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549 NE 95 St (7)J A 4 :k • :ff.; ''• (1 2 GI t; ••• t. 1. "iYNT-.1, - It J.s t ?:o provide r-11 labor :ind -, : - Jatori1J7, t stinict ono lw f.1 71ori(1. L. Tho ene oondltfl of tit t;ontrct for : nontruction of rt Inftitotiz of. co '1 ,- rt3.c 1 to 44 1 't'o 1-tetry n •rt of thin snecIrloation. , • 4• 7' '!..!!qi InrLIjr In 'S.; YOnt:!'Ye't for 17 7 jnj, (.9Anetr 'rot 11-on - - \11_ Nvor to be o:rfora tho f)uner for f irUAL:1 (4e ry rr . r it f er -ill '10 n,;linnt to conforr f netwil e7.:.00noe nue-IllorEr3 1 :;1eor1:1 •to. 6, ' c. " j ij 2. 71 lot .shrfli ho clorcti trom :Yur7ps, .I'sr 10 fr Any clerlre 7 TI'T.T. crr16 to oenithn - fill •11 ; r1-1 rc•-fl;1 "0.1 f11 CtN'y; o. Fo'7 rot: L'ntel &.irorn In. • C. yc:c beams d. Floor 1r-ibv, t entr. firL;21co poro'i o„ troc on vood coltruction.. f. 1 "tnclov , 111.2 ("ider1"'n 07t arlve h. Hoh fInsLed concrete fAepE;. •,73.1q11. 'c.1 of q!- f5f olene rind muflt be /..1:::ended th 21uco - The .):f.inortinr. ror ooiloroto :3 be p.;..rt cor:ont, prts ?Find sncl aaj.00te. ircAf:Pluis s1.111 be rlacil.tne until 11 riteric:Is nr,; clvenly Concrete !:;111.1 be wcAcr AS ;7)rfAC.!tills 11 COrlrettl E' tort. The b 1.f.2ooctor ;:frl* a re::ort frarr. n pronerly brIt of drIs3e 7he )(:) ! left In for f - ;;orr, - 41,1 tttn trenollee. 0 Inv-Int cf the , 7,ntr.:JA Dooumente PO noce!.3„;-ry to con- - HCfl or plot 011:in '1 Footinl of oizeF, s snofl on , IttA.r. Lti 11 three Vs" co-tioao l'octi7„;4 Le pourFid con- tinuo .'9ur hc:11;t841 il CIA t,:]r fo.T.;tins to be 24 ;: 10' 4 t1LL 11 t to Le x •0' contirunlls. k 0o,7* for fi1.1 fol.i.ndction 7 , - nrotf! 111 of Al:Lrf.iien.b s'trentl: cnd Nil ors rft7J7f 1=q1.1 ));In In wr4.11s, 6 1.fr t rour 5,A bnrt., f112 bO . :.)oureA t1 7* v1.Lb tlho on ,!T•11 :7!.:.11 re In net ;el. ?1 6 rood, ( f CL$11,1s. :tvt exerciPed tc on ooa 7orrin'e,, 2rovldel T koot bIov to f'1:. r1 4 1`"!.1. ). IN v._'• • - . 1 1 or !n 1•3.qce L j t: aCtl *'. !Ind hp 3 1 10 4 16. 1)e 'oOn 1 on ell ttni:Dea reinforen v ih x to rofirl , 11, , tri7Y: eto. re, Ilia cd IL the for.L, tneir ros%oct:vc - ..;,der'6r1.toni7. nnrrete on VentIltnrs. • • '4 nince. he for corr?...':?te ...jo:47.7 "i.',..v. 121-1r1?: , .'..1)7.', 1 ...C.c.1 1... co of' 1 ,, lrt ,•,,-1- to 3 pqrt: ..,--..'„7 -.:, .7 - r1 .'.7'.0i, ' ', °7e:±e .F.;:' by VG I Utlf: 0 Air 4. " -T7) ... ..+! bc -:: "i,...;..' 7 Pi° ' 'Ire(' ! f.7..oncro to, , .. - . - :.Ail .1. f f e l m a t'- .1 1 :.:!cre-) .".. 5* 4 do:r,t Innhor, .LfoltL pipe sleovo, Ins2„ etc. T In . AFOn7, .rr;c:tIon's contprtc: 0: CnfrLtl v :Hrl 1 re • r1 .cos, iu J12'reot t;11 oter,, anti ton, • co:pletion 7. 'T nriei:T'. 1r, 11 be f:!.71('1 71.c! c:tel*Ier p(.1pa.: or T7i11. !ftoor d v:Indow cloP:ina lo4t :7J.1p .T1(.1. filled solir, • el;istle to ;..c 71.1 oH• to '.'ofles. 1. ThE„ A11 windows for entire totl. inelUded. f7. - s f tl.c orf e.. %i.ho Ai tvAe -6 3 T - All ”t 1a 'Yr..(.:r:t • nrolet "1..nlow - Rt:CL, %.C) ',1y11.1fv-r 4 W! t,. exi2el1t o9.tore 0.1.c0e n eFAL; th 5. — : " rr: • 10 E: 1-e 1E mesh "r tr-,res ffl Oe ell'.)7 to Y.:indoTs. 4.10.4,•-••■••■•.....■■■■••• ). T'ouL cr- i 'entry f:: shoL, 0 :7. le for oz to the tl.on to oucces2fuJ -- Ali - ett rel of tlic under . :411o1. , ,e It, It .1..:': 1urrftcr of thickneas ole 1cc h e 7 to Tricturo ootert of" • :zos IarJ. 17;_ret7e0 5;! conforr to ArnrInt,n r 7t.nthIrdv. f piece f:oni docctL, r1sab1e In tle 6rede, itc! tructurfd ? fif:_11. not 1).? 3„ ov rive. 4. .i•7; ot' Fro 5, he orr. joiGt:3 roluf be lo .2 Yodium grrJr nooF -, !,1-1e, or Fir, 7, 7 1; 7/no or ,:7re r. raYr1n, tr i. L nrt benrt r1red vAlves. burr t ill extcller 1' : str1p3 16" (p.c. - et fill ground: Tr:Idos. I . sbeqt :74b!-,-11 Tine. 9. C.::1-_ " : etc. ball 1O• 1" 1)3*tUE.; tc; co rYt belt v; ",..] x le" holt.