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800 NE 95 St (9)
OWNER'S NAME Ma- t /Kes rE� o a ?Si 4- p PRESENT ADRESS aco ,i.e. W -e- -- f f LICENSE NO. PHONE NO. JOB COWAN (ST. OR AVE.) Bog, N.6 . 9d' 1T LOT / BLOCK % SUBDIVISION Joel, Herat, r (► }� GENERAL CONTRACTOR Hat ex f COP4S . GO • IA C . 2 �J e ADDRE4 37 21. N. . /44 - Sr. PHONE NO, LICENSE NO. BUILDING PERMIT NO. /884°i- 9.. I✓- 74 DATE ?," _4. PERMIT FEE $ • BUILDER'S BOND 2 9 0? 1?-4 It-74 NO. DATE Aokie#401 .. ZONE REQUIREMENTS CU. FT. PLAN CUBE POW CU. FT. EST. COST IT 9 D I, T DRAWINGS. / /�� NGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED V. "". W f / -1T AF- BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE NEW CONSTRUCTION TYPE Su07, STORIES � io1 ROOF CONSTRUCTION /4/4 INTERIOR CONSTRUCTION REPAIRS DESCRIPTION 41/41761.. d � ejp ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTFD TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. ISSUED BY TO 9 D I, T DRAWINGS. / /�� NGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED V. "". W f / -1T AF- BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION I 5 ROOF $ BEAMS & LINTELS I S POOL I S FRAMING a AIR COND. MOTORS FINAL $ FIXTURES CLEAN UP $ SLAB FIXTURES & FINAL S SOLAR HEATER SLAB FIXTURES SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE RE- INSPECT $ SEPTIC TANK I 5 SEWER $ SOLAR HEATER I S GAS I S RANGE CONN. a INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING PERMIT NO. DATE FEE TEMPORARY SERVICE TUB & TOP OUT H. W. HEATER CONN. H. W. HEATER CONN $ RANGE CONN. SEWER $ MOTORS $ FIXTURES SEPTIC TANK $ FIXTURES & FINAL S SOLAR HEATER FIXTURES GAS CONTRACTOR PHONE PERMIT NO. I DATE FEE $ NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. H. W. HEATER CONN $ RANGE CONN. RANGE CONN. $ MOTORS $ FIXTURES $ FIXTURES & FINAL S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT' BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS NEW BLDG. PLUMBING PERMITS & INSPECTIONS CONTRACTOR A . t • S • ?I- �'w+ i;�{ PERMIT NO. i!,gD4 I DATE 7- «- 7(a I ALTERATION P te°( 1 ADDITION PHONE FEE $ -- REPAIRS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY MIAMI SHORES VILLAGE ‘°f--/ 'fat BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and 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 giRer Location and legal description of lot to be built on: Lot / Block / Subdivisiori pL Street and Number where work is to be done State work to be done and purpose of building (by floors). state exterior colors (submit samples) and for no other purpose. New Building Remodeling Addition Repairs To be constructed of Kind of foundation f � Roof Covering Estimated Total cost of improvements $ 6 6° er d Amount of Permit $ / 1 f 0 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each :floor 1 hereby submit all 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 obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally 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. Permit No. ' A/17 v 3 Date 1 Disapproved (Signed) Date Date / �/ /5 Q 19 17 No. ' C N s / Street Q e // 3 .206 1/ O e /� 7 No. of Stories Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member . Approved Date Disapproved Date ��- $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 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 bc kept at building during progress of the work. Owners Name and Address Robert W. Philpott Registered Architect and/or Engineer Akdoruk & Assoc. Name and address of licensed contrActor Location and legal description of lot to be built on: Lot 1 Block — Subdivision 0. Street and Number where work is to be done 800 N. E. 95th. Street Miami Shores State work to be done and purpose of building (by floors) Construct one story single residence. X No. of Stories 1 New Building Remodeling Addition Repairs To be constructed of CBS Kind of foundation Continous con crete Roof Covering Til Estimated Total cost of improvements $ 40 000 00 St- Amount of Permit f . Zone cubage required a -2.4> - .2,,t) 4 .t12.C2.0 _Plan Cubage 3-1.,.. 7 az Distance to next nearest building.. .37 ft. Size of Building Lot 105'x 100' 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 A. W. Philpott, Jr. 12.4.7 N.. E.... 1.0.1 .S.t. Miami....Shore.s..,. .E.1.a...33.13.8. 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 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 ,.... formed under this permit, as are licensed by Miami Shores Village. a _ z_____, Lir/ Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are e. Date /°- 8 " 7 - 5 Permit Disapproved Da e (Signed) le" Building Inspe or Owner Builder Chair:nan Member — Member Council Approved zsr MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. and for no other purpose. LANNING BOARD DATE t2? Read, Sw. ' • .1 Subscri be re m Asw:.4f:e otary Public, NM State of Florida at !argil commission expires A4(4.21,1975 My Commission Expires.. Member Member Member 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 Pl.inning Board. A re 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. 