736 NE 94 St (8)FHA Form No. 2005
Property address Y 4 4 of 9. ISlosk teem Rs State y o t i
TIMMS
Mortgagor or Sponsor kt • ! 411)11411
This exhibit will be accepted in lieu of specifications with Title I, Class 3 "Application for Property Approval,"
or with "Mortgagee's Application for Insurance" or "Application for Conditional Commitment" under Title II,
Section 203.
The use of this exhibit, executed in a clear and complete manner, enables the insuring office to give full credit for
the material used, and facilitates processing of the application.
Suggestions. — Fill out completely all spaces in the outline description below. Draw a line through all state-
ments which do not apply. Place an "X" in the square opposite the description of the material to be used. If the
space provided is insufficient, write "See Misc." therein and insert complete description under 27. MISCELLANEOUS.
If existing construction, leave all spaces blank and describe repairs or alterations under 27. MISCELLANEOUS.
1. EXCAVATION:
2. FOUNDATIONS:
• • No.
(To be inserted by FHA)
FEDERAL HOUSING ADMINISTRATION A?Qit t.S$' • Jab
No. vialib
1a*
DESCRIPTION OF MATERIALS
,] Proposed construction. 0 Under construction. 0 Alterations or repairs.
General. — All construction shall equal or exceed the FHA Minimum Construction Requirements, local building
codes, zoning ordinances, and restrictive covenants. The materials described herein shall be new and the best of the
grade or quality stated. Erection, application, or installation shall be in accordance with the manufacturer's direc-
tions or the best standard practice and shall be done in a workmanlike manner. For final approval, all buildings
must be complete and ready for occupancy, connections with utilities completed, and with all equipment installed in
operating condition.
♦" reek r nn wed
Minimum depth below finished grade, Type of bearing soil,
Concrete: Mix -1 part c ent,
It 4
parts sand, parts gravel or stone.
❑ Transit mixedwhine mixed. ❑ Hand mixeclia
Well footings: Width, "; thickness doK reinforcing,
li Mi.
Pier or column footin " X "; thickness, d
6. FLOOR :FRAMING:
Second floor
Third floor
Material
:rr
GIRDERS JOISTS
Size
Material
(1)
Size
" X �
• X
• X
flidiffiefo
Foundation walls: ww ; thickness, "; veneer, \
Piers or columns: , III ; size, " X
Waterproofing: lia ie Drainage:
Basement floor slab: ; thickness,
illidi
Areaway y .k - e.-ot -_ eIf -- r __a , ft ; thickness,
Vents: ; size, " X
3. CHIMNEYS:
Flues: No., ; size, " X ", " X "; lining,
4. FIREPLACE:
❑ Wood burning. ❑ Gas burning. ❑ Circulating heater. ❑ Imitation.
Size opening, " X " Size damper, " X " Size flues, " X "
Fireplace lining: ; thickness, "
Mantel: Facing: Hearth:
Other:
5. EXTIFIOR WALLS: ;; e e
Solid masonry: Facing, ; backing,
Waterproofing: Furring:
0 Wood frame construction:
Studs: ; size, " X "; c. to c., __ "
Sheathing: ; thickness, ". (If wood): ❑ Hor.; ❑ Diag.
Building paper: ; weight, #.
❑ Veneer: ; bond, ; paint,
❑ Wood siding: ; thickness, "; width, "; weather, "
❑ Shingle siding: ; size, " X "; weather, f'
❑ Stucco: ; lath, ; weight, #
❑ Other:
Finish: ❑ Paint; ❑ stain. Coats, Mfr. or formula,
Spacing
1.
Material
BRIDGING
Size
X a "
X
"X
36 -14578
,
7. SUBFLOORING:
Material:
8. FINISH FLOORING:
9. PARTITION FRAMING:
Studs. *Aral, •
13. SHEET METAL WORK:
Gutters:
Drain: ❑ Splash
Roof flashing:
Valley flashing:
blocks;
0_461i
SE_
16. INTERIOR DOORS AND TRIM:
Type door: tae X ' niti
Trim: Casings, Lo ti ; base,
Lo id K' pia
Finish:
; size, __ " X 4___ ". A] Diagonal ❑ Straight.
(2)
; size,
e X --. "i c. to c., "
10. CEILING FRAMING:
Joists: y/
- � � ; size, � " X - -_* "; C. to c., 6 "
Bridging: X ; size, " X "; spacing, _
11. ROOF FRAMING:
Rafters: j .�1�I' ; size &,';.____" X __ _6 "; c. to c., .1* ".
Valley rafters ,� ir,t, t ; size, ___
X n
Sheathing: Yoko ; ii] s01id; ❑ strip. Size, .___" x ____a "
Special:
12. ROOFING:
Roofing felt: s'�I.6__ t.liat "- o.- -«1► -- ►
-. 11� -- ► __ ; weight �
__Au_
❑ Wood shingles: ; length, 8
❑ Asphalt shingles: ; type, ; weight,
,
❑ Asbestos shingles: ; type, ; laid,
❑ Slate: ; length, "; weather,
Other: + t
-►1 - �� st
-- 1, ---A -i
; weight, # Downspouts: ; weight,
❑ sump; ❑ sewer.
�s�
; weight, 1.0 #.
