490 NE 94 St (2)Permit No
Disapproved
(Signed)
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.
Street and Number where work is to be done 7 fa
State work to be done and purpose of building (by floors)____ E
Date__
Date
Date
No % ) Street. . "
Owner's Name and Address_ ___l 7
Registered Architect and /or Engineer j� �/ r
Name and address of licensed contractor / ea, E f e /J C/6 �G �� 0: 4/
Location and legal description of lot to be built on:
Lot Block Subdivision
J?ES t/vvii )
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 $ ' Z5 D _Amount of Permit $ 2 , �J
Zone cubage required ________________________flan Cubage
Distance to next nearest building ____________Size of Building Lot
Maximum live load to be borne by each floor__
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed
STATE OF FLORIDA, I
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.
° z Cs, 7_
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
LA
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.
At. 1
re s
BUILDING
ELECTRICAL
PLUMBING
ROOFING
PAO, N
Owner of
Building > t t T'tl
Architect
Contractor
or Builder
Legal
Description
PERMIT
Lot
MIAMI SHORES VILLAGE, VILLAGE, i d
DATE
B1
N9 6267
Contractor's 7? d 8
License No.
Work to be performed under this Permit
Subdi-
vision
0•
Address of r ' Value of "" Amount of
Building �� Cr - � Project $ 7.1 11 Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether 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.
f1
Signed. ` ( . L 1 r air.rMIL_ INSPECTOR
In consideration of the issuance to me of this permit I/rgree to perform the work covered hereunder in complian.`with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, draw statements or specifications submitted to the proper a y •rities of Miami Shores Village. In ao
cepting this permit I ass"hme responsibility for all work done b� either, myself, my agent, servant or employee.
CONTRACTOR OIIILDER ( r BY
AUTHORITY
19
AB /OT
Legal Description
Owner / Lessee
Owner's Address
Contracting Co.
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 FENCE SIGN
WORK DESCRIPTION DA /lam A-4A
Square Ft. Estimated Cost(value) Ye V
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
Date: Date:
ar as to Owner do President
My Commission Ex r Pr U ' S OF FLORIDA
EMISSION EXPIRES APRIL 16. 1992
BONDED iNRU STEMBLER,ADAMS & SWEET
** * * * * * * * * * * * * * * * **
FEES: PERMIT - Y11 RADON C.C.F. )43 NOTARY ` TOTAL DUE t i l l
APPROVED:
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Job Address 9 7 it Ws Tax Folio // ✓a no / 3t'#
/ Tenant P/ e- Z6 a_
'i iv6 9' \s
Fire
Zoning Building
Address
GI/
or?
Master Permit 41'✓A. -5LP
Phone 73 2
dent Signature of Contractor or Owner- Builder
Notary as to Contractor or Owner- Builder
My Commission Expires:
Other
Electrical
Mechanical Plumbing Engineering
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 6/ CO Job Address / 7 98 /FG qq �r Tax Folio // - .3 3-0 G J i! -038 f7
fjo2 7 /rjiA» i ry s .S'eC 1- / d / O
Legal Description AD rS / a ,t 9h *'f
Owner/Lcssee /Tenant /tC PIA 2 LSDN2 AL
- Owner's Address '/QO /1/g q S T Al f144411 S Awl 05 Al
.Contracting Co. - � d v S UCH T7 d a>
Qualifier \./04= ea ,e< Z .
State #CGS 47 ' 76 2 Municipal # Competency #
Architect/Engineer -TO / j A/ Q 2 L/26 n / M/2 clite7e c r Address
/ACC
Address
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION J k C> A- - / c-4�C&
3 ' J /U
Square Ft. Estimated Cost (value) / D a
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
gnature of owner
Notary as to Owner an • or Condo President
My Commission Expire •:
oox Marian E Bach
*W *My Commission (x759813
Expires July 19, 2002
FEES: PERMIT / () n RADON
APPROVED:
Mechanical
o v
Date
Date
0
'Mg
Historically Designated: Yes No
3 We
Address
Phone g
Ins. Co.
