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170 NE 94 St (5)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. �` ` g fr Name i 6 G/ -��i �27 Address / Ci l ( ' 57 Company 7 - r Phone # Inspection Date Approved Correction Re- Insp'n Fee in MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Approved Correction Re- Insp'n Fee Permit No. � G � � ' " ,e? Name v / `/ - Address / /k17- Company // / V Phone # Inspection Date Type Insp'n Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bt}ilding Inspection Request Date �Ooc� n. Permit No. El 04 r k J Name 1 -e c Address 1770 Nscu qz—s4— Company �� 1 ` Inspection Date ( l L I • Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE v °- BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1 Type Insp'n ®U�` fl• Permit No. E 04_ :3'r. V Name )k I\C\ Address J J . - 70 P-J /t s4- Company \ �`" cod . Phone # Inspection Date 1 1 g - Approved ®/ / - 7 Correction M/ /ems Jf3A' 5 Re- Insp'n Fee n x /a i cam% �� e/ "4- 0-7z /, 4 %, ? -it- • STATE OF FLORIDA, COUNTY OF DADE. SS. Before me, peared Disappr v n ( Sig .-.- - - Chairman Member Member . Council Approved Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor___ Building Insp•' or M OAW S H o O L a V LLA E 0 ANNING BOARD_ BUILDING INSPECTION DEPARTMENT APPLUCAT N F GQ 8 UOLDONS PEPLMOT 0 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 Vi 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. Owir is Name and Address.. R67/ /1/2,4 yy�� No..- /_7 0 . -. - -_ Street__. /< _ and /or Engineer. S7/'4" _ 1,./ �- E!_t_.'s _ .. Name and address of licensed contractor_ A lek_ -7 4 OGi/ N p- Location and legal description of lot to be built on: Lot. ..6 7 Block Z G . Subdivision / / / - 5 //Z 7 Z 5 �g(, Street and Number where work is to be done ___ / 7 0 /Vi f f State work to be done and purpose of building (by floors)._ SC .ec .etl Date /Z 6 and for no other purpose. New Building __ Remodeling _ _.._ _.. Addition _ __ Repairs__ ___... __.____._ .___ No. of Stories _ ._ To be constructed of U/?! /f!'r/- Kind of foundation -._ .G.‘2_4" .C.: - e /e Roof Covering -rG r . e /✓ Estimated Total cost of improvements $_ -- _�'� �J v . .p , Amount of Permit $ plan Cubage. Size of Building Lot._.. l IX I hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may be sent to... - ._. ___ The undersigned applicant for this building permit doe 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) `. - -- -- undersigned authority, a notary public, duly authorized to administer oaths and take a,kaowledgments, personally ap- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him ted are true. j Permit No ? 3 Date_ / z (� .. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires_... 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ttl MIAMI SHORES VILLAGE, FLORIDA Date 19 ELECTRICAL ❑ PLUMBING ❑ PERMIT N? 9463 ROOFING ❑ Owner of ; ; Building -' Architect Contractor or Builder Legal Lat Description 1 1 1 1 Bl Address of Building CONTRACTOR or BUILDER Work to be performed under this Permit Contractor's i License No. Subdi- << vision Sq Ft Value of 11 Amount of Project $ 11 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 applica- tion 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 ghowin on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed- (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,st3tements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done, by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building