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374 NE 95 St (11)RMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ° , 2 . T J b Address 31 ` ' Ix /3I Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant S A 4 ae - "P/'J f71 NJ Master Permit # .jl S (? =j Owner's Address 51' N C ic S` 61,x{ 4 eit4 S 4-10 a- Phone '<\-) ' 1 110 i Contracting Co. 4Gei/ --LJ Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): UILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION � � / 1\j( 1no j ' C'a 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 are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature-4f, ei an' %or Condo President 1 a - Signature of Contractor or Owner- Builder Date Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder Date My Commission Expires: FEES: PERMIT 37.10 RADON My Commission Expires: C.C.F. NOTARY TOTAL DUE tt,� ee APPROVED: Zoning Building Electrical 5iX1114N. Mechanical Plumbing Engineering MICHAEL R. COUZZO. JR. VILLAGE MANAGER 1) MINUTES - March 9, 1995 4) ADJOURNMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138.2382 TELEPHONE (305) 795 -2207 FAX (305) 756.8972 MIAMI SHORES VILLAGE PLANNING & ZONING BOARD THURSDAY, MARCH 23, 1995 6:30 P.M. AMENDED AGENDA 2) DISCUSSION AND POSSIBLE ACTION REGARDING LIGHTING AT THE BISCAYNE KENNEL CLUB 3) APPROVAL OF WHITE PAINT FOR GRAY ROOF TOYA & DUBIN 374 N.E. 95TH STREET THE VILLAGE OF MIAMI SHORES COMPLIES WITH THE PROVISIONS OF THE AMERICANS WITH DISABILITY ACT. IF YOU ARE A DISABLED PERSON REQUIRING ANY ACCOMMODATIONS OR ASSISTANCE, PLEASE NOTIFY THE VILLAGE CLERK'S OFFICE OF SUCH NEED AT LEAST 72 (3 DAYS) IN ADVANCE. PURSUANT TO CHAPTER 286.0105, FLORIDA STATUTES, IF A PERSON DECIDES TO APPEAL ANY DECISION MADE BY THE VILLAGE COUNCIL WITH RESPECT TO ANY MATTER CONSIDERED AT SUCH MEETING OR HEARING, HE MAY NEED TO ENSURE THAT A VERBATIM RECORD OF THE PROCEEDINGS IS MADE WHICH RECORD INCLUDES THE TESTIMONYAND EVIDENCE UPON WHICH THE APPEAL IS BASED. 3/a3 /q S PLANNING BOARD AGENDA OF D ee 994 ITEM NO. Name of Owner /Applicant :& Andrew Dubin Phone No. 758 Address of Property, and /or Legal Description Nature of Request Approval of white paint for gray roof Present Zoning Area of Present Area with Proposed Addition Parking Spaces Provided Parking Spaces Required with Addition Setbacks as per Code Setbacks Provided d I LIGJIII j10=91:fiage 3 Variances /Zoning Change Council Action Required No Date of Applicant Notification Planning Board Action 374 N.E. 95th Street Council Action Director. of Building and Zoning lol V 1 t �- ?d- - acacck P ITEM #4 REQUEST FOR APPROVAL OF WHITE PAINT FOR GRAY ROOF TOYA & ANDREW DUBIN 374 N.E. 95th Street Mr. LuBien stated the reason for the request to paint the roof white. Ms. Toya Dubin addressed the Board as the homeowner. She indicated that in order to restore the roof to its original style, she must paint the color -thru grey barrel tile. Ms. Dubin stated that when the roof was replaced last year, she was unable to purchase the exact tile which had been previously installed, as it was no longer available. Other manufacturer's color -thru white tile did not meet the specifications of the previous roofing tiles. Mr. Smith detailed past conversations with Mr. LuBien regarding the probability of the homeowner wanting to paint the grey tiles at a later date. It was the consensus of the Board that the roof should be painted, however they were concerned about setting a precedent if they moved approval. Chairman Walters suggested that due to the architectural design of the home, the Historic Preservation Board could be asked to make a recommendation and declaring the home an historical landmark. Ms. Dubin stated that she wanted to restore the home to its original art-deco styling and will take the necessary steps to ensure its integrity. Mr. Smith was asked to act as liaison between Ms. Dubin and the Historic Preservation Board. This item was tabled