7 , gl, — 73"3-71 CHUBB /PA,CIFIC INDEMNITY GROUP 90 John Street New York, N. Y. 10038 Name and address of party to whom this certificate is issued Miami Shores Village Name & Address Insured A.W. Philpott gr. and Robert A. Philpott 9541 N.E. 2nd Ave. Miami Shores, Fla. 33138 This is to certify that the Company indicated by dicated by a specific (X) entry in the Coverage such insurance is in force as of (date) 3200 Wilshire Boulevard Los Angeles, Calif. 90010 If the policy(ies) is cancelled or changed in such manner as to affect this certificate, the Compan -ued, at the address shown above, 10 days notice of any such change or cancellation. 'icate shall not be valid unless signed by an authorized representative of the Company CERTIFICATE OF VI@iSURANCE Name & Address Producer Boulton Agency, Inc. 9165 Park Dr. Miami Shores, Fla. 33138 Certificate No. _ FEDERAL INSURANCE CO. _ GREAT NORTHERN INSURANCE CO. _ PACIFIC INDEMNITY CO. _VIGILANT INSURANCE CO. X SUN INSURANCE OFFICE LTD. X has issued to the Named Insured insurance affording such coverages as are in- column subject to the terms, conditions, and exclusions of the policy(ies) and that wi I mail to the party to whom this certificate is out F \ A g e 1 nc.� TYPE OF POLICY Coverage POLICY NUMBER POLICY PERIOD LIMITS OF LIABILITY Standard Workmen's Compensation & Employers' Liability Eff. Exp. Statutory—In conformance with the Compensa• tion Law of the State of General Liability— BODILY INJURY Premises - Operations M & C X 77544913 1 Eff. 10/27/71 Exp. 10/27/74 / $ 100, 000 Each Person $ 300,000 Each Occurrence $ Aggregate- Products- Compl. Oper. $ Each Person $ Each Occurrence $ 10,000 Each Occurrence $ 25,000 Agg.-Prem. Oper. $ Aggregate - Protective $ Aggregate- Products- Compl. Oper. $ Each Occurrence $ Aggregate Escalators Independent Contractors Products - Completed Operations Incidental Contractual Specified Contractual' Blanket Contractual General Liability— PROPERTY DAMAGE Premises - Operations M & C X Escalators Independent Contractors Products - Completed Operations Incidental Contractual Specified Contractual* Blanket Contractual Automobile Llability— BODILY INJURY Owned Automobiles Eff. Exp. $ Each Person $ Each Occurrence $ Each Occurrence Hired Automobiles Non -owned Automobiles Automobile Liability— PROPERTY DAMAGE Owned Automobiles Hired Automobiles Non -owned Automobiles " Coverage Is provided for liability assumed by the Named Insured for the contract between the Named insured and dated as provided in the contractual liability coverage part attached to the policy. 10/8/73 LC THIS CERTIFICATE OF INSURANCE NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE AFFORDED BY ANY POLICY DESCRIBED HEREIN. CHUBB /PA,CIFIC INDEMNITY GROUP 90 John Street New York, N. Y. 10038 Name and address of party to whom this certificate is issued Miami Shores Village Name & Address Insured A.W. Philpott gr. and Robert A. Philpott 9541 N.E. 2nd Ave. Miami Shores, Fla. 33138 This is to certify that the Company indicated by dicated by a specific (X) entry in the Coverage such insurance is in force as of (date) 3200 Wilshire Boulevard Los Angeles, Calif. 90010 If the policy(ies) is cancelled or changed in such manner as to affect this certificate, the Compan -ued, at the address shown above, 10 days notice of any such change or cancellation. 'icate shall not be valid unless signed by an authorized representative of the Company CERTIFICATE OF VI@iSURANCE Name & Address Producer Boulton Agency, Inc. 9165 Park Dr. Miami Shores, Fla. 33138 Certificate No. _ FEDERAL INSURANCE CO. _ GREAT NORTHERN INSURANCE CO. _ PACIFIC INDEMNITY CO. _VIGILANT INSURANCE CO. X SUN INSURANCE OFFICE LTD. X has issued to the Named Insured insurance affording such coverages as are in- column subject to the terms, conditions, and exclusions of the policy(ies) and that wi I mail to the party to whom this certificate is out F \ A g e 1 nc.� Date D , I 0 3 ," P-1/LPO Address / O i N s �/ 3 / �' T' --- - - --� � A v� ► Phone ra t( �af � � - Stree ro. or P . a . _lldx City �� _.__ ._. Name of Owner gD i3 E R' i 11. PH t d- P o r l Name of Company or Corporation Nature of Business OWAvc p - ai rE..oF/2 APPJ ICAT1 O MI; CC)N't'1 AC'iO1:' LICENSE MIAMI SHORES VILLAGE FLORIDA (If a firm, the names of all members of the firm; if a corporation, the names of all officers of the corporation.) Names and Numbers Employees (:fasters and Journeymer) : /1446 I License Number other Municipalities: Name and Amounts insurance Carried: SON A - arc_ tr y /O0/3 w e - ,9 Ecea2s Financial References: (Signed) Sworn to anc Subscribed. Before /AO PUBL,I. - St ce of Florida 1y Commission Expires Notary Public, State of Florida at large My commission expires Aug. 4, 19'15 To /3& Pli'ovi DEO P 1 , Phone 68 / —g'/r ,t M1 OFFICE: 4201 LEJEUNE RD. CORAL GABLES. FLA. 33146 LOCATION SKETCH N E.