c �� .E_ 01' Company Phone # Inspection Date / • ( D «t y Approved Correction Re-Insp'n Fee CL MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date _S_ k Type A A `/t' Th D N �— Permit No. 2o04 - 524 Name CNc Address 12 -85 e C t 5 51_ Company IC 0 P Phone # Inspection Date Approved Correction Re- Insp'n Fee try Club TIONS Dept. #104 1954 -55 Budget 1955 -56 Budget 12, 740.00 240. 00 2,300.00 1,550.25 13, 680.00 240.00 3, 000.00 1,550.25 16, 830.25 18, 470.25 6, 240.00 2, 400.00 2, 100.00 2, 000.00 12, 740.00 6, 240.00 2, 600.00 2, 340. 00, 2,500.00 M 13, 680.00 J 9 A_A A A _ __ 7 A1] A1] o 7 71, MIAMI/ S ES VILLA NO 5601 1 JOB i e, (1/1 ADDRESS ? i ` Y te � � < # INSPECTION TIME READY REMARKS INSPECTOR DATE ' BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA ❑ DATF 9 o PERMIT N° 5327 Owner of Building Architect Contractor , or Builder ,4, ; 9j r : . � = - . - %��. 6 Legal Lot Description — Bl. Address of Building Work to be performed under this Permit sr Value of Project $ Contractor's License No. /* j 1957 Subdi- vision Amount of Permit $ ,' This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a orough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings„cr ir1 the statements o� sPpCcificafij and that he assumes responsibility for work done by his agents, servants or employees. Signed. " %> i9A-V 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 ac- ce pting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY, AUTHORITY 8 �.i� INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION / - /3- TEMPORARY SERVICE di �Yo TEMPORARY SERVICE S SEPTIC TANK BEAMS & LINTELS 2 - I - ■7 .—t $ e24 C_ T4,� to RANGE CONN. y S .te 473 3' FRAMING S MOTORS $ GAS $ FIXTURES '¢ct... s_4:3 - l_U_SJ = % &` g9 / - 4( 0 7v /) INSPECTIONS DATE FINAL RE- INSPECT BY RE- INSPECT BY ,, ROUGHING4LaE, ) - ,a- zv -VP CLEAN -UP /J A -S V -/�ouC ,nn�6 ',:li /• GAS /-79 - - CONTRACTOR 4g-Floc.. PCPC.) rrti{3, iai CO - PHONE FEES 4J PERMIT NO. 47 b , Z' / l DATE , -! r/ - d �+ NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE FEE TEMPORARY SERVICE S SEPTIC TANK $ H. W. HEATER CONN. $ //�I 'I11 SEWER try. /4 ., Si1DT I C_ T4,� to RANGE CONN. y S .te 473 3' SOLAR HEATER S MOTORS $ GAS $ FIXTURES $ Po. ?C...).., &` g9 / - 4( 0 7v /) INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ,, ROUGHING4LaE, ) - ,a- zv -VP +-U /J A -S V -/�ouC ,nn�6 ',:li /• GAS /-79 - - ROUGHING A 57 OW/ 1702 SEWER H. W. HEATER CONN ,2 SEPTIC TANK IZ.- /t .J Res .°s36 RANGE CONN. SOLAR HEATER. -° FIXTURES ate L.,Jf - 160( �( V 4 -.2-4 FIXTURES & FINAL �j CONTRACTOR 4'. L. , " ,e,- - 0 n 0 Co,2 et.) J $ - PHONE . PERMIT NO. lei 3 S- DATE / 2 -/'4 - 7 FEE S /3.1 -o NEW BLDG. ALTERATION 1 ADDITION )L REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. S MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE-RE `. // 7, c j_ /-2°/- .1"7 - CCJ /2/2"- Avic.JCO ,,J, /-79 - - ROUGHING A 57 OW/ 1702 H. W. HEATER CONN ,2 RANGE CONN. FIXTURES & FINAL 1i R A O yI soF•�� BU LDING INSPECTIONS 4 PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY r7 OWNER'S NAME John Saxon APPROVED PRESENT ADDRESS 1285 N. 8 E. 95th St. LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 1285 N. E. 95th St. LOT BLOCK E. 25' of 33.j4-35 84 SUBDIVISION Miami Shores GENERAL CONTRACTOR Stobs Brathers Const. Co. SUBMITTED TO VILLAGE COUNCIL ADDRESS 7010 N. E. 9th Pl. PHONE NO. LICENSE NO. 1686 BUILDING PERMIT NO. 4.702 DATE �y 11 -28 -56 PERMIT FEE S 26.00 BUILDER'S NO. 2061 DATE BOND e�� -28 -56 ZONE REQUIREMENTS CU. FT. Tax Value Pool -1750 PLAN CUBE 8.499 CU. FT. EST. COST S 20.000 SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RESUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. ,s7(-_, ISSUED BY T(01 / /t • /- /- 3 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: C. H. Markel NEW CONSTRUCTION REPAIRS ALTERATION ADDITION TYPE STORIES ROOF CONSTRUCTION DESCR IPTION Loggia -Den -Car Porte and Pool Addtion DESCR,PTION Addtion INTERIOR CONSTRUCTION DATE 11 -28 -56 BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE ((�` OWNER'S NAME PRESENT ADD r LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 1 L S £' A1. E . 