; weight, 3.6 #.
14. LATH AND PLASTER:
Lath: =,l,.alla1it ; size grounds,
Plaster: `Sit ; coats, Ike ,l ; finish,
Other:
15. DECORATING:
Walls: V tletIS Ceilings: :, 'tot ; lilt
Kitchen: 2hreit __ AMAX_ _ __ imainsi Bath:
Other finish:
k � • m ' 17 ; thickness, 1 4/$
; other,
n
#•
Special:
17. WINDOWS:
Sash material: Ufa ; type,
Balances: Screens:
Basement windows:
Special:
w7^ 1ET L t* ; thickness, 611164°t "; glass, • .2
18. ENTRANCE AND EXTERIOR DETAH. _ O*"
Main entrance door and trim: ____ __ _ , _ ; thickness,
Service door: '* d� X Er csbl _ � 0 fte s I
; thickness,
Other exterior doors: '�` ; thickness,
Hoods or canopies: • Shutters:
Cornice: Ornamental iron:
Special:
•
16 -14678
,
,
n
Paper
Flooring
Grade
Size
FINISH
First floor
Second floor
Third floor
..,03,466-
v a "
" X "
" X n
;,420 --- iii `ia__
-- - -#cot-
146.71 titbit 4W-A-•
7. SUBFLOORING:
Material:
8. FINISH FLOORING:
9. PARTITION FRAMING:
Studs. *Aral, •
13. SHEET METAL WORK:
Gutters:
Drain: ❑ Splash
Roof flashing:
Valley flashing:
blocks;
0_461i
SE_
16. INTERIOR DOORS AND TRIM:
Type door: tae X ' niti
Trim: Casings, Lo ti ; base,
Lo id K' pia
Finish:
; size, __ " X 4___ ". A] Diagonal ❑ Straight.
(2)
; size,
e X --. "i c. to c., "
10. CEILING FRAMING:
Joists: y/
- � � ; size, � " X - -_* "; C. to c., 6 "
Bridging: X ; size, " X "; spacing, _
11. ROOF FRAMING:
Rafters: j .�1�I' ; size &,';.____" X __ _6 "; c. to c., .1* ".
Valley rafters ,� ir,t, t ; size, ___
X n
Sheathing: Yoko ; ii] s01id; ❑ strip. Size, .___" x ____a "
Special:
12. ROOFING:
Roofing felt: s'�I.6__ t.liat "- o.- -«1► -- ►
-. 11� -- ► __ ; weight �
__Au_
❑ Wood shingles: ; length, 8
❑ Asphalt shingles: ; type, ; weight,
,
❑ Asbestos shingles: ; type, ; laid,
❑ Slate: ; length, "; weather,
Other: + t
-►1 - �� st
-- 1, ---A -i
; weight, # Downspouts: ; weight,
❑ sump; ❑ sewer.
�s�
; weight, 1.0 #.
; weight, 3.6 #.
14. LATH AND PLASTER:
Lath: =,l,.alla1it ; size grounds,
Plaster: `Sit ; coats, Ike ,l ; finish,
Other:
15. DECORATING:
Walls: V tletIS Ceilings: :, 'tot ; lilt
Kitchen: 2hreit __ AMAX_ _ __ imainsi Bath:
Other finish:
k � • m ' 17 ; thickness, 1 4/$
; other,
n
#•
Special:
17. WINDOWS:
Sash material: Ufa ; type,
Balances: Screens:
Basement windows:
Special:
w7^ 1ET L t* ; thickness, 611164°t "; glass, • .2
18. ENTRANCE AND EXTERIOR DETAH. _ O*"
Main entrance door and trim: ____ __ _ , _ ; thickness,
Service door: '* d� X Er csbl _ � 0 fte s I
; thickness,
Other exterior doors: '�` ; thickness,
Hoods or canopies: • Shutters:
Cornice: Ornamental iron:
Special:
•
16 -14678
,
,
n
27. MISCELLANEOUS (Describe any materials or features of construction not adequately covered in the drawings or elsewhere in this
exhibit):
i41.11117
28. PORCHES AND linbiliffli
,Porch: Foundation, vinvare-te- ; flooring, .awater -4140
roof, 7 .... zwa t---irtu r ; railing,
Itirlitgary ; ste :tarry- 1 1-kilt
Terrace: Foundation, ; surface,
Other:
29. GARAGE:
Foundation: __Goivaite.
-&"
ulliourboopit- V-011-
Plumbing:
Walls:
Doors:
Drainage:
30. WALKS AND DRIVES:
Walks: ____44344011
U. 5 GOVERNMENT PRINTING OFFICE 10
•
Eiri •
41.104110110
Floor: -telliftiliti--1k1astiit ; thickness . ..... 4.
Roof: -Clime* --tit.
Finished rooms:
Heating: ramboake.
Electricity:
•
Tisk
; thickness, ..4 " ; thickness, _4
31. LANDSCAPING:
Lawn: LI Sodded; fl seeded; E sprigged.
Planting: Allowance, jrzen,..._11441111. --4144/0114)64 (If extensive, include planting plan.)
