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145 NE 94 St (4)Date Time p Type Insp'n 4+,42f Permit No. t O Or ' / 2 Name �ICX 1 Address ' n LL,d' Uc.A Company MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Phone # For Inspector ame & Correction ❑ Re- Insp'n Fee ❑ Disapproved (Signed) Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot , 1/0 Block New Building Permit No. oZ O 9?"' 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. ,66,4 .971 State wo . to be done and pur. of building (by floors). state Remodeling Remarks (Signed 7®4/ Av l' _s- Subdivision Nif.yll4 ` Jq/ 4 // 101,1 / 3 ‘,2f a',e9 Street and Number where work is to be done exterior colors (submit samples) To be constructed of q Kind of foundation Roof Covering� Estimated Total cost of improvements S ee, Qo Amount of Permit $ O; 7 L/ e i 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 laps and specifications for said building. All notices with reference to the building and its construction may be sent to �.►� 0 •//,- Cf/ ®> The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontreyors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared to me well known. and who, being by me first duly sworn. upon oath deposes and says that he is the of the above described construction, that he has carefully read the forgoing application, and that he did sign the same, and that all facts therein by him stated are true. Datev Date Date 7771 «- 37- No. /KS Street and for no other purpose. Addition Repairs No of Stories 7 /7 Read, Sworn to and Subscribed before me. Notary :Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $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. 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 a` building during progress of the work. 1 c� _ Date J �-- '/ , 19 6)0 * �p %z�u`tf No /.Vs Street -d"% Owner's Name and Address._.. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: MIAMI SHORES VILLAGE e2/4. ? -?. :9 (Signed) Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories. -- To be constructed of Kind of foundation- Roof Covering , -2. * r��? 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 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 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, work to be performed under, this permit, as are licensed by Miami Shores Village. 1V) 1 Remarks � Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, STATE OF FLORIDA, COUNTY OF DADE. Permit No Disapproved (Signed) Date Date Bui ding Insp ctor 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. / -(D -2 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member .._. -._ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Permit No Owner's Name and Address Registered Architect and /or Engiryger Employing Electrician's Name " 1 ' APPLICATION FOR ELECTRICAL 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 work. W/"1. 47/ Al 7 r. Location and Legal Description Lot Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $.. 5 The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only suc h subcontractors, on wor licensed by Miami Shores Village. STATE OF FLORIDA, ss COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires NOTE: A re-inspection fee of $1.00 will be made when materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No 7 A/ Date f- -• - •• Street No Street Street.. l.°:.r 7 Subdivision y Repairs No. of Stories (Signed) Electrical Inspector. cc:epts his obligations as an employer of of Florida Permanent Supplement, and sub - contractors employed by him in the of the work such public notice or notices e performed 1Ider this permit, as are /r (Signed)...