4r SZ LOT 3'C- 3- 4 C;t 33 BLOCK 8- SUBDIVISION I caw-{ // , k6c,ccs Se_ 4e.-C_ ne 3, GENERAL CONTRACTOR Ai .4, 1 22tSc,r./ Le..is7- Co. a_,,, ADDRESS PHONE NO. LICENSE NO. oZr5 o � BUILDING PERMIT NO. °�'/' DATE (..c- PERMIT FEE $ rC.) ■■94. BUILDER'S BOND NO. ✓ DATE — 4 00 , T1 o I ZONE REQUIREMENTS CU. FT. PLAN CUBE '2- 400 CU. FT. n∎ EST. COST $ Z °OC: DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: 4 -•m • 42 -- 3°--(40 O .. DATS 3 �� NEW CONSTRUCTION TYPE C. 6 $ STORIES C. , ROOF CONSTRUCTION EA- , , Tii.) C, 3<.,, /I- or. INTERIOR CONSTRUCTION Qce.,.r.c !'oo..-. _ LCil,o„ _ REPAIRS DESCRIPTION V Q / C.c., G T C� ' L' '1 /S / /4,s r-C r' C d Lc�6+-CC i .2,--. C CC 1 , n� 4,„.,,,,,,, ALTERATION DESCRIPTION 1u-, 6.,... Tr'. - . 7 ,... ADDITION SUBMITTED TO PLANNING BOARD A PPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTFn TO VILLAGE COUNCIL REMARKS 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 I $ POOL $ TUB & TOP OUT FRAMING I SOLAR HEATER AIR COND. RANGE CONN. $ FINAL I SEWER CLEAN UP $ SLAB FIXTURES a SEPTIC TANK $ SLAB FIXTURES & FINAL SOLAR HEATER 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 $ $ FIXTURES a INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE $ TUB & TOP OUT H. W. HEATER CONN $ RANGE CONN. RANGE CONN. SEWER MOTORS $ FIXTURES SEPTIC TANK $ FIXTURES & FINAL SOLAR HEATER FIXTURES GAS -e � C-' CONTRACTOR La. %. P. Et� � � PHONE �°O � "7Y 1 DATE /- -p PERMIT NO. 0e' L I p FEE $ Cr .S NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. H. W. HEATER CONN $ RANGE CONN. RANGE CONN. $ MOTORS $ FIXTURES $ FIXTURES & FINAL INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT' BY TFMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL CONTRACTOR PERMIT NO. NEW BLDG. BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS DATE 1 ALTERATION 1 ADDITION PHONE FEE $ REPAIRS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY BUILDING EtECTRICA6 - PERMIT A N° 582 PLUMBING Owner of Building NAME Architect and /or Engineer NAME Contractor or Builder_____f_______�___ NAME Proposed Location LOT BLOCK SUB-DIVISION ADDRESS MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT ADDRESS LICENSE NO. ADDRESS LICENSE NO. NO. STREET 19 This permit is issued to — ______ To the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. AMOUNT RECD. PAYMENT ACCT. DEPT. INSPECTOR In consideration of the issuance to me of this permit I hereby agree to the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. Dated , 19 (SEAL) NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot la CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 9974 , Work to be performed under this Permit This permit is granted to the contractor or builder named above to constr tion herefor in strict compliance with all ordinances pertaining thereto and with plans, drawings, statements or specifications that may have been submitted to and at any time if the work is not done in compliance with such ordinances or if the permit is granted is the understanding that the contractor or builder named above regulations pertaining to the work covered hereby whether shown on the plans or sibility for work done by his agents, servants or employees. Subdi- vision Sq Ft. Value of Project Signed (INSPECTOR) B7C' Date Contractor's ') License No. BY AUTHORITY 19 II Amount of I) Permit $ uct the building or to install the equipment or device described in the applica- the understanding that the work will be performed in compliance with any approved by the proper municipal authorities. This Permit may be revoked plans are changed without authorization. A further condition .upon which this assumes the responsibility for a thorough knowledge of the ordinances and drawings or in the statements tit' specifications and that he assumes respon- In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and tegulations 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. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address /245 //,E f CE Tax Folio Legal Description Historically Designated: Yes 93-i No Owner/Lessee / Tenant , �1. .�,y ' Master Permit # Owner's Address /� 8r /v £ /S ,f>j Phone ( Contracting Co. $ /a., Qualifier , <e�.9. Date / /e7 Architect/Engineer "ac 4 //e SW,F .,.. 0 Bonding Company Mortgagor WORK DESCRIPTION % A/4 Signature wner and/or Conn''.• - APPROVED: RADON Date V/ 3/ N6ry as to a Date My Commission Expires: JULIE A DAVIES SSION EXP. MAY 11,2003 NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC836040 MYCOM FEES: PERMIT 5 V Address Address 6 i C.C.F. • NOTARY °' 0 Address a2 7f 92 e • Lao -rl. SS# - . . Phone 0o) ) — 9J2/ State # C,27C of 7 4? 9 Municipal # Competency # Ins. Co. .v/ Address 2 7 a r SA /y P 4 f/. ap64 Permit Type (circle one ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Square Ft. Estimated Cost (value) / /Q pee WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IIN 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. Signature of Contractor or Owner - Builder t as to Contractor or Owner - Builder My Commission xpireOFFIaAL NOTARY SEAL JULIE A DAVIES NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC836040 MY COMMISSION EXP. MAY11 BOND TOTAL DUE /< /9/ Date � //1' Date Zoning Building t#9, 0 0W Electrical Mechanical Plumbing Structural Engineer 20/ 12 Z l (q q 3. Owner(s) name and address: A ".r Interest in property: Name and address of fee simple titleholder: 6. Lender's name and address: NOTICE OF COMMENCEMENT �-4 PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: c: COUNTY OF DADE: o- o1 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: 0 It 2. Description of improvement: A.ir 4 d, /?8r ti £ Pr! " e/ / i J>, -rl , r ,�J� 3S /1 4. Contractor's name and address: ,X/,., 2 7r -a-1 9-? =' 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ /. 4( A.-Tr /. T.�% 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: i 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration . date is 1 year from the date of recording unless a different date is specified) k Gt signature of Owner Print Owners Name ,yei,Ly $t S,9Xa Sworn to and subscribed before me this / Y day of ,9ja..-- 19 0. Notary Public � f.A)a.fy -{ Print Notary's Name My Commission Expires: uTAIE OF P"LCRI'7A, COUNTY Cr DADE neat 1 1 , CERTIFY I a f fs is o Prue coo of MO tl t •r:v: HO.; i, P.i.s a Ita on , day ®a W NESS m ,�d � Y h ,ind Of�fcla! Secl. HARVE R� r,Rti l c F t > ' , of Circvir andCounfyCourP9 OFRCIAL NOTARY SEAL JULIE A DAVIES NOTARY PUBLIC STATE OF FLORIDA CUM % SIUN NO. CCf1.96(MO MY COMMISSION EXP. MAY 1 1_ Prepared by: ,d4 JQ, % /'�' Address: .2 )r t 9-? = 'A;fi (. ,/,, “ �G s Owner's Name and Address .C,10/44 Permit No Disapproved (Signed) F 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. ■9 le OA/ Date ' s • Date Date Registered Architect and /or Engineer �' < ..49,/..d2. . A Name and address of licensed contractor.sfrO' b # 6s C4•A- s 7 ' C/ . 7a 1‘ /V° e , ii Location and legal description of lot to be built on: Lott LrI - 2,3 f I ilfock c c Subdivision. -.y X31 �► / `��r�PZ � , , 4�A 6 .0' A - Street and Number where work is to be done.. � - (C� S iv' E_, 2 r State work to be done and purpose of building (by floors) ?op c c and for no other purpose. New Building Remodeling. Addition Repairs No. of Stories To be constructed of.. CAS Kind of foundationrAr 'Z_E7 ./E/ ', Roof Covering..-".4T- k" ' Estimated Total cost of improvements $_.._c i.. __. .