Walls:
Fences: 4
ADDENDA
Date, (Contractor or Builder)
Date, (Mortgagor or Sponsor)
(4)
•
FIXTURES
MANUFACTURER
a.4 1
PLATE NUMSER
M 1: a/ — v"r
NAME
ni t rim
Kitchen sink
*
- X wat ' = ,
.'00'brsiltar
Bath tub
Shower: ❑ Stall; Etub__
t#
.. __., l 3t It
i
Lavatory
it
liff +Nit
tit diiii
Water closet
Laundry trays
Kitchen cabinets:
China cabinets:
Bookcases:
Medicine cabinet:
19. CABINETS AND INTERIOR DETAIL:
tows re tpu turf mitts
+w1114ti4sr.
oraDarisoar
; closet equipment,
Special:
20. STAIRS:
Basement: ❑ Open; ❑ closed; treads, ; rail,
1st to 2d: ❑ Open; ❑ closed; treads, ; trim, ; rail, _
2d to 3d: ❑ Open; ❑ closed; treads, ; trim, ; rail,
Special:
21. SPECIAL FLOORS Ai I � INSCOT:
Bathroom: Floor, .._ ; wainscot, ai , height, "
Kitchen,; loot , w , height,
Other: ati �iii�ed 3�i Jr�1 iRr
25. LIGHTING FIXTURES:
Allowance, $ Special:
(3)
22. PLUMBING:
Sewage disposal: ❑ Sewer; septic tank; ❑ cesspool. (Indicate private well, sewage disposal system on plot plan.)
Water supply: ❑ Public main; ❑ private water system,
Supply piping: ❑ Brasr asTt
�ne upper tubing; ❑ st�wigtt it ward a Waste piping: Soil pipe, a • }ve„pip ; vents, •
Domestic hot water: Storage, 3 °L_ g fuel, � 7 � ; ❑ automatic; ❑ manual.
Special:
23. HEATING:
❑ Steam. ❑ Vapor. El Hot water: ❑ 1 pipe; ❑ 2 pipe; ❑ gravity; ❑ forced.
Boiler; nuke, model: ; capacity, Radiation: ; sq. ft.
❑ Hot air: Floor furnace Ckux e; ❑ pipeless; f ❑ gravity; ❑ forced. e ihrhd IS • %b.
Furnace; make and model: ; capacity,
Fuel: ❑ Gas (burner, ); ❑ coal: ❑ manual, ❑ stoker ( );
❑ wood; ❑ oil (burner, )
Control: ❑ Manual; ❑ automatic, ____
Fuel storage: ❑ Bin; ❑ tank (capacity,
Built -in ga l ib tei l<a"►--r"i.t:__4.* a�9 `- rs '-- .i.: 1L -m -- .'IilC1
Special: _41.11,4,1114i,---044414111411
24. ELE *RIC WIRING:
❑ Conduit. Ilospoird E **sinetallic cable. ❑ Knob and tube. gttibe Xseir %Ole
Switches: Outlets:
Power outlets: ❑ Oil burner; ❑ range; ❑ water heater; ❑
26. INSULATION!
Walls: "!'CAilitlfEss, " Roof or ceiling: ; thickness, '
Weather stripping: Millar' s' S"r"",'S'i ndows, 2 A tn.
❑ Storm doors, ; ❑ Storm windows, ; ❑ Caulking,
Special:
16 -141576
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 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.
Date /
/ co ` 19 5
'r
� j� ,, C �/
Owner's Name and Address to / ItS'E - 73t N ! y'5 rNo. street
Registered Architect andior Engineer p �
Name and address of licensed contractor /J)'L.rg, �• ►i� eN) cj, :�/Z / v`7v/ `� c
p2/ 2 35 - w 0 / 6 .
Locstion and )legal $escription of lot to be built on:
Lot // `I �� /1-• Block 6,
Street and Number where work is to be done
Subdivision 6 /7 1
r J ✓.lam/ F,J
736 Al'g- 99 sr
State work to be done and purpose of building (by floors). state exterior colors (submit samples)
Permit No.
Disapproved
(Signed)
`
Date
PniAn
Read. Sworn to and Subscribed before me.
11 3a ®6 Ve
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
/ Q/
Estimated Total cost of improvements S / / `� Amount of Permit S 3 /' SO
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 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 contractors. on wtk to be performed
under this permit, as are licensed by Miami Shores Village. i
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.
Date
;AU ,( {1 f Notary Public, State of Florida
Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Lot
f
/ (. / '64/.44;°
ONTRA R OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
/ V ..
DATE ; / 194
Contractor's
License No. t /
PERMIT N? 7020
Work to be performed under this Permit
Bl.
Value of 4 Amt. ot
Building ' l Project + ` w . Permit /
This pe t is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation 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 t e fatements or specifications an.,that he assumes respon-
II p e .,fi B
NSPECTOR
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 lassume responsibility for all work done by either myself, my agent,Aservant or employee.
sibility for work done by his agents, servants or employees.
Signed.
Subdi-
vision
BY
AUTHORITY
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby mode for the approval of the detailed statement or toe 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 n1I provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the iuilding 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.
Owners Name and Address ....7? .Y C?.!:. „.. '?53..:. .Y_ ._. No... „� ...._. street.-- _ cIL ST
Registered Architect and /or Engineer ..... ,,.,,,..,., ..,.,..