c = 7 MIAMI SHORES VILLAGE, FLORIDA PERMIT N^ Architect " Contractor or Builder Legal Lat Description ` " BI Address of rj Building CONTRACTOR or BUILDER BY • p ates 1 -',` \ \- 1 S I• 9206 `y 'L i_ t�' % 4 c l mntrii 't G' 4`V `43v nso. Work to be performed under this Permit Subdi- vision r Sq Ft. Value of 11 Amount of Project $ II 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. Signed (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 responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY MUAMO '%RLLAGE BUILDING INSPECTION D(EPAs'TIWJ[ER'IT AL:PLOC A-NO FOR [3UOUDDONM FE MOT 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. /' / 1 Date- --�. ?_e.p / • 7 .. -- , 19.dZ Own.:,r's Name and Address -_ j f -2 . / /f'$ . _i_:'C %U_t,!/ .- P /.l2h� /C1,2 No..L2,3. . - -- Street_ -. _ -- _ ��11-// `7._ 1. .6/ / Regf2ered Architect and /or Engineer... L _ (Y _5l&r//42 __ .. _ /U0/ /Z :___.425_,5. z -. -_._ /)/.L9'/TJi ( . ' __........ Name and address of licensed contractor. f : F . e. e>"J S.T__Z v c- -'--T t om Cam? _ © �- 1 1 5 fr FL f. a'a3 c4. Location and legal description of lot to be built on: Lot__ _ _L7)2,C/ 7 Block._ 2. Subdivision__._ /LJI2?/ S . /..�t�'_ -__g2C !_Ol? 1___ / i Street and Number where work is to be done / 7 C ) 94 94 6:// , State work to be done and purpose of building (by floors) _.1 1 3 04 = 1 "") , v1 - 2 ZaLluCi • 4 . a rt ,5c, f. and for no other purpose. New Building / //./%5 Remodeling Addition Repairs No. of Stories To be constructe d of ___ „3 Kind o foundation___- _ COPrr714 Roof Covering... f ri /. .e . ... Estimated Total cost of improvements $ Z e oe2.e'D Amount of Permit $ Z Zone cubage required Z _ ^ Plan Cubage _.I °• 1 ■ 0 , 1_5 Distance to next nearest building __ . _ _ Size of Building Lot__._ /00 X _ . 7 Maximum live load to be borne by each floor.__ I hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may • be sent to - -_._ /' A . N . / - z A - /a?35 _,M1/ / / 7 _ _ � /a,/,? /- 4 _. x..1%67 _ The undersigned applicant for this building permit doe 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. d 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._ ?2 o(<> Date_.. -2.7 Read, Sworn to and Subscribed before me. Disapproved ___ _� __ D�tt (Signed) (f Building Insp o tor Notary Public, State of Florida My Commission Expires__ ANNING 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. Il e , / • • .• :•:•• C t•s, c • 4....54.1 • : 1 1! ( 2) 0 . Plc Fe , C " ;":•<- ••--" !,) 'm CI 9 - "---• • • r- • STATE OF FLORIDA) SS COUNTY OF DADE ) Paul W� and wife Ju�Ca E Reinhol rn of the Village of Miami Shores, County of Dade and State of Florida, being duly sworn, doth depose and say, that under the provisions of Ordinance No. 185, dated June 15, 1948, amending paragraph (d) of Section B -368 of Ordinance No. 97 of the Building Code of Miami Shores Village, he desires to build a home on Lot ELL] 7 Block 22 ofNiami Shores sect AmendedSubdiv_i.sion, that he is the owner of said property, and will be the owner of said house , that he will do the work personally, and that he will, u, such times as are required by the Zoning and Building Director: 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Perna t. 3. Pay the required fees, 4. Execute the work in accordance with the provisions of this Code. 5. Apply for inspections, 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's Compensation, Public Liability and Property Darage Insurance. 