— 9rf✓ —S7./ ry 4 1i :1 14 J _ _ _' q,0 f e THOMAS J. ' KELLY INC, LAND SURVEYOR MIAMI, FLORIDA SURVEY NUMBER- 73 3 94Z 5? SCALE I "= 2 00 " oc4TE® /A/ //o4AI/ S 5 Fca $' U7 /e. /7 £4 M.E'Air p 0 WNZ2 'T.OE.e.E . ' 7W' /2. .c /A./Lc" LOT DETAILS 0 0 SURVEY OF LOT / BLOCK SUBDIVISION - ...: 0 /\/ ACCORDING TO THE PLAT THEREOF AS RECORDED D4 FLAT BOOK No. � AT PAGE Ne. 3 PUBLIC RECORDS OFZO4 COUNTY, FLORIDA. DATE: '� ^/ r' �. FOR: . W . ''0 7 1 HEREBY CERTIFY THAT THE ATTACHED SKETCH REPRESENTS A RECENT SURVEY MADE UNDER MY DIRECTION AND IS TRUE AND COR- RECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. THERE ARE NO ENCROACHMENTS. Alit _A., ..as. ,4 - Y'. REGIST EQ L'A ' IURVEYOI., 4 1961 STATE 4F Od)iDA. '' 1 4 _-- ) 5) o'.q_ .140 / ' ,a t/E / A T / C S. © o 2 " an/4 / ry £ ,o : -� r / - P /P. . 04. 6 P/PEr TELEPHONE: 444-7692 rM SCALE 1" : 2 Q OFFICE: 42 LE JEUNE RD. CORAL. GABLES. FLA. 99146 LOCATION SKETCH LOT SUBDIVISION .T 0 / /-/-E / .S ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK No. PUBLIC RECORDS OFZ242 COUNTY, FLORIDA. DATE: S — 7 —1 •9 r SF IQ 11:ef .1 D � yv N PMe WINN THOS Jo Y t LAND SURVEYOR MIAMI, FLORIDA SURVEY NUMBER- 73- 9 9 SCALE 1" = 2 00 L oC4TEO /A/ *MN/ SHvar4 i Age/ 7 z.--17' 80'R., O.I4/ /8 ' p4I/E A/7 / 0 00 SURVEY OF • 2' ar /L / Ty .4 iveT. mss /o4.0 9�U pot/1/4/2 TE41:. LA/474'1l < /A/Z LOT DETAILS BLOCK AT PAGE No. FOR: 09. W A' -'`7°, o 7 TELEPHONE: 444-7692 I HEREBY CERTIFY THAT THE ATTACHED SKETCH REPRESENTS A RECENT SURVEY MADE UNDER MY DIRECTION AND IS TRUE AND COR- RECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. THERE ARE 140 ENCROACHMENTS. REGISTF. SURVEY0A # 1%1 STATE IkFJL A 1 / V V 0 PiPe P/ SCALE 1" a C� O ITEMS SUB CONTRACTORS & SUPPLIERS NAME & ADDRESS 10 Architectural Fee (mlans A , e • e IR 2 0 Asphalt walks, drives. etc. 16 -.6 O v . t ,. r _ „g , / • • I1, S • OTN- , u 1( '. $# rq. / i , LL- , . 30 • Cabinets - BathVanit - .Co Cabinets ® Kitchen 55 Cabinets Medicine ut E, _ • =;•'st.S it A) Tom- Au 6 Cabinets ® Unit Closet S4:1_F z.. 70 Cleaning SE /-c 85 Clearin• Site 6E- : _ 95 Concrete ® Foundation, Slabs Beams 10 Concrete Walks,drives.etc. 11 Contractors Fee _, i - 12 Electric Fixtures _ --- : 0 A r`tA 2 • 13. Electric Wirin • q , u � 145 Equipment Rental • -Ar;4 fit E —7H /A L_,E 15 Excavation NONE AND re ' . ' Cr SlfO .E a... 4 � r to .160 Fill for S1 17, Floors o Finish wood & kitchen T i " t Dt.,A IN , .e:,, E L , o N5. . u 18 Floors ® Terrazzo 19 Garage Doors •.∎ -Q 7a . - 20 Glass. Sliding Doors " ;,, �� ►� • ' cKIN I a PL l e l inAMINIME if U • d . id • . — 21 Hardware ®Finish 22 Hardware ® Rou,h 235 Heating .. /4 24 Insurance Liabilit . cm.. ®bond 7, , , �, , IA lrn f 250 Labor - Payroll ° 260 Labor - Contract 275 Labor ® Contract el_ 28 Landscaping, Fill, Grading 29 Lath, Plaster, Stucco CA'trttL LAsTE•RI c, PO +.'t 8t% I- lALEA .30 Lumber (All) , _�. _ „. 315 Masonr Labor SEt_ 32 Masonr Materials Block _ i s 335 Millwork ! I_; _I c 0 : ' Se k ' '., — lit A w► 345. Miscellaneous 350 Ornamental Iron Work NpWC 360 Oven & Plate ® Built -"in .wi _ c : P Pu A ioc . '3• a • _ wog, — A yn 370 Overhead 38 Painting SELF . 39, Permits Temporary Power . ?At AhAx SPiotatc v 1. LA- « C. — p L 40 Piling (Foundation) N `ONE • 415 Plumbing Complete -00ES PUJ-N i31 (9 573 ... A P. cILC _3s0 W '' _ - 1-NNI to (,, uJ- _, IJDO E to m _..,_,: . 42 Pool - Swimming . 435 Roofing & Sheet Metal Work 440 Roof Trusses - Pre-fab. . � 455 Screen Enclosures 465 Se.tic Tank or Sewerage g a, SE i tc: — .0 , 1_ as W lci 4 all . , - • .�� t LE_ i 1i � t . ti. . • 470 Shower or Tub Enclosures 480 Steel ® Reinforcing; & strle 495 Supervision -- , L_ MillIIM 7-0 LE u 4..3 . . � ► A w� 50 Surve s • 510 Tile & Marble . M .,. - - 7 2_ - ►2 tJD` `•1)E5 _: -- Ml i a'VM lea ` Tt 52 Water -n Public 530 Water ® Well &Pump SELF 54 Windows - Glazing & Screens CEP get_ '1Aiiiiii (J /0a0C Sr' ' ■'l /Ate. MIA' 555 Window Frames m Concrete I.IIAMI SHORES VILLAGE APPLICATION FOR FINAL INSPECTION Prior to a final inspecti n this application must be filled out; if sub contractors have failed to take out permits the general contractor shall be responsible for the permit and fee. A final inspection must be made prior to the release to Florida .Power and Light Co, and the issueance of a certificate of occupancy, - E 27- PH / L R0 77 JOB ADDRESS g ®D iv 9 S � 7' H • I'►'� ft y>) r 5 f -f02ZS ) , BLOCK ( SUB j QN1 Heiw S BUILDER 013EAT {q . Ll{/Lpa m DAY LABOR CONTRACT DATE 19 LOT CONTRACTOR ITEMS • SUB CON`17I�C &OADDRESSPPLIERS 'i ' , , r t S I .' : .3 ,v bt T" A t'. /A 1. • Architectural Fee (plans ) 2, Asphalt (walks, drives, etc. �/G L� ri, c`D �vrAyG + u Q• , ,r , 1 .01 LL D. 3. Cabinets - Bath Vanity 44, Cabinets - Kitchen 5, Cabinets"- Medicine Der �,r� �a } rF .