until such time as the Historic Preservation Board can make a recommendation. ITEM #5 REQUEST FOR APPROVAL OF VARIANCE TO PERMIT FURTHER CONSTRUCTION TO MAIN BUILDING AND THE INSTALLATION OF A SWIMMING POOL SAAD MAHMOUD 1100 N.E. 91st Terrace Mr. LuBien indicated this item was before the Board due to existing non - conforming set -backs and the homeowners request to build a swimming pool and an addition to the home which would further the non - conforming status and require a variance. Mr. Franklin Grau, Architect, was present representing the homeowner. Mr. Mahmoud was also present. The question arose regarding Code requirements for front -yard swimming pools. Mr. LuBien and Mr. Grau both indicated that the Village Code does not specifically address the issue of front -yard swimming pools. Mr. Grau pointed out a number of peculiarities with regard to this home. The home was built prior to the Village's incorporation. The front yard was previously the rear yard, and the rear yard, previously the front yard. When the home was constructed there had not been a road to the rear of the house. In addition, only a portion of the property is within the current Miami Shores Village limits. The other portion of the property is situated in Unincorporated Dade County. Due to these circumstances, theorequired set -back limits are non - conforming to the Village Code. Mr. Fann stated that he did not see a problem with expanding the non- conformance of the property. Mr. Smith asked to review the property file which Mr. LuBien supplied. Mr. Smith pointed out that the house is a duplex property with a shingle roof and voiced his concerns regarding the number of non - conforming items related to this property. Mr. Smith asked the homeowner if the property had one or two kitchens. The homeowner indicated that the house has two kitchens but only one family resides in the residence. Mr. Smith was reminded that the issue at hand was a set -back variance. Mr. Fann suggested that a covenant be used to require the homeowner to remove one kitchen and to state the property's use as single 2 . Village of Miami Shores Building & Zoning Dept. 10050 NE 2nd Ave. Miami Shores, FL 33138 Attn: Mr. Frank Lubian Dear Mr. Lubian, TOYA & ANDREW DUBIN 374 NE 95 Street Miami Shores, FL 33138 (305) 758 -1110 As per our telephone conversation, I am writing to request a variance that will allow my husband to paint our roof white. We bought our house about 4 years ago having fallen in love with its unusual Art Deco style. Our house was built in 1941, and is as far as I know, unique in the Shores. At the time it had the original roof which was large cement Cuban tiles mortared in the "one up, one down" style. The tiles were cement gray, but had been painted white many times over the years. After Hurricane Andrew an existing small roof leak became a major problem. We decided to completely rebuild the roof. After interviewing many roofers, we found one who knew how to duplicate the original roof. We waited more than 6 weeks for the tile to arrive because we wanted exactly the same tile. We even replaced the old copper flashing with new copper flashing rather than opting for cheaper, more modern materials. The cupola on the top of the roof was rebuilt in solid copper by an old Cuban craftsman who has since retired. The only step that remains to bring the roof back to its original glory is to paint it white to match the white Art Deco details of the rest of the house. It is our sincere hope that you will make an exception to your rules in this case. Quite obviously, a gray cement roof is quite inelegant in comparison to a white one, and it would be an injustice to the house to leave it this way. I have enclosed both 'before' and 'after' photos of the house with white and gray roofs respectively. Please return these to me when you can, as they are from my photo albums. Thank you in advance for your consideration of this matter. We anxiously await news from you regarding our roof. Sincerely, ie Job Address j " -7 =a1 Description B11 ier's Address Lessee / Tenant ArA.