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253 NE 94 St (3)Owner's Name and Address . R.) Registered Architect and/ Name and address of licensed contractor Lot.. e/ E' f4 ....e P.. ? Block &. Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) Ncw Building Remodeling To be constructed of Kind of foundation u� Estimate Total cost of improvements $ 0 Building Inspector M OAMI S Chairman Member Member ,to -{ORES V LLAEE BUILDING INSPECTION DEPARTMENT A PLIICATOON FOR UOLOONG PERMOT Ow tir 2_ Application is hereby wade for the approyal of the detailed statement oi ore plans and specifications herewith submitted for the build inc or .other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mierni Shores VtIl.tgc, 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 ma specifications must be kept at building during progress of the %rook. tife Location and legal description of lot to be built on: ,5 /3 — No. ... E S' _ s 1E2-, S rn 1 PLANNING BOARD DATE Member Member Member _..__ and for no other purpose. Addition Repair No. of Stories _ R f Covering Amount of Permit a Zone cubage required plan Cubage J Distance .to next ne.uest building Size of Building Lot 7S `.�.._I Z 2 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 oi labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Penna01•nt Sop clement, anti has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractor, employe • by him in the work to be performed under this permit; and will post or cause to be spec site of the era ' b lit notice or notices as arc required by the Act. The undersigned agrees to employ on such Bubo° actors, eta t ) be it r under this pcnnit, as are licensed by Miami Shores Village. ` l Rern.uks (Signed)...._ ... STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the come, and that all facts therein by him stated 6 �e true. Permit No.._..L.1 J Disapproved Date. (Signed) Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires to me well known, 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 hem obtained from the I'Ltnnir. Board. A re Ice of $1.00 will be charged when such re- inspection in made necessary by Improper notice for inspection as faulty material: and /or workmanship. 1 April 11,1986 LAZAR® D. ALONS , PE.,P. S. 147 ALHAMBRA CIRCLE # 230 CORAL GABLES, FLA. 33134 PH. (305.) 448 - 9488 Mr. Ronald Ferschke 253 NE 94th. Street Miami Shores,F1. 33138 Dear Mr. Ferschke: As per your request one of our crews took certain Elevations in your property,located at the above mentioned address and also in the street adjacent to said property.- The Elevations are as follows: Elevation of the Center line of NE 94th. Street: Elavation of the natural ground: Elevation at back of sidewalk: Elevation of the Floor,at the entrance door: Elevation at the garage: Elevation of the floor at living room: 10.29' NGVD 10.6' NGVD 9.55' NGVD 12.25' NGVD 10.31' NGVD 11.47' NGVD I Hereby Certify that these Elevations are true and correct to the best of my Knowledge, information and belief, and were taken under my direction.- Very Truly Yours, L zaro D. Alonso,P.L.S. Professional Land Surveyor No. 3590 State of Florida. / (4 � Lot Block r l � r /, i ( O 9 / ,� Contractor Plat Restriction CheckeW by Zone Req.Cu.Ft. To Planning Board._, Re- Submitted to P.B. Plans & Spec. Checked by To Council Approved Bld . Permit No. C !� , �'' ! ^ l J %� Fee /( g it Date /,, ,, Type �� � �� V e Stories New Construction Plumbing Permit No. Septic Tank Sewer Phis c' 1 New Const. electrical Permit No. Fixtures Heater Mot ors Misc'1 New Construction Building Inspection Foundation Beams & Lintels Final Final Clean -Up Plumbing Inspection Roughing Fixtures Sower Septic Tank Solar Heater Final Certificate 6� // / j! l�/ A Owner's General Name Dat.Q i r o .iv i s ion Lic.No. -ueCont. _ <7 4 Approved Re jected Alterations Alteration By Eieccrical Inspection ate P.oug.aing Fixtures Final Temp. O.K. Service O.K. to Power Co. �i `, _ __ Lie .No B.Y. Alteration By 0 Approved Rey -insp Re -insp ,Re -insp No0 Streat Add. or Add. or Phone Roof %2 Repairs 11 11 Re •airs Cert.Occ Phone B Z/ Rejected Rejected rid Cost /; Fee Re •airs rr ` 11 11 ft By Re -Insp By By Re -Insp By ki By Re -Insp By Registered Architect and /or Engineer .......... Name and address of licensed contractor Disapproved , ¢ A' Date (Signed) ... MD SHORES MOLLAGE UILDING INSPECTION DEPARTMENT AbbPUOCATOONl FOR ®MOLD B PERM OT 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. l , Remarks (Signed) Date Owner's Name and Address. 