Name and address of licensed contractor... . S .� �� ....� �i+o...b�.:��.:.,. �_1�. „1.. �} ...�arlc .. ...t..l.. L ?? 5 11
Location and legal description of lot to be built on:
Lot Block Subdivision _.
Street and Number where work is to be done __.... „...._.._...... __._._.. �_.._.._.._. _._.._ .�._....
State work to be done and purpose of building (by floors).. c.S.Q.`e c -;cc;, f/S ( l , t �c j .,_.,Zy1v
_. and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation s� Roof Covering
Estimated Total cost of improvements $ q Q � ° U v Amount of Permit S.. 74 Qo
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 hint
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. -
‘ Y ) Remarks ( Signed )_.. .L.24.2 /t -u—c
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..
Permit No.._. V1 Date t_1 Y44 . _ Read, Sworn to and Subscribed before me.
Disapproved Date .._........_........._
Notary Public, State of Florida
(Signed)
Building Inspector My Commiuion Expires _ ...
PLANNING BOARD DATE
Chairman Member
Member Member _
Nlembcr .. .. — 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 anti /or workmanship.
MIAMI SHORES VILLAGE, FLA.
JOB
ADDRESS ?
INSPECTION %- 2 -
TIME READY //1/ • �� ?' /V
INSPECTOR Wee5
N? 5792
REMARKS:
?ATE 3 -11 -J7
PAID BY
; j
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NU
/
f
/IL , ./..a.
1940
/a
7/ 7
lvlr/
/� /
( ! 1t '
, � _
O 194
1942
o/ • g o
/0 D 2-
�
, / ?
/ -�� - y
s `�
0.776.
.1) .c
lP!! j i
�' /-�
/ ® ' ®
!
hn /'
/!", r 4, .� , ,`ids
/�
; �I
T I ,
;
�
1944
��
/1.
� �
���Z
;l - S
<: / i 44
f
/2/
,,r7
/ ,i,‘",, / -7 "../
/a.747
� '
.
1945
1946
1947
-
��
( O
/0 • (0‘,9 '
/ 4 .11
te e! ®
/7 a/2-- -,,z-1, �
,p
✓l/� a
( 6)
;, , - .-
J8
∎ I, /
dure
1948
/
,00
/2 c3/ r
/ or. (J U
a -i 1 7
'r e
'f
1949
re.
/ � /
'�
1 /4
44%C 1
if if
'2
1950
"
/a -g / SU
if
/ - 3 -'S
/3s 71
LOCATION . I:• a sect
GARBAGE TAX RECORD
736 N. E. 94th St.
by
Geo. M. Kidwell
year
annual tax period used a,raount paid date paid receipt #
/?. 3/S/ /„.0 6-6 -5 7 6
, 0(
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building
or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores
Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regula-
tions of the Building Division of Miami Shores Village shall be complied with, whether 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
Location and legal description of lot to be built on:
Lot__ Block _ Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
STATE OF FLORIDA, }
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Building Inspector My Commission Expires
Date- , 19—.____
No.__—____ Street_ ___W_
and for no other purpose.
New Building_—___________________ Remodeling__.___ ____ ______ Addition Repairs No. of Stories____ 1
To be constructed of___„______,_ ___ ` Kind of foundation Roof Covering_
Estimated Total cost of improvements $ Amount of Permit $
Zone cubage required— Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 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
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. Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
OWNER
•
•
1'
Application is hereby made for the approval of the plans and
specifications herewith subm4,tte.d for the building or other
structure herein described. •This application is made in comp-
liance and conformation with the Building Ordinance of the
Miami Shores Village, Florida, and all provisions of the Laws
of the State of Florida, all Ordinances of Miami Shores Village,
and all rules and regulations of the building Department of
Miami Shores Village, shall be complied with, whetherspecified
or not,
i
r
ARCHITECT
BUILDIN G PERMIT - RFC ORD
MIAMI SHORES V ILLAGE
FLORIDA
APPLICATION
. CONTRACTOR :;\,.
LOT BLK SUBDIV ISION
r "r
i•..
NEW ADDITION REPAIRS NUMBER OF St'ORIES_R00F
COST(excluding Architect's fee, Landscaping and Garage$(
Building to be used for
My Commission expires
Chairman
Member
Msmbor C `�
S cretar'
Building Inspector
Prrmit No.g'p , Issued t
Permit Electrical Yo.
Perr :Lit P1_1mbing
Signed
I hereby submit all the plans and specifications for said
building.
STATE OF FLORIDA)
COUNTY OF DADE )
Before,me, the undersigned authority, a notary public;
duly authorized to administer oths and take acknowledgment,
personally appeared to me well
known, and who, being by me fir$t duly sworn, upon oath deposes
and says that he is the buildersof the above described const -'
ruction, that he has carefully yead the foregoing application,
and that he did sign the same, 4nd that facts stated by him
are true. Read, Sworn to and Subscribed before me,
Notary Public (Signed)
Cubic Feet/G492 Cubic feet required in this Block
Planning Board
1 /4/1/4 3 6
.•9 '14/17
DATE 1
and no other use.
r�
10298 N. MIAMI AVE.
George F urclA, Inc.
GENERAL CONTRACTOR
Miami, Florida
INSCIFICATIONS MID MURAL CONDITIONS OF =TRACT.