„ Q.C.Ar's Floor jotste y - 10" (t1in Iot ftnA P - IC" o.c. noop joito c:J1f 1Je. brid&ed v!Ith 1 x heo.drs, et. ; crok on • in telr heiL,ht, ;,11 03 c :411 J • ?:arters 3 ht:11 be piked to piste - tj il Jo. *int ti cfet of eel- cure-ool brushed Ito loo' roof b s nrid 11 a.;".:2 j0J vilth • (:o on 1J116 di:. to floor' r !:in to stiolorts for ettrrInL first floor joI t S t3 .10't ends .:t rlIstonce of ontIs at fourition window bucks " 0 lu..-„Uor or t ?' aorlin: cc 71i11 receive one r7ronellirf.7 bruE7 (1...c on nil n ■•• I * t * ;( A' 112 1 ';';:`...,Z•,"; * * ' 7 ., ' .-„ r. • LT) I ' 0 ? ..;2. • * . ,'...q1 9 r •?.„ ,s2? "s ;1 :45 , el, • 1/1 -' rori : • (:;" (.;* , 1,7!, _ • . ;* cL:(; 'KT • r — ''CCO, 0" n , L."1 • C t, - 3, CITCi17;N Th e drainbora ends to Ixl[qer sIdo of tlle upper caoin,:ts, it11 L7 7Si TIL wi.de for oilier work, vIth 6" x 2' olore Urinbovrd Aopo sufficiently 4 to obviously arA.n. • 4. Ad :!.1 j:Aid 1I ?ortiaj coment Avetar th vrt,c!?s perfectly level cints .4!triLfit jol,nts shell be o1 o;7.e for btlIro 7t.t (yJ7vt.i free crrler:t or eefective urAII is t ; 7, r'()T1C ;11 'olors to 1,t7to1 r te 1. I t r The t.:_nder this sect., Yoek lath OVer furring-4nd. o1ve7ere rot b. Metal lcith cerrerl of' rnrvi ,r O ': , tectlor.s of »oo ii :Timionry, •..)f t11 speels1 Wnc:3 '! e r4 lth . cot c. hat pintor in color. tor i. Textared f1n1.4 pi:ister Lau '/;44.o eco.t kitcnan 6. Stucco oil:all , ,mt'arlor -; 'f of Cle b7). LLi. • f. Venetien bU. pidk 1 :Alora 4%. 14Th. Sht;11 Q c15.flto • - 4, • evor:y 1,earir, zaples not 1Tlovo. thon 3. (A shall e 46" .Cov o cr 1.•cLrirtv. 4, c.-CATP 0: -17C; as d5rocted by this oontrf *4411 be do6. 140t 7)1,1-,f4r szr.ltrA y th bnlldor. 6. Frrr.'f. E411n7.1 . ! 4, , • , 1 ntir PkIla fiboren :yo! shni1 be nf (1 .J1 .-,7 ror. -'•7 71106 tf noduLAted :!1.1rfafle • Ofrneted by the /1 plqster 1)771:1 have mixed tn- tegrnlly color to 9 poroved 'oy Ifhf= ;nvotec.:L; h. iD P1,7f shal1 b(4 soot[. :,)4.1c7,410A rid to n hard sm.)otn fjj. t ji r)).7ta67i bo, C. Onontys, so , 7\wr on or eiO ol-ster retli.rna 5 nt hoqds. u1n. olster 1 i bc31tr bn 7.1".1,41 S.h5.11 oorK4 COO,L 0011.A Or • • 7pr- i: portl co-lont rYirtt? 7',7,t1.x; 1tobe.7. • U-:rter )1d;lry— .1) C007 p5!:t. f'•,9 !4.'":11#1, I wilrov$,d tjiy,nt4"rip. TLe fttliSh - flr t ::1=1V 1 ":.rjr - - 41 tC 9, H)17. • the ,4rch1teot. a. Crort .f.‘f. (11 cutt:t.ni; lint; o tol revirnd or ., 71.37 in potroct con- lition nt thi. on of tc p !_t "AlP .r or 0 P43 rg2% a0R\ƒ1 «+ � ~2 Zl . ' J 22« < 52: 2+d §t S \? C\ ~ Kdd , 1•— , y? © / d ` 2 9 «' 2. , & : 22?» .1 §.« ' \! f Irish grnmel, otl7Fr '1.! 11,1 tn e41 of CO1 7 )7 , ;;Ant 10. CL.1";: pa1.4!:::Ims„ contactor ; P00- move s11 traces a iit frofr "r .t 1, pl t.1.1c '7`r!r. 111: wor :r.oto fro!. 11 r , 1 ?Y,YP7' " rrt c'r..:r■Im•Jyy rfc v:aratc•ictur .J2 4 :7 f! H17 etcr;coved in 11 GtnU 1, TY9 11. Nor 2. GL/-7 shall. be - 3. mitside. 4. '0(.17Y OF'.W Fa 1 ,cristolr ‘' irri 1 or! •I „f - .c '• c71 •Irid installstIon f 1 rcr ilo• 1.,. 7 ' tirtlY, e Z; j :." ;17, - )r.tpl ir„ * 2. !-%" rl a1c 20 . r„ c inrtal1ec1 in .131 rJ21 aachors, stivr „ Intrlookl!..n 3" 7 b0 r!tr17.:11. 1 . r't !II 1 1 The , , , .9.cal *Mr t o ever7 outle+ In 1 lw!:11 1 receptacles, fixturet, be11., -0 110 --rrwr.c of '01r.e.' verl 're c--.1 *1 r7.trIv •11 off.0.1 t I or. s nvern1r c p, 71TP "7' ni 1 rr, r lee! b-7 071 5, if., ;T1 Yt: q 7 Arrf.7,7 frc" „ Tr • tr r 1 r.M.1 trii,, r ri 17 i :.t:1111. t, 247601 rtr continuoLs from outlet to 1,4,:?.os, rftvc 77;7. •J.1.1.1 Fr 6. r :7G ire 1."tir 110 Q3,, ed T,-,bcrr..1 or '!'sor ti 1 71, :.; 71,, • , , 4; t; v.:11‘ 1,.;./■ re •Ar , ci • H.ti .4'. -4 _t • 4:0 let.l.tr:4=3F1 t t ftvo t p 'd '1 fl31C1 .30.1oeF. , ', • L tvv'O 1 • ° :).1.?..i !...! I 1 .;:s;a1") 14.; nq r ,, f7 3 4.- tueic a ;::, 4.LJ • ' I..' iP 11;11 r±s•; , • , . 1 601.1;12 "74: er; iJ , ;1.• • 41.1 F.11$3,1ven, ()tr. reWL-r shnJ..i u tIJ t t1tEd tractor tL Le; - t . rRct • 1 1. .`^;- , „ I.) t , irt t . 1". 