/ s ( / q;. 57 /4 sAtAe -5) .�.
all work will be done in compliance with all applicable laws regulating
e work stated.
tor or
j ture of O : ctor or Owner rder
Attar / urtnriTi9,1.611111
- 001.1..AR
Y Pl13LIC STATE OF FLORIDA
COMMISSION NO. CC71410:3
M•{ COMMISSION EXP. MAR 1.801,
•:-
asto
My Commission E
Electrical
Structural Engineer ) 24Z
9- 1/-zoa 3
Date
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/ a 06 ` 2/ OW6
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 of property and street address: / - / 5 6 7 /A -x'11( sfienees -SAC a
P8 /0 (9 'Ts /74,1
194 N( 7 / ST MMr?l S'/ .0AeS / ,CL33 /3g
2. De i cription of improvement: P E 2 &&I /f 1 — S 4 4� /24i.A-
cyhi
3. Ow er(s) name and address: e /e e 4eR p Lc9 /'' 2A L V �-
4' /P e / 'T /11,401! 5 EIS; 4L .3/31?
Intere t in property: .9W/ti i ie-- _
Name and address of fee simple titleholder: ( Qfcv / 4 l 4Q.) 4Ai7 - 14- L e 2
X 40 NE 9Z/S7 Ma1-41/ 51/0A6
4. Contractor's name and address:
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address: /V�#-
Amount of bond $
6. Lender's name and address: 4//11
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)
Siff Lure 01 Owner
Print Owners NameZd1i4'- P 4 C1 2-4 L' & 7—
Sworn to and subscribed before me this I 1 day of
,Z_oad.
� � Marian E Bach
Notary Public * * My Communion CC753643
'�s l Expires 1e enno
My Commission Expires: 11 0 1° 0 2-
STATE OF FLORIDA, COUNTY OF DADE
1 HEREBY CERTIFY that this is a t copy of the
rg mai 7e) in this office on day or
, A D 20
WITN f SS my hand and Official Seal.
HARVE _PUVIN, CLERK, Orcwt and County Courts
by 'e0" i(�p / C€ D.C.
Prepared by: R/cA/n-lR 41#2,1-L6t
Address: 4'9 i(1 / Y Sf
t)11:1._.5' fM eS
12301 -52 2193 2
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N.E. 94 TH ST.
15' Allcy
104.8
104.94
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Er <GIr: n i CERTIFICFTE
571
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N. E. c)3 W .ST.
LOCIT ION PL,
According +o Pln
This is to certify that the sketch shown
hereon of Lots 1 and 2, : loc!: 31, _ I . ?'I SHORES CEOTIM 2,
as recorded in Plat Fook 10, :=a e 37, ?ublic Records,
Dade ;;oiLnty, Florida, conforms with a survey of the
property made under my direction, and that there are no
encroachments unless shovm or noted hereon,_and that the
said sketch is accurate and correct to the best of my
knor-,le.:ge and belief.
6(
Registered En,ineer No 302 Registered Surveyor No 66 '
State of Florida
RECERTIFICATION:
This sketch is hereby revised and recertified to show additional
improvements constructed on the property as indicated by survey
dated August 3, 1938.
May 7, l 938
REVISED AUGUST 3, 1938,
S V i2V E y S1�C H
LOTS I AND Z. BLOCK. 51 M 1 A M 1 S1- 10Q.E.S ECT 1 ON 2
1\41AM SHORES, FL A.
Accorclin9 4 P1<=1# �oolc 10 Page
?ubl is R ecorcl , Da■ c Coun4y, Florida
, UEUST DE INIGL�2 C IVII_ Ei�E�INEER
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N.E. 94 TH ST.
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104.8
104.94
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Er <GIr: n i CERTIFICFTE
571
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N. E. c)3 W .ST.
LOCIT ION PL,
According +o Pln
This is to certify that the sketch shown
hereon of Lots 1 and 2, : loc!: 31, _ I . ?'I SHORES CEOTIM 2,
as recorded in Plat Fook 10, :=a e 37, ?ublic Records,
Dade ;;oiLnty, Florida, conforms with a survey of the
property made under my direction, and that there are no
encroachments unless shovm or noted hereon,_and that the
said sketch is accurate and correct to the best of my
knor-,le.:ge and belief.
6(
Registered En,ineer No 302 Registered Surveyor No 66 '
State of Florida
RECERTIFICATION:
This sketch is hereby revised and recertified to show additional
improvements constructed on the property as indicated by survey
dated August 3, 1938.
May 7, l 938
REVISED AUGUST 3, 1938,
S V i2V E y S1�C H
LOTS I AND Z. BLOCK. 51 M 1 A M 1 S1- 10Q.E.S ECT 1 ON 2
1\41AM SHORES, FL A.
