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1263 NE 94 St (9)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date . Address �� %� /C. � �� Tax Folio / /- / /o 00 7Q Legal Description / : :S2'c7' %� °�/ ----5, ,e,=:5° Own Lessee / Tenant ',/ F Y4 �-. ' fi'4. SC' /y/7/® 7 Master Permit # / C� G� Phone y a �� .. T.T Owner's Address .� ._,�, .� b Contracting Co. �i/./3 ,/&` Address 5;9 JOIE, 53 Qualifier 4. �r ,v% ��'-•U SS4k / Phone ;2 29 / State 47 ' C Re 8 41unic i pal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor 4 Address Permit Type(circle one BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 1 ��� is 7'i;c/G— i4a.1 Square Ft. i -5:7=7 Estimated Cost(value) //Z c' e° d,c) 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 aut.orize the above -named contractor to do the work stated. Si: ure of o Da Notary a ro Owner and /or Condo President My Commi,:ion Expires: . 1111 '3%101SN1 NM AONl rell. 030NOO 4:1 `,"-. 1661 'SZ Nemce� �; -' :. ** * * * NOISSIY6NO3t1�1 '�' if * S3dldJ$ 95955 M miym ,,At �nna� FEES: PERMIT APPROVED: er and /or Condo President RADON C.C.F. Fire Zoning Buildi g i � Signature of Contractor or-lawnewciaTilder Date: Notary as %'Contractor or Owner- Builder My Commi- on Expires: MARGARET W. FRASER _.; ,.• MY COMMISSION $ CC255656 EXPIRES * * * * Februage25, 1997 * -Ai $' BONGED T RU TROY FAIN INSURANCE NOTARY TOTAL DUE 19 ** Other Electrical Mechanical Plumbing Engineering ti • PE • 1 • 1 l lif 1 1 - 1 1 1 dna L 1 4 1 4 z H H 1 N. • ATTACH 3 IN. X 6 IN. WOOD BM. TO EXISTING FACIA 2 3 4 5 2 IN. X 2 IN. AT 8 IN. O. C. 2 IN. X 8 IN. BOLTED TO WOOD POST EXISTING FACIA Z " EXISTING FRONT POPCH REPAIR EXISTING CEDAP LATTICE SUN SCREEN FOP • MP. AND MPS. JONH SCHMI DT 1263 N. E. Si ST. IDIL • 1 4 1 1 4 1 / Da _ L r 1 4 4 2 1 ATTACH 3 IN. X 6 IN. WOOD Bt1. TO EXISTING FACIA 2 3 4 5 1263 N. E. Di ST. 2 IN. X 2 IN. AT 8 IN. O. C. 2 IN. X B IN. BOLTED TO WOOD POST EXISTING FACIA `Z "X " EXISTING FPONT PORCH PEPrI P EXISTING CEDAR LATTICE OLIN SCPEEN FOP MP. AND MR'S. JDNH SCHMI DT TAT OF FLORIDA COUNTY OF DADE 6. Lender's name and address: /� I HEREBY CECTIFY that this Is a truo copy of t original ij J in .k is office on ? 7 day of , A. D. 19 4 Z WITNE:IS iy h.:: aid O:: vial Seal. Clerk Circuii Court BTJ DC NOTICE OF COMMENCEMENT Amount of bond $ PERM I T NO. JZc J it TAX FOLIO NO. // 3205 /0 rJ STATE OF �� ".f COUNTY OF p : 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 thls Notice of Commencement. 1. Legal description of property and street address: Lo > .g ,A y 5f c7 .t} / Z.. / _3 /1, is - 2. Description of improvement: Co ufr/F.(T' T 63.. A 3. Owner (s) name and address: / ~ ¢ // — - h'7' /„0T Interest In property: Name and address of fee s i m p l e t i t l e h o l d e r : S//2F 4 4 , Q'd ..577 . li cde F S' 4. Contractor's name and address: 5 &q-t. e A/c, _ s_ , A 5. Surety:(Payment bond required by owner from contractor, If any) Name and address: / 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Llenor's Notice as provided In Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of thls Notice of Commencement: (the expiration date Is 1 year from the date of recording unless a different date Is specified) 6 / W/;:ri7 4/ r,Q.pie 7 96 sr '3 X38 \5-L, Signatur My Commisslo✓ f Owner 6 worn tond subscribed before me this 4 day of "1 �— _✓ C1gr A'h•r 4Y COMM ' r.vn t ^OF FLORIDA PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date ,S1.9/ 7 9g Address AZ � / .,9•> 7'`/ .5/7' Tax Folio /1 1.0S f o cF ?t2 4 Lega R Description Master Permit # _5,?o Owner / Lessee / Tenant ' .Y 4- 147,ycJ ..S iq'7/40 Owner's Address Contracting Co. v,0 7747,t &. Address 5p 4' 5 ,f3r Qualifierwcs r t ' ' T.�' SS #/. Phone 7,1 Stateik& GO® ERO Competency# 1/U e Ins. Co. Architect /Enginee � o Bonding Company Mortgagor Permit Type (circle one): WORK DESCRIPTION Square Ft . J�V® '` — Phone �, ♦ Address eti2 //54-7- / 5 4- 7 ' Address Address ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN 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 YOU" 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. ure of Property Owner or Condo Pres. ry o Owner and /or ;president;,; Notary as to ontractor or Owner - Bu ` �: er My Co 1 s ion ;:i � COPES ,1Fc. 2 ^ '. My Commission Expires: ®�A�3�t PUBLIC, 56; ® �u,2D n. Expires: ru _ my Q`.QDIYfPJfIISSAQT.A1 I�Trm71�,t^s. IGc �� nc err PERMIT FEE: APPROVED: Fire Estimated Cost /� 0" ® Signature of Contractor or Owner - Builder Date: IE7' jj,. Other Zoning Building 15)2)f ( Electrical Mechanical Plumbing Engineering ? -M1` - Y31 R.t ,act 664 1 u- x ,9a aiami Jhores9111age F L O R 1 D A PLANNING BOARD AGENDA OF �,e /C 23 /5W. ITEM NO. 3 Cewre, A aM 7,P.A0 Z57 Name of Owner /Appl i cant0/fi!