- f 'i'/'rs s i /1R3o nl `� t* /74 j 6, Cabinets - Unit .Closet 7, Cleanin; _F�i° 8, Clearing Site < /. 4: F 9, Concrete - FoundationASlabs9Beams• SI.4_ 10, Concr.ete.® Walks, drives, etc. 4F; (. , r r Li <�ITiN( Cr$ 7 k s? 0 r "/-I >e !1/11A 11; Contractors Fee 12, Electric Fixtures 13,' Electric Wiring . M_ _F: F:f; to (e elf Lain hi,, <, /./ /J,r r) e.EA)T •- 4..i... 99 F )f- ,'rasy- iii IA,v,„, r . /z/ /ALE/ I-r 2 q uipment Rental ° 15, Excavation KI ONi✓ Al,,r Y • , . • iy VA /0 E ' IA7 . 16, Fill. for Sl2' _ - > , 17. Floors - Finish wood & kitchen L •t6�.1 i z _a_ r,.p �,j tly r fir? IJ i� t KIDNi>✓ izj A uv► ► 18. Floors - Terrazzo • 19, Gara :e .Doors - e-Au c0RI> 7/'( iA) /Tu 4f,E, l- (tAi111 20. Glass. Slidin g ,...])22a, a /u a .r - 21, Hardware' - Finish t kllu,u t aP .Pk. - 22, Hardware - Rou_h ( Y 23, Heating : -. •': '___ .76 If01's IV' 53 I iv r_ I "Ti S " . /KM rn 1 .24, Insurance . - Liability, comp, -bond . 72.nU,L7nA, A(r -E kG' y ?/lIS P4R-K DR /() . mi q hi I '25, Labor ol l SE .� - 5FLF . 4G - 6, Labor C ontract '27, Labor Contract, , . 28, Landscaping, Fill, Grading <r, F 29, Lath,_ Plaster, Stucco C.APuta,. kAsn RI f0 60 Rt%9. t- lkiorCE}u,. /M/q 1 : .30. Lumber (All) . • CARGAN - .Sn / l r..1 `7 r c•E 31,'Masonr Labor 32, Masonry Materials, Block (A)T - 1_ en/JciaFTE. 11 2I Al u,/ I t{ ( 5.4- Ai( Aim 33, Millwork A71-ACT t' 1Tl CU.'?O1aW.' 3cE() /ju✓ "59 34, Miscellaneous - — 35, Ornamental. Iron Work 100IJ C 36, Oven & Plate - Built -in 3trytFcTic_1PPuRi0ct. .'3900 wt u) a ' ' 6vilA ertnl . -- 37, Overhead 38, Painting sE>_I~ 39, Permits Temporary Power ' 1r1, Am∎ `,lkf)R.E.S v ∎ t, 'i f,.0 t t s i 40, Piling (Foundation) Not.I 41. Plumbin; Com.lete - ,;j0UE PLUM l3 t t\l & i su Y,4, Y« AuE. N ( A vin 1 1,)01,Av . . 42, Pool - Swimmin; . 43. Roofing & Sheet Metal Work ` = r 3s o 4J W 44, Roof , Trusses - Pre -fab, LIMN (i- RalP(10 < S'1 IJ (Ai - 1.1_ SA- J 0 W E • ' MIA wt l . I1,- (PLc_A,# . iyF'. ' r• . 450 Sca�een.'Ti nclosures • 46, Septid ' or Sewerage • AA Si✓p lC: i ilsr. , -4 A tart'. (k • 47, Shower; or Tub Enclosures • . ' uAt• lAt i+cn. • o rJuc << I fS': WI d 1.41 > 48,• , Steel ' Reinforcing 8: strl, FkM,Yv Nil STC 1 A.O4 5 kl lA) Al hA 1 MM, ) ' • cct_t= • . 49, Supervision i '50; Surve s - « Lc uo. >. � ., yp . ► , !Rn , , t 1vk-• 7 . - _ J � t { AR_PO) A 116(A W l ;:p6JES 'Rct t P.Iajr> — h+NtP Mt .1 'z' :. -'-„,.',.!''",`.1.'z':.• :516 .Tile - & Marble '52,.,;Water.;; N^}Public , ., . 53,' Water.'. Well & Pump SELF ' `:;, `/ 54; Windows- Glazing & Screens CEpj FI-RL tiO►11 Di UJ 10;�E: •5r -.¢- f f i- 55, . Window Frames - Concrete ttithoi i\p SGYO t wki - 7a Ave. rY1(.(kyv\t L Prior to a final inspect.im this application must k'e filled out; if sub contractors have failed to take out perriits the general contractor shall be responsible for the permit and fee. A final inspectionnust be made prior to the release to Florida Power and-Light Co,. and the issueance of a certificate of occupancy. OWNER 0 13E 2 R. . /la I L-' 17 JOB ADDRESS g 60 iv 9 5 r I' A .t'Y ► I-f 0,ee LOT ) BLOCK ( SUB. ' T' . I 1-1 C► W r BUILDERt ,9E,T 1 iMIIAMI SHORES VILLAGE APPLICATION FOR FINAL INSPECTION DAY LABOR CONTRACT DATE • 19 • Permit No.. Disapproved? Date (Signed) ? MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby uinde 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 ?.'.� I11rd. /ate 4 . g.M6.' „ .... , e,. _ .. .,,e- ,.........,.,,,e,_e, Name and address of licensed contractor ti . .r '' 't C4' 1.x:4.._ 4!2 As /0 e f;' C7 Location and legal description of lot to be built on: Lot / Block / Subdivision a--Pi.," 0 dtzot,EfS Street and Number where work is to be done 800 .A/e 91 `' ,r State work to be done and purpose of building (by floors) ,6PL 1G.'7oC) and for no other purpose. New Building Remodeling Addition t/ Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $.r.5 ® °� 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 rnay be sent to..ad4/ ?G. L. C .Q'1`7f . et) // 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) '° • Date / c>—( Z Building I nspector Chairman Member 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 mi ire,e Read, Sworn to and Subscribed before me. Notary Public, State of Florida Commission Expires PL INC BOARD DATE 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 hoard. A re- inspection Ice of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved (Signed) L.- 13 MIAMI SHORES VILL 3E - '2,1 °/ APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement of the plans and )ecifications herewith submitted for the build - ing or other structure herein described. This application is made in compliance and conk pity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinant s, of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, wheth• 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 / /2. Q-./...7. /.?S .4 — No Street d 2' �7 Registered Architect and /or Engineer 0.,7 v�r/ CA4 g��' - I? ......... ,.222.2 - ., ,net..