1 Or 0 f 4^ :i 1 0 3' tE: t Jr" 1 tor 1:.r: r: fj x tur6 t: r.) 4 .7 i-n - 711F1 11% . ,),s1 • t , 1 C. trt.: Or 7.1 ," 0 "":.. ”-T-t 1 -4 ' i I r 1.0 rt-ko rt .0 7 1 ;. -t1 T ' t . 1 - 15 i sm -le • ‘. ) n ' LOLL 11 f4 tO o CO31.;rat „ 11.4,a 00e tO 6 0. • * 3■;; L. ;,•; 1.)1()m c 7 1; r' "r'r n 1 , 1,1 • " Ira ter or v i.ce r s .) re in r f r .ritt.)eci it) ryt 01 1 p for ;,tr;:..ir suv 1 c - <•: -v !4:t 1 t c t 4 7 ..t, 4 . 4, s ills- • IL. 11‘.: e ,,,, r (1) ri itot 11%4 or s 2 ;-; • i 4_, 1 rr 'vent et.N' fj; r ?•!77.1 'Jot: • ,e;1 4! - -'ht , e,1 r t EL er *7 1 1 v o s o A. () .110 t i• 4 t1t V 1..,‘ -• r tt,Ittl ; f nrr,e 9 11 b rlIr Mitt tqc)f, • 6. • eki. !'; J.1 **, tte 4. 1,1- 4 on 1:; 4 . s . . c C:. :". . do. -4 1 7. _ p:" . ." . • . • • V.,.; cf one yet ,71 r fr t t,•• `1;IT (".°, t s tr.1 , . it 000 C". 51'10 1 t '.).1•7") ":7 1 ":" , • 11 , • • - •i.-} • s"t“......".)S.. 11 • 1 Si 'r •%, , • t "••01:. j•: s , ss L:j.3, • i' C( ./ UV1' • L .„ 7 ITS • c:r. T w o , s, • ss sr` ,+,‘,,±•;•• s r•":"' , ' • e - iri or n , 1 1 i . tec •,n0 t't• -- • . !,!. L • e s L 0 J: uf , :!; be (.".r.)iw cart + i,;nfi jd „ .q '3'7! • ,t.s.3 01' ' sttit 17c Y.rL ed ori Lotto;, [Ades. IneuIstion. t I cn board on to.O fioad 3. . ). t1;,i'1.11 be of ocloner 11 • tind out., ad » Ji op u thc,, boY. f." O r'..)(: 1". BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 1570 • Work to be performed under this Permit B1. Subdi- vision Address of Value of Building Project DATE 194___ Contractor's License No. Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed- B 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 regula- tions 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. CONTRACTOR OR BUILDER BY AUTHORITY LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC. REQUIRING OCCUPATIONAL LICENSES MIA SHORES VILLAGE 1. General Building Contractor. de. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. ✓ 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skyli :hts. 15. Solar Water Systems. 16. Well drillers. 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 18. Structural and Reinforcing Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone. 20. Electric Fixtures. , 21. Illuminated Signs. 22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village. 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 here' ft spefified or not. A copy of approved plans and specifications must be kept at building during progress of the work. • 75 5 Owner's Name and Address Permit No .. Disapproved _________________________ Date__ (Signed) 6 APPLICATION FOR BUILDING PERMIT Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date /. 2 4 a /. Registered Architect and /or Engineer__ --S— —, Name and address of licensed contractor s'-'4'1_11' ‘• Location and legal description of lot to be built, on: Subdivision_ __ Street and Number 'where work is to be done___ State work to be done and purpose of building (by floors)_ and for no other purpose. New Building f Remodeling Addition Repairs No. of Stories i ., . y � .,-s .,-s ii To be constructed of C�_1 / r + Kind cif foundation ` 1 Estimated Total cost of improvements $_. -__/ ____ _= ___________ Amount of Permit $_ . 4 . . ., r, Zone cubage required- 4-4 -- — - -- - -a- - -- -;Plan Cubage e R , *„) �: R Distance to next nearest b q g_�f____ —_, �' � � ',.__Size of Building Lot / '�y L � , fldin 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 4 be sent to (7,'.1 __L " ' — _4_1._ — — °' ,j 5 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) __,. � ' / y i - STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared — — — — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida // My Commission Expires PLANNING BOARD ____L_ -±` a DATE Chairman —_____ Member Member __ _s_^_ —_ .._—_,.., Member —_ Member __ ate' - < ' , � — — — Member PP — — — — — — — PProved __Date Council A roved_ _Date Disa _ —_ _ 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. (over) -4 