__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 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 Sup plemen and has complied with the provisions thereof, and will require similar compliance from all contractors or sub -contr rs employed b 1 . in the work to be performed under this permit; and will post or cause to be posted for inspect'. .n the site . or notices as are required by the Act. The undersigned agrees to employ only such subco = s, on wor o j; o . of 4 'is permit, as are licensed by Miami Shores Village. r o f 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. Read, Sworn to and Subscribed before me. Notary Public, State of Florida 9 7ED z— / ° Bui Inspectj�f My Commission Expires LANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Application is hereby 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 X - , if Owner's Name and Address.. .. A - .. - O. No. A Stree s �� Registered Architect and /or Engineer... e � . 4 - _. .. fir v 0____ / Name and address of licensed contractor... ..Le .... // ii/ 4 -X Location and legs description of lot to be built on: i Lo ' : : 2 - - - 3-3 B l oc k - Subdivision` < � �`�^r' -. s ..t.). — Pi - % (> J -S >� L A. % -�� -_ S� eta ,c. er w re work is to be done. -..... - _ d r State work t be done and p5rpo of building (by floors) .rr / � J = r' MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT and for no other purpose. New Building Remodeling dition Repairs ,1.. No. of Stories To be constructed o -. Kind of foundation. • Roof covering. e c,cr /if 7f �>L 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 the Tans and specifications for said =..1 building. All notices wit refere ce to the buildin and its construction may Lam/ / be sent to.- f%1-Lt-Z, 4�! F 4 2- ... ��. n �oQ / F� t' d 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, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 6 '42 '('; dt STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. ° 4 / e , z „ z • ) 44 , ■ 90 P on / / J �� p k / 4 F — Q ,� a r Cr Af 6 d 7 cT , i - _( 0" .X_.60Y_ 7 . 11 ::: 6..Psit . `. ta° ,ifese,„ 5Q 0 A _ ` � z p o �- `� l 27Z I DA�II SHORES VILLAGE UILDING INSPECTION DEPARTMENT APPLOCATION 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 at building during progress of the work. Date M _ & ,19C 194 J _. Owner's Name and Address L)�t� 5 ri • NO../ 2- F s Street •'t- ' l c S kh t Registered Architect and /or Engineer Name and address of licensed contractor Nl..: ' \ 1. 1.CZ -Q-t .5 0;'-- 1 t 31 OtiL4) • Location and legal description of lot to be built on: Lot 3 'F - 3 (5 iZ 3; Block Subdivision /y ` R e Street and Number where work is to be done. __1_ E State work to be done and purpose of building (by floors) G ( OS STATE OF FLORIDA, COUNTY OF DADE. ss. 5 and for no other purpose. New Building Remodeling (/ Addition Repairs` No. of Stories To be constructed of Cll. _S Kind of foundation__ 7 c - 4 S� \ Roof Sovering t S t" Estimated Total cost of improvements $___tqc 0 0_0' Amobn of Permit $ 1 Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor___ .. . I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the w r uch public notice or notices as are required by the Act. The undersigned agrees to employ only s bcontractors on work to be perf ed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared - - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. rT r1 rfl ) -1 • ••■••eetlea•meeeee...K.. 1 .1.. 7 1.—,ezee eteeMeemal*.•••■•••■ .4) 0/ LT. WT. 3L oc..g W E x r3.1' r t1 fj ,`; L L. To A Re 1/k At IN] e SU. C.D F _— /fig, • rii/ r; Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address____. ✓ S 4 k o Ai Registered Aeliitect and /or Engineer 1N /LL /Am /V . lllE) E - PE. /8 75 - 5 - - /jaN'e - s i—p- Name and address of licensed contractor A /p6 -L-•re by-Dos : /Z, /ES J 'c • .550 l9/ - 84 � f-*,$T.