71.4: .4: � No '' Street Notary Public, State of Florida � n Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) f and for no other purpose. New Building Remodeling . Addition.... Repairs No. of Stories To be constructed of Kind of fiun ation a___, Roof Covering / c Estimated Total cost of improvements $ •/ ! Amount of Permit $ Zone cubage required .Plan Cubage Distance to nest nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc 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. • STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that le has carefully read the foregoing application, and that he did sign the same, and that all facts therein by Mm ted are e. Permit No.__.. Date /f Read, Sworn to and Subscribed before me. Building Inspectd My Commission Expires P. 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 81.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. State ork to be done and pyrposc a Disapproved ( Signed) mil O A Mil 0 S H o R S V L L A E 0 Council Approved BUILDING INSPECTION DEPARTMENT APL LOCAT0 N F R ZUOILDONG pC °MlOT 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 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 approve plans and specifications must be kept at building during progress of the work. Owner's Name and Address . �� I ee Date Date No. .- .;_. Street Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot —2 '°' Block 3-6 Subdivision Z L i '' ( Street and Number where work is to be done d-4 72. j • .v S71 ing (by floors) - ( and for no other purpose. New Building Remodeling Addition._.. ..._ ..__.._.... Repairs No. of Stories To be constructed of Kind of foundation R Covering Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required Nan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. 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.__ ate 2,3 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLAN BOARD DATE Chairman /� Member Member Member Member . Member Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. C- 0 C 6 cAAL- este)-e- 7 - BU.DING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 7408 DATE Work to be _performed under this Permit BY Contractor's License No Address of (,� � / / f % /.; �� Value f Amt. of j ;_ r Building -- J1 If\ _ Project / o Permit This permit is granted to the contractor or builder na ed bove to co!struct the building or to install the equipment or device describe 'n the appli- cation herefor in strict compliance with all ordinances pert, ` ing thereto and 'th the understanding tha work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted 6 an ap ved by the pr.. • municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or ' the plans a changed .ut authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder namedbove assum,•s the . sibility for a thorou h knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the pla ,ofdraw•.:S r . ` state ents o ca a s nd that_heassu s r• ".pon- sibility for work done by his agents, servants or employees. /% j ' Siggidd• ' BY IN' °'ECPOR \i i In consideration of the issuance to me of this permit I agree to Oro rm ork covered hereunder in compliance with all ordinances and r- gulations pertaining thereto and in strict conformity with the plans, drawings,, ta tem a " or specifications submitted to the proper autliiorjties of Miami Sh�r Village. In accepting this permit I assume responsibility for all work done by i myself, my agent, servant or employee. ' C OR BUILDER -C 'CI- `" AUTHORITY 194 LOCATION 253 N .E. 94th s t o E2 20 -21 Block 28 J 0 S° Se c o 1 GARBAGE TAX RECORD PAID BY YEAR ; ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER 1940 v o 1941 1942 1943 1944 - 1945 1 ✓. � �y� �Ll. �l o f [ H►� h : 7 1 1 � ,�. ( 1946 O �,_ q - I- _�� a . d (L - - /� d [ 2 (D> /9/4(! 1947 1948 l o � ' O c/ /2 - 47/ fj ' ®® / l 1� -_ . ® � _ G _ /- 6- lbr 1/4 f, 1949 �4.0 /`'ci 9f It /--/A-* - 2 , /A 7 iv rv.9 ��j� A - .E 12 / .. 