7. File with the Building Ins ,eetcr as the job progresses certificates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing other than properly licensed contractors by iiiari: Shores Village for any part or portion of the work. 9. Not set himself up as a "contractor ". 10. Sign an affidavit before commencing work to the effect that he has read this Article and will do the work personally and observe all of the requirements of the Building, Electrical, Plumbing and Zoning Codes of Miami Shores Village. Such affidavit to be properly notarized upon blanks to be suyplied by the Building Inspector. 11. In order to prevent abuses and subterfuge the right of such owner - builder as herin provided, is limited to but one clener= builder permit each 2 years, and where an owner- badide_• ? . •.s once exercized the privilege herein conferred no second al:.pl_ica- tion for owner - builder perulit shatl be granted in less than 2 years, unless the applicFe. : is qualified as a licensed General Contractor under the applicable Ordinances of said Village. And Further this Deponent says not: SUBSCRIBED AND SWORN TO BEFORE ME this /fl day of 19V,Z. NOTARY PUBLIC, STATE OF FLORIDA AT LAHfic MY COMMISSION EXPIRES JUNE 19, 1971 DONDED THROUGH FRED W. DIEDTELHORST "I- 7e ; -l- ' ( 7,P, ir, i •f ' {o�4Ci A F F I D A V I T � ezc e Pte/ Al /2_4 '/' OWN R Paul W. Reinholm 9 Jura E Reinho1 i NOTARY PUBLIC A.D., - 4 3 t c 6 f/' 4 ,J. c�� fr PT 4' L . -5 • 5 --,„ v ,E.- 9 4 -- .rf 7 7 1 S -, .`'. 36 r 1 1 gc. - • 7 - :45?" r. , .30. 40 r • 1.11 I.?, z 1 • I' ! ' 1 e' e• ''' ) . .1 1-- . - - - N 4 . I - - -- z kJ ."--.. , 1 ' P '----- — , . ,•'. I - • - - '`) ' 4 f' I. 105 1,3 7 9 it N 140L, 1 'L t 3-° A •"‘• • - A A/ ,/'' l )/ •• 4 "v ( 0 (i/V •- • . According tc rib 3t ° 70 of the Pub.lic Records 01 Le :e Con', NON: 1 N000M (;v1111 that 0 SUPVGV 01 tno ar9/30M1 d-escreeA Nero:Nil is true anc cerrect to t:re lest 01 ray r•Nie r.F'tes recently sUrVeya; and that there 3re ris. kolloss or not(zA 00a. SO..4fVCWil k43. 2 I FAD to of 1 DoA,LD 1400 NORTH f,!:;0;',' , • . t /- / _ _ 5 C: 240 0 N E. 941 77.-7...E. ' 1 c: tr. , /: . te.✓4L /` . • __._.. / .. Z3'f m (s. ti Date _Io Metropolitan Dade County Building And Zoning Department Attention: Building Official SWIMMING POOL OWNER'S CERTIFICATION I certify that I am the legal owner of the property described as /70 A f;A- In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved harrier prior to final inspection and use of the pool. Legal Owner 4 d -$ located at Note: This certification is to he submitted with a swimming pool permit application in duplicate. Date Metropolitan Dade County Building And Zoning Department Attention: Building Official SWIMMING POOL OWNER'S CERTIFICATION I certify that I am the legal owner of the property described as / 6 �C �/�'', '2 '273, )Ii p 5. located at // `77 w N � q Iv 21 In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved harrier prior to final inspection and use of the pool. Note: This certification is to be submitted with a swimming 'ool permit application in duplicate. Legal Owner Permit No 11 Disapproved (Signed) - 1• Chairman Member Member . Council Approved milIJAM0 SHU UILDING INSPECT! N DEPARTMENT AFFLOC AT0`'N F GQ M0L DB S PER 0T Date 0 X90 LLAG C 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- / C/ 2 19.4-'7 Ovmsr's Name and Address._ '_ - -- e_1Ai 0 Z - _ No.._8 - 7 0- - -- Street._._ 9 # -.? ... _ Regti,tered Architect and /or Engineer.. _ • 0- 41 0d/®d' _ -_. 