K R0POSBD DY
GEMS BURCKIL,I! O.SUILDEn.
,• PHONE EDG. 1343 -J
10298 N. MIAMI AVE.
George I3urcIRe1, Inc.
GENERAL CONTRACTOR
Miami, Florida
General Conditions
General **strutter to sere and pay for all permits required. 411 work to
be dear in assordasse with rules of tae building sods of the City alphas/.
Contractor is to losato the building as shows oa the plot plan. Cast #niter is
to pay for all liability insures** cornering all damage by reason of sjsttds*t
to all omployess on the site or engaged is the work and tO fully protle the
owssr in this repent. The owner shall tak* out and pane for fire
policy is aerialist amount to sever building aatarials *Sitvered on the site
and installed is the building. During the progress of the gook, the sontrdptor
id to give kis personal supervtsioa to the job.
SEPTIC TANK
Evasuats where shows for septic task and bold as per Miami sods.
CONCRETE WORK
All **meat to be Portland, Atlas, or equal sad to be adegOatsly protested
against moisture.
SAND
Sa` nd to be .leas and sharp, free troa oily, loan, soil, or other impuities.
AGGREGATE
The liiigr gate shall bs srushsd rook, Ojus rock or equal, graded in also and
must be hard and .leas.
MIXING
Aliquastitiss shall be sarstlilly measured by volume.
PLAIN =CUTS
a s *oars s for footings under walls, step and shines* foundations, walks
stns to be part Portland sensat three parts sand and fate parts aggregate.
FOOTINGS
All foarags indicated on drawings shall be of plain oonSrsts of dimeasioas
shown.
REI NPORCIING CONCRETE
Reinforsisg stool shall be provided as shown and indisated on drawings. All
lintels over ortorior doors and vrindow, to have four i ",round rats. All
reinforein= steel must be ss:v stock and free from rust. [e$aforssd senereto
*sues at all lintels, arches, beams, or girts as skoan'at roof and as raw
quired try building regulations also in all footings.
CONCRETE BLOCKS
All exterior walls shall be of 8"x 8 "x 1S" Dadsr,rtiter's label sonsrete
blook oarsfully laid in sement mortar.
PHONE EDG. 1343 -.1
10298 N. MIAMI AVE.
mummy AND FIREPLACE
Chimney and tireplase to be built to pass fire Under.,ritsr's spesifisations.
Flue to be lined with 8"x lt" T.C. flu* lining as shown. Chimney and fire•
plass to be of sin narked on drawings. Fir'plaee book, hearth and jambs to
be lined with firs brisk set in '*bleat mortar as skawn. Puraish tile hearth
ad till fans with wood shelf for mantis.
STUCCO WORK
Entire exterior surfs'' of buildiag to be finished in smooth waterproofed
stutos, texture as molested. Final Boat to be ors part Portland somat two
and one halt parts sand with proper proportion of approved waterproofing.
Stueso ssntrastor to run all moulds wherever shown on the drawings. All walks
to be thoroughly wet doaa before applying first soot of stusso.
LATHING AND PLASTERING
All furrsdsiallsa interior partitions and sailing* throughout, to be eovered
with treat quality empress laths. Wherever wood partitions adjoin masonry,
work angles shall be tuned with metal lath 6" sash way. All plastering to be
finished smooth and flush with the grounds. All walls and sailing, to have
trowelled f iaish if dirested.
FINISH OE E a' i.OlL
All seusent floors, seaent stripe,ets.,shall be of one part Portland sweat
and two parts *loan sharp and redded and brought to an even surto *e and then
floated with wooden floats and to have sesoad trowelling if aeosssary.
HEARTS
To be selested by o+n er and 'ontrastor.
George I3uraei, Inc.
GENERAL CONTRACTOR
Miami, Florida
CARPENTRY
Carpenter tp build all forms, templates, bracing, eta. All exterior lumber
for floors, frames, stn. to be Red Heart Cypress.
All ambers shall b* sarsfully and aeeutately framed. All floor joists under
partitisrs to be double. Every fourth C joist to tin sseured to the masonry by
W.I. ambers as shows. Ends of all joists rastiag on na/ianry to be srsosoted.
All parttitioas running assess joists 4o..have 2 "x t" shoe and no partition to
rest on floor. Livingroon veiling to be of 6" T joint eypress 0.
PHONE EDG. 1343 -.1
10298 N. MIAMI AVE.
8TUDDI UG
studding to be spasad 16' C.C. doubts at door openings and double at heads over
openings wider than 2 ". Sends shall be double at all corners.
Sere.* veata is slessts if required.
FUMING
Ths inside fast of all masonry lolls to be Pureed with 1'n !' wood strips set
r art teal, sewed 16" C.C. sad ssourcly fastened to the masonry.
DOOR PRA=
All exterior frames and front door to be of Red heart Cuss. Sxtorier door frames
shall be 1w!" think properly rsbbstcd and anchored to masonry.
Steel sash with screens and hardware complete.
Steel sash in C.B.S. residences only.
OUTSID: FINISH
All outside finish to be of first quality cypress if required and noted in pllo.
INJI1E FINISH
All inside finish shall b. of RedUsart Cypress as per details to be set in place
before plastering. Finish to be good *lean stook free from knots or asia otxr
defmsts and to be sanded smooth. Provide 4" two piece wood base throughOeut house
as detailed. All doors to be of ttr 2 pastel.