-7/4v-7/ Name and address of licensed contrictorS/VP �`'.'o�'c � /1 . � iui �G6'_ , �¢ - Location and legal description of lot to be built on: Lot Block Subdivision...LV'�yJ ,l��i� 7 S State work to be done and purpose of building (by floors) .5-44/4""/"-1//'',.71 z ? u ®4 _ "9. a2. 7 - 1 0 !1 1 —p r1- cast � j 74 2 -� - �r✓✓ I sass._.__. and for no other purpose. New Building - Remodeling Addition :Repairs No. of Stories To be constructed ofp "N•PC Kind of foundation Roof ering Estimated Total cost of improvements $ 0 . eO 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..S'f/</A7...0e....C.... .. ./.yd Co- // 'C. .3.,3%1 ,.e / /C17 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) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described constructio , that he has arefully read the foregoing application, and that he did sign the same, and that all facts therein by him /seta d are e. Permit No .. sas s Date ( Read, Sworn to and Subscribed before me. BUILDING INSPECTION DEPART,: .T Date. Buirdl Inspect Notary Public, State of Florida My Commission Expires to me well known, NNING BOARD __._ DATE Chairman Member .fcrr,ber Member Member sass.. _------ _---- -- • - - .__._ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application nfter 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. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT Application is hereby wade 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. 1 Owner's Name and Address 6 _. / — No.... C Q.._... Street_...A"G _ _.. S S Registered Architect and /or Engineer : ,::.. . ,ar.•, :TT ::n:va:::n r•,•:n ••. Name and address of licensed contractor .. r .4 .. , c i t .t r Q 1p�rJr i y....Gt? _....7...� / / 8Z S' Location and legal description of lot to be built on: Lot Biock Subdivision _ ...._ _ .___....._._........ Street and Number where work is to be done 2 0.0 zz. e" .7.-- * , . 5— 5"C State work to be done and purpose of building (by floors) .f_7 vl i . o! il't / and for no other purpose. New Budding Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 0.3 Q Or --- 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 Workn•ien'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 subcon• actors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks..._ (Signed) :.. "_ _. G 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 scarf d are { tie. Permit No.-__-_./ °/ Date 7" ( a 7 / . Read, Sworn to and Subscribed before me. Disapproved a . Date (Signed) Building Inspector STATE OF FLORIDA, COUNTY OF DADE. j ss. Bcfore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Notary Public, State of Florida ommission Expires to me well known, v PLANNING BOARD DATE Chairman Member Member Member Member ...... Member _..._._... w..___ 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 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Application is hereby mode for the approval of the detailed stateuu•nr Lit Inc plans and specifications herewith submitted for the build inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and 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. ' / / 2 f Date..._..._..._ —.EL/ 19.8 Owner's Name and Address ... ? • . / . ! . � . / ._. No.... $0 p HE hM r _ T treet_ Registered Architect and /or Engineer Name and address of licensed contractor Sel Location and legal description of lot to be built on: Lot l Block ( Subdivision.. .J ON t 14 E i 1•1 S_ ..... .... Street Street and Number where work is to be done `>300 ME c 5 lc c? _..... _..__N _ _ _ State work to be done and purpose of building (by floors) 1 /4.51''''' t-c- t N G- J hC to Z.. _i._ 4-._,._ i 1�cs,...,_.., _ _ ___. and for no other purpose. New Building Remodeling Addition V. Repairs No. of Stories _ To be constructed of V4 00 9 land of foundation W O o D i N C tt nn E !lt.T..._. Roof Covering N A Estimated Total cost of improvements $ Z50 Amount of Permit $....1.VX Zone cubage required Plan Cubage Distance •to next nearest building.. Size of Building Lot 100 5 — .�.Q lfaxiunum 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, Penn;cne•nt Sup Fitment, 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 th work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcojractors, on work t b performed under this pcnnit, 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, per,onally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him � sttat te ed free tau Permit No.._... "^� 7S 3: 3 Date Read, Sworn to and Subscribed before me. Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT AF'PLICATION FOR BUILDING PERMIT Building Inspector Date un. n:•• ..... - n,nmrwre• tin an, e:....,. Notary Public, State of Florida My Commission Expires to me well known, PLANNING BOARD .._......DATE Chairman Member \ferr:bcr Member Member .. .. _....._......