/.F44V SCI *' /T Phone No. Address of Property, and /or Legal Description A 263 /4 : Q ' Nature of Request, /WW 1//94 ,die 61e/Mc 61aoSG1,Pe Present Zoning /C. — ?4.3 — Area of Present Building Area with Proposed Addition Parking Spaces Provided Parking Spaces Required with Addition Setbacks as per Code Setbacks Provided Variances "Zoning Change Council Action Required /VD Date of Applicant Notification Planning Board Action .• `� �" t / " Council Action etamit Director of Building and Zoning a1 3. Request for approval of plans for garage enclosure Mr. & Mrs. John Schmlt 1263 NE 94 Street Mr. & Mrs. Schmlt explained to the Board that they would like to enclose their two car garage, remove the existing garage door and use the space for a laundry room and exercise room with air conditioning. After much discussion, the Board expressed their concern of the side door remaining open and that It would appear that It would make for a seperate entrance to the enclosed area that could be later used as an apartment. Also the Board express- ed their concern regarding the removal of the existing garage door and not reconstructing the parking area. Planning & Zoning Reg.Mtg. - 2 - April 23, 1992 Mr. & Mrs. Schmlt responded that leaving the side door would* enable them to retain an exit at that side of the house for safety reasons primarily. Mr. Schmlt agreed that the removal of the garage door would create somewhat of a eye sore with the fact of a driveway leading to a solid wall and after further discussion agreed to have the plans revised with a new driveway. Mr. Forney made a motion to approve the plans with the amend- ment that Mr. Schmlt Is required to cut back the driveway to make the appearance of the driveway more residential. Mr. Walters seconded the motion and the motion passed with a 3 to one vote with Mr. Laubenthal voting no. JI { 1. 1I • • j Y1 E rtc • Date 2 - 43 Job Address a 3 ' 4 i `i- S f- Tax Folio /1 � �a t95 / O Pe27 '' Ler ,wription 7J „ �, (7.`T" 241 � c Owner ) Lessee / Tenant 1 6Xini - A 54% wl 1j T Owner's Address 3 ''i . q `f' 3 r 'M rP31" sq (A is. ?'L.t i Contracting Co. 4s/37 i l .i...r`7 / . Address "0,45, A Qualifier ` 9 7 /J/ F -re5 SS# / Phone s 7" �9'®/ State #(6COV2.. M icipal # Competency # Ins.Co. Architect /Engineer /I Bonding Company Mortgagor Permit Type(circle one): BUILDING ELECTRICAL_ PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Rll (1A �e-cK 0 '? 4Q 01 //o"s Square Ft. 0 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE /i/42 Address Address /S Address C,C.EP» -( / e = 6 ' 7 - 7 Estimated Cost(value /S °Q Master Permit lP 33_5* Phone 7S - Y 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 -n -med con rector to do the work stated. Signatu Date: o - o Owner and /or Condo President My Co's Sion Expires: ft! OTARYPUBLICSTATEOFFLO MY COMMISSION EXPIRES FEBR. 25, 1993 CONDED THRU TROY FAIN•INSURANCE. INC. ** * * * * * * * * * FEES: PERMIT 3�77J RADON C.C.F. / e o NOTARY _ft 0 TOTAL DUE �•% l� APPROVED: Zonin Mechanical Plumbing_ Signature of Contractor or Owner- Builder Date: ��- Ot: y as to C My Commission . Y * * • JOSEPHINE CHURCH :pyi'temorma1 ihim • (c' No X197545 Fire Other Electrical Engineering OWNER'S NAME Seo. 71. Lesley PRESENT ADDRESS LICENSE NO. PHONE NO. I JOB LOCATION (ST. OR AVE.) 1263 N.F. 94th 3 'T = 94th Street LOT 8 BLOCK SUBDIVISION Miami Shores :ay View GENERAL CONTRACTOR 3e0._ Duvall ADDRESS PHONE NO. LICENSE NO. p BUILDING PERMIT NO. 13058 DATE )' -1h -52 PERMIT FEE $ 17.00 BUILDER'S BOND NO. 1 DATE ZONE PEQUIREMENTS25. 000 CU. FT. PLAN CUBE 25,29_ CU. FT. EST. COST $ 13,000 DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY DATE C NEW CONSTRUCTION TYPE CBS STORIES 1 ROOF CONSTRUCTION tile oak CONSTRUCTION oak and tile floors, plaster REPAIRS ALTERATION DESCR IPTION walls and ceilings r� bdl -2 bathe - living room - jalousie porch - dining room-kitchen-garage 7 DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD � i1BMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. 