Date___ r — 19 No._ Read, Sworn to and Subscribed before me. Street Roof Covering ' t o _ ‘' 1-44.1 � r 44 -1 AL 4 fit �.y THIS CERTIFIES THAT the wiring and apparatus installed at "� ' MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION by Address for owner, and occupied as PERMIT No. has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Ran ,ie watts. Water Heater watts Power: Connected load H P. Space Heaters watts Other Apparatus ELECTRICAL INSPECTOR. Electrical Permit No. / �` Fixtures Heater .Motors - Miscel. New Const. Bidg._ Insp Foundation Beams & Linte Final Final, .Clean-Up Date sI .;`1 / rj'1 Plumbing..-.Insp. t/_ Date. :Rhing I . 2 -1 -(4 O. F�iXtures Sewer - .Seritic Tank Solar Heate `"— Final Cert. r. V Service 1. K. to Power. C Eiec-tri:cal Insp. Date Rough /� ���/� y G%6 , ,Fixtures , /I F Date j�� 1 ) Fee 70W, it n it Alteration • By Re -Insp. IQ PP PI Repairs. He Insp... try Heinsp.. . l3y • By. Reinsp. By By - ..Re -Insp. By Reinsp. . By _ ei Lot Block / V, C_j Owner • ' ) % 1 = Name . • Generalbntractor • Zone Req.Cu._ Ft. Plat Restriction Chkd. -.By • To - Planning ,Board /7_77, 2 0 1 4 Q, Re- Sub.mttted to -P. B Approved Plan & Spee;' . Che- ckedby To Councr� • Bldg. Permit_ No.CJ ° Date //- 24- Fee / p ∎ao .. - Cost .. .6 - ,4Q 4 Type /3 rl N Costruc'ti Board Approved 0-Z - %o yam Subdivision Stories Jr7 Alterations -J5 )/ g, Number Street Lic. No. - .Address or Phone Lic. No. Addre ,Phone Ct.b. Cont,/ App roved Date 2 Rejected Rejected Rejected Repairs Plumbing. Permit No. .< Date 2, Fee Septic Tank Sewer' `. - iscel. it 4 PI New Const. Alteration Repairs i �. N9 68 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Mianu, hores Village, Fla., Owner, Agent or Tenant of Building Lot / Block / Subdivision r Street Addr Approved us by occupancy Remarks- This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances N os. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinancesfof Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUILDING DIVISION 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 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 Registered Architect and /or Engineer Name and address of licensed contractor__ W Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. J ss Building Inspector Date t %A • 9 No.> - Street. Subdiv ion. ead, Sworn to and Subscribed before me. State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation / Roof Covering Estimated Total cost of improvements $__2'_ _ ' ' .00 Amount of Permit $ / ' 00 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 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 5968, 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 empjoy only s h ubcoy ractor., on ork to be performed under th's permit, as are licensed by Miami Shores Village. J /J/� � f , • �/ � ° Remarks ° (Signed) SS 04 145fr, 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 stave true. Permit No S/' Date Disapproved 7 Date (Signed) Notary Public, State of Florida My Commission Expires PLANNfiIG 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. 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 here' spe9'fied or not. A copy of approved plans and specifications must be kept at building during progress of the work. / Ns No Owner's Name and Address —_ .. _ Zone cubage required_______ Distance to next nearest b STATE OF FLORIDA, COUNTY OF DADE. ss. APPLICATION FOR BUILDING PERMIT Registered Architect and /or Engineer ' - v Name and address of licensed contractor — 1 .9_ —____ ' Location and legal description of lot to be built on: Block__ — ___ _ Subdivision �' ��. Street and Number here work is to be done___ J State work to be done and purpose of building (by fl New Building _ Remodeling Addition Repairs To be constructed of__C,_10t Kind of foundation .. `� " �� '� Roof Covering e• t'=" 1 0 Estimated Total cost of improvements $_ Amount of