- -4 1.3 "TO y ,I _ R te ' (�P Address a1s- E. I S itracting Co. � n Co a ,vi .lifier 7P cio L . A c_eAi n SS# 5 9 - ,3 -' 73 7 Phone es -- I L-I 9 S =te 3 7 Municipal #57"0.'��i!' 1 9- teCompetency o9"/ V rns •co, fi l Svgs Fur Off` -hitect /Engineer /■// Address / iding Company i/ 1 Address Wita- tgagor !n/ / f Address -wit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ( ROOFING }PAVING PENCE SIGN :K DESCRIPTION 0, r-orrr 2C2V•t^e, T 12 roar 0 / _ e, 4S• Goy �c�� T� ( c-TM,) •are Ft. 02. /CO :KING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR V ICE OF COMMENCEMENT). lication is herebkmade to obtain a permit to do work and installation as indicated above, and the attached addendum (if applicable). I certify that all work will be performed to meet the ndards of all laws regulating construction in this jurisdiction. I understand that separate faits are: required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. ER'S AFFIDAVIT: I certify that all the foregoing information is accurate and hat all work will done in compliance with all applicable laws regulating constr�rgtio , and 4oni g. Furthermore, .1 horize the above -named contractor to do the work stated =.ature of owne and /or Co e: /_). • ary as to Commissio * • * .. PERMIT 3 :OVED : Zoning * Mechanical Fire S7AiE 0= FLORIDA, COU:•I r 0.: DADE 5 + Tax Folio // -- ZD 0 Master Permit it Phone Estimated Cost(value) 10, c9t70. 0 Signature o Date: Notary My Co * - * * • Contractor or A1U elintialefic105 No. CC121882 er- Builder uilder ** RADON C.C.F. D a NOTARY TOTAL DUE 2:C C °w Other Electrical Plumbing Engineering V :16 Pc39O3 9 E'. HISTORICAL LAUMERK COVENANT IN CONSIDERATION of the dPR1gnation of the real property hereinafter described as an historical cal landmark by MIAMI SHORES VILLAGE, FLORIDA, a Florida mrrni opal corporation, the andPrsigned, being all of the owners of the said real property, for themselves, their heirs, executors, administrators and assigns, do hereby jointly and severally covenant with MIAMI SHORTRS VILLAGE, its successors and assigns, that no structure presently situated on the following described - real property shall be demolished, moved, or changed in the exterior appearance by addition, reconstruction, alteration or maintenance, nor shall any trees situated on said real property be destroyed or moved, until an application for a certificate of appropriateness has been submitted to the HISTORIC PRESERVATION BOARD of MIAMI SHORES VILLAGE and has been approved by that Board, or the Village Council on appeal Furthermore it is understood that an historical lanmarlc brass plaque shall be r9 attached to the front facade of the structure, Wh i nh shall always remain the property of M ANI SHORE'S VILLAGE, and shall not be removed from said property un1Pss this Covenant is terminated as provided for below, in whi r-h case said plaque shall be returned to MIAMI SHORES VILLAGE. Said property is legally described as follows: THE WEST 25 FEET OF LOT 2 AND ALL OF LOT 3 OF BLOCK 45, MIAMI SHORES SECTION NO. 1, AMENDED, ACCORDING TO THE PTAT THEREOF, AS RECORDED IN pT,AT BOOK 10, PAGE 70, OF THE PUBLIC RECORDS OF DADE COUNTY, T+ r. )RTT)A, A/K /A 374 NORTHEAST 9 511i STREET, MIAMI S' ORR S , FLA. HISTORICAT. LAHOEIZERK COVENANT PAGE 1 OF 2 THIS COVENANT shall =with the land and Shall terminate only upon the written consent of N»;MI SHORES y i 1.. AnE, or its successors and assigns, and the undersigned do expEr .R 1 y consent to the filing of this document in the Public Records in and for Dade County, Florida. THIS COVENANT shall be referenced by Official Record Book and Page in all fuLuie conveyances of said property, it being the intent to avoid the extinguishment of this covenant by operation of law under "the Florida Marketable Record Titles To Real