6 1Y- rb6 1950 ,/ /d g/-3 -v 1 LOCATION 253 N .E. 94th s t o E2 20 -21 Block 28 J 0 S° Se c o 1 GARBAGE TAX RECORD 253 N. E. 94th St. by year annual tax period used amount paid date paid receipt # Lucille Patresak 'IT s / /a_cm) /a. / / y s a- /0 7,2 �� ��- /0 ` - s • sa a 6.5 /7 h M IAM SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whetl in specified or not. A copy of approved plans and specifications must be ke f at building during progress of the work. 4 / at � Date / rI '' � �� Owner's Name and Address_____ / ..i l r� � No._ _ 2 �� � � ��� Street__ Registered Architect and /or Engineer Name and address of licensed contractor Location and legal d .s ,,cri Lion of lot to be built Lot _________�' la1ock �'��I) S bdivision _ Street and Num lYer w ere work is to be done � 4 _ State work to be done and purpose f building, (by floors)___ Y'� n and for no other purpose. New Building 1 , Remodeling Addition ( R / epairs No. of Stories �U To be constructed of_,`2%:) a Kind of founda Roof Covering Estimated Total cost of improvements $__ _ -0. o ____Amount of Permit $ Zone cubage required _Plan Cubage__ Distance to next nearest building STATE OF FLORIDA COUNTY OF DADE. ss. and who, being b of the above desc therein by him sta r C Disapproved ( Sign me bed d a Permit No. 1 ! Da Building Ins ■ H o D ctor PLANNING BOARD _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 ublic 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 (Sieved) Before me, the ndersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, irst duly sworn, upon oath deposes and says that he is the construction, that las carefully read the foregoing application, and that he did sign the same, and that all facts e true. 21 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires_____ DATE Chairman _____ Member Member a 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. OWNER'S NAME • - jft,--41wA Mrs,..A, Petrasok •PR €SENT 253 1T.- E,, 94th -• LOT , ADDRESS.. St- -Poet BLOCK .d LICENSE NO. SUBDIVISION PHONE NO. LICENSE NO. g • • JOB LOCATION-(ST. OR AVE.) 253 N® E. CONTRACTOR GENERAL A G reet Ovner- Builder ADDRESS PHONE NO. v9 D �Q BUILDING PERMIT NO. /4 y ,' DATE 12/14/ 48 PERMIT FEE $ 20 50 BUILDERS BOND NO. DATE ZONE PEQUIREMENTS CU. FT. PLAN CUBE CU. FT. EST. COST $ qqp�� DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY oTha DATE • NEW CONSTRUCTION TYPE N STORIES i ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCRIPTION ALTERATION DESCRIPTION Screen Porch Z ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED 12/14/4 REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. I ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BYY RE- INSPECT BY RE- INSPECT BY FOUNDATION 12/28/43 ME TEMPORARY SERVICE $ BEAMS & LINTELS $ SEWER FRAMING 2/3/49 JDH $ GAS $ S INSPECTIONS FINAL OA LC 1 RE- INSPECT BY RE- INSPECT BY ROUGHING CLEAN-UP GAS CONTRACTOR PHONE PERMIT NO. 1 DATE FEE $ NEW BLDG. ' ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK $ SEWER $ SOLAR HEATER $ GAS $ S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING GAS SEWER SEPTIC TANK SOLAR HEATER FIXTURES CONTRACTOR PHONE PERMIT NO. DATE FEE S NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. S RANGE CONN. S MOTORS S FIXTURES S S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL SUILBING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL. TO POWER CO. FOR SERVICE DATE SY BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE 194_ PERMIT N. , 4024 Contractor's License No. Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot - Bi. Description Subdi- vision Address of Value of Amt. of Building — _ __ Project 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 appli- cation 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: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. _ray CONTRACTOR 011 BUILDER BY AUTHORITY Location and l egal description of lot to be buil on: Lot 2 / (° c� a U Block __._° __ Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) 4� . New Remodeling_______________ Addition_ Distance to next nearest building Maximum live load to be borne by each 11 or I hereby subVY th be sent to STATE OF FLORIDA, COUNTY OF DADE. appeared f 4 lw 1-/ J 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 regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. / / Date__ —0_ °? , 19 Owner's Name and Address A ✓ % —• ._ "� ' No._ _P_�— Street ,ld Registered Architect and /or Engineer �!