Permit $ b Plan Cubage dig_ C2 `_ ✓ Maximum live load to be borne by each floor I hereby submit al the plans and specifications for be sent to — l 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 c retractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for insAtion on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subco ttcac r's, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ______ (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ------ -___ -- and who, being by me first duly sworn, upon oath deposes and of the above described construction, that he has carefully read therein by him stated are true. Chairman Member Member Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date__I_ ° ° _2 6 ° Permit No. Disapproved 1 Date 1 (Signed) id building. Size of Building Lot _1 0 ° a 0 and for no other purpose. N,. of Stories All notices with reference�,,to the building a ;d its construction may es Council Approved — Date Disapproved NOTE: ' A charge of $1.00 will be made for making corrections or changes to - Planning Board. A re- inspection fee of $1.00 will be charged when such materials and /or workmanship. Date 19 ( Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING Member Member Member Street__ _to me well known, says that he is the the foregoing application, and that he did sign the same, and that all facts _Date this application after approval has been obtained from re- inspection is made necessary by improper notice for inspection or faulty (over) y __7 / 173 d 1 q LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC. r 2 - / REQUIRING OCCUPATIONAL LICENSES /2 MIAMI SHORES VILLAGE g's /V 7 1. General Building Contractor. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical. 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15. Solar Water Systems. 16. Well drillers. 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 18. Structural and Reinforcing Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone. 20. Electric Fixtures. 21. Illuminated Signs. 22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village. 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 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 M `-' Registered Architect and /or Engineer Name and address of licensed contractor ]' Pr - Q ? e!. F 6 - (_ r r\ Q 6, 7 ( Location and legal description of lot to be built on: Lot_ Block Subdivision Street and Number where work is to be done 7 9's- State work to be done and purpose of building (by floors) ____7_-! =___ _/_>'_ ___ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories. To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 7 Amount of Permit $ -- Zone cubage required_ ____plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5986, 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 bcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. , n Remarks (Signed) cc 4f 4 c 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 7:(V Date Read, Sworn to and Subscribed before me. Disapproved __ , 'Date ( Signed) - - - -_ Building Inspector Chairman Member _ Member PLANNING BOARD DATE G• Member Member Member Notary Public, State of Florida My Commission Expires 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 r ;t: e for inspection or faulty materials and /or workmanship. Date. , 19.06 Owner Hugh Cox Addreao Regiotered Architect Mad /or Engineer: ----- Contractor Yald Ogron Mfg.Co. Inc. Addreos 671 114 18 St. Hialeah, Fla. Location of Propooed Work: Lot--- Block_ Subdivision. Street and number where work Jo to be done:... 549 N.e 95 St 0 Deocription of proposed work: Eti..1Q1 a co ezi_s.ting_winsiovls with awn in_Lty2u windows _ and for no other purpooe. New building.. Remodeling XXXX Addition No. of To be conotructed of Kind of foundation . Estimated coot of improvement): 8 Plumbing Electric__ 1 hereby submit all the Plano and specifications for said building. 