- /4/4CE4/+- rl Location and legal description of lot to be built on: E.a s7 z.5" c Lcr j3 Lot2 ALi oR 14 f- 3 - 3- Block 8 Subdivision Miami Say o.C'CS y/Lt//�8t -Sc c r /O /✓ 3 Street and Number where work is to be done / 8 /V E ' 93 sriz t-e r. State work to be done and purpose of building (by floors ) __t /= PA /'Q f /ec -.JCREE,V J fro L - .St2E�N EA/CI 0.S . - and for no other purpose. New Building Remodeling 1QE - S(,26EA// Addition Repairs No. of Stories j ,y caM /u v.vs- S LI 25b ! To be constructed of Kind of foundation (.0 _ E/Li S Ti N &I Roof Covering _(_r0__ Re_ _. .K4/° ,, 9/!2__)___ Estimated Total cost of improvements $ 4 00 c2' Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot_L25 X ./..g,2•..1,1? x / 46,2 • x. /, j;�, 4L 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 - contract emirloyed him in the work to be performed under this permit; and will post or cause to be poste . nspecti. on the site of the w.'y�suchipubli. .otice or notices as are required by the Act. The undersigned agrees to employ only s s bcontract•rs, on work to . - .erformed un 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 tectar Permit No ` Date ✓� ' Read, Sworn to and Subscribed before me. Disapproved (Signed) MIAMI SHORES DL LAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR F=UILOINS PERMIT Date .J [J NE 2 rh , 19 24- No / 85 / S treet .75 S T. — Date� 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 11 Alec for inspection or faulty materials and/or workmanship. Notary Public, State of Florida MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR elLIOLDING 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. g Date "� T r • , 19 " °". Owner's Name and Address » = _ , / No I,h `' Street Registered Architect and /or Engineer Name and address of licensed contractor 1`+'• '�'� Location and legal description of lot to be built on: LotC 9 - L� Pf. "; y4 .y731ock Street and Number where work is to be done 16% Subdivision .: , • ;a tt'r ,.E .,� �z .z° • State work to be done and purpose of building (by floors) f1 r - • J' k • - . ; . < and for no other purpose. New Building Remodeling i 6� °° '- ` Addition Repairs No. of Stories To be constructed of Kind of foundation ^' ,, - .CL1'.i %' IV rr°1 Roof Covering_ .'_:__..4:.;-: ' t <.& t - Estimated Total cost of improvements $ 1. `•'-' - Amount of Permit $ Zone cubage required- plan Cubage Distance to next nearest building Size of Building Lot L._ • 4: /;; • 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 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 e loyed b m in the work to be performed under this permit; and will post or cause to be posted f. • . • c i. on the site of the work 1 . p ublic , e or notices as are required by the Act. The undersigned agrees to employ only such s bcontracto , on work to be . -rb• ed und: is permit, as are licensed by Miami Shores Village. - Remarks (Signed) • ____ "°` its construction may STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ___ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman _ Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper ; Acc for inspection or faulty materials and /or workmanship. APPLICATION FOR U8LD0NG PERMIT Application is hereby made for the approval of the detailed statement ur ire 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 ' � `�.� X o J ti Registered Architect and /or Engineer . Name and address of licensed contractorWetl ter Location and legal description of lot to be built on: Q Lot3 / �3S °V1 .1 , , J�.. Block PI Subdivision , , . .1.,1, ,/.. J ..zz_ __. /4 yb 2 .--a 0 /als.S .✓E 9s - -eSY State work to be purpose of building (by floors).....Yo�ai2 /6'4'14 /.� &th I- S-to e K,-rd.a j t. - ,,. G rwiL 4 -fio CD' Piu-r�, - -- i9 /60 `Z Cu *rrit- 50. /Lrr 400 r7 / 04e-ea— Street and Number where work is to be done 1 and for no other purpose. '�-- New Building Remodeling Addition Repairs' x No. of Stories _ To be constructed of Kind of foundation ,,��,,//��Roof Covering Estimated Total cost of improvements $ /' B O Amount of Permit L. ,O• Zone cubage required .Plan Cubage Distance .to next nearest building Size of Building Lot Maximum live Toad to be borne by each floor I hereby submit all th 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 perinit 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 Sup Trr oent, and has complied %kith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performe under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such su�� on work to 4e perforrged under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed). STATE OF FLORIDA, COUNTY OF DADE. ss Bcfore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared _ to me well !mown, 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. k ` l 1 Date.. /f. / .4. ......._ Permit No. Disapproved (Signed) Dat Building Inspector Citair:nan Member Member .....