Estate Property Act, Chapter 712, F.S. (1993). IN WITNESS ABEREOF, we on the 23 day of p -' STATE OF FLORIDA: COUNTY OF DADE . ss: [si [name o [Title or rank] OF AEC. .2.w 2P t have hereuato set our 19 WITNESSES: v OWNER(S): ,d bf HISTORICAL rim COVEHAH'1' PAGE 2 OF 2 hands and seals AKDREGT DIIB N on THE FOREGOING i1vSII4tIMKN•I' was acknowledged before me this 1 / (g�'�Y day of December, 1994, by TOY& DUBIN (owner) and ANDREW DUBIN J (owner), who is (are) personally Down to me or who has (have) produced TA l (1q.5 LI C2tIS-e . as i dentification .m A. . �-�- •/"' i ,,/ notary typed, printed or stamped] �C 137137 • �`` ffr [Serial Number, any] g acknowledgment] RECORDED Dr OI# ICIA& RECORDS EaOR � RECORD mimics COti . FLORIDA. HARVEY RUN 1N, Clerk cf Circuit & Counh Courts Date 5 Legal Description Owner's Address 3 C 9,s Phone Contracting Co. /1�bo czciaJr;v„ Address a1 S .-- E. I • 441 t ► u Qualifier 71.v,o L • A WO CD S Sit Phone g'8 " 1 9 5 # 5,47 9 3 7 Municipal #00 Competency # /Q09 / // Ins .Co . n ea Tin syceis at, 02)4 State Architect /Engineer n// Bonding Company !� ita` Address Mortgagor Permit Type(circle one): BUILDING ELECTRICAL OR MWK DESCRIPTION .40, real 04 20(n/"&/ / e il r�d . + Guy Bac(e.\ \ (c Square Ft. 02. /CO Estimated Cost(value) j0, e7r ) ..� • c>� Dade 62),;(4 ag3 C fie_ ∎Nk. �r p1 e G ce 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 hat all work will be done in compliance with all applicable laws regulating construction and accurate g. Furthermore, I a}�thorize the above -named contractor to do the work stated w1 IL1l1s bond• • �+ I o5R4 rc State of Florida My Comm. expires :?u :: 27, 1995 No. CC1218c2 Signature Date: Notary as to My Commissio APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address Lessee / Tenant Pona.re �� — a.k6vv -� ln -Tb y a, Master Permit # of owne and /or Con•'• President • * trrj iwi�� 3 y� E a5 s ent Fire PLUMBING MECHANICAL * Address Address Signature o Date: Notary My Comm Tax Folio I /-- 3ZocG - 0/3 �vtVf 7 t � � ) FEES: PERMIT 3 /Oi®/) RADON C.C.F. .� bfj NOTARY Zoning Mechanical Plumbing V // ROOFI G "sir � 1 "sir s No P i 9 3tRt aNa MMCCmm a ttliIaneS/ ;1995 No. CC121882 Other - PAVING FENCE SIGN Contractor or 1 er- Builder r- ** TOTAL DUE t �� Electrical Engineering • PERMIT NO. TAX FOLIO NO. // wog 46 / „A// STATE OF FLORIDA: COUNTY OF DADE: 973R26377% 1993 MAY 28 12 :09 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and s eet ddr ss /ik 5 ` 2. Description of improvement: 3. Owner(s) name and address: •vv w,,., &L3(Yl. �t- L) 17 '3 7 4 1 Al 6 9-C S+ W(ao►-,i s Interest in property: 0e..1 Y∎e.- Name and address of fee simple titleholder: "1P-- 4. Contractor's name and address: 3`'tcL 150 4 rt roc() 2' - E / r s /tic I 13c3 5. Surety:(Payment bond required by from contractor, if any) Name and address: Amount of bond $ - 6. Lender's name and address: t/Il4-. 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Stat tes. Name and address: // 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statute . Name and address: 9. Expiration date of this Notice of CQq�imencement: (the expiration date is 1 year from the date of recording unless a different date is specified �f ) Signature of Owner Print Owners Name Sworn to and subscribed before me Notary Public Print Notary's Name My Commission Expires: NOTICE OF COMMENCEMENT 44CQr -cc,) f)t day of r�-t�•. %L �ie.1 Official Seas Public, Star: expires .L • ' No. CC121bi;2 . STATE OF FLORIDA, COUNTY 0. DAD 1 4' a rfiis is a Prvo aP of,fS;:2 1. E. ' K1 VricV h :. ' iii J! (i s. (- • cadC�u�4yCo�{7 19 93 . Prepared by: f , 773 din /e 4/11`,414..1.Sptr rj �L PLANNING BOARD AGENDA OF December 8 � 1994 ITEM NO. 4 Name of Owner /Applicant -& Andrew Dubin Address of Property, and /or Legal Description Nature of Request Approval of white paint for gray roof Present Zoning Area of Present Building Area with Proposed Addition Parking Spaces Provided Parking Spaces