1 hereby make application for a Certificate of Occupancy. All notices with references to the building and its construction may be oent to: This apace reprecento the lot; make outline of ground plan °bowing diotance of building from dl lot lines. Board of Adjustments Approval: No Structural changes Planning and Zoning Board Approval: Council Approval: Village of Miami Shores CaT34:01N2CXEMMIANPEGR113AD__ APPLICATION FOR BUILDING PERMIT Application h heroin medo for tho approval of tho dotoilod atatomont of tho plans and specifications herewith submittod for tho building or *Thor structuro horoin doscribod. This application is made in complianco and conformity with tho Building Ordinonco and Zoning of the City of North Miami, Florida, and all provisions of fho Laws of tho Stab of Florida, all ordinancos of tho City of North Miami, and all rulos ond rogulations of tho Building end Zoning Department of tho City of North Miami, shall bo compliod with whothor herein specifiod or not. A copy of approvod plans and spocificetions must bo hop* ot building during progross of tho work. 0 of rife In T s S ace OPPICI3 OP 01.111.01O€ inopaevea The undersigned applicant for this building permit does hereby certify that. -understand° and accepts obligations as an employer of labor under the Florida Workmen'o Com- pensation Act. being Section 5966. Compiled General Laws of Florida. Permanent Supplement, and too com. plied with the provisions thereof, and will require oimilar congliance from all contractor° or o , eon. tractoro employed the v7o03 to be performed under dila permit; and il11 Root or cause to be pooted for inopection on the oite of the work ouch public notice or noticed OD ore required an thin act. Signed: __Yelle_OZIOn Ilf Co. Inc. '1;670745.71;t7e;;5 Addreso: Sq. Footage: Estimated Bldg. Coot: Permit No. • A Bldg. Permit Fee: Certificate of Occupancy Fee: Total Fee: Approved by B ui I di n g Inopector : BUILDING ❑ ELECTRICAL I-1 PLUMBING [ ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT IT? 12160 Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility 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. BY AUTHORITY LOCATION t!L 1 e l�> c GARBAGE TAX RECORD PAID BY / YEAR ANNUAL TAX ,u- PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER 1940 C °) 1941 - /,2 -izi a 5 / 6A / r 1942 ,/eV / O ® o - C - V> / , f� A vv 1943 /0 •O 0 a a p7-343 /9c ? s s- P1 • 1944 /,s/ • /-i9-7' 7 <, Aa ., I/- C •4/r 1945 /a . o /,- As: O.° 4 °7' / q it 1 !j` �c 1946 / D 0 ' j .J I 9 i p 1947 if' ® V .2 / -y -- `Y" - stl �j �j/J O,',�1 f( A l y ~ 1948 1949 / /' 0-73/A Z2-.91-910 /2-3,- S� /k. �� Js �� r�i / /IAI ate- g- i g=J� 5 -1, / /4 / isPb /rg-t®l 1/ ii �� 1950 � LOCATION t!L 1 e l�> c GARBAGE TAX RECORD 549 N. E. 95th St. by year annual tax period used amount paid date paid receipt # H. V. Cox /9 / / / • .1/- 5 / ' - -61 �5/3. /r•. / ea- "•- v ( sue C) o Name Telephoned Address 5 5 2: ,3 CAL= /GL�t�� -C�✓ Subject: • MIAMI SHORES VILLAGE COMPLAINT E REPORT ❑ Date / Person Received by Referred to i� Gr�- Disposition: Signed Phone No. Date ra -- 7- Date • BUILDING ELECTRICAL PLUMBING Owner of Building I. rchitect tractor uilder 'al Lot scription ddress of Building CONTRACTOR OR BUILDS MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3370 Work to be performed under this Permit BI. Subdi- vision Value of Project DATE 194_ Contractor's License No. Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility 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 regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting thij responsibility for all work done by either myself, my agent, servant or employee. BY` R AUTHORITY 0 0,00 2 5'r cfm G "cow p� w dc rN CONC. +(4 SafRo f WicTe. Z o. - u _3 .10' rw?o c 'O C V vg Mr+� i3 FLOOD This 4.