-- Master Electrician. Notary Public, State of Florida such re-inspection is made necessary by improper notice for inspection, or faulty SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P•T'5 FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST / e 7 • CHECK ENT. SW. D18T. CAB. SERVICE TEMP. SERVICE PERM. MOTORS O.1 HP MOTORS 1.5 HP NEON, TRANS. RADIO TOTAL CONTR. LIST / CHECK .t, `‘ J • _ Permit No Owner's Name and Address Registered Architect and /or Engiryger Employing Electrician's Name " 1 ' APPLICATION FOR ELECTRICAL 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 work. W/"1. 47/ Al 7 r. Location and Legal Description Lot Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $.. 5 The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only suc h subcontractors, on wor licensed by Miami Shores Village. STATE OF FLORIDA, ss COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires NOTE: A re-inspection fee of $1.00 will be made when materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No 7 A/ Date f- -• - •• Street No Street Street.. l.°:.r 7 Subdivision y Repairs No. of Stories (Signed) Electrical Inspector. cc:epts his obligations as an employer of of Florida Permanent Supplement, and sub - contractors employed by him in the of the work such public notice or notices e performed 1Ider this permit, as are /r (Signed)...-- Master Electrician. Notary Public, State of Florida such re-inspection is made necessary by improper notice for inspection, or faulty 'location of Structure: FUMIGATION NOTIFICATION Company UMUCE 2160 N. Address 145 N.L. 94 St. Owner's Name and Address : William Painter - same Type of Structure: Residence - Frame 2 story - rear house Approx. No. Cu. Ft. 10 000 Name and Quantity of Fumigant: Fumigate - 5 gals Date & Approx. Time of Realease: 4/23/68 - 12 Noon Length of Fumigation Period: 1 24 hours Distance to Nearest Building: over 10 ft Certified (or Special ID. ) Fumigator in Charge: - Name: -TIE M6R96X CO, W. 17th AVENUE FLORIDA 3314.2 6 O0 - 4Wir Miami Shores 0- County Health Dept. 0- Fire Dept. 0- Other Nylon Tent Te1ephoneDAY PHONE 635 453.8 NIGHT PHONE •922 =6216 D y --` - Night FUMIGATION SHALL BE PERPC1tMED IN STRICT ADHERENCE TO THE FUMIGANT'S REGISTEREID LABEL AND FLORIDA STATE BOARD OF HEALTH RULES 1701 -2. NOTIFICATION TO BE RECEIVED NOT LATER THAN THE DAY PRIOR TO RELEASE OP THE FUMIGANT BY: 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. Owner's Name and Address Registered Architect and /or Engineer j /` /Ogle y � Name and dddress of licensed contractor � 4 ,v, 3 /214/ Location and legal description of lot to be built on: Lot Xi Y p v / Block W / Subdivision MI ('i / //kr .3r 7 / J / / /3 a940 0 $7 l Street and Number where work is to be done State w r�k to be done and purpose of buildi} � (by loors), state exterior col (submit samples) "47...e Remarks New Building Remodeling } SS. APPLICATION FOR BUILDING PERMIT *do- MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Addition Date 19 9 q 57 No. 7 S Street ,1.e /7Y'7.Z. 7 ®Nwtos 5T Repairs No of Stories and for no other purpose. 1b be constructed of Kind of foundation ? Roof / Covering Estimated Total cost of improvement ‘ / a 'or Amount of Permit $ J 7i 0 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to . ,164/c - 7o A d /es 5/ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement. and has complied with the provisions thereof. and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Sign STATE OF FLORIDA COUNTY OF DADE. Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the of the above Q � 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. o� v r�6J 7' Hate ifraI 8 7 Read, Sworn to and Subscribed before me. Disapproved Date (Signed) C R-- I Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Notary Public. State of Florida 1 ' . Owner / Lessee / Tenant Master Permit # 37e7p �, � Owner's Address )l -[ � G U.E . ( 9% Phone Contracting Co. l � -cbNe- ,- ?A" i cf3T l J Address •W • ( 1C.- Qualifier SS# - - Phone State 1fr Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION .0 v- t c--c, l -cJ- Date b(ubritt- Job Address 4 `L 1` E Y J TTax Folio Legal Description Square Ft. Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction I understand that separate permits ar OWNER' AF be d a S ignature of owner and /or Condo President Date: C)7 r0 -Z4‘ Notary as to Owner and /or Condo President My Co . •., ** * FEES: APPROVED: ERMIT APPLICATION FOR MIAMI SHORES VILL or ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. that all the foregoing information is accurate and that all work will 1 applicable laws regulating construction and oning. Furthermore, I ontractor to do the work stated. S OW Pei OFFICIAL NOTARY MEAL 2 e i e■ SANDRA M MONTIEL t .4 a:l1'i 7, ;• .\0 .9' • F \-• r ' COMMI SIGN NUMtER 401261 MISSION .EXP. AUG. 1 S Date: Notary as to Contractor or Owner- Builder My Commission Expires: * * * * * o * * * * ** C.C.F. /- NOTARY �. TOTAL DUE Fire Other Zoning Buildin: Electrical Mechanical Plumbing Engineering er- Builder PROPERTY OWNER / New Construction Name / ` I Enclosure Address / y r GV /5 9 p/ . C6s/ e Q� 4, ct,, S re s f C 336Q Home Telephone 3 or _ 7 S 7 _ /07 3 Re 1 air Business Telephone 3© r-^ 9 / 9,- c GO a Alteration Interior Fax ,rA. f3O, _ 7 S7— 03 9 0 TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Re 1 air Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other Step 1. Job Address: PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax 3os , 5 / - S- egg Master Permit No. Subsidiary Permit No. PERMIT APPLICATION TAI tFT'e721,, INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami hores Village: Complete the attached permit application which must be signed by the proper y owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICATION State Zip Ft 33/3c Address Apt. City Folio Number '- Description of Work t' i Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units_ Floors Proposed Use of Property 1 ue of Work .2 j 2 r C7 Bldg Value Tenant Information //0i -17L 9 3(4/Voti se Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 1 PORTA NT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. El DAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve mo:nths to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF RIDt OUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE N J C S ignature of Owneh Signature of Contractor / Qualifier r yQQiY , ( L. a Print Name S to and subscribed before me this Signature of No .r Public - S of Florida SEAL: Type of Identification Produced: T SS ICC Print Name SEAL: Signature of Notary Public - State of Florida Sworn to and subscribed before me this day of PERMIT APPLICATION Ry PO O1 ICIAL NM.,, y 2 ' t . A`JGFLA M BrK, =r, i -,, j" 0 co o.:.saoN wUnasei � 4 ; , v CC n ti +s s N 9 n -.