11 ISSUED . c �. ) (' 4 BY Y' ;! TO . ?V BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSP(CTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 4(- /6 S b TEMPORARY SERVICE • $ BEAMS & LINTELS 4' T $ SEWER RANGE CONN. FRAMING 7 se. - / ° v, $ GAS FIXTURES S S $ INSPECTIONS FINAL ,'•` , (. ' BY RE- INSPECT BY ROUGHING CLEAN -UP /ll AI GAS CONTRACTOR A1/9,1)4C M . iM A' PHONE PERMIT NO. 063 5 I DATE 4-�o -5 �- EE S j/ NEW BLDG. x 1 ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE • $ SEPTIC TANK / 3 • $ SEWER RANGE CONN. $ SOLAR HEATER MOTORS $ GAS FIXTURES S S $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING iir -JZ GAS ROUGHING SEWER H. W. HEATER CONN SEPTIC TANK RANGE CONN. SOLAR HEATER FIXTURES .. i. " • CONTRACTOR '� __ PHONE C,'%'' . �?! i; q , FEE S p PERMIT NO. � y DATE �� � � ` , NEW BLDG. I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE S H. W. HEATER CONN. $ RANGE CONN. S MOTORS $ FIXTURES S S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL. Iwd� • 4 BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS BY N9 1735 Miami Shores Village, Fla , 6 ° -° S '3 Owner, Agent or Tenant of Building CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Lot 7 Block Subdivision Street Address Approved use by occupancy A 'v 9 r A Remarks. This Certificate of Occupancy is issued to the above named ,Pk -��� 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 ss the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. BlJILDING DIVISION BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot r MIAMI SHORES VILLAGE, FLORIDA DATF. PERMIT 1STA 13058 n ❑ Work to be performed under this Permit x Bl. Subdi- vision Value of Project $ Contractor's License No e.„'csio 4 ,0 LoA J Amt. 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 thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawipgs or in the statements or specifications and th Ire assumes responsibility for work done by his agents, servants or employees. Signed "". j w , ,.,..�'r t , . j . . � BY ^ INSPECT& In consideration . e issuance me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and • strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this per it I e responsi ility for all work done by either, myself, my agent, servant or employee. 195 ADDRESS 1263 St. YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID GOO. D1<'..TE3 PAID BY 4- 16 -52 LEGAL lot 8 L'IS Bay V:1 au RECORD GARBAGE TAX RECEIPT NUMBER N° 1735 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla., Owner, Agent or Tenant of Building Lot Block Subdivision Street Address Approved use by occupancy Remarks. This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known zs the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUILDING DIVISION • l� Village of Miami Shores JOB c sa • � � �� /, . ADDRESS INSPECTION TIME READY REMARKS 1 ■° 4215 INSPECTOR DATE ; Location and legal description of lot to be built on: Lo. Block Subdivision Street and Number where work is to be done 1 2 6 .� Permit No Disapproved (Signed) /L- Chairman Member _ Member Council Approved Building Inspe MIAMI SHORES VILLAGE UILDING INSPECTION DEPARTMENT AFPLICATIDN 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-- - - - - -- - - - - /� / - ,19_& .7 Owner's Name and Address... .3_.C417../4 _.. y ? i t 0 / No. /26 3 Street__ -( -9q- 3 !'V Registered Architect and /or Engineer.. _ .. Name and address of Iicensed contractor_S/ /e5-; 1 f.vCk ' „ ..?•f/ _ !4,/m'_.'_ b..9 D r :J, A4 P. - -- c e-'i4t L State work to be done and purpose of building (by floors Date. 7 -.1 -6-7 7 Read, Sworn to and Subscribed before me. a - - - -- 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 $ .. 17 .6 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 1 hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to__ __ _ The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for ins - ection o • site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subc., acto s, on k to : - performed under this permit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized i iinister 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 s tated are true. Notary Public, State of Florida My Commission Expires LANNING BOARD DATE Member Member ..... Member _Date Disapproved _ __ .