`) lots ac 01 there 0 Plat of tr. Dade Notc: and u Fence onJ.y, F. (f) Comm] Panel Hate 3 CF rti t Commor t:Osset and Ch it U �inJ1 OA' rN Can)C • 7 D- G(, f NCO (W d. (date of survey) AFFIDAVIT STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, V( 14O t-tQvl 6`1' , does hereby attest that the (property owner) attached survey, performed by (name of surveyor's company) performed on , is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. Ap'p' . Marola Franco /S. :Commission # CC 925 6t ; $ Expires April 6, 200k ` . • ' .. Bon ded Thro Atlantic Bonding Co., In Witness(sign and print) b'n P ) Witness(sign and print) SWORN TO AND SUBSCRIBED before me this I day of A U & . 2v3. Affiant is personally known to me, produced as identification. Tax Folio #: ) 1 ° 3 -o - oiq - o 'q0 within the public road right of way of SIGNED, SEALED, EXECUTEDAVD ACKNOWLEDGE on thi � =C r o nc 925 S ns • - .�'•..�`. o� Expires Ap • ., ..•. , GiF0 Bonded Thm limo Atlantic Bonding Co., Inc. SIGNED, SEALED AND DELIVERED in the presence of: Y/7/ia,ni S/iore VcCCcc�e 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 - 2382 Telephone: (305) 795 -2207 Fax: (3051756-8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, Pi v id 0 Licu st , hereinafter referred to as the Owner of the (owner) following described property: Legal description /folio #: I (° 3A0(0 _ ON- ° 0 - 7 W 0 Lot IS 4 I Block 54 Subdivision PI CA li Sho rP.S Sec a- requests permission to install: [Asphalt, concrete brick pavers [ ] Landscaping [ ] Other (54q E t) (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: 1. To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 3. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida by the Village Manager of Miami Shores Village (or his fully authorized representative). MIAMI SHGRES►VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Q I iq Time Type Insp'n Fi Permit No. Bo3 - 33 Name Dam Address 54q N E q5 Company imerairimp Phone # 3n5 &F O ' 1 1 (03 For Inspector: q I ea Name & Date Approved Correction Re- Insp'n Fee 8 MIAMI SI;ORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date CAI t n Time Type Insp'n Finadl Permit No. Bp 03 - 1331 J J Name CLY id H. Address 5+ it L 6 15 .3+- Company Sv r m p Phone #� 3o5 & O ' I I (03 For Inspector: q I (9 Name & Date Approved Correction Re- Insp'n Fee A RECO " L;. ED COPY 1WUST PERMIT NO. STATE OF FLORIDA COUNTY OF DADE 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 ofpmperty and street address: 6Y 9 (qua q5 ' Alf • $h ® reJ , F1 35 lob l $ I g ) bI K 5Y -A *Li = f,;,: i Shams ,.sec , .. J PO NO PC- J1a 2. Description of improvement: P 5 Ogle. 2e v` =:. ;s 4 60 3. . Owner (s) name and ad TAW? 1101., ' 1 nt 5 Ala. 5S 5¢' Interest in property: N. Name and address of fee simple titleholder. 6. Lender's name and address: Name and address: STATE OF FLORIC.A, CC°JNTY OF C,;DE 1 id;c4SY CEP 7/FY ; rv. !h;, s at g rj' cn,, .. _ t s 1 C.' 9 :;ay of try ban:: ;n: n.`i�_'.'.iral. • Cl;,i.: 1 , �:'� Lrta i. .GtL, 14. D. 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond: $ CFN 2OC3RO571168 OR Bk 21524 Fs 13856 (199) RECORDED 08/13/2003 11 :28 HARVEY RUVINv CLERK OF COURT P1IAIII -DADE COUNTY? FLORIDA LAST PAGE NOTICE OF COMMENCEMENT E POSTED N THE JO SUE AT MIME OF FIRST IINSI1nEC li'IION TAX FOLIO NO. 11 31. O( d Dag a 0140 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a ) 7., Florida Statutes: 1,:rnea1f i!lwner t1Pe10naten the fnllowine nerson (sl to receive a copy of the Lienor's Notice as ELECTRICAL TYPE Minimum Fee QTY TY1PE Dryer QTY TYPE Outlet, Appliance Q'I'Y' 'i'vi'I: Service Repair ()Ty. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPI. - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Disposal Demolition Low -volt, Intercom/Teleph. Repair Circuits Domestic Well Dishwasher _ Low -volt, Television Service, Number of Amps Drainfield, 4" Tile/Res. MECHANICAL TYPE Minimum Fee QTY'. TYPE Condensate Drain QTY. TYPE. Generator Q'IN. 'I'I'PI: Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/VVin. Tons Dryer Vents, Number of •Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Water Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Cap - Sewer PLUMBING TYPE QTY. 1 I TYPI±. QTY. TYPE QTY. TYPE QTY. A/C Condensate Drains, Roof Miscellaneous Fixture Soakage Pit Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY D • TE Zonin: As 't ; JA' • , Electrical Mechanical Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST Cl OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) O OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) Code Enforcement Fine Zoning Review Notary 0 PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) ( x ¢ . x/1000 (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Page 2 IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitatiye Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Managim' nt (DERM) and/or Miami -Dade Water and Sewer Department jMD,WASD) approval is required for apl3liiations; inyolvmg•sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the RWNER of the pwerty, certify that all work will be performed to meet the standards of all laws regtiltitig construction in this jurisdiction. I understand.that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, IvISCHANICA,L, WINDOW,2FE,NCE, DRIVEWAY, ROOFING and SIGNS and there may be additional pempits required from other governmental agencies.,. I, the OWNER of the property, have d related to any work at the properi}'pe ?ormed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE Il FLORID Print Name CO Signa ure of Owner Av id go HQ F MIAMI -D wom 3 to and subscribed before me this 1 ( day of Velf CldO /l� 4 i Signat e of Notary Public - State of Flo da ia gr p' �4,, Marola Franco /Sans ra. 'V.Cominbiaion l3 CO245.828 :•,•4 f • 211 Expires April 6490,4 �� Bonded Tlin0 : tS ,,,,, Atlantic Bonding Co., Inc. Pers ally own Old',1 rodu Identi (cation • on SEAL: Type of Identification Produced: • ° ' ' ` • • • n4( ; A STATE OF Signature of Contractor / &ii I'• J. SANS Print Name ^ Sworn to and subscribed before me this 1 I day of A V & P.00 • • • • . r, -f• YELINE SANS . �� IMY OOMMi4SION # DD 2p9288 9 4'pr i%�: , EXPIRES: June 3, 2007 .3 t.eO ta3t ARir• • FL14, �' t iscount . co. PtA-A*41- ck-V-7 Signature of Notary Public - SEAL: Personally known COUNTY OF MIAMI -DADE er PERMIT APPLICATION - OR; Produced Iaintif't'?ation •, Type of Identification Produce/l:' o • PROPERTY OWNER Nam d No L-tQu I s r Address 5 q q NE q 9 4 M. Shores t ll3313g Home Telephone 305: 4io . g q3 _ ( i s Business Telephone Fax CONTRACTOR (('����,,�� / ` Name &u .7t ,- p (ONcto6 ZNe . License No. a 48 i q o 2) Address 6 204 sc 13q c f . M1nmt 1 •F1 33115 Telephone 3o s_ 0 ... 1163 Fax Qualifier Name to t i (. A IA 3.. (',R ENGINEER New Construction Enclosure Alteration Exterior Name Alteration Interior Demolish Relocation of Structure License No. License No. ' Foundation Only Add'I Attachment Address •' , Address , A -'-' . i e , S v Telephone • . Fax ..• °x1. <. Fax • , ARCHITECT New Construction Enclosure Alteration Exterior Name Alteration Interior Demolish Relocation of Structure License No. Shell Only Foundation Only Add'I Attachment Address •' , . • , A . s • ' Telephone • . Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other Step 1. Job Address: 54-q N e q 5 54' Address Apt. Folio Number 11- 3 0 (0 - 014 - 07 t1 0 Lot 1% 4 I Q Block Sq' Subdivision M. Shores sec ZPB 10 PG 37 Current Use of Property RCS • Proposed Use of Property Q ES Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT APPLICATION 1331 Subsidiary Permit No. INSTRUCTIONS - The following steps must be taken to obtain a permit from the N'liami Shores Village: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICATION M City 331 '5S State Zip Pi i i Divagate 'RrvewAy AND Description of Work U A,KWAy Zoning Linear Feet Square Feet 5/5 Units Floors Value of Work # 3086 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. •e :0. • PctiCi - 1501 Co