LITCIATiN AND PANTRY CABISb S
Build **bluets where shown oa detailed. All resod doors to be V joint eypres10 to
cupboards. Cabinets @ball have cupboards in the upper part with slab doors in kttshcs.
end fitted with TA' shelves. Upper part of drssasr at soiling is to be carried to
the selling. Drawers Shall have frosts dovetailed and aids@ and bottom rabbeted
together.
CLOUTS
IRONING BOARDS
George I3urael, Inc.
GENERAL CONTRACTOR
Miami, Florida
All bedroom sloscts to be fitted up with ono hat shelf an rabbeted sleets with
A/4" hanging rod. Put up wardrobe books strips as directed in all closets.
Provide whore shown one folding type ironing board.
PHONE EDG. 1343 -.1
10298 N. MIAMI AVE.
SCREENING
George I3urcIIei, Inc.
GENERAL CONTRACTOR
Miami, Florida
Sor,►ea doers to be swooned with 18 mesh brooms wire sereeas. Poreh sereeln in all
epee/age to be of l IL" stoat with balusters as shown and ssroened with 18 mesh
bemuse wire.
UNDER FLOORING
FLOORING
Lay 7/8 "z 8" zatoked common pine under floor. Lay diggona1ly sad well nailed.
FINISH FLOORIBG
Finish floors is all rooms where shows shall be 13/18 z plain lik-esemma rod oak
face aatshod and sad a.ateked and tightly blind sailed. Lay threshold strips where•
ever there is a *bongo it the type of flooring. Threshold shall be of O beat
plain oak.
SCRAPING FLOORS
All fiaish oak floors shall be properly sanded, filed vith paste filler, gives
two *oats of white theilas and mashies waned one soot.
TILE ROOFING
Vibes* shown on drawings lay "Old Cuban" tile with Arnerieaa pan tile *leaned
down after laying. All roofing the to be laid in cement and ends to cover tile at
eaves to be filled up solid. All ridges to be laid in Gemsnt.
ASBESTOS 8RINGLBS NY REQUEST.
ROOF SHEATHING
All pitehed roofs shall be severed with 7/8"z 8" iLtohed sheathing dressee on
one side, nailed to every bearing.
FLAMING
All work required under this title includes furnishing and installing all sheet
metal work and roof flashing wherever required. Valleys shall be laid open.
PAINTING
This ialsl*dos painting all stuseo, plaster and semen surfaees. All exterior and
interior wood guess**. Afetr prising all nail holes *reeks, joints, and mitres
shall be neatly puttied up. All finish guesses shill left smooth and free
from brush marks or other detests. On sompletioa • ontrator shall remove all spots
from floors, glass, eta. and repaint edges of doors *to., wherever aoaessary.
PHONE EDG. 1343 -.3
1029E1 N. MIAMI AVE.
George Eurael, Inc.
GENERAL CONTRACTOR
Miami, Florida
GUARANTEE
Contractor shall guarantee his +York in every respect an shall maaks g without
soot to the owns, any dofeets in material or workrar:ship shish may develop
within six months after completion of this work.
YATERtIALS
All materials shall be delivered to the building in unbroken paskaps.
Linss•d oil shall be Are and of best quality. Enamel shall be of Standard
quality. Shellac shall be best irk alslhol shells.. brash shall be of
Standard grade and shall be *sod without thinning.
RARDI AR6 ■.ALLJf4ANCE of $25.00
EXTERIOR STUCCO
All exterior stusso and osaent work shall be gives to Boats of waterproofing
moment paint in color selected.
EXTERIOR WOODWORI
All exterior woodwork including door frames, doors, shutters, etc: shall
ressire one priming soot and two coats of lead and oil. Froat door to be
stained if required.
PLASTER WALLS
All plaster walls and ceilings to have one priming Boat of imperil) surfaesr
Walls in rooms to have one coat of lead and oil and then (lased. All in
colors 'sleeted. All bathrooms, both sailing and walls above tile,, to have
two soots of lead and oil. All ailing. to finish to match walls.
LINOLEUM FLOOR
In kitchen lay B a s grade linoleb according to suumelactursr"s directions.
Ia bathroom 4t0" wall tilt 6 over tub, Kitchen sink drain board to be
tiled. Color to be selected in Std. close with eemplete set of assessories.
PAINTING (cost)
INTERIOSHWOODWOMI
All interior woodwork except in the kitchen, bedrooms and bathrooms to hats
one soot of oil stain and aatiquod with Rotten Stone. All other rooms to have
one priming soot, two soots of lead sad oil for finish Boat.
PHONE EDG. 1343-J
10298 W. MIAMI AVE. PHONE EDG. 1343 -J
SWITCHES AND PLUG RECPTACLES
All o1vitahoo indicated by arrow and a shall be as Bryant Tumber type. All
plug rrseptaslss shall be flush typo and plasad 18' above floor so toted.
All plug and switsh plates to be Bakelite. Plug outlet for refrigeration
unit to bs rewired by local regulations with switshes.
PLUMBING ROUGHING
All materials to be of quality divested by the City of ISiasii sods and installed
wording to the regulations eft the plumbing sods governing supervision in districts
where installed. All regulations adhered to thoroughly.
WATER MET.q
Standard le meter will be furnished by the water eornppany but shall not be
paid for by the Plumbing Contrastor and shall be properly installed under
this contrast with full sass bypass, together with an approved stop and
waste oosk on the house sido of otter.
WALL BOSE CONNECTION
PLUM BI II G FIXTURES
George I urclRel, Inc.
GENERAL CONTRACTOR
Miami, Florida
Insatll lure shory,n on plans or instrustsd by the areltitest if sill soaks.
Supply to sash shall be der wardd (graded) from the wall.
Standard or Crane as shorn.
Med, cabinet ellowaneo $10.00
14 Plan. bath and show.
1.80 z 24 Pod. Lawe with slain and stopper.
1.18 gal.. Caepset gas heater.
1• almost sewb. 2197
1. 20 z 20 2020 F.R. sink with swing spout.
BIDS
ELECTRICAL WIRING
Bids shall be in writing and shall be for the work desoribed in these speeifisatioas
and as shown an the assompsaying plans, and shall sontsmplate the installation
of a *caplets, first slams system of elestrisal wirings
� PERMIT8 & AND INSPECTION
The installation shall eorply with all lesal ordinaro*s applying thereto., as
wall sq sith the regulations in the surrsnt issue of the National Board of
Fire tladerwritsr's sods, and with the rules of the losal utilitys sasspt that
such rules and regulations shall constitute minima standards of quality.
10298 N. MIAMI AVE. PHONE EDG. 1343 -J
George F urael, Inc.
GENERAL CONTRACTOR
Miami, Florida
This osntrastor shall o$taia permits required, aa6 furnish sertitisates et
final iupestisa and approval frog tho ssanstitutsdi authorities.
S '1 M; Chi' ATl:7e1AL AND a kI P
It is exprsealy stipulated that the purpose of this installation is to
aware the owner of satiuf'astory lighting sn poor uniso and further to
avoid the sub.sq evt expense of early renovation:one replasMsata and to
this end it is provided that all materials shall be of best quality.
All w`tws shall be delivered to the building in original pauksgss (or reels)
bearing Lasaier'ritsr's labels of approval sbowint rise end grade of installation.
t+" LRam: Ts
The total raw wr od sll otter outlets Fall be as assnyi as prsotisable
divided between sireuita. In *ash rosy so for as prsotisshle the 'musts
shall be served by parts of at least two sirs+iits, azc' gaols eirsuit shall
. ur 1y oaoh of 11100 roe's.
z 1T TL ALL MA. *CE 0? P30,00
tiOULP LMATER (assist)
The aaltrs►stor is to hew installed a d4 gal. Solar theater, furnished by a
reputable solar beater sonutaetvror, and installed by oee tracter.
FRONT Z QR.CU
Poreh to be sonstrus 12' with red quarry tile floor and poured oonerets
armies with Cuban . Gemmed with bvonss wire.
Disapproved Date
(Signed)
1
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approyal 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 a' building during progress of the work.
e� Date_ /2 --e 0 - - ,19 +17 Owner's Name and Address -C -� ` r ✓iZ per -!!' . L h? .:. 7-1-A - 41 46 70.3 4 Street ,F 4 •
Registered Architect and /or Engineer
Name and address of licensed contractor a •• 0, � 4 < , �._.::_�: -
Location and legal description of lot to be built on:
l /�J
Lot i�'- . ' � �` `" i Block � -� � Subdivision hi c� ..a. ���'4,� �_'
Street and Number where work is to be done ) ..�.. lr
State work to be done and purpose of building (by floors)
A
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of < l± ._ Kind of foundation Roof Covering : - "� ( 4.
Estimated Total cost of improvements $ ' Amount of Permit $ t
Zone cubage required .Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building pennit does hereby certify that he understands apd 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) `/ i - 414
STATE OF FLORIDA,
COUNTY OF DADE. j ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No Date Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspector 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 61.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
be s ent to ,
Permit No
Disapproved
(Signed)
Chairman
Member
Member
Council Approved
/ Z yL
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re- inspection fee of S1.00 will be charged
materials and /or workmanship.
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.
Budding Inspe
V
ate
Owner's Name and Address....._....' t
Registered Architect and /or Engineer -
Name and address of licensed contractor r
Location and legal description of lot to be built on:
Lot Block Subdivision
7 Street and Number where work is to be done _ NG'
/o.
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
.�? Amount of Permit $
_Plan Cubage
Size of Building Lot
Estimated Total cost of improvements $
Zone cubage required
Distance to next nearest building
Maximum live load to be borne by each floor
I hereby submit the plans and specifications for said building. All notices with
'The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such bcontractors 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 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 stated ar true.
ANNING BOARD DATE
Member
Member
Member
making
-- ��-c -� /2.2
Date. o ��
No Street
reference to the building and its construction may
to me well known,
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
Date Disapproved Date
corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
BUILDING
ELECTRICAL
PLUMBING
KOOFING
Owner of
Building r
MIAMI SHORES VILLAGE. FLORIDA
❑ DATP ti
❑ PERMIT N? 5159
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
CONTRACTOR OR BUILDER
e t?"