_..._.— ...._....._ Member �.._._.... Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the I l.rnnir.g Board. A rein fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or. faulty materials anti /or workmanship. Perrntt No lib -6 '1 Amount of Permit $ N£ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) Date..._. \. 1 74/ Size Septic Tank Type of Tank___—_. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well...-.-- _--- •--- -.__ -- Nature of Water Supply: City—Well. Size of Soakage Pit 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 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 it building during progress of work. Cevv k2E RS ' S r No Owner's Name and Address g flE: `- t L S v TT Registered Architect and /or Engineer S ELF Employing Plumber's Name 5 e , Na, , . e...�.�.....�........ /trs�._,........:......� .... Y Location and Legal Description Lot 1 Block l — Subdivision ) ° ' ` 1 E t & t+T $ Street and Number where work is to be performed —No Street---...--•---. _..._._ ........ . ...._. ..._. ________ State work to be performed and purpose of building (By F l o o r s ) / N 5 7A L I l u .6. ._jR C u Z Z New Building.._-.-_. —_ -.- -.. R modeling —__ _ .__ Addition.. _ ..__ Repairs No. of Stories.......... Notary Public, State of Florida Plumbing Inspector. 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 5988, Compiled Ceneral Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort• to he 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 51. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he 1s the • -_ - _ -...- - - .... —._ _ -• of the above described construction, That be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made wham loot ssrhspsodas Y made'alsloaaaary by (improper sodas far bmpectioe, or fadq► materials and /or workmanship. CLOSETS BATH TUS• mug. LAVA• SINK• SLOP SINKS LAUNORY Tune U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N• TOTAL ' TUK¢11 Cowrie. LIST �... CHECK SOAKAGE PIT G TRAP SOLAR HCATIR Map WELL S SYSTEM SWIM'O FOOL SEPTIC TANK SEWER CONN. DRAIN FIELD CONTR. LIST CHECK Perrntt No lib -6 '1 Amount of Permit $ N£ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) Date..._. \. 1 74/ Size Septic Tank Type of Tank___—_. Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well...-.-- _--- •--- -.__ -- Nature of Water Supply: City—Well. Size of Soakage Pit 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 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 it building during progress of work. Cevv k2E RS ' S r No Owner's Name and Address g flE: `- t L S v TT Registered Architect and /or Engineer S ELF Employing Plumber's Name 5 e , Na, , . e...�.�.....�........ /trs�._,........:......� .... Y Location and Legal Description Lot 1 Block l — Subdivision ) ° ' ` 1 E t & t+T $ Street and Number where work is to be performed —No Street---...--•---. _..._._ ........ . ...._. ..._. ________ State work to be performed and purpose of building (By F l o o r s ) / N 5 7A L I l u .6. ._jR C u Z Z New Building.._-.-_. —_ -.- -.. R modeling —__ _ .__ Addition.. _ ..__ Repairs No. of Stories.......... Notary Public, State of Florida Plumbing Inspector. 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 5988, Compiled Ceneral Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wort• to he 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 51. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he 1s the • -_ - _ -...- - - .... —._ _ -• of the above described construction, That be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made wham loot ssrhspsodas Y made'alsloaaaary by (improper sodas far bmpectioe, or fadq► materials and /or workmanship. t • : 1,Wlifirt/ Ste V111/71- . 4 w4 :?..• . .- ef . •v-73..isY2PIA./.5" ltAItei ./v 009 .1,L: - 774 4 C 1 ; • 7/ V IV We-1Y • /C' Q2' • 2.e •••. X17 71,•• • ,••••••e'Plcej. .".".(• . . • reIjc ;•-• /7.) T(E/ • 9/ ! i . I • K-Z • 1 CS • (S . . I i _.• D >y!/-..!. . . . . • - • tit•fd I 37: •c - ,4 - 7 . - 7.;;%8 0 • o,0/ 4 1 , i 6 Pier.5,4`t / • 7oz, le ewe: FIT 10 N p t z RP/4 i ntC5 r ectrzm 0 E. ComeRf/4 - 6" AL Woo., 72) & // / ea AJC/a7- • Checked • .. • Datsl • • t troths' and en iiterr onel tAaltlor off, I.:114WW•4 • cling roguir(ion, wItet!Arr or tin. All reintorno-d sica, fool o4rino• mod mot 1)loorclioN )L.CTIC.. 'TANK. . • • • * . ••• • ' 211 . 1 """r 11 - 11 -' 1): * 4i)o scr .c-c t••• 1 i 4...0 1. H.1; • • L I , . . 1 IP P- .•7 • s■■■•••• . • • . • .• 1 . • : st-w-c) \•,/ s■ 0 . : c2t-iNt e3. 00 VC PG. _ge C...Outs.)T - of • tc— s ' • II Ar o, 4 al • r 13813 NW 19 kis.: (3051 681-7476 '''• ' • • 14 cit-of-4.5 P11;5 •SIDEU-?