Required with Addition Setbacks as per Code Setbacks Provided Variances /Zoning Change Council Action Required No dJ tiamI c! Motes I lliagC F L O A 1 D 4 Phone No. 7581110 374 N.E. 95th Street Date of Applicant Notification t) 95" Planning Board Action Council Action Director of Building and Zoning Village of Miami Shores Building & Zoning Dept. 10050 NE 2nd Ave. Miami Shores, FL 33138 Attn: Mr. Frank Lubian Dear Mr. Lubian, TOYA & ANDREW DUBIN 374 NE 95 Street Miami Shores, FL 33138 (305) 758 -1110 As per our telephone conversation, I am writing to request a variance that will allow my husband to paint our roof white. We bought our house about 4 years ago having fallen in love with its unusual Art Deco style. Our house was built in 1941, and is as far as I know, unique in the Shores. At the time it had the original roof which was large cement Cuban tiles mortared in the "one up, one down" style. The tiles were cement gray, but had been painted white many times over the years. After Hurricane Andrew an existing small roof leak became a major problem. We decided to completely rebuild the roof. After interviewing many roofers, we found one who knew how to duplicate the original roof. We waited more than 6 weeks for the tile to arrive because we wanted exactly the same tile. We even replaced the old copper flashing with new copper flashing rather than opting for cheaper, more modern materials. The cupola on the top of the roof was rebuilt in solid copper by an old Cuban craftsman who has since retired. The only step that remains to bring the roof back to its original glory is to paint it white to match the white Art Deco details of the rest of the house. It is our sincere hope that you will make an exception to your rules in this case. Quite obviously, a gray cement roof is quite inelegant in comparison to a white one, and it would be an injustice to the house to leave it this way. I have enclosed both 'before' and 'after' photos of the house with white and gray roofs respectively. Please return these to me when you can, as they are from my photo albums. Thank you in advance for your consideration of this matter. We anxiously await news from you regarding our roof. Sincerely, Dace 5 2F- 93 Job Address 3 -7 "1 rJ E Q 5 S4: 1 /I 7 Legal Description iJ� / oC cY J c' q // ' - - 4/ � er Lessee / Tenant igrrA.rc %..� 11=6:N. 4- 0 -1-0 y q, Master Permit t0 J Owner's Address 3 - - - ? i. e 9 ,S 5'• Phone F'C Contracting Co. PC--loo RaccZiA3 (--.1( Address "D.,1S"' E. 1 S S4 ��i a (asth • 3 �rt c, Qualifier (P iro L . 11 c..e.10 SS4C50 9 - 30 - ' 737 Phone T85 " 1 h-.4 9 State # ' ilo 23 7 Municipal 0 0... 5'yC9 Competency # /Q V Ins.Co. fief J,,,s, „XS Fh, OA Architect /Engineer /.// 4 Address r' id Bonding Company 1/014” Address (it)/l4 Mortgagor JAI /V Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING AVING FENCE SIGN FW K DESCRIPTION QD.r -( O'C' 0QV•te 1 k rod t.)0A G.Yov"-ew.÷ 4S Dwg.e 31c93 C-0443, RotAar A t Gcey Go Y "ce,\ -7 \ (Go ( tirThr Square Pt. c2. 900 Estimated Cost(value) / 0, 6t70 • cvo 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 here§y 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 hat all work will be done in compliance with all applicable laws regulating constrti:gtioz� and g. Furthermore,.I 1/ apthorizeth above-named contractor to do the work stated /. ll <2 C/ ! 1.4 t Signature o Contractor or of er- Builder Date: Signature of owne and /or Co . ;• / / ii i 0 At 11PACC:' frOSPreeState of Florida M y Comm. expires :+v a 27,1995 No. CCi;1`FN2 ' and i Date: Notary as to My Commissio ** * * . PEES: PERMIT 3 e' D,D RADON C.C.F. .7 ` Do NOTARY APPROVED: Zonin President ent Mechanical Plumbing_ STATE OF FLORIDA, COLJA T Y 0.