1/ 1 2,._Q L m 4 4 " t vg t 0 Name and address of licensed contractor_ -/Ge FZ_Ot - /NV •__ - -__1 6 - .1" / ._ ®'''?"9`e ..,/OBI Location legal description of lot to be built on: Lot__ __QC.t -___. 04 Block ' - -- Subdivision - 72Y/ /9 / 5 -* - t) 22.0 / -- Street and Number where work is to be done _ #Y 5 State work to be done and purpose of building (by floors)__ lw - 4 ' 40 and for no other purpose. New Building_ . Remodeling._ ___._ _... Addition _ __ Repairs No. of Stories ..._ To be constructed of 0P-'el Kind of foundation_._ Roof Covering._. �y r. Estimated Total cost of improvements $___ ®c ®• t1lR Amount of Permit $ G 41' Zone cubage required plan Cubage___. _. 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 fox said building. All notices with reference to the building and its construction may be sent to.. _ __ The undersigned applicant for this building permit doc 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 wo -k such public notice or notices as are required by the Act. The undersigned agrees to employ only such su. .ntractors, on work to be x -rformed under this permit, as are licensed by Miami Shores Village. Remarks _ __ _ _ ._ (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss Before me, undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Date_" 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 stated are true. Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires__ __ .__ .._. PL ING 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 hecn 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 Q c ,� YY MIL. �"�= s V LA) . � El 6 VA PRESENT ADDRESS ,Z t I -M ! 'Z, ''6 S E'`1 • L.) . I e1 - I LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 416 N. '14'S � . LOT 1 BLOCK 7-7- SUBDIVISION 1a ► *. 5IrC- % S +. '� t p ' GENERAL CONTRACTOR t J ef F C. v c-"T C _ ADDRESS Z. ,V� IQ . �. , 0 5 1If- PHONE NO. LICENSE NO. .5 , s - a ct BUILDING PERMIT NO. 1,a. p DATE 1- �1- �' 00 PERMIT FEE $ 9 7. BUILDER'S BOND NO. a4. 0 DATE .2r7 ZONE 12_ ' lc, REQUIREMENTS Z " 61:: : m®© CU. FT. PLAN CUBE 3to 1% CU. FT. .. Glib '1 EST. COST $ 0=0 \^" DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: -+•• ` �� �,► � v Y ®f"'� DATE 1 t - ‘ NEW CONSTRUCTION TYPE e- a, % STORIES an "ti ROOF CONSTRUCTION i l B.. INTERIOR CONSTRUCTION 3 11. 2 - 7 - frt 4 . 42...e x DESCRIPTION a ( \ � 1 .l REPAIRS k - LI" a'mb.b is 4` ® ®r3 Pt y. g1�2r e J, �ce..lI, Q I eKp -- ALTERATION { DESCRIPTION 4 ZO L t4 b �' 46 +f mo. ...... ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD /G• Y Se. ,5,..... • „- ?on/ /' _ � // i 2 .+� /A/D X e- --r f• /.3 SUBMITTFf TO VILLAGE COUNCIL Eb% �A f 7 REMARKS iti �^t r r _ 7 '� 3 507 C=.4.7 7 .r.:>m ps j _ -- A ("4.-‘ inl Deb Y2 E' T o CERTIFICATF OF OCCUPANCY NO. J ISSUED BY TO - I � -lo-I BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE I BY INSPECTIONS DATE BY FOUNDATION I ROOF S SEWER BEAMS & LINTELS 1 POOL S FRAMING S 'L- S H. W. HEATER CONN. AIR COND. ,-,.^F ,Q y _ ! 4 6--, i RANGE CONN. FINAL _ DATE BY _ RE- INSPECT_ CLEAN LIP _ RE- INSPECT RY SLAB FIXTURES & FINAL S FIXTURES SLAB TUB & TOP OUT S SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE S SEPTIC TANK I S SEWER I S SOLAR HEATER S GA S 'L- S H. W. HEATER CONN. L &2 Pe,e- ,-,.^F ,Q y _ ! 