440 NE 94 St (4)Owner's Name and Address____
Registered Architect and /or Engineer f1
Name and address of licensed contractor
Location and legal description of lot to be built on:
STATE OF FLORIDA,
COUNTY OF DADE. j ss
Permit No.__
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.
Date 6r
Date ���
No
f t i 5chit - /f- , /0146"441J y.S1`
Lot Block Subdivision ' /
Street and Number where work is to be done cep S ____ / _ _
State work to be done and purpose of building (by floors) 1 ✓F Y/r1 t s f 'C
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 $ 75, Ov __Amount of Permit $ 2 .
Zone cubage required -- Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor _
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the 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) -- --�1 --- ---- ____ --
Street_4 a
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.
GO– CP
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
19
Disapproved ____________ Date_
( Signed)
Building Inspec My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Afo1 L'
cd'
.54:4
7
(-7
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Jt Nc.
Owner of L
Building `a t rut
Architect
Contractor
or Builder
Legal
Description
Address of
Building
❑ MIAMI SHORES VILLAGE, FLORIDA
DATE 19
o PERMIT N9 6267 Contractors 77
License No.
Work to be performed under this Permit
/7 G— 4
Lot
1 1,4 Jr N
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
In consideration of the issuance to me of this permit I Agree to perform the work covered hereunder in complian•'with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper • = •rities of Miami Shores Village. In as
cepting this permit I ¢gabme responsibility for all work done, b either, myself, my agent, versant or employee.
{
r X44,.. 4
CONTRACTOR O17 ILDER J/ r BY� AUTHORITY +•so1
B1
7
Subdi-
vision
Value of f �"' Amount of Z
Project $ �I Pe $
Signed �, Z .r � �a2 `- INSPECTOR
Date 3 e2 Job Address AZ= 9W7 Tax Folio // 5 ZO(D / . '3P0 Legal Description (0,1' � ' vi J
Owner / Lessee
Owner's Address
Contracting Co. — `"'__ Address
Qualifier SS# - - Phone
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING
WORK DESCRIPTION /14& Gila, Z /.. 44. ..
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 above -n contractor to do the work stated.
Signature of owner and /or Condo Pre 'dent Signature of Contractor or Owner- Builder
Date: Date:
y �Pitt Ple a
as to Owner do President Notary as to Contractor or Owner- Builder
My Commission Ex 1r M o E IRES OF FLORIDA My Commission Expires:
BONDED TAO STEM8IER -ADAMS & SWEEi
** * * * * * * * * * * * * * * **
APPROVED:
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
/ Tenant P/ C -O` � ) I0jv2. L G 2-
1V6 9L/ \
Master Permit CIA-5,62#
Phone 7 0 ; 9 ) ) _
FENCE SIGN
FEES: PERMIT - 3/1° RADON C.C.F. ).3e NOTARY r' TOTAL DUE Ir
Fire Other
Zoning Building , p / J7/ Electrical
Mechanical Plumbing Engineering
:4Vic _ Pa %`
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
/ 3
Date G co Job Address 7 J 90 /FG 9 sr Tax Folio // — 3 3. 6 6 RI -036)
C7
/2 7 MiA»1i rNo2es .t'cC 3 - 6 /
Legal Description AO 7"S / . 4.4 KS" Historically Designated: Yes No
Owner/ /tenant Ric 1 A 2) gD/V2, AL & 2
Owner's Address
Master Permit # 1/9503
'/ �� .74,/ S T Al
ti i I .Q Aloil Fk Phone , 7 , a 7 7 3 12 0 7 g a .<
3 3131
.Contracting Co. /C 1,() ST,2 0077 I iV • Address //T5 — _2X d .e4 C-7 30
Qualifier �(�,6 .G ,e
Phone i
State # CGG D2 ' 76 2 Municipal # Competency # Ins. Co.
Architect/Engineer Z0 11/11 D k & 6'V M c,S 7C c t Address / /1/6:' a, S'7 4f(4/1'1 / s/IM E4,ZZ
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION pexi L7 a /. A / 6414-
s -c-
Square Ft. Estimated Cost (value) /.1.006c2-
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 th
constru on and zoning. Furthermore, I authorize the above -named contractor to do
Notary as to Owner an ' or Condo President Date
My Commission Expire .
J .. y, Marian E Bach
* *My Commission CC7531143
•
,,,,' Expires July 18. 2002
FEES: PERMIT 1 00 , RADON
Cyi y�o�
Zoning V - Building /
APPROVED:
C.C.F.
all work will be done in compliance with all applicable laws regulating
e work stated.
ture of
: -as to Con . :
My Commission E
• O ® NOTARY
Electrical
tor or Owner -B Pder
- 11LIAR
y PUBLIC STATE OF FLORIDA
COMMISSION NO. CC714103
IA? COMMISSION EXP. MAR 1,20
tor or
BOND 3 $$ �O
TOTAL DUE
Mechanical Plumbing Structural Engineer )0 613 /-1,
Date
// y200d
Date
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. 1/ 06 " 0/4. OWO
STATE OF FLORIDA:
COUNTY OF DADE:
THE 1JNDERIGNED 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 street address: / �- / 5'6 6 7 4l /44pf -Sgoes -SAC g.