__ .__. Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. 1 co. D OWNER'S NAME P PRESENT ADDRESS L LICENSE NO. P PHONE NC. JOB LOCATION (ST. OR AVE.) L LOT B BLOCK S SUBDIVISION a . ALTERATION ADDITION SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD 'UBMITTED TO VILLAGE COUNCIL APPROVED REJECTED DESCRIPTION REFERRED TO COUNCIL REMARKS oe .' CERTIFICATE OF OCCUPANCY NO. ,: ' ' ISSUED BY TO e • BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE REASONS INSPE4TIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION REPAIRS SPECIAL PERMITS • DATE FEE TEMPORARY SERVICE BEAMS & LINTELS $ SEPTIC TANK ` ^— - t ` r rw� -�f.Q A C 4 p Q / /) j 'i . 133f '� FRAMING MOTORS $ SOLAR HEATER FIXTURES S GAS S $ INSPECTIONS FINAL S INSPECTIONS I DATE BY RE- INSPECT BY RE- INSPECT CLEAN -UP ROUGHING • - ROUGHING CONTRACTOR c ' PHONE PERMIT NO. ` •',` ,,= DATE = °' ' FEE $ NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE H. W. HEATER CONN. $ SEPTIC TANK ` ^— - t ` r rw� -�f.Q A C 4 p Q / /) j 'i . 133f '� SEWER MOTORS $ SOLAR HEATER FIXTURES S GAS S $ INSPECTIONS DATE S INSPECTIONS I DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING •• "-6'• "i- ` '' ROUGHING GAS H. W. HEATER CONN SEWER RANGE CONN. SEPTIC TANK _ -r SOLAR HEATER. T- IXTUI -SES & FINAL FIXTURES • CONTRACTOR PHONE PERMIT NO. DATE - FEE S NEW BLDG. 1 ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. S MOTORS $ FIXTURES S $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING ` H. W. HEATER CONN RANGE CONN. T- IXTUI -SES & FINAL �. LD(NG INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE N° 1611 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla , i ®' 1 CY . il- z,',. Owner, Agent or Tenant of Buildin Lot Cif Block Subdivision \� ° , Street Address , Approved use by occupancy \ ' r Remarks. This Certificate of Occupancy is issued to the above named ' for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. •• • BUILDING DIVISION MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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 1 ' Registered Architect and /or Engineer Name and address of licensed contractor State work to be done and purpose of building (by floors) APPLICATION FOR BUILDING PERMIT No Street • Location and legal description of lot to be built on: Lot Block Subdivision /A' / Street and Number where work is to be done and for no other purpose. New Building__., Remodeling Addition Repairs No. of Stories__ To be constructed of Kind of foundation____ Roof Covering.... Estimated Total cost of improvements $__ =.___ ____Amount of Permit $ • E Zone cubage ° b C Pl an uage_ = _ -) � - -- Distance to next nearest building _ Size of Building Lot 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 buildin4 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 s ontia ors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the e of the wok such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on ork to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed)41 ---------- 1J ___: 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, upo oath deposes and says that he is the of the above described construction, that he /as carefully read the fq�egoing application, and that he did sign the same, and that all facts therein by him state ar e. I r I i Permit No bat_,' Disapproved +_/ t___.__.�_i" Date / Notary Public, State of Florida (Signed) �.�. i� Building Inspector jV My Commission Expires PLANNING BOARD Read, Sworn to and Subscribed before me. 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. Date _ Type Insp'n l� J ((/r Permit No. Se V q 1 &O J Name Address Co ' Phone # Inspection Date Approved Correction Re -Insp' n Fee MIAMI SHORES VILLAGE BUILDING c_c 305- 795 -2204 Bµilding Inspection Request 10-(05 94s4 MIAMI SHORES VILLAGE BUILDING DEPARTMENT: , 305-795-2204 (- Building Inspection Request " Date t ; ,- - y - ,,, ry Type Insp'n - '- Permit No. co- Name ,C V ; l Address NC Company L:' Phone # I ' Inspection Date I I Approved Correction Re-Insp'n Fee ( 7 4 S