= DADE * * * Tax Folio // -- 3ZD fa O/3 Notary My Comm e (o R P , Re&itA6it16}Ea en a#10010551995 No. CC121882 * r4Builder * * TOTAL DUE ..1:!; co, Other Electrical Engineering Ci Date Job Address 3/4- krf.. q c S ( Tax Folio / Legal Description Historically Designated: Yes ✓ No ., Owner/Lessee / Tenant (Syyq c 1.2) - 7)4_4E , / 'V Master Permit # PERMIT APPLICATION FOR MIAMI SHORES VILLAGE SrfR,4 -?A1 MT- Phone �� q ; -1[ Address c5 � ( } ��O La , f 4 � uA:c 33o S - Owner's Address Contracting Co. Qualifier SS# - - Phone s z - / 2—Z_1 State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Ncr e.te. e oc 4:51,c8 Square Ft. Estimated Cost (value) Z <dD WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. WORK DESCRIPTION ignature of owner ary as to 0 My Commissio xP d/or Condo President . P sa - Soo -10 /- 9� ndo ' Mid == -- CiALNCITARY S. GLADYS; V%LLA1 1 � I z Art IFUVIC SAT CF &LC- 1 COMMISSW No. cCih41 CGiL4Af Fes° FEES: PERMIT RADON APPROVED: Zoning Buildin Mechanical Plumbing Signs i e :f Contractor or Owner- Builder / --62 / y . � r s • �� I(1ot as t. o �� . .0, ,Q 4M1k� c�Z° /9 ;� �9' My Commission EgpiftCO3 MISSION EXP. 1y11�� r,SZ�a l Date C.C.F. 11 V) NOTARY c BOND • a TOTAL DUE Date `? Electrical Engineering I ,Ca Le -Actu -e e_. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address vhWei - , MA MA SHORES VILLAGE (' .DEl3G UNSPECTBON DEPARTMENT TMENT PpLLO! ',- FOR 8LJILDOu' S PERMIT Registered Architect and /or Engineer Name and address of licensed contractor 4_d_, Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done ,-- _ ZZ , � o 7,./ S% %/,, State work to be done and purpose of building (by floors) 4;_(:..2_,..._ _ ,. _ ____ _ __ . : :.i!✓?l___ / ' _' /'' -' '� /.' �) r PLANNING BOARD__ __ . DATE Chairman Member Member Member Member ..._ _. _ _ Member ._. Council Approved _Date Disapproved �7r Street ?_ o and for no other purpose. i New Building Remodeling __ ___ Addition Repairs ..__ No. of Stories.... < To be constructed of Kind of foundation - Covering__ Estimated Total cost of improvements $ _ _L- ^• ' 2 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 docs 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 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. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared , to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him { st�ated are true. (� Permit No.____-- I =1_ -° Date ` °�__ _ Read, Sworn to and Subscribed before me. Disapproved _ - - D 3 e (Signed) - --Llv ' �h L Notary Public, State of Florida Buildi +� Inspector My Commission E x p i r e s. . . . . . . . Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper not a for insp. :ion or faulty materials and/or workmanship. Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor M AM SHORES LAGE [�l a ®flN9G 1NS ECTION DEPARTMENT f ur TM3 F UHL 0 6 PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address i_ / cJrL efi Registered Architect and /or Engineer. Name and address of licensed contractor z __ ,Ad. gv__ ; E 3E Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 7 g 6:` r' _A_ State work be done. and purpose of building (by floors) —__. /Y 44-4 S ..C.J. t '� 4 °= 0' / y / Amount of Permit $ plan Cubage_ Size of Building Lot Date_ -- 6 19. 4 - Street and for no other purpose. New Building Remodeling Addition Repairs._ ____ No. of Stories 6.6NA._.. To be constructed of Kind of foundation Roof Covering___ _. f Estimated Total cost of improvements $ ;. Building Inspector My Commission Expires__ PLANNING BOARD__ __ . DATE Chairman Member Member Member - Member ..__ _ ____ __ _ . Member Council Approved Date Disapproved I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, 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 w k to perfArmed under this permit, as are licensed by Miami Shores Village. Remarks -- -- - - - - -- - - -- -- -- - - -- _ _ (Signed) STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date Read, Sworn to and Subscribed before me. Disapproved __ . _ Date Notary Public, State of Florida (Signed) 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 note • for inspe. ion or faulty materials and /or workmanship.