/11-.K . _ • N F - Po. • • • • • • • . _ I OFFICE: 4201 LEJEUNE RD. CORAL GABLES. FLA. 33146 LOCATION SKETCH LOT SUBDIVISION t ACCORDING TO THE PLAT THEREOF AS PECORDED IN PLAT BOOK No. PUBLIC RECORDS OFL2.L.L... COUNTY, FLORIDA. DATE. 0 _ tu oh/ c) \ • .Z Of 4 7" A 6 ; n. 1 •••• i i..: b c ! .• r., / .; i • .• . , ...---•• 4.. l .. ■-, , .,..-• ./, /...e;/ ./: . , ...: „Tie/11" ., • .5 , 8 o "A', 0 , I" 1.6 .A.. 5 --" 7 - / c' c , 6 i.) e ?jr,'/ AL: rr. • "MOMS KELLY INC. LAND SURVEYOR MIAMI, FLORIDA SURVEY NUMBER- 76 1-: SURVEY OF • SCALE 1" = / w 1 \ FOR: • 7 / . 7y .4 .1 " A 7 Cv'4 pipe 1 70 . in/Ai T BLOCK AT PAGE No. I HEREBY CERTIFY THAT THE ATTACHED SKETCH REPRESENTS A RECENT SURVEY MADE UNDER MY DIRECTION AND IS TRUE AND COR- RECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. THERE ARE NO ENCROACHMENTS. • • REGISTERED LANO SURVEYOR * 1961 STATE OF FLORIDA. LOT DETAILS SCALE 1" IR TELEPHONE: 444-7692 4 • SECTION d 11 Ms fra.t Q IL Qe- 6 X4 -p*10 w•••8. cwrTD.LaLs ANCNOR DETAIL FOR INGROUJD INSTALLATION N.TS. N.T.S. FILTER 8 PIPING ISOMETRIC PLAN VIEW SECTION . N.T.S. RELIEF VALVE FOR INGROLND INSTALLATION N.T. asr UNIT..: W U(411 IGGIa: 01 lift V. TRartaaBE R.X. LOW valaoG tAurrsA4 ELECTRICAL SCHEMATIC PLAN VIEW N.T.S. SECTION IL SI NI FV.C. 60142 W - Pi!{G 00 • P4 AdrI. , GEOLa.0 ILL. 6eca0�� 5JDA.'R CIY M1. . r00LM. w..1 A LTC.,w[ -12. NVI¢a TYPICAL ABOVE GROUND WSTALLATION KLS N.T.S N.T S. N.T.S. i a-A PLAN VIEW SECTION 01 N.T.S. N.TS. ENCHANTER ACRYLIC SPA 250 GAL CAPACITY FOUNTAINHEAD ACRYLIC SPA 350 GAL Copt cry REJUVENATOR ACRYLIC SPA 25o GAL cPACI Y VITALIZER ACRYLIC SPA 160 y CAPAarV 1. TM1E ■NIRLPCOL OAS SEEN DE310IED IN ACCORDANCE 0171. 01CTIA 2 OP THE 0ATIOryy SNIPPING POOL INSTITUTE STAAD41 'SUGGESTED M1011RI. STASDARD 100 RESIDENTIAL SNIPPING Pox:9197N EDITIOIII AID SOWN FLORIDA /WILDING CODE [1964 ED1710,1. 2. CONCRETE TO DEVELOP 3000 PSIS 28 DAN. 3. ALL ELtCTR1CAL SwLL1 COWMAN TO ARTICLE 1660 OP TN( RATIONAL ELECTRIC CODE. No OYEooEAD 0101» SMALL Pais 715010 10' OF POOL. 8. 0ATE• SUPPLY AM DISPOSAL LOLL SE S0 ARRANGED TAT 7000E 13 00 CROSS CoolICTIOO ETV • DOESTIC SY►PL1 OR 0AT1R DISPOSAL SYMP. S. FLAIR MAIN TO wnn AN ANTI- YORTEN COYER ♦ _ p 00 A ATE 0150 010. PE 00 AREA Of ES so. 10. AS PER SECTION 5002.5 SFBC 1914 EDITION. 6. Foe INGR0111D INSTALLATION NSA 005700 1M s0A IS »ELM FLOOD CRITERIA LEVEL. PROVIDE r DIA. MT000STATIC RELIEF VALVE. 7. 514 son. 1LARING CA0K177 11 2500 (S11 »1008.0 OMR COIDITIOI11 OR wT[RIAL3 K EXD007700 D 7K E0G1e011 WLl SE NOTIFIED REPORT 0OCEED5K 0IT0 NORA. /. FILTER POW To SE 1/2 R.P. MIX. 9. All BLOWN To aL 1/1 X.P. M1•. 10. NEATEN TO SE 20.000 /.T.U. - ORIONAL 11. ALL E04IIPPQT smut in INSTALLED IN ACCOImANCE 0170 CMAPTE0 50 OF 3.0.6.0. f64EDITIw. Ar0 �.iX /eL7�.iL S _ S/J.L 12. 91/11010 SPA TNIC>OE»S ! L.� f _ • -.00 _ FLOOE 13. b Dorm RA01101 00 90' SEED 041007 10 S1CTI01 USES. 1A. S51100 Kerr NAVE DECK OPENING. LS. ALI- 8.01l►7'<NT Q rucr <J4. 6ALALL WA AL S11SS0AiS4- 9NITTATION POLAOATION *,8.w ML. Or4C . A *.. SKALL. Ar.OP MN_ 00 YIN bLe• *Val/ PM :r1 'SM. OT-LX Yo.a.LL MOr 127 580 0_ MILL PI. 1717-41. YAAty- E 1 A MO, -1 0 5( N LJ (P0, P 01Gl r • W O COMT. ToG1C AEOOAP� A MPL O► Si P TA R1h TLRIMCTV. own GDA11rry AGLrPrAw Aso - oR50 L.PYwo • 8 5.02 CONTRACTOR New Construction Name b N S /I „ ‘'"w M AN ' License No. cB C Q 4 , s _ t 331 3 g Address 36 6 A) P's 242- 2 Telephone 40 q .. Fax Alteration Interior Qualifier Name ^T Q ut`.ei I I er PROPERTY OWNER New Construction Name Sco `/ 4toy) 4 - M AN ' Address DO AjE q S SAV ee,r At,i4n4,; Shwr el' , ,6_ 331 3 g Home Telephone 3 6r. 757 _ !;/ a 8 2 Business Telephone Alteration Interior Fax ,3OS -- 151 — 30Z-8 Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other INSTRUCTIONS - The folio% Step 1. 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. APPLICATION pc Job Address: g60 NE 'FS Siveeit Address Apt. Folio Number Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other ARCHITECT Name License No. Address Telephone Fax ing steps must be taken to obtain a permit from the Miami 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. PERMIT CHANGE Chg. Contractor Renewal Revision Extension Supplement Reinspection (✓) Master Permit No. Subsidiary Permit No. 4.4,(.1(1444' .r t'a &w.u' Shoves p 33/3g City escription of Work & 1IlY a7i1 Na i hi (ffwee (e f vonii ) Zoning Linear Feet Square Feet Units Floors Value of Work 4' feeds, 00 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax PERMIT APPLICA.ION State Zip Page 2 INIPORTANT NOTICES 1. 