P8/0 RL. A/c h o 75 17
219 Ni' L / I/OX , L 33 /38
e i cri lion of improvement: E2 ��� � ✓� /� Sl4�
2. D P p C��'e5 1 j 24d/1-
3. Ow /e e/ e p &5#24 L e `/ 9 g
�D /!/ 9C/ S'T Aim-m t 6 T 0/C e � J 3 /3
er(s) name and address:
Intere t in property: OWN i le--
Name and address of fee simple titleholder: /(Gv1 44. ) ll/ 7-4- L Z
4. Contractor's name and address:
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address: /V //4
Amount of bond $
6. Lender's name and address: 4//ii
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,
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(14b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different dale is specified)
Sig tura of Owner
Print Owners Name 16.41t Name
Sworn to and subscribed before me this 1 day of
Notary Public
c
•Oo"% Marian E Bach
* *My Comm :381M CC753643
Print Notary's Name !v ! f� !? --!!� N e. . A0-4+
M Expires July 19, 2002
My Commission Expires: 11 14100 z-
STATE OF FLORIDA, COUNTY OF DADE
I HEREBY CERTIFY that this rs a t copy of the
,.err m� d rn this o Irice on day or
, AD 29 b
:4JITNLrSS my Aand and Official Seal.
iiARVE UVIN, CLERK, yi Circuit and County Courts
D.C.
Prepared by: Rid; n) 4-1 10AL et
Address: life X/4 / `►` sf
714to i S'fiN) xL
12101 -52 2/93 2
w
Ca
11)
ce
0
0
15'Alicy
MEMO
._ .�
L O G A N T
According +o 210+
State of Florida
RECERTIFICATION:
This sketch is hereby revised and recertified to show additional
improvements constructed on the property as indicated by survey
dated Au 3, 1938.
S U rz ay .5 - E rc H
LOTS 1 A ND 2 b L.00K. 51 Nl 1AM 1 3HOT2.E.S S ECT t0N 2
MIAMI SHOCZ.r =S, FL A.
Accordir,9 �o P1a1 book 10 Page 37
Publ 12 ecorc , Doac Govn'ry, Florida
, UcE'UST De.wtN1LL._2 C.IVtL aNINE.E.Q.
9�5Lincoin Road Mlomi beQCn , FlvricAct
May 7, 1938
REVISED AUGUST 3, 1938.
•t3 ;4 ;5 ;6 17 !8 19 2.0 22 23
1011
St
DE OP
130
Aurip
epo
KDed
4 `sa
lea
un
Jan
0o aM 3ads
'W81®uOs
15 Al Icy
104.8
104.94'
54-.8
61
N
54.54
O
PIP=
Ei<GINEERS CERTIFICATE
N.E.. 2-D ST.
LOGAT ION PL, \N
According +o Pla+
State of Florida
F'u u5T DEWINlGLE2 CIVIL aiN.i lNEER.
92..a Lincoln 2ond Mtorni beach , Flor.1oa
Ll ay 7, 1938
REVISED AUGUST 3, 1938.
This is to certify that the sketch shown
hereon of Lots 1 and 2, :loc ?: 31, =I I S}HCr"ES SECTI4it 2,
as recorded in Flat Rook 10, 'aZe 37, ='ubile Records, Dade 3oun ;, Florida, conforns 7:ith a survey of the
property made under r:.y direction, and that there are no
encroachments unless shown or noted hereon, and that the
said sketch is accurate and correct to the best of rty
knowledge and belief.
RECERTIFICATION: show This sketch is hereby revised and recertified to sho additional
improvements constructed on the property as indicated by survey
dated Aucust 3, 1938.
.S 1=
S V L2 V ETG H
LOTS 1 AND 2- bL.OGK.. 51 MIAMI SHOR..E.S SE.GT ION Z
M1AM1 SHO2ES, FL A.
According +o l0 Page 57
?ublic 2ecord Doric C. -r
ouny, Florida
14 15 I6 17 18 19 20 22 23
TOTS
St'
DE ap
t�0
Aurp
/Owl
TO
>p d.
31 `So
Yea
UP
ion
"" T- 3(96=17 A '26 -
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address A �9° i 1 S7 Tax Folio
Legal Description Nt.641 $ AO as SEC 1 44 f v_-- Historically Designated: Yes No
Owner/Lessee / Tenant �/ C% ,q, , i 4`('2 L& Z Master Permit # 94v/6
L ¥9 /j/ S7i/(AM / swo & l /2 Phone 5 0 S
Date
Owner's Address
Contracting Co. 0 \/C /A 1 E R Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Address
Architect/Engineer
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING
WORK DESCRIPTION
Square Ft. ✓
Signature of owner and/or Condo
moor/ c_ CTG s ix/ d
f, a —Afon! S7r'oc.tOR I
Estimated Cost (value) 70o
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
constyt1tion and zoning. Furthermore, I authorize the above -named contractor to do the wp k stated.
Notary as to Owner and/or Condo President Date
My Commission Expires:
APPROVED:
l� SP Se16cck
Zoning '? /1 ,G Building
Mechanical
/
Notary as to Contractor
My Commission Expires:
/Q/ cf14/
S
�
FEES: PERMIT dC RADON C.C.F. a 0 0 NOTARY
Electrical
e of Contractor or Owner - Builder ate
I Z(94 . 0
er- Builder Date
TOTAL DUE
FENCE SIGN
CI 110TaiZTL.
9 6 S I.;ARGARITT N BE
p 0 L
CC79727
C9tl cc SSIOY EXPIRES
O F� O� ^ 17,2002
- BOND
Plumbing Structural Engineer