_ ���%" /" "=/ Name and address of licensed contractor OF l/ i' = ' =- , 75-0 To be constructed of________ —__ Ki wy. foundation Roof Covering Estimated Total cost of improvemen _Amount of Permit CA r r _ Plan Cubage _Size of Building Lot 5 ans y pecifications for said buildin The undersigned .rplicant for this ilding permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen'. ompensation 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 ork such public notice or notices as are required by the Act. The undersigned agrees to employ only such subs• . ractors, o work e performed under this permit, as are licensed by Miami Shores Village. � 4 Remarks (Signed) r , / Before me, the un • crsigned authorit , a ngtary public, duly authorized to administer oaths and take acknowledgments, personally Permit No Date_ Disapproved __ _____________ Date (Signed) and for no other purpose. Repairs No. of Stories zaky ( �' and who, being by me first duly sworn, upon oath deposes and says that be is the _ of the above described construction, that be has carefully read the foregoing application, and that he did sign the Erne, and, that all facts therein by bim stated are true. Re , Sworn to nd Sub b before me. s , Notary ubfic tate of Florida Building Inspector My Commission Expires ding and its co Lion may to me well known. PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved__-__ _ Date Disapproved ___Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. BUILDING INSPECTION DEPARTMENT ' , 2--J APPL�0CATOOfly FOR :_,UuL.DDNO PERMOT ' — Ap is hereby uinde for the approval of the detailed statement ur we 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 off not. A copy of approved plans and specifications must be kept at building during progress of the work. 4 . Ba. J'/ ' 7Dote. � .._. _ .._L. , I0[Z._ Owner's Name and Address .... a. (4.4..s1 Registered Architect and /or Engineer ,!••••,,,,t111111, Name and address of licensed contractor 0 1 -4-?.!1).. 1 4:_re Location and legal description of lot to be built on: ts. .�........ Block ...... .. Subdivision '2) Street and Number where work is to be done State work to be done and purpose of building (by floors) - S.a and for no other purpose. New Building Remodeling Addition Repairs / To be constructed of land of foundation Roof Covering Estimated Total cost of improvements $...... Amount of Permit $. Zone cubage required .Plan Cubage Distance•to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. The undersigned applicant for this building permit does hereby certify that of arbor under the 'Florida Workmen's Compensation Act, being Section 5966, and has complied ith the provisions thereof, and will require similar tom in the work to be performed under this permit; and will post or cause .e po or notices as arc required by the Act. The undersigned agrees to empl•y only s pcnnit, as are licensed by Miami Shores Village. Remarks . (Signed) STATE OF FLORIDA, COUNTY OF DADE. } ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the name, and that all facts therein by him stated are true. Permit No.._...._ ......... — Disapproved (Signed) Date Read, Sworn to and Subscribed before me. Date Building Inspector MDAMO SHORES VOLLAGE L /3Z_ he understands and accepts his obligations as an employer Compiled General Laws of Florida, Pert,- ent Sup »lenient, II contractors or sub- cnntzac empl e• by him sted for in pecti site of the sue' c notice uch au ntraptprs, ota to . rfo nder this Notary Public, State of Florida My Commission Expires No. of Stories — to me well known, PLANNING BOARD DATE Chairman Member Mcrr,ber Member Member Member Council Approved Date Disapprov.•• : 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 1'Lrnnir,;; Board. A re inspection fee of $1.00 will be charged when such re inspection in mode necessary by Improper notice for insp limit ea faulty materials and /or workmanship. Application is hereby wade for the approval of the detailed statement ur we plans and specifications herewith submitted for the build • inc 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 oII 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 r Owner's Name and AddressR0..r.4.0+..D R Street ......�Z._..�F./."�_. Registered Architect and /or Engineer �`"� ^ r „• .,. Name and address of licensed contractor Location and legal description of lot to bbuilt on: Lot Z / Block (Signed) MDAMID SHORES VQLIA E BUILDING INSPECTION DEPARTMENT APPLiCATO N FOR LHL ®U � PE MIT Subdivision OP Street and Number where work is to be done ?1-5: State work to be done and purpose of building (by floors) t.J t "/ ° '-J C g.1'?Sr.'fz. T" �c�.cu.�.,._ C.UI y00� Ode �,wi a —qc�. / 1.. w��a wr 4 , os � ,4�+ ►�.._ Lt.) .4 4l�. f'*.,>L.e 0 It. .........2 l,.A5..L - rte 8'NI ! "` D. 5t. .0..._ and for no other purpose. Ncw Building Remodeling Addition ..... Repairs No. of Stories To be constructed of - 3 04 ° "C Kind of foundation. Roof Covering Estimated Total cost of improvements $ 460 0 Amount of Permit 8. Zone cubage required .Plan Cubage g Distance .to next nearest building Size of Building Lot 7„5 X / Z 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, P 'manent Supplement. and has complied ss ith the provisions thereof, and will require similar compliance from all contractors or sub - con ors empl yed by him in the work to be performed under this permit; and will post or cause to be ection on the site of t ork cl/ ublic notice or notices as are required by the Act. The undersigned agrees to employ y such subcons actor on weer 40 Pe , - under this pcnnit, as are licensed by Miami Shores Village. Remarks.... (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss• Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared - - to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No .1.1..r Date 10 — k 3 ° _._ Read, Sworn to and Subscribed before me. Disapproved .... Date Notary Public, State of Florida Building Inspector My Commission Enpires 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 I'Lrnnu,.. Board. A re rnspection fee of 31.00 will be charged when such re- inspection is mad0 necessary by improper notice for inspection or faulty materials and /or workmanship. Legai description: Lot: .PPLICATIOi FOR CERTIrICATE OF RE-OCCUPANCY U S ✓v a_W(Sol,L) hereby apply for a certificate to re-occupy the single family residence known as: (address) S 3 / J 9 Y l�fiami Shores, Florida. ,.Bloc.': ,PB&PG: I hereby certify that I understand that the zoning of the property is for single- family residential use and that it is unlawful for more than one fatly to reside therein.. I also understand that any Certificate of Re-Occupancy that may be issued by Nfiami Shores VUlage, Florida, certifies only that the referenced property is being used for sine- family purposes and that such Certificate does not constitute any representation, warranty or ceritication as to the condition of the dwelling. or other structures on�� ch property. A,olicant: Print Name: - Susa,1 / k ) Date: ii /A3 97 asaaaaaaaaaOuaaaaaaaaRattaaaRassaa9 as aaaalTaaZZttaaaaaaaaRaaaaaaaRah For the purposes of conduc ng the inspection required by Se von 902 of the Miami Shores Devetopmeat and Zoning Code, contact: Comm Name: Zia V . d Telephone: 2S9- / o� CP � J U Buyer: Seller: !/R Ltor._ Company Name: Instecion: By Application Fee (SSO) Paid: Cash:_ Check : ri fiber: Approved: :Denied :Date : //` ? CERTIFICATE OF RE-OCCUPANCY On behalf of lvfiami Shores Vllaee, Florida, the undersigned certifies that the property described in the application has been inspected for the purposes of re- occupancy pursuant to Sections 901 and 902 of the f ami Shores Land Development and Zoning Code and that such property may be re- occupied by the applicant for single- family residential purposes. MIAMI SHORES VILLAGE, FLORIDA By Date of Certification:, THIS CER 1 Ir 1C ATE VER FFIES THAT 1 ti: REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE 1(1L -OCI SHORES LAND -tND DEVELOPMENT CODE PERTAINIi`iG SOLELY TO 1Hr: REQU1RE1► N1 THAT EACH ONE- F.2vQLY DWELLING IS USED AND E 'ENDED TO BE USED FOR A ONE-F..-0fILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PR,EISIISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND E TERESTED PARTIES ARE ADVISED AND ENCOURAGED TO MAICE IiEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMDT THE CONDITION THEREOF.