4 6--, i RANGE CONN. LNSFE ECTIONS _ DATE BY _ RE- INSPECT_ EY _ RE- INSPECT RY ROUGHING FIXTURES & FINAL S FIXTURES I TUB & TOP OUT S SEWER SEPTIC TANK SOLAR HEATER FIXTURES GAS CONTRACTOR re> e C.c.-Ce—rg..., C.. DATE PHONE PERMIT NO. 3.re I DATE !` z - C'] RE- INSPECT BY FEE Ste• 5 NEW BLDG. ✓ 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE r� 7 Z Z '$ - T ,€'- T p .C I= -1-( S 'L- S H. W. HEATER CONN. RANGE CONN. S RANGE CONN. I I S MOTORS FIXTURES & FINAL S FIXTURES I I S S INSPECTIONS DATE BY RE- INSPECTI BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. I I FIXTURES & FINAL I I Q CONTRACTOR P- 3 2 PERMIT NO. NEW BLDG. BUILDING INSPECTIONS 134 47 132 E PLUMBING PERMITS & INSPECTIONS DATE 1 ALTERATION 1 ADDITION ELECTRICAL PERMITS & INSPECTIONS PHONE FEE S REPAI RS BY ITEMS SUB CONTRACTORS & SUPPLIERS NAME & ADDRESS 1, Architectural Fee ( lans °t : •' • `- 2 Asphalt walks drives. etc. , ='� 3. Cabinets - Bath Vanit FREPAIMMIMEEMINIIMIENIEN t',.....),-;- • =' i 4. Cabinets - Kitchen 5. Cabinets- Medicine ; �:.- 60 Cabinets - Unit Closet 70 Cleaning -,`,i4/°- ✓ 8. Clearin: Site 9. Concrete ® Foundation Slabs Beams ., /-,/ . • ; •• • ,,; • • 4, WEINIMEMINEWAIMMEMS MrjragfgNMXgffglRgBMMIIIII / ' - ° • . .!4 100 Concrete - Walks drives etc, 110 Contractors Fee 120 Electric Fixtures_ 13, Electric hiring 1 ,;' _ 14. Equipment Rental 150 Excavation _ 16 Fill. for S1 ' . '"; . - , • , ., F , , < ^ . / . , 17. Floors = Finish wood & kitchen 18. Floors - Terrazzo ,- 19. Gara:e Doors .;,, ,. ,/ ' 6 , , , ' ,, ,,- ? 20. Glass Sliding Doors' - „ ,,,, . - - - a // 4 • '•' ', 21. Hardware - Finish 22. Hardware m Rouh 230 Heatin: / -, 240 Insurance - Liabilit com .-'bond ;, 25. Labor - Pa oll 60 Labor - Contract 27. Labor - Contract 28. Landscaping, Fill, Grading , 29. Lath. Plaster. Stucco �. ' 4 -i, /� . , • -,.!, • =, -r; 30 Lumber All , ,,, ' •' :' ; d •Q.. 31. Masonr Labor /;, 111111.11MIMMINFR °'. 32. Masonr Materials. Block 33. Millwork 34. Miscellaneous 35. Ornamental Iron Work 36. Oven & Plate - Built -in ► :, 370 Overhead 38. Paintin: .n 4, ',/- 39 Permits. Tem.orar Power 40. Pilin• Foundation 41. Plumbin: Com.lete i a ,, ` ,- ii / s,•, ` -' 420 Pool - Swimmin: ,,, 43. Roofing & Sheet Metal Work 44. Roof Trusses - Pre -fab. '; ;. FRINMOMINginglaM1111111 '- .•9 .-.-' ,. C. - 7 ,' .'. t -, , •� =; - r . 45. Screen Enclosures 46. Se. tic Tank or Sewera:e 47. Shower or Tub Enclosures -,. , - ' 7 i c ' e '` '' 6 :_.. 48. Steel - Reinforcin: & ^. 1. „ • :, 49 Su ervision ), 50 Surveys 51. Tile & Marble , 'S -, r .1 SC 3' ' ° i- ,•;. - il 4 .. :° !_4___ sr - y ",, 52. Water - Public ., ', 5 ,'57 53. Water - Well & Pump 54. Windows - Glazin & Screens ., , •,, - /,,,: ,, ' z r ' ,, , �• 55. Window Frames - Concrete :IlAIiI S•tlOk S VILLAGE APPLICATION FOR FINAL Ii\SPECTION Prior to a final inspect n this application roust he filled out; if sub contractors have failed to take out permits the general contractor shall be responsible for the permit and fee. A final inspection roust be made prior to the release to Florida Power and Light Co. and the issueance of a certificate of occupancy, "NER j /;/- y; ,,. L b/ f?r,: /: 41/2 JOB ADDRESS /2 /%' - LOT_, BLOCK SUB, ' ./,; BUILDER 2• SIGNED C ON TkA CT OF DAY LABOR CONTRACT DATE 19 TOTAL ` •1'. ,g in I SHORES VILLAGE, FLORIDA BUILDING Date =yJ' 19 ELECTRICAL ❑ 2 PLUMBING ❑ PERMIT N? 9313 • Contractor's ROOFING ❑ License No Work to be performed under this Permit Owner of Building