__..._._..._. .._._.._.... Council Approved Date NOTE: A charge of $1.00 will be made for the I'l.rnnir.g 1lu.rrd. A re- inspection fee of $1.00 will be charged materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT PLANNING BOARD DATE Date ...— _ °�L...�.. —_. . - -- No. /a'pS Street._...9S -- f �)! Scott Roofing & Repair,Inc 675 Ali Baba Ave. Opa- Locka,FL. OTT/TT 'fTIT . Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires 33054 Member Member Member ...._ Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspevtinn ea faulty Owner's Name and Address / 4114 • '-d ©j 1J 5 li 'Jbi Name and address of licensed contractor PAec s /Z'r Q E t Location and legal description of lot to be b ilt on: Lot-/lock be /J' t .II New Building Remodeling STATE OF FLORIDA 1 COUNTY OF DADE. ss. Permit No. Disapproved i ( Date (Signed) Building Inspector Chairman Member Member Council Approved 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 building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and 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 Street and Number where work is to be done /.2 $" Al 9 S Subdivision 1/1 S Af∎O ' 1/ Je 6 / Ai av State work to be done and purpose of building (by floors), state exterior colors (submit samples) /r /rI(a.' 7C. 'VT re.roft and for no other purpose. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Supplement. and has complie compliance from all contractors or sub - contractors employed by him in the work to be performed under this per on the site of the work such public notice or notices as are required by the Act. The undersi agrees e under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Date 3s5S a' &4' PLANNING BOARD DATE Member Amount of Permit $ 1 Date A/5 ids T 4 - 3' 19 ` 7^® No. / g r 0 Street 6tlg VS" 5 � 1 ,sT. 33/8+? Addition Repairs ° No. of Stories Roof Covering E vV �GJ� /R.sF To be constructed of Kind of foundation Estimated Total cost of improvements S _ Mr; oe 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 constructio an employer of Labor under the F with the provisions the : and . • a .! Before me, the undersigned authority, a notary public. duly authori d to,adrritnister oaths and take acknowledgments, personally appeared and who. being by me first duly sworn, upon h deposes and says that he is the of the above described construction, that he ha carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. 0 Read. Sworn to and Subscribed before me. ?sir (tie/ Notary Public, State of Florida orkmen's will require similar to be posted for inspection tors. on work to l performed to me well known. My Commission Expires Member Member 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 and/or workmanship. MIAMI SHORES VILLAGE, FLA. JOB ADDRESS / 2 75 INSPECTION TIME READY REMARKS: ea N° 5707 STATE OF FLORIDA, COUNTY OF DADE. ss Disapproved Date (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of a work. _ rr ®a'On efiL a ®cLD .f / �' • s atep..' U 6 ` 6 / Owner's Name and Address. - '� _ LO • No 7 Registered Architect and /or Engineer Name and address of licensed contractor.. Location and legal description of lot to be built on: Lot Block Subdivisio Street and Number where work is to be done ,/� -� f � 1 State work to be done and purpose of building (by floors) p?f_ f- 7.7 r and for no other purpose. New Building Remodeling. Addition 4. Repairs No. of St ie .. "" .. To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ �� • O—..e5 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 Notary Public, State of Florida �j �� Se `7 l i The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e toyed by him in the work to be performed under this permit; and will post or cause to be posted for inspectio on the site of the work s /h public notice or notices as are required by the Act. The undersigned agrees to employ only such su• ontra / /,rs o• work to be p"rf ed under this permit, as are licensed by Miami Shores Village. I / / Remarks (Signed) l' a. ti ! 4 _ �/ t 1 ( 1 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 Chairman Member Member Member Member r Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Owner's Name and Address _U Registered Architect and /or Engineer and address of licensed contractor State work to be done and purpose of building (by floors) ___! z (P.. To be constructed of Kind of foundation Disapproved � = .. Dat ( Signed) -- -- `• Building Inspe l'or MI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT PPLICATION 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 Law. of the State of Florida, all ordinances of Miami Shores Village 9nd all rules and regulations of the Building Division of Miami Shores Village shall be co,uplied with whether herein specified of not. A copy of approved plans and specifications must be kept at building during progress of the work. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done New Building Remodeling Addition Repairs No. of Stories Roof Covering pCU Estimated Total cost of improvements $_/ ® Amount of Permit $ .� Zone cubage required _Plan Cubage Distance to next nearest building Size of Building L o t _ Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, therein by him stated are true. Permit No Z 7 Date.__" " (-71 Read, Sworn to / 3 6 Date 19.4 No/a 5 _ Street Aa. F 7 and for no other purpose. and Subscribed before me. Notary Public, State of Florida My Commission Expires_______ ______ _ to me well known, and that he did sign the same, and that all facts LANNING 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 apprm l has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Add es Registered Architect and Engineer Chairman Member Member Council Approved. APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT ‘-';;Z Name and address of licensed contractor Location and legal description of lot to be built on: Lot___— ___________ _____ Block __ —___ _ ____ Subdivision Street and Number where work is to be done G State work to be done and purpose of building (by floors) _and for no other purpose. New Building _____ —_ _____ Remodeling____— _________ Addition___________________ Repairs No. of To be constructed of___ Kind of foundation Roof Covering ________,___ _____ __________________ Estimated Total cost of improvements $ Amount of Permit $ _ Zone cubage required_ __Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 be did sign the same, and that all facts therein by him stated are true. Permit No._ 5 g _ —_ Date Disapproved Date (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Member Member Member _Date Disapproved 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. (over) Date_ G No Street__ Read, Sworn to and Subscribed before me. Notary Public, State of Florida to me well known, —Date x •• LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE 1. General Building Contractor. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical. 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior), Painting, Waterproofing, Damp- Proofing and Paper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15. Solar Water Systems. 16. Well drillers. 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 18. Structural and Reinforcing Iron and Steel. .19. Tile, Terrazzo, Marble, Granite and Cut Stone. 20. Electric Fixtures. 21. Illuminated Signs. 