Contractor's
License No. r.,, ,•' r- •�
195 7
Work to be performed under this Permit
I' t
L .
L
s-1 Y
v a_'i—
Subdi-
vision
Value of 1 Amount of
Project ` ` I Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. _
Signed .a.
1 < BY
INSPECTOR
In consideration_ of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address Mr and Mrs. Kemp A.. Maser
V. J. Knezevich Consulting Engineer
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot 11 & E. 25 Lot ock 6 5 Subdivision AIiazni Shores
Street and Number when work is to be done 736 N E 9kteh..St 'yet
State work to be done and purpose of building (by floors) Construct new roof over existing patio area;.
�..
—.one floor only.
and for no other purpose.
New Building Remodeling Addition.ye,` Repairs No. of Stories one (i) ._
To be constructed of Cis.. &..wood Kind of foundation.Utflei...M SI ree.0),..ennCretatoof Covering.)3U7.lt..up..rQQ ..._..__
Estimated Total cost of improvements $ )4800.00 Amount of Permit $.1 -5t.
Zone cubage required .Plan Cubage
Distance to next nearest building Twenty feet (201) Size of Building Lot 75 X
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 Er. and Mrs. Kemp A. Maser 736 N. E. 94th Street Ni m3....$1 kores.,.. Florida 33138
The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such spbcontractor, on work to be performed under this
pennit, as are licensed by Miami Shores Village. ,,
Remarks..._ (Signed �ii�' _=—r —i r (x d'Lt . )11 (r.ae}t/
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
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.tzu
Permit No .._._. — ._
Disapproved ....a L. ,
(Signed) �� ✓ �........::..'' - �_6�
Building ihspcctor
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
- No 7.16_......... reet N •
Date ....
PLANN BOARD _.. DATE
_Date ( 1 — — &, Read, Sworn to and Subscribed before me.
,Date._
Notary Public, State of Florida
My Commission Expires
to me well known,
Member
Member
__._.._ Member ...._
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections cr changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
Cnair:nan
Member
Member
Owner of
Building
Architect
Contractor
or Builder
BUILDING
ELECTRICAL
PLUMBING
MIAMI SHORES VILLAGE, FLORIDA
DATE 194
PERMIT N? 2702 Contractor's
License No.
t ' "J : . -ti...
Work to be performed under this Permit it
1'
Subdi-
vision
•
Legal Lot r ... 111.
Description
Address of Value of Amt. of +
Building i, Project (77 (fl C) Permit ...
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
with any plan:;, 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 drawisi s. in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees.
r ! '
Signed• - . By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regu a -
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Sho s
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
t r f Q r 1
CONTRACTOR OR BUILDER BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal Lo t
Description
Address of ,
Building
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 3273
Work to be performed under this Permit ~ _ _ d • `" ""`�
Bl.
Subdi-
vision
Value of
Project
DATE 194
Contractor's
License No.
Construction may u "'11
Board General
oned to consult yuu.
;Arore slaving t e
. f ,p� ,G Amt. t
J ��, Permit /
j
This pe it if. granted to the contractor or ilder named above to construct the building or to install the equipment or evice 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 plane, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition
upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and
that he assumes responsibility for work done by his agents, servants or employees.
Signed. J By --
I NSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
I, 7k
to re- occupy the single family residence known as : (address)
7 36 /J f* 5T , Miami Shores, Florida.
Legal Description:
Lot: BIock PB & PG:
I hereby certify that I understand that the zoning of the property is for single- family residential use
and that it is unlawful for more than one family to reside therein. I also understand that any
Certificate of Re= Occupancy that may be issued by Miami Shores Village, certifies only that the
referenced property is being used for single- farally purposes and that such Certificate does not
constitute any representation, warranty or certification as to the condition of the dwelling or other
structures on such property.
Applicant
APPLICATION FOR CERTIFICATE OF RE OCCUPANCY
vs e j—' , hereby apply for a certificate
Print Name A I /` r- 5
**************************************..******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Miarni Shores Land
Development and Zoning Code, please contact:
Contact Name: >27,,,,/),../ Telephone: 3e, '7 s ' L/ ! ? al
Buyer Seller ✓ Realtor Company Name
Application Fee ($50) paid: Cash Check No.
Inspected by I �% __.� Approved — Denied Date __ D ` •
Comments:
PAGE I OF 2
ob
Date , � j r ��—/
CER11t ICATE OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the above application has been inspected for purposes of re-occupancy pursuant to.
Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such
property may be re- occupied by the above applicant for single - family residential purposes.
PAGE 2 OF 2
MANE SHORES VELL
By:
Date of Certification:
THIS CER I LHCATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES
VILLAGE AND HAS BEEN DETERI\ ED TO PRESENTLY
COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
MIAMI SHORES LAND AND DEVELOPMENT CODE
PERTAINING SOLELY TO THE REQUIREMENT THAT EACH
ONE-FAMILY DWELLING IS USED AND INTENDED TO BE
USED FOR A ONE- FAMILY DWELLING PURPOSE ONLY;
HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY
REPRESENTATION OR WARRANTY AS TO THE CONDITION
OF THE DWELLING OR OTHER STRUCTURES ON THE
PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH
CONDITION, AND INTERESIED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DETERMNE THE CONDITION,
THEREOF.