Architect Contractor or Builder „ Legal Lat Description Bl. Address of Building CONTRACTOR or BUILDER BY Subdi- vision Sq Ft Value of I I Amount of Project $ ' "' I I Permit $ This permit is granted to the contractor or builder named Move to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances ertainin thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been subnitted 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 ordinalces 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 ■amed above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on `te plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed' (INSPECTOR) BY In consideration of the issuance to me of this permit I agree to periOrm the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statement!" 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. AUTHORITY Qualifie PE "MIT APPILIICATION FOR MIIAMli SHORES VE LILAOIE Contracting Co Date ;516/437 Job Address I , 91 Tax Folio /1 ,loch it,./ 9 c f Legal Description 6 1 g 5J Q.E/ f Owner / Lessee / Tenant /V.- M ; A„ 41 Master Permit 1F,%OW Owner's Address / "7 h /1/:45 5p y 7, SS# - 1/ /44,04 /C4D State # .rti33 14/(rlunicipal # Competency # Ins .Co. , �' 1/4,-1 Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 'me , raa/ e"WI 41' /ea Phone 7.:4/— �4�� , t / 4 4 ? / a Address 7 7 9G Q.e / e Wee /Pd( - Phone 1'''I0 7-- '17 S'- `0 f r7' Bo Square Pt. ,W Estimated Cost(value) J e l 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 cons ction . Furthermore, I authorize the above -named contractor to do the work state Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: ** * �r FEES: PERMIT /" RADON C.C.F. to 4 ' NOTARY I TOTAL DUE "'1 0 APPROVED: Fire Zoning Buildi Mechanical Plumbing( ignatur of Contractor or • -er- Builder Date: 7/-V . __4/ g , � . .it Notary as to C My Commission tr nn Other Electrical Engineering 305 - 785 -1110 r Passed x . In' Inspector Comments a Failed Correctio Needed (Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until i nspection Number: INSP -8183 Inspection Date: 01/31/2006 Inspector: Grande, Claudio Owner: Job Address: 170 94 Street NE Project: <NONE> Contractor: Building Department Comments Monday, January 30, 2006 inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i2 Miami Shores Village, FL 33138- Block: Permit Number: RC -1-06 -234 Permit Type: Residential Construction Inspection Type: Re Occupancy Work Classification: Re- Occupancy Phone Number Parcel Number 1132060132950 Lot: Page 1 of 2 (Rev. 10/02/03) RE- OCCUPANCY A 1111) PLWAT ON Date / / 7 Contact Name 'A» 4 / t Ills _ Buyer �Seller� Realtor s hy Company Name Property Address /i® ao f07 City Miami Shores State Fl Zip ae, h //e 54 /aa rd c.k.6; e4et,' I hereby certi that I understand that the zoning of the property is for single- family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village certifies only that the referenced property is being used for single- family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on the property. Applicant Name Signature by My Commission Expires: Miami Shores Village Building !Department OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 Permit No. !LL o - z 3 q Loc ID Pho ne # ���� /S��(4 The foregoing instrument was acknowledged before me this 27 day of , 20 06' , NOTARY PUBLIC: r obis personally known to me Building Officials Approval: ho did take an oath. Re -Occ. $60.00 Notary $5.00 CCF $0.60 Total