22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village. be sent to Permit No._ Disapproved (Signed) Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. - Date_ - -- _ -- 19 fl Owner's Name and Address /_A_____ ' —_ _— _ —_ —__ No._________ -- Registered Architect and /or sneer Name and address of licensed contractor Location and legal escrt tion of lot to be built on: L ts_ _ °_ �� Block___ — _____ Subdivision trees anigumb r where work is to be done 1c ff S' State work to be done and purpose of building (by floors) Distance to next nearest building_ Maximum live load to be borne by each floor ss. - Chairman Member Member __ a te ' _ Council Approved APPLICATION FOR BUILDING PERMIT Date Building Inspector A.4'41 SHORES VILLAGE BUILDING INSPECTION DEPARTMENT ___ _and for no other purpose. New Building Remodeling Addit' . Repairs No. f Stories To be constructed of______ Kind of foun ation h _____ f Coves S - Estimated Total cost of improvements $___ ®�' ®�__— __Amount of Permit $ ' 1 r� ' ® Zone cubage required at, 0 ®® _ - -_ —Plan Cubage Size of Building Lot ______ , _5 X �_3_' _ Date — 2 .01° `°( Member Member Date Disapproved (over) Read, Sworn to and Subscribed before me. Member Notary Public, State of Florida My Commission Expires G BOARD -� 4 / u DATE -- -- tegeo c ef iro I herebyabmit all e pla . . nd specifications for said building. All notices with reference to the building and its construction may The u"ad rsigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks _ (Signed) STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgnients, 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 be did sign the same, and that all facts therein by him stated are true. 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. LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE 1. General Building Contractor. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical. 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15. Solar Water Systems. 16. Well drillers. 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 18. Structural and Reinforcing Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone. 20. Electric Fixtures. 21. Illuminated Signs. 22. Bridge, Bulk - heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village. • • Subdivisi.on- •-Mw -- -- - •Number ' Stre , - Niue - .........__.. D.i.d._.� 67 Address or. `hgri ress neral on re or'•... . Zone R©q ei ....:,� �> r, , . Plat Restriction Chkd•: \To -Planning Board 3-- �- °- Approved4et R,elected -'Re= Submitted to P.B. - - -:. Approved M' Rejected Plan & "Spec " Clioc'}ed To Council . Bld . Pe mit No. .5f .. Date,j- Fee /9 '...° CosAt Type 'New Plumbing Permit No. Septic Tank "'" Stories etions M i s c e l.-57 !` ,r. New Const. - "., - Alteration Approved Rejected •Roof ecZ / Date A)--//-4/ Fee Ze. 4 6 o " Date /- yr.. Repairs ,Phone Electrical Permit Fee., 60 Fixtures It 9 Heater Motors. New Const. Bldg, Insp. Foundation Beams & Li tels ' . .. • * Final Clean- Plumbing' IriSp'. • ,Roughing Fixtures Sewer S ' Tank, 8olar Heater Final Cert. Electrical Insp. Rough • • ---- Fixtures Final Alteration -,-, • RePairs Date • 'Date 4/P Date isracreare.!: ervice '. to Power ;i:ttfQ It Re-Insp. By Re-Insp.By. ' insp By nsp. N° 2 6 Owner, Agent or Tenant of Building • `� A B lock� Lot, r�'r ��� Street Address Approved use by occupancy CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION / ami, bores V Fla., %; �ny G Subdivi n Aft � �;� 1 r' / 4 f ',s - ,-- A toU f t: A '� - ,.// 4 - - � 4' Remarks • �t / ✓r This Certificate of Occupancy is issued to the above named � �" for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 an 97, known as the Zoning, Electrical, Plumbing and Building Ordinances oj, Miami Shores Vil ge pertaining to the erection, construction, alteration or remodeling of byirdfngs or structures. ay • BUILDI p DIVISION BUILDING ELECTRICAL PLUMBING ROOFING A Owner of 1 Building MIAMI SHORES VILLAGE. FLORIDA PERMIT N° Architect Contractor or Builder Legal Lot Description t 11 431 Address of Building Work to be performed under this Permit Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the- statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. BY • - INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications Submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 0 {;`