• Personal) Identification Personally known OR, Produced IdentifLeS'ti y known OR, Produced Identi r' - is pe of Identification Produced: ELECTRICAL 'Fyn: Minimum Fee QTY. i'vi'I,: Dryer ()Ty. it 'F TYPE l Outlet, Appliance ()Ty. TN I'I,: Service Repair on'. A/C Central 1 -3 Ton A/C Central, Tons Fan Cooling Tower Outlet, Wall Heating Strips, each Service, Temporary Vent Hood, Cost A/C Central 4 -7 Ton A/C Wall/Win. Tons Fire Pump Dryer Vents, Number of Outlet, Switch Paint Booth Signs Ventilation, Cost A/C Central 8 -15 Ton Air Handler, Tons Fixture - Fluorescent Ductwork, Cost of Oven Piping, Flammable Liquid Space Heater (kw) Periodic Inspections A/C Central 16-20 Ton Barbecue Fixture Light Fire Sprinkler System Parking Lot Lights Process/Pressure Piping Spas/Hot Tubs A/C Central 20+ Ton Bath Fan - Vented, # Flood Lights Fireplaces, Number of Plugmold/Strip Pressure Vessel Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Disposal Demolition Low -volt, Intercom/Teleph. Repair Circuits Domestic Well Dishwasher Low -volt, Television Service, Number of Amps Drainfield, 4" Tile/Res. MECHANICAL il TYPE QTY. 7•Ypi; QTY. 'FY'I'I: I QTY 'I'YI'I? Q'I' Minimum Fee TYPE Condensate Drain Q'I'Y. Generator A/C Condensate Refrigeration, Tons Drains, Roof A/C Central, Tons Miscellaneous Fixture Cooling Tower Soakage Pit Heating Strips, each Bath Tub Vent Hood, Cost Drinking Fountain A/C Wall/Win. Tons Miscellaneous Repairs Dryer Vents, Number of Solar Water Heater Paint Booth Bidet Ventilation, Cost Filter Replace Air Handler, Tons Pool Piping Ductwork, Cost of Sprinkler Repair Piping, Flammable Liquid Cap - Fixture Periodic Inspections Fountain Barbecue Pump and Abandon Fire Sprinkler System Sprinkler System Process/Pressure Piping Cap - Water Gas - Appliance Bath Fan - Vented, # Pump, Domestic Fireplaces, Number of Supply, AC Well Pressure Vessel Cap - Sewer Gas - Natural PLUMBING TYPE TY. TYPE ii QTY. TYPE 1 1 Q'I'Y. TYPE Q'A'. A/C Condensate Drains, Roof Miscellaneous Fixture Soakage Pit Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pum Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY D Zonin _ t / ( .0 1 =1111WAY , Electrical Mechanical Plumbing Fire Public Works Structural Building Official �� �/ g�� Page 4 OFFICE USE ONLY E1CKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ER MIT FEES $3.00 per page (Scanning Fee) Miarni Shores Village Bond Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ / 9 Metropolitan Dade County (C.C.F.) $ l t (X .ft.. 0.60) x/1000 $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ F'J Y0 ING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OFAPPROVAL Revised July 2001 100:50 N.E. 2 AVE., MIAMI SHORES, FL o (305) 795 -2207 o FAX (305) 756 -8972 o http : / /www.miamishoresvillage.com mhr Pi c—1 (Lace (v/lcU -) — P1 a_s r� Tr rn I hc ��; w �.oins 1)aIcai ` � ) r - l� U sfr,' h-Qlo w � �' am ,, / ►/14 /079 /la Dr)r d/11 c -W vvoJ Trcm- Dv vr5 — L r F(‘/T/4 . B ehr /c - GCS r ;nciti.d i n � w.v1ns ) balc -c t,�.,d 1 c S % r p bQ to ' . Z� 7)idws _5,1/ tin n 140oyre. I asonci Lea Us - / 679 /'lOL)/'e- 3 /G /ego o _ )mil Tr On D rs CERTIFICATE OF APPROPRIATENESS ADDRESS OF PROPERTY: 145 N.E. 94 Street NAME(S) OF APPLICANT(S): Fred Newman & Sharon Grosshart APPLICATION DATE: (Date Application Received by Village Clerk) August 1, 2002 CERTIFICATE OF APPROPRIATENESS REQUEST FOR: A. Exterior Painting Benjamin Moore 1079 — Bayshore Beige - Masonry Walls Benjamin Moore PIC-1 — Lace Collar — Masonry Trim & Window Sills Benjamin Moore 1580 — (Green) — Wood & Iron Doors/Fixtures B. Awning Installations (as indicated on attached drawings). Sample material provided. C. Replacement of three (3) windows located on the 2" floor of the guest house. (Window specifications attached). BOARD DECISION: APPROV APPROVED WITH CONDITIONS DENIED SIGNATURE & TITLE DATE: at ,I4.Y /3 3.66ol Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/16/2002 Applicant: FEDERICK NEWMAN Owner: JOB ADDRESS: 145 NE 94 Contractor Local Phone: Parcel # 1132060132920 Permit Status: APPROVED Permit Expiration: 2/12/2003 Construction Value: $1,000.00 Work: EXTERIOR PAINTING AS PER AGREEMENT