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 Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed 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 OF FLORIDA, COUNTY OF MIAMI -DADE " <,e_e .t — ature of er Ant 3 Adiedladi Print Name Swo and subscribed before me this ture of o ,hlc ■ o'\' PU e` AI"G LA M ,4,• .;t � ` a i' .? Q 4. t 7`:C(:,.9 / •. - L. - ( a1' i _ C,I :,�o / Personally known OR, Produced Identification 1_ SEAL: Type of Identification Produced: ) 1 1 \ "1 o I SEAL: (;) tm b i OF F. i.C'/, . Personally known pe of Identification Produced: PERMIT APPLMC'ATION OR, Produced Identification D 113 � 70 53— ELECTRICAL TVPF. Minimum Fee QTY. "'YPF Dryer QTV. TYPE Outlet, Appliance Q"fV. "I'V' Service Repair Q"I'V'. A/C Central 1 -3 Ton Fan Miscellaneous Fixture Outlet, Wall Soakage Pit Service, Temporary Bath Tub A/C Central 4 -7 Ton Fire Pump Paint Booth Outlet, Switch Ventilation, Cost Signs Air Handler, Tons Iluctwork, Cost of A/C Central 8 -15 Ton Fixture - Fluorescent Filter Replace Oven Pool Piping Space Heater (kw) Sprinkler Repair A/C Central 16-20 Ton Fixture Light G Parking Lot Lights Bath Fan - Vented, # Fireplaces, Number of Spas/Hot Tubs Pressure Vessel A/C Central 20+ Ton Flood Lights Cap - Water Plugmold/Strip Gas - Appliance Subfeeds, No. of Amps Pump, Domestic A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Temporary Toilet Range/Range Top Catch Basin Swim Pool, Residential Gas - Propane Chiller Generators, etc. Receptacles Switchboards Clear Violations Ileat Recovery Pump, Replace - Pool Refrigerator, Comm. (p/PH) Urinal Temp Serv., Construction Dental Chair Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Ice Maker Renew - Temp Service Pump, Sump Utility - Water Demolition Low -volt, Intercom/Teleph. Repair Circuits Relay Repair Dishwasher Low -volt, Television Disposal Service, Number of Amps Interceptor Roof Inlet MECHANICAL TYPE QTY. "YPE Minimum Fee Condensate QTY. TV Q"1'V TYPE Q'I'V Drain Generator TYPE Refrigeration, Tons Roof A/C Central, Tons Cooling Tower Miscellaneous Fixture Heating Strips, each Soakage Pit Vent Hood, Cost Bath Tub A/C Wall/Win. Tons Ilryer Vents, Number of Drinking Fountain Paint Booth Miscellaneous Repairs Ventilation, Cost Solar Water Heater Air Handler, Tons Iluctwork, Cost of Bidet Piping, Flammable Liquid Filter Replace Periodic Inspections Pool Piping Barbecue Fire Sprinkler System Sprinkler Repair Process/Pressure Piping Cap - Fixture Fountain Bath Fan - Vented, # Fireplaces, Number of Pump and Abandon Pressure Vessel Sprinkler System Cap - Water PLUMBING TYPE A/C Condensate QTY "YPE Drains, QTY. TYPE Q"I'Y. 'I'VPE QTY. Roof Miscellaneous Fixture Soakage Pit Bath Tub •11 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 Lndirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet 3 Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory C Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower 1/ 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 DATE Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official I - 2 , z Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $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 $ (1D, $3 00 -, $ ( j,-.0 (sq.ft. = x/1000 (¢.005 / sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) 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 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2002 -1400 Printed: 8/13/2002 Applicant: AMY PERWIN Owner: PERWIN AMY JOB ADDRESS: 800 NE 95 ST Contractor DANS CARPENTRY INC Local Phone: Parcel # 1132060410010 Fees: Description Amount FEE2002 -4477 Building Fee $190.00 FEE2002 -4478 Buildier's Bond $300.00 FEE2002 -4479 CCF $7.20 FEE2002 -4480 Notary Fee $5.00 Total Fees: $502.20 Total Fees: $502.20 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 2/9 /2003 Construction Value: $12,000.00 Work: BATHROOM RENOVATIONS (THREE BATHROOMS) If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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 mmper rrnmir_.ipal authorities. Thic Permit may he revoked at any time if the work's not none in compliance with Such nrriinanr @c nr if the plans are rhanned withnnt 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: Building Permit Contractor's Address: 360 NE 152 ST Page 1 of 1 Legal Description: JONI HEIGHTS PB 96 -23 LOT 1 BLK 1 LOT SIZE IRREGULAR OR 15762 - 25191292 (INSPECTOR) BY: 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 responisibility for all work done by either myself, my agent, servan r employes. (Contractor or Builder) BY: DAN'S CARPENTRY, INC. 360 N.E. 152ND ST. 3 05-949-9400 MIAMI, FL 33162 Pay to the Order of BankofAmerica ACH R/T 063100277 1:06 30000 1 .8 71: 001,59 5606 34 ill° 8 '1o? For 8407 _ I Date_1:2_4114 953 63-4/630 FL 2 I I $ Dollars 8 Own. I...et 0.11. cnimSt. •The _Sunshine State • UCENSE MAWR G436-170 -53-423 -0 DANIEL. JAMES GUALTIERI 360 NE 162 STREET MIAMI, FL 331624018 BIRTH DATE SEX HOT. REST. ENDORSE. 11-2343 M 6-10 ISSUED EXPIRES; 11-21-01 11-23-07 DUPLACATE 00-0040 SAFE ORNER 011121=1 Operation of a motor vehicle constitutes consort to any sobriety test required by I. Date Type Insp'n Permit No. Name Address Company Phone # For Inspect, : Approvi MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request w 1 P Time 0 4,1 `sr,-7:1z D Name & Date AM Correction ❑ Re- Insp'n Fee ❑