Accorclin9 4 P1<=1# �oolc 10 Page
?ubl is R ecorcl , Da■ c Coun4y, Florida
, UEUST DE INIGL�2 C IVII_ Ei�E�INEER
92.5 Ltnc.oln R.ond Mlomi bcock , Fl or ado,
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EEGINEERS CERTIFICATE
N. E S T.
92S Ltnc.oin
L.OG?.T ON PLAN
According +o Plo+
State of Florida
AU �Ew1NlGLE2 IvLL EN�lNcE2
2oocl Mlomi beoc17 , 1:=1ori8c1
'4oy 7, !938
REVISED AUGUST 3, 1938.
Go
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This is to certify that the sketch shorn
hereon of Lots 1 and 2, ',.lock 51, =1 SHORES ZEOTIC„ 2,
as recorded in Plat Pook 10, 7a5c 37, ^ublic Records,
Dade Sount-:, Florida, conforns with a survey of the
property made under *: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 ry
knowledge and belief.
4E_ 6(4).„,:,c_
Registered En ineer No 302 Registered Surveyor No 66 '
RECERTIFICATION:
This sketch is hereby revised and recertified to show additional
improvements constructed on the property as indicated by survey
dated Aucust 3, 1938.
4,
S U R.. E.y SIgLETC, H
LOTS 1 AND Z. PSLOCK- 5 1 N1 IAM 1 SHOp..E.S SECT ION Z
MIAMI SHORES, FL_ A..
Accorcling 4o Plc:* tool,. to Page 37
?ublic 2..corcl5 Dade County, F
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130
1031
14
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16
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EEGINEERS CERTIFICATE
N. E S T.
92S Ltnc.oin
L.OG?.T ON PLAN
According +o Plo+
State of Florida
AU �Ew1NlGLE2 IvLL EN�lNcE2
2oocl Mlomi beoc17 , 1:=1ori8c1
'4oy 7, !938
REVISED AUGUST 3, 1938.
Go
U
I
P
W
r
This is to certify that the sketch shorn
hereon of Lots 1 and 2, ',.lock 51, =1 SHORES ZEOTIC„ 2,
as recorded in Plat Pook 10, 7a5c 37, ^ublic Records,
Dade Sount-:, Florida, conforns with a survey of the
property made under *: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 ry
knowledge and belief.
4E_ 6(4).„,:,c_
Registered En ineer No 302 Registered Surveyor No 66 '
RECERTIFICATION:
This sketch is hereby revised and recertified to show additional
improvements constructed on the property as indicated by survey
dated Aucust 3, 1938.
4,
S U R.. E.y SIgLETC, H
LOTS 1 AND Z. PSLOCK- 5 1 N1 IAM 1 SHOp..E.S SECT ION Z
MIAMI SHORES, FL_ A..
Accorcling 4o Plc:* tool,. to Page 37
?ublic 2..corcl5 Dade County, F
1
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130
1031
5":-'3 7 '16 0--
/ / PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 7 Job Address 1 /9 /l5 1 ,ST Tax Folio
47- 544
Legal Description ft(Ik -ig 1 54 fas SEC Historically Designated: Yes No
Owner/Lessee / Tenant P/ C% X 1 /2,) L JV 2 /;nth Z Master Permit # 94 v/6
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one):
WORK DESCRIPTION
Square Ft.
¥q / v G- 9 / 7 i(AM / 5/Weis; r2 Phone 5 6 / � � 7 ?
Owner's Address
Contracting Co. \c. /A (E Address
Qualifier SS# Phone
State #
Municipal # Competency # Ins. Co.
Address
Address
Address
BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING
a.4, - AiCtiti STrOC A) a/ h`odsc=
Estimated Cost (value) ` 7 t
Lo/v c_4 C7 S'LAi
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
cons t lion and zoning. Furthermore, I authorize the above -named contractor to do the wy k stated.
Signature of owner and/or Condo
Notary as to Owner and/or Condo President Date
My Commission Expires:
/3 �
FEES: PERMIT d- Q' RADON
APPROVED:
/0r S Se 160.c<<
Zoning 4:;%'-e Building
Mechanical
Date
C.C.F. W
Signs of Contractor or Owner- Builder
NOTARY
Notary as to Contractor a
My Commis Expires:
/2/
Electrical
TOTAL DUE
FENCE SIGN
caner- Builder Date
cI :orA,Rd
9 ARGGA f
( �(1 �ZfNJR07ABE
CC79727
, r:jY cti :::SSIGN EXPIRES
OF FAO' ^ 17,2002
va! ‘7 1 &e
Plumbing Structural Engineer