If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or e; ployees. Fees: Description Amount FEE2002 -4593 Building Permit Application Fee $60.00 FEE2002 -4594 CCF $1.80 FEE2002 -4595 Notary Fee $5.00 Total Fees: $66.80 Total Fees: $66.80 Total Receipts: $0.00 Signed: (20 4i Signed: `> s Building Permit Permit Number: BP2002 -1444 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 20 & 21 BLK 21 (INSPECTOR) BY: In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. ST Contractor's Address: ontrctor or Builder) BY: Page 1 of 1 LIBERTY ENTERPRISES, INC. 2001;' FREDERICK L NEWMAN PHD SHARON K GROSSHART 145 NE 94 STREET MIAMI SHORES, FL 33138 SW 8th St 8 SW 107 Ave Graham Center - Rm 189 Miami, FL 33199 +. sirr7 1:26 7077850': 24139811' 3006 MIAMI SHORES VILLAGE Paint Color Approval and Agreement OWNER' S NAME: r'r e dC ` 2 Y' ccc Z. /1/A4-0 /./1/A4-0 » c , a, PHONE: 3 0 S'- 5' 7 --/.0 7 _. ATE: R. —/`{- 03.- 2/ADDRESS: /YS A/ E 9 y _ S - * ********************** 1c********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** / ADDRESS OF SITE: /y s 4 / C i - .S r - // CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: B uilding Offic APPROVED: ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * All Elements on the site must be listed and indicate the color to be painted. Walls / 1�°r �/� /7 S Fascia (..e try- �, c - Co ��� ��y Sh Drip Cap/Drip Edge t V / 0 o Soffit AJ , 4 Roof A/ / Al /9 Flower Bins Shutters Awnings Chimney /1/ } Doors and door jams 8 ) t0 /o / s-ea G 0 Railings U Fences /1 A Decorative Metal All brick (simulated or regular) / Stucco Banding p, C'07( ) Any other stucco features A//4- j Accessory'Buildings 1/4 - s - ° ez Other ` �-e� r P, c - / Ce c , 4 M a 5C i V rcr vev,, �,;, ` c / N S, 3�:r lc C'3 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. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached sa ples Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 NAME OF PROPERTY (If applicable): /L/ /VC q / cs+ re.± T/ Wee P1 Gl n Sha V"), r1 )1a NAME(S) OF APPLICANT(S): / !' � (Note: If the applicant is a person other than the owner(s), evidence of that person's authority as agent other than the owner(s), evidence of that person's authority as agent must be attached to the application.) CONTACT TELEPHONE NUMBERS: 3 °5 7517 " ' (73 / ADDRESS OF PROPERTY: APPLICANT ADDRESS : csarn e-- (If different than property address) L / PRESENT USE OF PROPERTY: INDICATE CLASSIFICATION OF PROPOSED WORK: V--MAINTENANCE OR REPAIRS DEMOLITION OTHER (PLEASE EXPLAIN) DESCRIPTION OF THE PROPOSED PROJECT: &ei e "tason(j 4J d is �,, Q.en- oore, 1 14 aehr L/1 r P Cv / //.�- — /v1 /.160nry PLEASE PROVIDE THE FOLLOWING SUPPLEMENTARY INFORMATION: SITE PLAN (W/ DIMENSIONS) FLOOR PLANS (W/ DIMENSIONS) LABELED PHOTOS SURVEY (WITHIN 5 YEARS) MATERIAL SAMPLE OTHER UNDER PENALTY OF PERJURY, I (WE) CERTIFY THAT ALL INFORMATION IN THIS APPLICATION AND THE ATTACHMENTS HERETO IS TRUE AND CORRECT TO THE BEST OF MY (OUR) KNOWLEDGE AND BELIEF, THAT THE WORK FOR WHICH APPROVAL IS SOUGHT HEREIN IS BEING PROPOSED IN GOOD FAITH AND WILL BE PROMPTLY PERFORMED IN THE EVENT OF THE APPROVAL OF THIS APPLICATION AND THE GRANTING OF A BUILDING PERMIT, AND THAT I (WE) DESIRE THAT THIS APPLICATION BE GRANTED AND SUPPORT THE GRANTING OF THIS APPLICATION. SIGNATURE OF APPLICANT(S): SIGNATURE OF OWNER(S): MIAMI SHORES VILLAGE APPLICATION FOR CERTIFICATE OF APPROPRIATENESS Da O n O' 2. R(A, Ho os RESTORATION NEW CONSTRUCTION e as -Po 110,15- : 8eJL4DOS Qayshore c. /5$0 -- Poors�' fro, - � rXfircres • 1r /ls CERTIFICATION ELEVATION (W /DIMENSIONS) /COLOR COLOR SAMPLE `�DATE: WRY A „.017 0 , REHABILITATION DATE: DATE: DATE: