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960 NE 95 St (5)a. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/26/2004 Applicant: FRANK Owner: HENRY JOB ADDRESS: 960 Contractor ESSIG POOLS Local Phone: 305 - 949 -0000 Parcel # 1132050070130 Permit Status: APPROVED Permit Expiration: 2/13/2005 Construction Value: $21,000.00 Work: NEW POOL WITH DECK NE 95 Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -1129 HENRY FRANK ST Contractor's Address: 1800 N. E. 151 ST. Page 1 of 1 Legal Description: 5-6 53 42 .454 AC PL OF GOVT LOT 4 PB 5 -90 E120FT OF N220FT LESS E3OFT Fees: FEE2004 -8624 FEE2004 -8625 FEE2004 -8626 FEE2004 -8627 FEE2004 -8628 FEE2004 -8629 FEE2004 -8630 FEE2004 -8631 Description Building Fee CCF CO /CC Training and Education Fee Technology Fee Scanning Fee Radon Builders Bond Total Fees: Amount $630.00 $12.60 $50.00 $4.20 $15.75 $15.00 $12.53 $300.00 $1,040.08 Total Fee411,04 Total Receipts: ; $0.00 1 4 - 5 3 t 07 4 ( Ste` ,ft`O 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, servants or employes. Signed: (Contractor or Builder) BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138 -2382 TELEPHONE: (305) 795 -2204 FAX: (305) 756 -8972 INFORMATION FOR FENCE • 2 copies of your survey (not older than 7 years) • If survey is older than 6 months it needs Affidavit • If owner is doing the job need Owner Builder Disclosure • Show on the 2 copies of the survey Linear Feet • Wood or Chain Link Form Specs • A $50.00 submittal fee when applying for permit f BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Titleholder) ry Owner's Address C I �o 6 l O . 5 City M,t, ∎ S\v5 State F `c� Scanning $ Radon $ id, 3 Zoning Total Fee Now Due $ ki 0 , D� (Continued on opposite side) Miami Shores Village 1 • Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305 756.8972 RECEIIVIED 1 6 X004 ctrical Plumbing Mechanical Roofing 41- Zip aster Permit No. Permit No. f) ?Uf f I lc.. Phone # Tenant/Lessee Name Phone # 33 Job Address (where the work is being done) 91/A I c 3A City Miami Shores Village County Miami - Dade Zip 3S 13 Is Building Historically Designated YES NO Contractor's Company Name CS S edo. l 5 Phone # ,&t:) ' q q q - 7-Lw Contractor's Address 1 g cQ 1S ,S- City j . , 6, State ( 1 Zip S 3 I (a Z Qualifier 1) O■•■ E.55 i Architect/Engineer's Name (if applicable) I nf`t'I I r j i Phone # 3D 1 1 6 $ Value of Work For this Permit //WO Smart Footage Of Work: I) a s3 Type of Work: ❑Addition ['Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: cal\ s2 ,_ ** * * * * * * * * ** * * * * * * * * * * * *** * F ees * * * * * * * * ** * * * * * * * * * * * * * * * * ** Submittal Fee $ G"`^' ' �� Permit Fee $ l � �s 43j CCF $ p t CO /CC Notary $ Training/Education Fee $ Li) R O Technology Fee $ Bond $ Code Enforcement $ Structural Plan Review. $ ft f('), ( Son c;,) cto(L). 14 , Bonding Company's Name (if applicable) • Bonding Company's Address . r City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencem:' t must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the a ence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. _AOP a • w acknowledged before me this ,by to me or w .,has produced •, : rso itlenti ,. t • and who did take an oath. Signature The foregoing instrument day of who is p NOTAR Owne , 20 " ly kno A State Certificate or Registration No. Certificate of Competency No. APPLICATION APPROVED BY: Chc 12/15/03 Signature NOTARY P Co tractor y owledged before me this / 0 The foregoing instrument was ac day of /1 VC ,21 who is p- onally known t• or w o ' . • roduced i • en ica ' who did take an oath. KENNETH SHEHMA' Sign: �.. % `I � 1 S i. : i� •u'I1U�i�■� Print T/i .� Kolar p HER 0 Tn, No. DD 1 V4T- 1 ' com ate of - setttm. exp. Mat/ 2z){ Print: My Com .ssion Expires: My Co ssion Expires: Com • • eXp May 2q ri o[/d ******************************************************************************************* m WilMteka4 (Certificate of Competency Holder) ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** J %7 z 4 G 4 5/1-44, c f. Plans Examiner PM 2 5 2014 Engineer `' Zoning Date Z o Miami Shores Village Building and Zoning Department Attention: Building Official SWIMMING POOL OWNER'S CERTIFICATION I certify that I am the legal owner of the property described as , located at q Cot t3 e 5 -- Legal Owner In accordance with Section 33 -12(0, Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. Note: This certification is to be submitted with a swimming pool permit application in duplicate. • a SS02 N.W. 7T STREET. SUITE 202 MIAMI. FLORIDA 33120 TELEPHONE; (304) 2200.3171 PAX: (306) 661.7422 sr' •�IIyJM o Slil'1ngIITS LAND SURVEYORS SURVEY No d2 - / 75¢ SHEET NO 2 of 5582 N.W 7N STREET, SUITE 202 MIAMI, FLORIDA 33126 TELEPHONE: (306) 264 -2680 • FAX. (306) 264-0229 DRAWN BY: A • ARC. A/C • AIR CONDITIONER PAD A.E. • ANCHOR EASEMENT A/R • ALUMINUM ROOF A/S • ALUMINUM SHED AS.°H. • ASPHALT. B C. • BLOCK CORNER BLDG • BUILDING. B.M. • BENCH MARK 8 0 8. • BASIS OF BEARINGS C. • CALCULATED. C.8 • CATCH BASIN C B S. • CONCRETE BLOCK STRUCTURE. COW • CONCRETE BLOCK WALL. CH. • CHORD DISTANCE CH 8. • CHORD BEARING CL. • CLEAR. C.L.F • CHAIN LINK FENCE C.M E. • CANAL MAINTENANCE EASEMENT CONC. • CONCRETE. C.P . CONC PORCH C S. • CONCRETE SLAB 0.E. • DRAINAGE EASEMENT D.M.E. • DRAINAGE MAINTENANCE EASEMENT. DRIVE. • DRIVEWAY o • DEGREES. E. • EAST. E.T.P.. ELECTRIC TRANSFORMER PAO. ELEV. • ELEVATION. ENCR.•ENCROACHMENT. F.H. • FIRE HYDRANT. F.I P. • FOUND IRON PIPE. F.I.R. • FOUND IRON ROO. F.F.E. • FINISHED FLOOR ELEVATION. uua nruc tiro LAND SURVEYORS SEE LEGAL DESCRIPTION ON PAGE 3 OF 3 Property Address: 960 NE 95 ST, MIAMI SHORES, FL 33138 For : FRANK H. HENRY LOCATION SKETCH Scale 1 • = N1 r. 5-3 ,k2- 4.2 5- / o. XIN JINNI r e MUIR .0111 111.0 1 1 1N -181 I 1 gt 148.1 IT [ j• . /.1E/1 11 1M -/ 111-41 1••t/ pfBREVIATIANS AND MEANING F N O • FOUND NAIL & DISK FR. • FRAME. FT • FEET FNIP • FEDERAL NATIONAL INSURANCE PROGRAM F N • FAUN NAII. H • HIGH (HEIGHT) IN 8 EG • INGRESS AND EGRESS EASEMENT L P • UGHT POLE. L.F E. • LOWEST FLOOR ELEVATION L M E • LAKE MAINTENANCE EASEMENT: '•MINUTES. M • MEASURED OISTANCE MON.•MONUMENT. MM. • MANHOLE MIL.. MONUMENT LINE N.A.P. • NOT A PART OF NGVO. NATIONAL GEODETIC VERTICAL DATUM N . NORTH N T S. • NOT TO SCALE 1- NO.. NUMBER. 0/S . OFFSET OH.. OVERHEAD 0 H.L.. OVERHEAD UTILITY LINES OVH . OVERHANG. O R B. • OFFICIAL RECORD BOOK PVMT . PAVEMENT PL. • PLANTER. P/L.. PROPERTY UNE P.0 C.. POINT OF COMPOUND CURVE. P.C. • POINT OF CURVE PT • POINT OF TANGENCY POC.. POINT CF COMMENCEMENT P08. • POINT OF BEGINNING • P R C • POINT OF REVERSE CURVE PROP COR • PROPERTY CORNER P 8 = PLAT BOOK FC • PACE PINY =PARKWAY PRM • PERMANENT REFERENCE MONUMENT P L S . PROFESSIONAL LAND SURVEYOR R . RECORDED DISTANCE RR • RAILROAD RES. RESIDENCE R/W • RIGHT- OF.WAY RAO. • RADIUS OR RADIAL R P . RADIUS POINT RGE ..RANGE SEC • SECTION STY . STORY SWK • SIDEWALK SIP • SET IRON PIPE LB S • SOUTH SND.. SET NAIL& DISK LBJ6044 SP • SCREENED PORCH SECONDS. T • TANGENT TRIP . TOWNSHIP U E • UTILITY EASEMENT UTIL.. UTILITY U P. • UTILITY POLE W M • WATER METER W F • W000 FENCE WS.• WOOD SHED .L • CENTRAL ANGLE W. • WEST C • CENTER LINE . ANGLE LEGAL NOTES TO ACCOMPANY SKETCH Of SURVEY (SURVEY): EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED NSTRUmENT$. IF ANY, AFFECTING THE PROPERTY THIS SURVEY IS SUBJECT TO DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORD. LEGAL DESCRIPTIONS PIIOVIDED BY CLIENT OR ATTE5T■0 TITLE COMPANY BOUNDARY SURVEY MEANS A DRAWING AND/OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK Pl1MON4ED IN THE FIELD, COULD BE DRAWN AT A SHOWN SCALE ANOVOR NOT TO SCALE EAB @B1R8 AS SHOWN ME PER PLAT BOOK. UNLESS OTHERWISE SHOWN THE TOM 'ENCROACHMENT MEANS VISIBLE ANO ABOVE GROUND ENCROACHMENTS ARCMTICTS SHALL VERIFY ZONING REGULATIONS, RESTRICTIONS AND SETBACKS ANO THEY Will BE RESPONSIOLIE Of SUBMITTING PLOT PLANS VATH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN A NEW CONSTRUCTION, UNLESS OTHERWISE NOTED, nos FIRM HAS NOT ATTEMPTED TO LOCATE FOOTINGS AND/OR FOUNDATIONS PE11C8 OM1KMRIf NOT DSTERMNBD. THIS PLAN Of SURVEY, HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON, THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY THE FNIP FLa00 MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LAND TO BE • 1 604 4 SURVEY No SHEET N0. ,l4r - ? /• 4-14.54 Ere o 4'4 C. -VS .svOoivnriaw LEGEND TYPICAL -te•% W 0.00 x . 0.00 SURVEYORS'S NOTES: 1). IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED •ERIDIAN. BY SAID PLAT IN THE DESCRIPTION OF THE PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO COun rY TOWNSHIP MAPS 2) IF SHOWN. ELEVATIONS ARE REFERRED TO B M I ELEV OF NGVO OF 1929 J) THIS IS A SPECIFIC PURPOSE SURVEY 4) THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1 7500 FT 1 HEREBY CERTIFY THAT THIS BOUNDARY SURVEr• OF THE PROPERTY DESCRIBED HEREON, AS RECENTLY SURVEYED ANO DRAWN UNDER MY SUPERVISION, COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LANO SURVEYORS IN CHAPTER 610174. FLORIDA ADMINISTRATIVE COPE PURSUANT TO 472.027, FLOR10A STATUTES. BY . µAI f / IBARRA (DATE OF FIELD WORK) PROFE SURVEYOR NO ?? • yy STATE OF FLORIDA. (VALID COPIES OrMS SURVEY WILL BEAR THE EMBOSSED SEAL OF THE ATTESTING LANG SURVEYOR) REVISEDON • REVISED ON Situated in Zone: X Community /Panel /Suffix: 120652- 0093 -J Date of Firm: 07/17/1995 Base Flood Elevation: Certified to: FRANK H. HENRY AND NERY ROSA HENRY BAKER &.MCKENZIE, ATTORNEYS AT LAW ATTORNEYS TITLE INSURANCE FUND, INC. CIRCLE MORTGAGE CORPORATION, ITS SUCCESSORS AND /OR ASSIGNS 2- 0001754 OF Date: 02/13/2002 W000 FENCE. CHAIN LINK FENCE. C.8 S WALL (C.B.W.) EAI3 T)NV ELEVATION:. PROPOSED ELEVATIONS i 5562 N.W. 71% STREET. SUITE 202 WAIN, FLORIDA 33125 TELEPHONE; (305) 220.2171 FAX: (205) 564.71172 Legal Description: . * Avila o Suriliguis XIt. LAND SURVEYORS BEGIN AT A POINT IN TIIE NORTII LINE OF LOT F, AS SHOWN IN THE PLAT RECORDED IN PLAT BOOK 5, I'MJE 90 UP TT IE PUBLIC RECORDS OF DADE COUNTY, FLORIDA, AND 120 FEET WEST OF TI IL NORTI 'EAST CORNER OF LOT S, ACCORDING TO THE PLAT AFORESAID, RUNNING THENCE EAST ALONG THE NORTI I LINE 01: SAID LOTS F AND S, 90 FEET TO A POINT ON THE NORTI I LINE OF SAID LOT S; RUN THENCE SOUTH PARALLEL TO TIIE EAST LINE OF SAID LOTS S AND F, 220 FEET TO A POINT; RUN TIiENCE WEST PARALLEL TO TIIE NORTI I LINE OF SAID LOTS S AND l' 90 FEET TO A POINT; RUN THENCE NORTH PARALLEL TO THE EAST LINE OF SAID LOT S AND F, 220 FEET TO THE POINT OF BEGINNING, SAID TRACT BEING A PLOT OF LAND 90 FEET BY 220 FEET, CONSTITUTING A PORTION OF SAID LOT S AND P ACCORDING TO SAID PLAT, ALSO KNOWN AS 960 NE 95 STREET. SURVEY NO. UZ - 1 751 SHEET NO. 3 0, MIAMI SHORES IyILLAGE V BUILDING DEPARTMENT 305- 795 -2204 Buils ng Inspection Request Date / 06 Type Insp'n -HA-41 d-1 Permit No. 73P OT' " //a Name 7-4_6.—kii Address goo- o- / v e q< , 9 Company 7 D) - 2J Phone # /q i q _ 0000 /// Inspection Date Approved Correction Re- Insp'n Fee Type Insp'n 4 •; Permit No. MIAMI SHORES .VIA - AGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Name Address Company A ��� �✓ ' , / aooO Phone # 3v 5 `� Inspection Date Approved Correction Re- Insp'n Fee T j3p Dt 9 6 100 ENE q - . MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2;04 Bui ding Insp3ion Re uest Date ZS 1 Type Insp'n 5/( ,T/1 Company Phone # Inspection Date Correction Permit No. 590 02c, Name //en / Address '900 ACE for v� �SSI� / Re- Insp'n Fee ❑ CERTIFICATE OF RE-OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has bee 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. MIAMI SHORE , FLORIDA By:_ Date of Certification: "Z' 2 THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED 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 CERT1FICATE 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 INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. PAGE2OF2 APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY I, Ne0 -7 At G L (C-(40,1;1-734a.m) , hereby apply for a certificate to re- occupy the single family residence known as : (address) 960 N F. 96 S t, e.e` f ' , Mami Shores, Florida. Legal Description: Lot: 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 res'de therein. I also understand that any Certificate of Re- Occupancy that may be issued by h lami Shores Village, certifies only that the referenced property is being used for single- family 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 , t.�� ' Date / /ice ./ 4 / 9 Print Nam * * * * * * * ** * * * * ** ***************************** * * * * * * * * * * * * * * * * * * * * * * * * : :Y * * ** For purposes of conducting the inspection required by Section 902 of the Nfiami Shores Land Development and Zoning Code, please contact: UJ Contact Name: 5// e,- 60/1 4.--% Z Telephone: 25- ei -9 9 j2 -e-, / 3o/ Buyer Seller Realtor U-. Company Name 4 /v; G / Application Fee ($50) paid: Cash Check No. )741 Inspected by: Approved / Denied Date q, 2-- Comments: Block PB & PG: PAGE 1 OF row coie00.4 N I0"Avs Pu tiu4i P 614 ti 4-e P.Wf!) 4-1 t „ CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has bee 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 -hmiy residential purposes. THIS CERI IFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED 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 THECONDmON OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE TFIE CONDITION, THEREOF. PAGE 2 OF 2 ORES MIAMI GE, FLORIDA By: Date of Certification: 5/4/99 APPLICATION FOR CER'11r'1CATE OF RE-OCCUPANCY 47 S t 1 0 C t T r / k l I4 hereby apply fora certificate to re- occupy the single family residence known as : (address) ?6.0. N. . o i S t , Miami Shores, Florida. Legal Description: Lot: Block 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 - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dweihng or other structures on such property. Applicant Date Print Name ` *e o, 4 , n. 44 . 3 ► e— ine C f f / k q `Pe - *********************************************** * * * * * * * * * * * * * * * * * * * * ** * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Contact Name: Y 7 e c► ,i n e / ' S e r Buyer Seller Application Fee ($50) paid: Cash Comments: Realtor Company Name Inspected by: F. LUB I EN Approved X Denied Date 5/4/99 PAGE 1 OF 2 Telephone: ( 3 o S) 7S 1- 8 410 HISTORICAL LANDMARK COVENANT IN CONSIDERATION of the designation of the real property hereinafter described as a historical landmark by MIAMI SHORES VILLAGE, FLORIDA, the undersigned, being all of the owners of the said real property, for themselves, their heirs, executors, administrators and assigns, do hereby jointly and severally covenant with Miami Shores Village, its successors and assigns, that no structure presently situated on the fol- lowing described real property shall be demolished, moved, or changed in the exterior appearance by addition, reconstruction, alteration or maintenance, nor shall any trees situated on said real property be destroyed or moved until an application for a certificate of appropriateness has been submitted to the Historic Preservation Board of Miami Shores Village and been approved by that Board, — or the Village Council on appeal. Said property is legally described as follows: LEGAL DESCRIPTION: Begin at a point in the North line of Lot F, as shown in the Plat recorded in Plat Book 5, page 90 of the Public Records of Dade County, Florida, and 120 feet Nest of the Northeast corner of Lot S, according the Plat aforesaid, running thence East along the North line of said Lots F and S, 90 feet to a point on the North line of said Lot S; run thence South parallel to the East line of said Lots S and F, 220 feet to a point; run thence Nest parallel to the North line of said Lots S and F 90 feet to a point; run thence North parallel to the East line of said Lots S and F, 220 feet to the point of beginning, said tract being a plot of land 90 feet by 220 feet, constituting a portion of said Lots S and F according - to said Plat, - also - - known - as - 960 N.E. 95th Street. This covenant shall run with the land and shall terminate only upon the written consent of Miami Shores Village, or its successors and assigns, and the undersigned do expressly consent to the filing of this document in the Public Records in and for Dade County, Florida IN WITNESS WHEREOF, we have hereunto set our hands and seals on the _?___day of August , 1987. . STATE OF FLORIDA COUNTY OF DADE BEFORE ME, the undersigned authority, perso.ally appeared R and A who being by e first duly sworn, did state unde oath that they are the persons described in and who signed the foregoing Historical Landmark Covenant and that they signed the same freely and voluntarily for the purposes therein expressed. My commission expires: VOTARY PUBLIC STATE OF FLORIDA _ MY COMMISSION -EXP. OCT 22„1988 BONDED TNNU GEIEAAL IIS. USD. • STATE OF FLORIDA AT LARGE _ APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS 1. NAME OF PROPERTY: Collins - Pena Residence 2. ADDRESS 960 N.E. 95th Street, A'iami Shores, Florida LEGAL DESC. (See Exhibit "A" attached hereto) 3. NAME OF OWNER & ADDRESS: J. David and Jeanne M. Pena 960 N.E. 95th Street DATE: Miami Shores, Florida 33138 4. NAME OF APPLICANT & RELATIONSHIP TO OWNER: applicant is the owner 5. PRESENT USE AND CONDITION: single - family, owner - occupied, residential (See Exhibit "B" attached hereto) 6. TYPE OF PROJECT: (circle one or add unlisted project- (J. OTHER) A. MAINTENANCE OR REPAIR B. RESTORATION C. REHABILITATION _ D. ALTERATION E. ADDITION F. EXCAVATION G. DEMOLITION H. NEW CONSTRUCTION I. RELOCATION J. OTHER (EXPLAIN) 7. IS A ZONING VARIANCE REQUIRED FOR THIS PROJECT? (See Exhibit "C" attached hereto) 8. DESCRIPTION OF PROPOSED PROJECT, INCLUDING WHAT CHANGES AND HOW THEY WILL BE ACCOMPLISHED. 9. IF USE OF THE PROPERTY WILL CHANGE AS A RESULT OF THE PROPOSED WORK, EXPLAIN THE IMPACT OF THE CHANGE. N/A The Board shall be supplied with copies of the Original Designation Report filed when the property was designated as a Historic Landmark and copies of any Certificates of Appropriateness granted previously for this site. 1 _/� !'Y! �� ✓` /�_�A /1 L X Cl / ,iii, / �✓% /-�J ✓t' l ,l.'� �,'�LA�l LEGAL DESCRIPTION: Begin at a point in the North line of Lot F, as shown in the Plat recorded in Plat Book 5, page 90 of__ the - -Public -Records of Dade County, Florida, and 120 feet West of the Northeast corner —of —Lot S, according - to the Plat aforesaid, running thence East along the North line of said Lots F and S, 90 feet to a point on the North line of said Lot S; run thence South parallel to the East line of said Lots S and F, 220 feet to a point; run thence West parallel to the North line of said Lots S and F 90 feet to a point; run thence North parallel to the East line of said Lots S and F. 220 feet to the point of beginning, said tract being a plot of land 90 feet by 220 feet, constituting a portion of said Lots S and F according to said Plat, also known as 960 N.E. 95th Street. EXHIBIT "A" USE AND CONDITION continued: Roof new in 1982, exterior in need of scraping and paint, no inadequacies noted. Home appears to be in very good condition for its age but is con- sidered average because of its need for paint and some cosmetic repair on the interior. House has the charm of another era. Additional features include: sprinkler system; open patio and barbeque; detached garage also contains a laundry room and small living area currently used as storage. EXHIBIT "B" DESCRIPTION OF PROPOSED PROJECT EXHIBIT "C" 7670 55 =Chase el(iarni, 9Cotida 53766 . 1. & JVason August 1, 1937 David Pena 906 N. E. 95th Street ai i:a1�i , Florida Ref: 960 N. E. 95th Street Miami, Florida Dear !1r. Pena: Si. G. �J V Cis 012 �n . g cnssa` eontsacto:s aliii4ons 592- 6620 We propose to furnish labor and material to make renovations at the cbove referenced property as shown below: First Floor Level Living Room 13' x 27' ;: 8'5" Clean & paint walls & ceiling 2 coats 1025 sf .24 sf 246.00 Sand & refinish (4) wood-windows--& frames 2 sides 2 coats - - - 4 ea 11.90 pspc 190.40 Clean & paint (2) doors_ & trim 7-side 2. coats 2 ea 5.90 pc 23.60 Sand & refinish wood floor 351 sf 1.37 sf 430.87 Dirin :.our:r 14'8" x 12' x 3'5" Steam off wallpaper on walls & prepare surface 449 sf .73 sf 350.22 Paint walls & ceiling 2 coats 625 sf .22 sf 137.50 Clean & paint (4) doors & .rim _l_side 2--coats 4 ea 5.90 pc 47.20 Clean & paint.(1) cased opening 2 coats 1 ea 3.35 pc 6.70 Sand & refinish (2) wood windows &.frames 2 sides 2 coats - 2 ea 11.50 pspc 95.20 ;;,and & refinish wood floor 17G sf 1.37 sf 241.12 F:itchen 12'-x 11'6" x :1'5" Rebuild (1) window opening to accommodate cabinet 288.60 Steam off wal]paper on (3) walls & prepare surface 299 sf .78 sf 233.22 Labor to install owner's wallpaper on an equal fo (2) walls 105.00 Rcnlace 18 if of base & upper cabinets including counter top 2,814.30 Removc sheet vinyl & -prepare surface including pantry 156 sf .59 sf 92.04 Replace sheet vinyl flooring including pantry & waste 192 sf 2.23 sf 423.13 1:ep1r:ce rubber base 47 if 1.13 if 55.46 Clean & paint ceilinc.; 2 coats 138 s .24 sf 33.12 Sand & refinish (2) wood windows & frames 2 sides 2 coats 2 ea 11.90 pspc 95.20 Clean & paint (2) doors & trim 1 side 2 coats 2 ea 5.90 pc 23.60 Clean & paint (1) cased opening 2 coats 1 ea 3.35 pc 6.70 x 5' x 31.5" St :ynrr off wallpaper & prepare surface !:a 1x,r. to install owner's wallpaper on walls ceiling i nn s, paint (2) doors & trim 1 side 2 coats 161 sf .73 sf 125.53 90.00 2 ea 5.90 pc 23.60 Peria - page 2 Study 9'3" x 12'6" x 8'5" Labor to install owner's wallpaper on walls Clean & paint ceiling 2 coats Clean & paint (4) doors & trim 1 side 2 coats !;and & refinish (2) wood windows & frames 2 sides 2 coats Sand & refinish (2) sets of 30" x 56" Bermuda shutters 2 sides 2 coats Remove air conditioner & install window screen Remove gas fired water heater & cap off line Sand & refinish wood floor including closet Closet 4' x 2'4" x 8'S" Clean & paint walls & ceiling 2 coats Clean & paint (2) doors & trim 1 side 2 coats Entrance Foyer 15' x 9' x 8'5" Steam off wallpaper & prepare surface Labor to install owner's wallpaper on walls Replace 21/4" oak floor including waste Replace (1) 3' x 6'8" x 1 3/4" natural finish ten panel (or equal) front entrance door using existing hardware & jamb Replace shoe mold Clean & paint ceiling 2 coats Clean & paint (6) doors & trim aside 2 coats Sand -& refinish (1) wood window & frame 2 2 coats - Sand & refinish (1) set of Bermuda shutters 2 sides 2 coats Sand & refinish oak floor including closet Closet 2'8" x 3'6" x 5' Clean & paint walls & ceiling 2 coats Clean & paint (1) door & trim 1 side 2 coats Foyer. Bathroom 5' x 5'9" x 8'5" Steam off wallpaper on 4' of walls & prepare surface Labor to install owner's wallpaper on 4' of walls Supply & install shower head & arm Supply & install corner type shower curtain rod (chrome plated) Clean & paint ceiling 2 coats Clean & paint (1) door & trim 1 - side - 2- coats - Sand & refinish (1) wood window & frame 2 sides 2 coats Open Florida Room 14' x 26'8" x 9'8" Allowance to remove screening and rebuild to owner's design Closed Family Room 16' x 20'9" x 9'3" 116 sf 4 ea 2 ea 2 ea 125 sf 116 sf 2 ea 404 sf .78 sf 315.12 210.00 149 sf 6.72 sf 1,001.28 122.04 43 if .25 if 12.00 135 sf .24 sf 32.40 6 ea 5.90 pc 70.80 1 ea 11.90 -pspc - 47.60 - -- - 1 ea 11.90 pspc 47.60 144 sf 1.37 sf 197.28 71 sf .24 sf 17.04 1 ea 5.90 pc 11.80 67.08 45.00 22.10 33.69 .24 s f 6.96 5.90 pc 11.30 1 ea 11.90 pspc 47.60 86 sf .78 sf 29 sf 1 ea Peinove deteriorated panels between column and rebuild to .quit owner's needs including paneling of (3) walls & ceiling having glass 1011 sf divider. . .. 195.00 .24 sf 27.84 5.90 pc 47.20 11.90 pspc 95.20 22.90 pspc 95.20 61.20 25.60 1.37 sf 171.25 .24 sf 5.90 pc 27.84 23.60 373 sf 33.00 sf 12,309.00 4.27 sf 4,316.97 Pena - page 3 Second Floor Level Bedroom Hall 15'9" x 9' x 8' Stearn off wallpaper on walls & prepare surface 396 sf .78 sf 308.88 Labor to install owner's wallpaper on walls 210.00 Clean & paint ceiling 2 coats 142 sf .24 sf 34.08 Clean & paint (6) doors & trim 1 side 2 coats 6 ea 5.90 pc 70.80 Sand & refinish (1) wood window & frame 2 sides 2 coats 1 ea 11.90 pspc 47.60 Clean & paint (1) ceiling exhaust grille 11.30 Resecure stairway assist & guard rail including refinishing 109.60 Sand & refinish wood floor including stairs & (2) closets 163 sf 1.37 sf 223.31 Clothes Closet 7' x 2' x 7'6" average a Clean & paint walls & ceiling 2 coats 149 sf .24 sf 35.76 Clean & paint (1) door & trim 1 side 2 coats 1 ea 5.90 pc 11.80 Linen 3'4" x 2' x 7'6" Clean & paint walls & ceiling 2 coats 87 sf ..24 sf 20.38 Clean & paint (1) door & trim 1 side 2 coats 1 ea 5.90 pc T1.3 - 0 -- S. E. Bedroom 12' x 19' x 8' Steam off wallpaper & prepare - surface- - 4.96 sf .78 sf 386 - Labor to install owner's wallpape-r=on -- walls 255.00 Clean & paint ceiling 2 coats 228 sf .24 sf 54.72 Clean & paint (5) doors & trim 1 side 2 coats 5 ea 5.90pc 59.00 Sand & refinish (3) wood windows & frames -_ 2 sides 2 coats - - -- - 3 -ea 11.3.0__.ps-pc_142.80 Sand & refinish wood floor including (2) closets 242 sf 1.37 sf 331.54 Closet 3' x 2' x 7'6" Wean & paint walls & ceiling 2 coats Clean & paint (1) door & trim 1 side 2 coats Closet 4' x 2' x 7'6" Clean & paint walls & ceiling 2 coats Clean & paint (1) door & trim 1 side 2 coats Master Bedroom Bathroom 15'3" x 8' x 8' :• laster Bedroom 15' ;4" x 20'4" x 8' Steam off wallpaper & prepare surface Labor to install owner's wallpaper on walls Supply & install wood parquet floor including (2) closets & waste and refinish surface Clean & paintceiling_2 Clean -& paint (6) doors & trim 1 side 2 coats ;ancl & refinish (6) wood windows & frames 2 sides 2 coats TP air conditioner & replace screen having wood frame 81 sf .24 sf 19.44 1 ea 5.90 pc 11.80 98 sf .24 sf 1 ea 5.90 pc 23.52 11.30 Replace (1) C418 fluorescent light fixture 37 Steam off wallpaper on 4' of walls & prepare surface 186 sf .73 sf 145.08 Labor to install owner's wallpaper on 4' of walls 105.00 Clean & paint ceiling 2 coats 122 sf .24 sf 29.28 Clean & paint (2) doors & trim 1 side 2 coats 2 ea 5.90 pc 23.60 Sand & refinish (1) wood window & frame 2 sides 2 coats 1 ea 11.90 pspc 47.G0 571 sf .78 sf 445.33 300.00 366 sf 5.31 sf 2,126.46 312 sf .24 sf 74.83 6 ea 5.90 pc 70.80 6 ea 11.90 pspc 285.60 61.20 -/ Pena - page 4 Closet 4' x 2' x 7' Clean & paint walls & ceiling 2 coats Clean & paint (4) doors & trim 1 side 2 coats Closet 6'9" x 2' x 8' Steam off wallpaper & prepare surface Paint walls & ceiling 2 coats Clean & paint (2) doors & trim 1 side 2 coats "L" Shape Balcony 4' x 31'9" Reroof catwalk using hot asphalt Replace "L" shape decorative guard rail Center Bedroom 10'6" x 17'6" x 8' Clean & paint walls & ceiling 2 coats Sand & refinish (3) wood windows & frames 2 sides 2 coats Clean & paint (3) doors & trim 1 side 2 coats Sand & refinish wood floor including closet Closet 2'9" x 3' x 8' Clean & paint walls & ceiling 2 coats Clean & paint (1) door & trim 1 side 2 coats Bathroom Hall 12' x 3' x 8' Clean & paint ceiling 2 coats Clean & paint baseboard 2 coats Clean &--paint 42) door jambs 2 coats . Clean & paint (4) doors & trim 1 side 2 coats - - Sand -- 4 -- refinish - =wood - floor inciuding closet Clo 3' x 1'3" x 3' Clean & paint walls & ceiling 2 coats Clean & paint (1) door & trim 1 side 2 coats North Elevation 42'7" x 23' average Repair (12) 18" stationary louvered shutters Rebuild in place wrought iron assist rails & refinish 2 coats 92 sf .24 sf 4 ea 5.90 pc 140 sf 154 sf 2 ea 100 sf 1 ea 72 sf 1 ea .78 sf .22 sf 5.90 pc 22.08 47.20 109.20 33.38 23.60 508.00 32 if 16.80 if 537.60 632 sf 1. .24 sf 151.68 3 ea 11.90 pspc 142.80 3 ea 5.90 pc 35.40 192 sf 1.37 sf 263.04 .24 sf 5.90 pc .24 sf 5.90 pc 24.00 11.80 36 sf .24 sf 8.64 30 if .54 if - 16.2 - 0' 2 ea 3.35 pc 13.40 4 ea 5.90 pc 47.20 40 sf 1.37 sf 54.80 17.2-3-- 11.80 Bathroom 7'4" x 8' x 8' Steam off wallpaper on 4' of walls & prepare surface 123 sf .78 sf 95.94 Labor to install owner's wallpaper on 4' of walls 75.00 Clean & paint ceiling 2 coats 59 sf .24 sf 14.16 Clean paint (2) doors & trim 1 side 2 coats 2 ea 5.90 pc 23.60 Peporcelain 24" x 20" pedestal type lavatory (two trips required) 212.10 Sand & refinish (1) wood window & frame 2 sides 2 coats 1 ea 11.90 pspc 47.60 N. W. Bedroom 9'3" x 19' x 8' Steam off wallpaper on walls & ceiling & prepare surface 628 sf .78 sf 489.84 Paint walls & ceiling 2 coats 628 sf .22 sf 138.16 Clean & paint - (2) doors & trim 1 side 2 coats 2 ea 5.90 pc 23.60 Sand & refinish (3) wood windows & frames 2 sides 2 coats 3 ea 11.90 pspc 142.30 Sand & refinish wood floor 176 sf 1.37 sf 241.12 12 ea 61.20 ea 734.40 440.00 Rena - page 5 Replace 15% deteriorated 1" x 10" beveled siding on wall Burn, scrape, prime & paint wood wall Sand & refinish entrance door natural 2 coats Sand & refinish (12) louvered shutters 2 sides 2 coats East Elevation 49' x 23' average Mask off & sandblast brick fire place & trim to restore to natural color including foundation wall around perimeter of house Rebuild (14) shutters & prepare for paint Replace 15% deteriorated 1" x 10" beveled siding on wall Burn, scrape, prime & paint wood wall Sand & refinish (14) shutters 2 sides 2 coats South Elevation 42'7" x 23' average Rebuild (8) louvered shutters 8 ea Replace 15% deteriorated 1" x 10" beveled siding on wall 147 sf Burn, scrape, prime & paint wood wall 980 sf Sand & refinish (1) door & trim 1 side 2 coats 1 ea Sand & refinish (8) shutters 2 sides 2 coats 8 ea West Elevation 49' x 23' average Rebuild (10)__ shutters & prepare for paint 10 ea Replace 15% 1" :: 10" beveled siding on wall 170 sf -- Burn,. scrape, prime &paint wood wall 1127 sf Sand & refinish (1) door & trim 1 side 2 coats 1 ea Sand & refinish (10) shutters 2 sides 2 coats 10 ea Garage, Laundry Room & Storage 17' x 28'4" x 9' ave. Replace 15% of wood siding 122 sf Burn, - scrape, - prime- - &- paint wood walls 816 sf Sand & refinish (3) doors & trim 1 side 2 coats 3 ea NOTE:] -Wood shingle roof not considered for coating at this-date General Items Repair & paint wood fence paralleling north and east property lines 310 if Furnish, erect & disassemble tubular scaffolding planks, braces, safety rails & adjustable legs to work 23' heights around perimeter of house 4195 sf Plumbing labor & material allowance to remove restriction on water flow lines to second floor bathroom & make necessary plumbing adjustments & repairs as required including kitchen alter- ations (no appliances or fixtures considered at this date) Rental charge for necessary power equipment Electrical labor & miscellaneous materials to reconnect circuits & fixtures involved & install (3) yard flood lights Rough hardware allowance Demolition, clean up & hauling of all debris • Carpentry, apprentice & common labor Building permit Contractors overhead &. supervision 10% Contractors profit 10% Contractors total proposal 147 sf 2.17 sf 318.99 980 sf 2.31 sf 2,263.80 1 ea 11.90 pc 23.80 12 ea 11.90 pspc 571.20 482.24 14 ea 61.20 ea 856.80 170 sf 2.17 sf 366.90 1127 sf 2.31 sf 2,603.37 14 ea 11.90 pspc 6f6.40 61.20 ea 439.60 2.17 sf 318.99 2.31 sf 2,263.80 11.90 pc 23.80 11.90 pspc 380.80 61.20 ea 612.00= 2.17 sf 368.90 2.31 sf 2,503.37 11.90 pc -- 23.80 11.90 pspc 476.00 2.17 sf 264.74 2.31 sf 1,884.96 11.90 pc 71.40 2.56 if 793.60 .52 sf 2,181.40 Please be advised sales tax has not been charged. We are awaiting ', c rint i on status. 912.00 315.00 845.00 125.00 794.60 3,273.50 966.00 65,000.47 6,500.05 71,500.52 7,150.05 $78,650.57 Pena - page 6 iLanking you for your consideration, we are, Very truly yours, H. E. Nason ray a • - T: M. Prodiictl Co. 601 N.W. 12th AVENUE POMPANO BEACH, FLORIDA 33060 ORDER 0 ESTIMATE 0 ORDER ENTRY Broward Palm Beach Dade (305) 781 -4430 (305) 737-4466 (305) 949-3128 FLORIDA TOLL FREE: 800-243-4430 11111111 1 DATE 1 CUSTOMER 0 r Pigv // AJA / JOB NAME ` r + ^�� y CONTACT ADDRESS , D A) � f µ ADDRESS CITY.i , / • d -AT E /9 - PHONE- / CITY STATE ZIP PHONE P.O. NUMBER REQUEST DELIVERY FRAME & WINDOIMPANELS i t SCREENS t SALESMAN /LEGAL DESCRIPTIONS 1 SPECIAL SHIPPING INSTRUCTIONS ISHIP VIA QUANTITY TYPE SIZE FINISH GLASS UNIT COST - TOTALS 701 egt ft- A(4. 1.0 00 cis 1 At bCIc.J . wltiJbu) • F A4 Aksa w 1 4 L - q�1- d_r —e, L be. i AL gie4k l +_c f - I (low D L t ., t`A., k c.lNc itrr P /fh3• e, 41 i t'6 14 4) wboL r a 1, 'LA., (CAMS I/71 .... - -- - - -- : DD e• . [C Ir 0, ��► ,A)001 e 1& L 1 L Sao s r oof -ID b.' n.PL d/vi, 4,4. S,Lril cam,L .7 p 000.4-4 -0 To 11 / _Was b� 0,. t I NT 4 o tA 1 .1.eL2. .grLr96.1 _ tCJ �h Akr � b ,' . 1 ro INSTRUCTIONS: NOTE: 1. Materials will be Invoked upon shipment from this company's warehouse Of frames andlor glass. Delivery and/or Installs lion of screening may be withheld for convenience of customer, but this shall In no way affect date of Invoice or amount due. 2. In free event that amount herein shown Is not paid when due, Interest at highest legal rate per annum shall accumulate on total amount remaining due. All costs Of collection shall be paid by the customer Including reasonable etlorney's lee. AMOUNT 1 g 9 63 — SALES TAX --CiL0 INSTALLATION PACKAGING CRATING G 3. Title to materials delivered and /or Installed pursuant to this order shall remain in the name of T.M. Products Co., until same Is paid In full, and the purchaser waives all right to homestead and other exemption under state law apptidabie. T.M. Products Co., shall not be responsible for delay In delivery resulting from strikes, labor difficulties, fire Or other Casualty, or any causes whatsoever beyond Its Control. Prices sub►ect to change without notice. 4. Not valid unless prices eheCk•d and Initialed by sales manager. CUSTOMER Sales Dept. Date TOTAL l 1 4 P 1 J DEPOSIT 1 Credit Dept. Date BALANCE DUE TERMS • - T: M. Prodiictl Co. 601 N.W. 12th AVENUE POMPANO BEACH, FLORIDA 33060 ORDER 0 ESTIMATE 0 ORDER ENTRY Broward Palm Beach Dade (305) 781 -4430 (305) 737-4466 (305) 949-3128 FLORIDA TOLL FREE: 800-243-4430 11.:••% Ix Ent MIMS • • " •• • I . 44 •1'1,4 4$•. 4 - • i •• • ••• •,:• ,••; !t• f' 1 • • I I. • 4 fi frt • A SUN SYSTEM dreeriKdi.1; ;Alf of architecture or room decor.;' From family relaxation to SUN SYSTEM Greenhouse will shiwieeeti yoUr t mu the attractive focal point frit ' -7. • 1.•f, Take advantage of the extra apace a SUN SYSF Gree ht will provide. A SUN SYSTEM Green costs Lss to build. Calf It anything you Eke: A Greenhorns; AddW n, Sunroom or Atrium, but col SUN SYSTEM - 0 •4 • • r•d:'4-40;4;j;;•4 i•r; ii .41 V. 7 r :‘ ••••'' :••• ••'t. •VO.- -- R - E:1 7- 11: 1 ENT/A MIZIAIMMIPIILJI At ad 1.'• • ••••••c • • of • t t• • 4) • • .• 6 ,1 t'.4% • ;;;' 4'; •• • ».„ zi r• • • •• • • 1. . 4•4■441s • •• J • • `11 • ; 4 „ • . . -- • • ,. • • fah_ 1 .1 .4444, 4 r ISINDIMSMILaatiala,aZ.,IMA...• 1 . CENTRAL AIR CONDITIONING PROPOSAL Prepared For Mr. & Mrs. Pena 96U N.E 95 Street Miami Shores, Fla.._ • PLANTATION Cooling & Heating, Inc. 7451 N. W. 13th Court, Plantation, Florida 33313 Telephone (305) 583 -2665 STATE OF FLORIDA CLASS A CERTIFIED AIR CONDITIONING CONTRAC1 OH # CACO32391 SERIVCE • INSTALLATION • SERVICE CONTRACTS We are pleased to present our proposal for your consideration in accordance with the conditions and specifications: [BASIC EOUIPMENTI �► (;CATION) Suitable space and access for this installation is to be provided by you. Equipment will be installed on vibration isolation. iai( :1WORKI 1 Bard P1036A5 10.0 SEER Package Air Conditioner 10 KW Strip Heat 1 RUUD UAHE036jas 10.20 SEER Split System 10 1.11 11E_ -:T Sy i i JOB SITE y ** Ductwork to be installed by us will be designed, fabricated and installed in accordance American Society of Heating, Air Conditioning and Ventilating Standards withir. the ►i��,i�....I existing installation conditions. Fiber Glass lin. thick. If required to use metal duct down stairs 1 st floor an additional charge 40u.0U' dollars (REGISTERS AND GRILLESI Metal Aire with 0 B Dampers 1PIPING1 All refrigeration lines to be installed as part of this work will be copper dehydiai;;d ,:I......; •; .:.. . sealed up to the time of installation. Suction line will be properly insulated to .; transfer and' prevent sweating. 3/4 or 7/8 suction and 3/8 liquid line i 1 C1ltl(;AL I .1 II .iecessary Power and Control wiring will be performed by to standdki., .,1 Jpplicabte codes. electrician H'i clf1SIBILITY� I hp following responsibilities will be assumed by YOU or US as indicated. ituti�;ery, uncrating, erection Equipment foundation Culling holes Patching [I:,:S(;EI I ANEOIISI Florida State Sales Tax is included. Permit fees are included. us 11S 11q t,1ITED WARRANTY1 THERE SHALL BE NO WARRANTIES EXPRESSED OR IMPLIED, or GUARANTEES, with respect to contract except as set forth in detail herein. After installation a qualified representative will start, test and provide instructions concerning use of the equipment. - Equipment, material and labor provided by PLANTATION COOLING & HEATING, INC. will bear year guarantee from date of start -up of equipment against defects in workmanship and m;itc:1 i.;l Warranty service calls will be provided during normal working hours (Monday through Sahli and do not include filter, fuse replacement or condensate drain cleaning. The equipment manufacturer will provide a replacement compressor during the second thr ;.c� ,h fifth year after completion of Installation. Shipping and handling charges, additional m;itui and labor must be paid by owner. - FORK MANSHIPI All work will be performed in the best workmanlike manner in accordance with accepted ;l;:.ii,):: standards and comply with all existing_ codes and regulations pertaining to air ccnditi,,+:i,.:I installation. i L (GENERAL CONDITIONS' 1. During installation we shall take all reasonable precaution to avoid injuries to persons and damage to property. 2. All reasonable precautions will be taken to prevent ceiling damage. however, we will not be responsible for ani stress cracks. 3. This proposal does not include corrections of any code violations that currently exist on the subject property. and any costs incurred by "PLANTATION" to correct the same shall be at purchasers expense. 4. It is understood and agreed that title to the equipment and materials, whether installed or not, are to remain in the name of PLANTATION Cooling & Heating, Inc. until all sums due have been paid for in full, including all costs of collection. Possessory rights shall remain with PLANTATION Cooling & Heating, Inc. and we shall have the right to transfer any and all notes held hereunder, and the title or right of possession will pass to the legal holder or transferee. 5. In the event any action for the collection of any sums due hereunder is necessitated, purchaser agrees to pay all of said collection costs, including but not limited to court costs and attorney's fees, both at trial and appellate level. 6. Interest will be paid to the seller at the rate of 1'h% per month of the unpaid balance on delinquent accounts. 7. Warranty service and repairs will not be performed on delinquent accounts. 8. If existing equipment or materials will be re -used, same cannot be guaranteed. 9. If existing materials will be removed or replaced, same will become our property unless specifically agreed otherwise in writing. 10. Seller is not liable for delay caused by strikes, labor difficulties, Governmental orders or regulations, or situations of any kind beyond our control 11. Any equipment, labor or material required by customer requested modification, alterationor additions -to -this. proposal shall be charged to you at our normal rates. 12. No responsibility is assumed for any claims for damages resulting from the use of, or failure of equipment except as stated herein. 13. Decorating and painting will not be included under this contract. . 14. It is understood that this proposal sets forth our entire agreement and no verbal statements by either party shall be allowed to alter any of the terms or provisions set forth in this contract. - -- _ 15. This proposal will become a contract between us if accepted by you, and thereafter approved by an officer of the company. 16. Purchaser shall be responsible at all times for the condition of the work site and acts of other contractors -or- parties. Any damage or loss of any equipment that has been delivered to the site, whether installed or not, unless clearly caused by "PLANTATION" or any of its employees shall be the responsibility of the purchaser. 17. Shading devices to be provided by you in order to maintain design conditions during periods of maximum loading_ 18. No responsibility is assumed for unseen or unknown obstructions such as but not limited to electrical, plumbing or gas lines when cutting walls, slabs, ceilings or during underground trenching. PRI Price including permits and fees is $ 7791.00 IALTERNATES1 1 TERMS I LOT 'ACCEPTED BY CUSTOMER' This proposal is valid until $/30/87 BLOCK SUBDIVISION Title Date Sales Engineer * 4U0.00 Dollars will be added to Contract Price tor metal duct -on -down stairs system Fifty per cent down, balance on completion Respectfully submitted, PLANTATION Cooling 8 Inc. Joseph D. Switalski 'ACCEPTED PLANTATION Cooling & Heating, Inc I By Title " 4 STATE OF FLORIDA DEPARTMENT OF STATE FLORIDA MASTER SITE FILE Division of Archives, History Site Inventory Form FDAHRM 802 = = and Records Management DS HSP 3AAA Rev. x•79 1009 = Site No. Site Name W.L. Blackwell Residence 830= = Survey Date 8504 820= = Address of Site: 960 NE 95 St., Miami Shores, FL 905= = Instruction for locating on SW corner of N.E. 95th St. 4 NE 10th Ave. 813= = Location see continuation sheet 868= = subdivision name block no. lot no. County. Dade 808= = Owner of Site: Name: Blackwell, Eugenia Address: 960 NE 95 St, Miami Shores Ff. 902= = • Type of Ownership private • 84d= = Recording Date . 832= Recorder: • Name & Title: Stofik, Marty Address MSHPB Condition of Site: Integrity of Site: Original Useprivate residence838= = Check One Check One or More Present Useprivate residence 850= = ❑ Excellent 863= = IA 858= = Dates: Beginning +1932 844 = = Good 863= = R Unaltered 858= = Cul turelPhase Ameri cyan 840 = = 11��,, — 845= = ❑ Fair 863= = C`J Original Site 858= = period 70th Century ❑ Deteriorated 863 = = ❑ Restored ( ) (Date: )( ) 858 = = ❑ Moved( )(Date: )( j858= = NR Classification Category: Building • Threats to Site: None • Check One or More ❑ Zoning( )( ❑ Development ( ❑ Deterioration( ❑ Borrowing ( )( Areas of Significance )( )878 = = ❑ Transportation( )( )( )878= = ❑ Fill( )( N ) 878 = = ❑ Dredge ( )( H )878 = = ❑ Other (See Remarks Below): 878 = = Architecture 818= = 916= = )( ) 878 = = )( ) 878 = = )( )878= = 910= = Significance: Structure is in an area of Miami Shores where frame homes of traditional style are the predominant architecture. The two -story Southern Colonial Revival home has traditional styling including fanlight over entry door and wood shutters on windows. The home could not be duplicated under the present Miami Shores building code which prohibits frame construction. It was the home for many years of W.L. Blackwell, Jr., a member of one of Miami's prominent families and a. well -known Miami attorney. His widow still resides in the home. 911 = = ARCHITECT - -- BUILDER - -- _ STYLE AND /OR PERIOD Southern Colonial Revival PLAN TYPE rectangular /irregular EXTERIOR FABRIC(S) wood: horizontal weatherboard STRUCTURAL SYSTEM(S) wood frame PORCHES none FOUNDATION: concrete block ROOF TYPE: gable SECONDARY ROOF STRUCTURE(S):none CHIMNEY LOCATION: E, end, ext. WINDOW TYPE: 8/8 DHS wood CHIMNEY: brick ROOF SURFACING: asphalt shingles ORNAMENT EXTERIOR: wood NO. OF CHIMNEYS one 952 = = NO. OF STORIES NO. OF DORMERS none Map Reference (incl. scale & date) Miami Shores Village Plat 1980 Latitude and Longitude: Site Size (Approx. Acreag_e of Property): LOCATION SKETCH OR MAP 113111/ BOO 2 4 AMIN e° q fo S ipIu u z Q1 5 T " ST 115 3 W eeeur ••/1461-1 e' Contact Print NE 9 LT 1 N d 0 AW In 0'e O1 7 '9 0 0 Township Range 53S 42E UTM Coordinates: two Section 6 872 = =. 874 = = 964 = = 966 = = 854 = = 856= = 942 = = 942 = = 942 = = 942 = _ 942 = = 942 = = 882 = = 882 = = 882 = = 950 = = 954 = = 809 = = 800 = = 833 = = 812= = 890 = = Photographic Records Numbers _.85N119HG39/85N119HG40 860 = = 2ro. STREET PenT oa LOT Low Bnoos SUBDIVISION ,( Mr floor COST or BUILDING P11enT '',' Fmmorm DRIMIS H1ato= STORIES L'rrE Or OoN®TRV®TIQN • BCII.Dnio TO BD USED FOR floor COST or BUILDING P11enT '',' Frame. The Concrete, Staeao itesidenee, Apte Stored, Hotel f Contractor or Builder f r Shores Village, Florida, wilding ...: } F .•!''. D PROPOSED LOCATION CRIPTION OF BUILDING This permit is hereby issued to To_ the building above described, as per app cation, Hans and Specifications heretofore filed in this office. This permit is grantei upon the ex- press condition that all facts stated in the appbeation are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Vide, and rides and regulations of the building department of Miami Shor =. Village. This permit may be revolted at ar-' time upon the vielak& of any provisions of said laws, ordinances or rules and r upon any change in the plans and specifications unauthorized by the buildingg inspector. In ties of the issuance to me of this building permit I hereby agree to do the propos application • sad piano and specifications thereof heretofore by submitted, and itt compliance wi S tate of all building ordinances and zoning laws of Miami Shores Village and all re ... feted .. r // .: .• '`. , 1 . MIAMI SHORES V ICE OF o - �� CK !BUILDING INSPECTOR- 198.... N. 92 Bvu.inwo Diem:mon construction in strict conformity with the all provisions of all building laws of the d regulations of the building department t tit i'..a (1 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 oftforida. 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 Na ✓ ' 1 6 19 Owner's Name and Address r/ - t ✓ ∎ • J ¢ � �1 /1 e— /4 • No. Street of D ! J L CI S t6' S-t Registered Architect and /or Engineer Name and address of licensed contractor 0 IA/ N E Location and legal description of lot to be built on: Lot ilk 4 Block Subdivision 12, .i y // flog' o / ®Arto -J f 6o N_ C. 9 5 iv? S /1,'4M cA o /e5 State work to be done and purpose of b ilding by floors). state exterior colors (submit samples) /' P ".14) rl fi r' — r� �l • I S« PIA(' s NS M; -rt¢. J Street and Number where work is to be done MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 7 r 9 - I 0 C o "' and for no other purpose. New Building Remodeling ✓ Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering o N Estimated Total cost of improvements S � Amount of Permit S 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 th's per .. it; 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 a_•- •es to employ 'nly 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. J ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared and who. being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoi g application, and that he did sign the same, and that all facts therein by him stated are true. y Date h 1 Read, Sworn to and Subscribed before me. 3 7`Y - 7 ) 1 a 5Kl 3/ c woxz) to me well known. Permit No. Disapproved Date (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved pate 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. Notary Public, State of Florida HISTORICAL LANDMARK COVENANT IN CONSIDERATION of the designation of the real property hereinafter described as a historical landmark by MIAMI SHORES VILLAGE, FLORIDA., the undersigned, being all of the owners of the said real property, for themselves, their heirs, executors, administrators and assigns, do hereby jointly and severally covenant with Miami Shores Village, its successors and assigns, that no structure presently situated on the fol- lowing 'described real property shall be demolished, moved, or changed in the exterior appearance by addition, reconstruction, alteration or maintenance, nor shall any trees situated on said • real property be destroyed or moved until an application for a certificate of appropriateness has been submitted to the Historic Preservation Board of Miami Shores Village and has been approved by that Board, or the Village Council on appeal. Said property is legally described as follows: LEGAL DESCRIPTION: Begin at a point in the North line of Lot F, as shown in the Plat recorded in Plat Book 5, page 90 of the Public Records of Dade County, Florida, and 120 feet West of the Northeast corner of Lot S, according to the Plat aforesaid, running thence East along the North line of said Lots F and S, 90 feet to a point on the North line of said Lot S; run thence South parallel to the East line of said Lots S and F, 220 feet to a point; run thence West parallel to the North line of said Lots S and F 90 feet to a point; run thence North parallel to the East line of said Lots S and F, 220 feet to the point of beginning, said tract being a plot of land 90 feet by 220 feet, constituting a portion of said Lots S and F according to said Plat, also known as 960 N.E. 95th Street. This covenant shall run with the land and shall terminate only upon the written consent of Miami Shores Village, or its successors and assigns, and the undersigned do expressly consent to the filing of this document in the Public Records in and for Dade County, Florida IN WITNESS WHEREOF, we have hereunto set our hands and .seals on the _day of August 1987 . WITNESSES AVID PENA STATE OF FLORIDA COUNTY OF DADE My commission expires: NOTARY PUBLIC STATE OF FLORIDA MY COMMISSION EXP. OCT 22.1988 BONDED THRU GEIEQAL IIS. US D4 2 M., PENA BEFORE ME, the undersigned authority, perso• ally appeared r4 . and who being by e first duly sworn, did state unde oath that they are the persons described in and who signed the foregoing Historical Landmark Covenant and that they signed the same freely and voluntarily for the purposes therein expressed. NOTARY PUBL STATE OF :.FLORIDA, AT' LARGE • 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. A Date Ta 1 0, 19_ / Owner's Name and Address - 0 ,, ,, ' l/ l L /M e//, No 96 0 Street A/ e �s•�ry • SI. Registered Architect and /or Engineer C Name and address of licensed contractor l G 4c/ / 6 1 -,- r'a S S C e- ert �0/7 �A l / S Location and legal description of lot to be built on: / Mc GcL:24 Gels fvrc.(, ., / // . cry 4440 ,.ter 7 $ v Lot it Block Subdivision /9^ ✓- // Jozds e / o / ✓a Street and Number where work is to be done ' � � N s (? e gi f4 - f N(," H L c. c -t e sfaM/ State work to be done and purpose of building (by floors). state exterior colors (submit samples) '71j 6 GL, I— .... 47-7 L o a s 2 / 74J //PI Q r /w i 4 ate c..... c.E - TLAAJ 1 J 0 .„,„,/,,iffilito_i-pla New Building Remodeling Addition Repairs No of Stories To be constructed of jr o 0 � Estimated Total cost of improvements $ �. d v Q � ••• Amount of Permit S 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 Permit No. Disapproved (Signed) ,,k 4q9 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Bui ding Inspector Remarks (Signed( Date Kind of foundation Date N,7• ! Read, Sworn to and Subscribed before me. PLANNING BOARD DATE FF cg o rr � Z 7 ' -X /1Z X1/156 Roof Covering Scfe a and for no other purpose. 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 agree p oy on y s subcontractors. on work to under this permit. as are licensed by Miami Shores Village. STATE OF FLORIDA COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known. and who. being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. Notary Public. State of Florida My Commission Expires Chairman Member Member Member Member Member Council Approved 1 ate 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. ti (0 vd (-- 4 8 0-- - v b FRONT DEPTH HEIGHT STORIES TYPE OF CONSTRUCTION BUILDING TO BE USED FOR ROOF ? OST OF•BUILDLNG • PERMIT FEE o--142 Frame. Tile Concrete. Stucco Residence, Apts., Stores. Hotel aa ti . BUILDING PERMIT ;Sib. Owner of Building Architect Contractor or Builder STREET , 19. k M;prni Shores Village, Florida, PROPOSED LOCATION PART OF LOT LOT BLOCK DESCRIPTION OF BUILDING y.:. This permit is hereby issued to �^,.r' r5. To -p ze' the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the ex- press condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regu1 i upon any change in the plans and specifications •authorized by the building inspector. MIAMI SHORES VILLAGE OF ICE /1 OF BUILDING INSPECTOR Posrza �" tA.'C SUBDIVISION N° .. 92 , 193.... BUILDING INSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rule and regulations of the building department of Miami Shores Village. Dated / (SEAL) STATE OF FLORIDA) SS COUNTY OF DADS 9. Not set himself up as a "contractor ". And Further this Deponent says not: A F F I D A V I T SUBS ZIBED AND SWORN TO BEFORE ME this ogg1 19 • c�. (DLL-U0-5' _ of the Village of Miami Shores, County of Dade and State of Florida, being duly sworn, doth depose and say, that under the provisions of Ordinance No. 185, dated June 15, 1948, amend- ing paragraph (d) of Section B -368 of Ordinance No. 7 of the Buildln Code of Miami Shoes Village, he desires to build a /7/ V � �� I SyA2oteE on Dotal/p..274 Block of Subdivision, that s the owner of said property, and will be the owner of said ?d 04 ? Z, that he will do the work personally, and that he Fill, at suc times as are required by the Zoning and Building Director: - 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. 3. Pay the required fees. 4. Execute the work in accordance with the provisions of this Code. 5. Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certi- ficates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing other than properly licensed contractors by Miami Shores Village for any part or portion of the work. 10. Sign an affidavit before commencing work to the effect that he has read this Article and will do the work personally and observe all of the requirements of the Building, Electrical, Plumbing and Zoning Codes of Miami Shores Village. Such affidavit to be properly notarized upon blanks to be supplied by the Building Inspector. 11. In order to prevent abuses and subterfuge the right of such owner- builder as herein provided, is limited to but one owner - builder permit each 2 years, and where an owner - builder has once exercised the privilege herein conferred no second application for owner - builder permit shall be granted in less than 2 years, unless the applicant is qualified as a licensed General Contractor under the applicable Ordinances of said Village. OWNER day o A. D., NdiARI' Ir LIC BUILDING ELECTRICAL PLUMBING r Owner of Building Architect Contractor or Builder Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA DAT /z5 194> PERMIT ' N° '7 51'7 � ntractor's License No. Work to be performed under this Permit OR BUILDER BL (8zige"..q...-ex rt. Subdi- vision Address of Building fG li 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 st ements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Value Project Signed. ` y _• B IN '''E OR In consideration of the issuance to me of this permit I agree to perfo work covered hereunder in compliance with all ord4 ces and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities o iami fhores Village. : In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY 0 > ,../.....06; 2 ;41,44,- Amt. o Permit AUTHORITY OWNER'S NAME COLLINS, C. W. PRESENT ADDRESS 960 N. L. 95th Street LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 960 N. E. 95th Street LOT Govt Lot 4 BLOCK - SUBDIVISION ' GENERAL CONTRACTOR Owner- Builder ADDRESS PHONE NO. LICENSE NO. C BUILDING PERMIT NO. 2717 DATE 1/19/49 PERMIT FEE $ 10.00 BUILDER'S BOND NO. 789 DATE 1/1qp ZONE REQUIREMENTS CU. FT. PLAN CUBE CU. FT. EST. COSTS yo0.00 JDH DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: JDH DATE CONSTRUCTION TYPE Wood mood, STORIES ROOF CONSTRUCTION Shingle Shingle INTERIOR CONSTRUCTION Plaster and YIVod REPAIRS IPTION ALTERATION DESCRIPTION A.,. Beni oan, Bath and Patio S ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. ISSUED BY I TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE PHONE B BYT Y Vv I RE- INSPECT BY RE•INSPECT BY FOUNDATION J 1 _ 3 ' ! 1/20 4 ‘2/1//141 JLll l DATE FEE TEMPORARY SERVICE BEAMS & LINTELS II • ! $ SEPTIC TANK FRAMING ff" $ SEWER 454 RANGE CONN. $ SOLAR HEATER FINAL CLEAN -UP , 1 I GAS $ FIXTURES CONTRACTOR MCCormicX Boyette PHONE PERMIT NO. 75( DATE 1/28/49 FEES 3.50 NEW BLDG. ALTERATION I ADDITION a REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE TEMPORARY SERVICE $ SEPTIC TANK $ H. W. MtATER CONN. $ SEWER $ RANGE CONN. $ SOLAR HEATER $ MOTORS $ GAS $ FIXTURES $ $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING D TEMP. SERVICE GAS ROUGHING 2/17/49 r' ma SEWER H. W. HEATER CONN SEPTIC TANK RANGE CONN. SOLAR HEATER , As FIXTURES / ''fl / ,/ /L.M • • AL � i ii! " CONTRACTOR Hosack Electric PHONE PERMIT NO. 75 DATE 1 27/49 FEE $ 5.80 NEW BLDG. ALTERATION ADDITION Y REPAIRS 1 ;i `r -} d i of C • P .. DATE TEMPORARY SERVICE $ H. W. MtATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING 2/17/49 r' ma H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL AL � i ii! " BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER COI FQR SERVICE DATE BY BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT Application is hereby erode 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 - ,Af ./..1/tV Disapproved (Signed) MIAMI SHORES VILLAGE o 1 47 . be sent to a.. Date.../ e 7_ 4 4 C A L No....7 b _. Street_L1l .C. ?sr s 7 Registered Architect and /or Engineer _,: . . ...:. .:...:.... .....„..:.S,:..:.. --, y� "L'`at t ' Plitdlydress of licensed contractor. lf .lr�..f 6 1 /!� _e ..</...r -eT Q/ .e ..,.• -. '.. Z-4 tSCA,Y lt c- U , -'+ eaa4icon and legal description of lot to be built on: Lot Block //__ Subdivision �iS r. Street and Number where work is to be done (ice' Q - -.• ' / f' State work 9 be done and purpose of buildin (by floors) ...._../ / L C - /T l Z_�.'• ' / 4 3 7 ... and for no other purpose. New Building Remodeling ✓ Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Cove Estimated Total cost of improvements $ 2.70 0 Amount of Permit S. 1 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 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 pennit, as are licensed by Miami Shores Village. Remarks... (Signed Chairman Member Member ...... - -.-- ._..._.__.._..__..... Membcr Member 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 eretn )y him stated ° a true. Lb 1 27 5 Read, Sworn to and Subscribed before me. . Permit No._— _— ^ l _..__ 7 D. e Building Inspector My Commission Expires Notary Public, State of Florida PLANNI BOARD DATE I37 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 hecn 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. aiami Jbores9llage F L O R I D A No _ 789 Issue Amoun No. Houses Amount of Bond r KNOW AL MEN BY T ESE PRESEN S, th I, — e • t): , C � � ,.:.5. -: • Address a l- F .: �: in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or - ti 4 • buildings at the following addresses: 41 . '��• do hereby deposit with Miami Shores Village, Florida, the sum of 0s 0 ' . , and I agree with said Village that, when such construction shall have 3 ~° been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me, 4 used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the y a completion of such constructi n within the meaning of such ordinances, the Village may clear and repair the same and pay the costs of such clearance and i repairs out of the aforesai ai' , and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then 3 ". said t' ;� ) shall be returned to me. 9 b � ....02. ; 5 A. ' WITNESS MY HAND and Seal at Miami Shores Village, Florida, this t 1<..G day of ' ;' yy . • . , / � • ' (Seal ) INSTRUCTIONS TO BUILDER —When above mentioned construction is completed and the premises are cleared and repaired take this bond to the f Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your money in accordance with the above agreement. L WHEN CLEARED AND REPAIRED BY THE VILLAGE • Cost of clearing and repairs done by Village r :!'• 1 • ire• . '- i 'ii• ...•• ° •• ' !i 'ji °' ii • •'•ii`• °•'•i`r`• • i `•°' QP 'Pt e eiriK •'% c° '• 1 l `• ° •'•iM`•° °•'i `• j: ••• $� v $ Balance due Builder $ BUILDER'S BOND VILLAGE BUILDING INSPECTOR'S APPROVAL I hereby certify that the construction contemplated under this Bond, has been completed and that the builder thereof has caused the surrounding premises to be cleared and repaired in as good condition as they were before commencing said construction. vet Village wilding Inspector, es Village Cancelled 19 By ( BUILDING ELECTRICAL PLUMBING • Owner of Building Architect Contractor :)r Builder Legal I )escription Address of t c Building PERMIT N9 3312 Work to be performed under this Permit DER MIAMI SHORES VILLAGE, FLORIDA ' , IQ - Value of Project DATE - Contractor's License No. WARNING: This Construction may be in vial! ;= - / War Prodir:; on P32rd Carer J Lir►i ;` c. " ticaF d to consult your titre t ;:e arc SubdgiS vision Amt. of Permit 194 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 vith any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may ,e 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 ipon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of he. ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and. _hat he assumes responsibility for work done by his agents, servants or employees. Signed. By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- ions 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. 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 ee Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot__ Block r Subdivision Street and Number where work is to be dome �_f �4 .1..S-7- r ` State work to be done and purpose of building Y (by floors 6 _"`. _ a J' - '1/ _ 4.e, Y and for No. of Roof Covering__ _ Estimated Total cost of improvements $-- _____-_— _ - -__— _________—__—Amount of Permit $ © L) 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 ;t�hiss permit, as are licensed by Miami Shores Village. �f� ( Remarks (Signed) 9� New Building ________ _____________ Remodeling To be constructed of____-- ______ Kind of foundation STATE OF FLORIDA, COUNTY OF DADE. Permit No. Disapproved (Signed) _. MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Date Building Inspector BUILDING INSPECTION DEPARTMENT Y d o 4 n e t t IA • Vii' Addition Repairs � No. r4 Street - e � �• e � " 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 therein by him stated are true. Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires no other purpose. Stories 1! PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved____ Date Disapproved Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, sign the same, and that all facts ____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. i ,' 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 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. Date_ , 19--_ Owner's Name and Address No. Street_ ________ 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) and for no other purpose. New Building_____________ Remodeling______ Addition__W________ Repairs No. of Stories To be constructed of Kind of foundation_ Roof Covering_ �_��______ Estimated Total cost of improvements $_ cubage required Distance to next nearest building Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA. COUNTY OF DADE. _ Amount of Permit $ Plan Cubage Size of Building Lot Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared and who, being by me first duly sworn, upon oath deposes and 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 (Signed) Building Inspector My Commission Expires Notary Public, State of Florida PLANNING BOARD___ DATE Chairman Member Member Member Member --__ Member Council Approved Date Disapproved to me well known. —_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. PAID BY J / /y) /1 7 /i F • ' ' ! YEAfi� • ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER ,L [L.— { ,) 1940 ..1/eA /U21 . -/7 % �� n G /i/ . _ 1941 / U - th 9/ 4 lg: Y'c7 / - /1 1- /a.. Ts ■ 7 '7j • V 4 f--/o -7t7 /2." ,. ?ece • '- -&! A S 4 ‘ y73 _ t ( - 1942 ∎V V /��7�5�15 ,'a "f 1943 / • 0 to t • 1944 1945 O0. 4 AI. o / Q • 45t't. fY p o a. W . eeea4, /% • 40 ._______ 1946 1947 O ∎) C CSa 2 1 K N N ll u a 1948 / "X.d(/ /2-3�.y� !/ // // // 1949 it ! - 3k# q ., f /B J �/ 1 / '"?ff 1 /3® 7-//- 6 //,a /6 II Ir (r 1950 /' / -3 /'U LOCATION 960 N. ;. 95th Street GARBAGE TAX RECORD year, • annual tax period used amount paid date paid receipt # f et; MIAMI SHORES VILLAGE HISTORIC PRESERVATION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS please type or print clearly NAME OF PROPERTY (if applicable) : Col / i S— f g c kw e/ 1 A 5: e ace_ ADDRESS OF PROPERTY: 94'0 iv • - NAME(S) OF APPLICANT(S): 1 / ea 4 4 e /14 . 5 : Q b f f + FS e • (NOTE: IF THE APPLICANT IS A PERSON ( if / k/ i e g 4/1 e M. j e /1 a-) OTHER THAN THE OWNER(S) . EVIDENCE / OF THAT PERSON'S AUTHORITY AS AGENT MUST BE ATTACHED TO THE APPLICATION.) TELEPHONE OF APPLICANT(S): (305) 75y— 86 10 ; (305) ADDRESS OF APPLICANT(S): S ea (n Q- _ A S A 6 c ✓ (if different than address of property) ei of PRESENT USE OF PROPERTY: /P e s d e CLASSIFICATION OF WORK FOR WHICH CERTIFICATE IS DESIRED: (circle the letter next to the appropriate classification) A. MAINTENANCE OR REPAIR: The act or process of applying measures to sustain the existing form. integrity and material of a building or structure and the existing form or vegetative cover of a site. It may include initial stabilization work. where necessary, as well as on -going maintenance and repair. Samples of material must he submitted with the Application. B. RESTORATION: The process of accurately recovering the form and details of a property and its setting as it appeared at a particular period of time by means of the removal of later work or by the replacement of missing earlier work. All applications for restoration shall include site plans (if required by the Building Permit). a statement with bibliography historically justifying the work. and any additional photos or information to support the proposed work. FORM : MSHPB.COA (adopted 4/95) 91 s - tr e e fi C REHABILITATION: The process of returning a property to a state of utility through repair or alteration which makes possible an efficient contemporary use while preserving those portions or features of the property which are significant to its historical. architectural and cultural values. All applications for rehabilitation shall include: site plans (if required by Building Permit). and any other supplementary information, such as drawings. that will support the proposed project. D. DEMOLITION: The process of destroying or tearing down a building or structure or a part thereof. or the process of removing or destroying an archeological site or a part thereof. The applicant shall include a report explaining why the proposed action should occur. If this action is to occur for reasons of financial hardship, all pertinent financial data should be included pertaining to the cost of preservation. demolition and new construction. Any other material pertinent to the application is also encouraged as supplementary information. NEW CONSTRUCTION: The process of constructing a building or structure that has never existed at that location. Applications shall include : a site plan. elevations, floor plan and/or landscape plan. DESCRIPTION OF THE PROPOSED PROJECT (Explain what changes will be made and how they will be accomplished - use continuation sheet if necessary - all applications shall be accompanied by at least one 3" x 5" photograph of the property): P oo kr -1-10/1 pie AS p se Act, e c� fioo l p I P A n .1 S tdf vev Gs wQ II al color ev /Orofer f y p4o s SIGNATURE OF APPLICANT(S): SIGNATURE OF OWNER(S): 3. DENIED CERTIFICATION I (WE) CERTIFY TO THE BEST OF MY (OUR) KNOWLEDGE AND BELIEF THAT ALL INFORMATION IN THIS APPLICATION AND ITS ATTACHMENTS IS TR • ORRECT: FOR BOARD USE ONLY APPLICATION DATE (date application received by Secretary of the Board): DECISION OF THE BOARD (circle the appropriate number): 1. APPROVED 2. APPROVED WITH CONDITIONS (set forth conditions below): s ATE: q-2q q/r DATE: DATE: '7 — Z'-/ — SIGNATURE OF CHAIRMAN: DATE: NOTICE TO APPLICANT(S) HEARING: The Board will act upon the Application within ten (10) working days after receipt of the Application by the Secretary of the Board. You will be notified by the Chairman of the date of the hearing. An Application will not be considered until the required supplementary material has been provided and the Applicant and the owner sign the Application attesting to the truthfulness of the information provided. APPEALS: Any person desiring to appeal a decision of the Board shall within fourteen (14) days from the date of such decision. file a written notice of appeal with the Village Clerk. HELPFUL TIP: Historic photographs, photographs showing existing conditions, proposed plans and drawings. and samples of proposed materials are all very important in assisting the Board in making an informed decision. LOCATED AT: 960 NE 95 STREET MIAMI SHORES, FLA 33138 FRONT OF SUBJECT PROPERTY REAR OF SUBJECT PROPERTY STREET SCENE MIAMI SHORES VILLAGE HISTORIC PRESERVATION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS please type or print clearly /� NAME OF PROPERTY (if applicable) : C 1 i1 S — f A c w' ell P� e s le 4 c ADDRESS OF PROPERTY: 9 O /V' • r= - 9r NAME(S) OF APPLICANT(S): f e_ el 4 4 e /14 • S.€ 1' e t + Es f • (NOTE: IF THE APPLICANT IS A PERSON ( e/ k i J e n n r M P e filL) OTHER THAN THE OWNER(S) . EVIDENCE OF THAT PERSON'S AUTHORITY AS AGENT MUST BE ATTACHED TO THE APPLICATION.) TELEPHONE OF APPLICANT(S): (305) 75 - fl6 10 ; (305) ADDRESS OF APPLICANT(S): Sc Q-- c S (if different than address of property) w 1 PRESENT USE OF PROPERTY: / ' es: d e .t t CLASSIFICATION OF WORK FOR WHICH CERTIFICATE IS DESIRED: (circle the letter next to the appropriate classification) A. MAINTENANCE OR REPAIR: The act or process of applying measures to sustain the existing Fort. integrity and material of a building or structure and the existing Fort or vegetative cover of a site. It may include initial stabilization work. where necessary. as well as on -going maintenance and repair. Samples of material must he submitted with the Application B. RESTORATION: The process of accurately recovering the form and details of a property and its setting as it appeared at a particular period of tune by means of the removal of later work or by the replacement of missing earlier work. All applications for restoration shall include site plans (if required by the Building Permit). a statement with bibliography historically justifying the work. and any additional photos or information to support the proposed work. C. REHABILITATION: The process of returning a property to a state of utility through repair or alteration which makes possiHe an efficient contemporary use while preserving those portions or features of the property which are significant to its historical. architectural and cultural values. All applications for rehabilitation shall include: site plans (if required by Building Permit). and any other supplementary information, such as drawings. that will support the proposed project. D. DEMOLITION: The process of destroying or tearing down a building or structure or a part thereof. or the process of removing or destroying an archeological site or a part thereof. The applicant shall include a report explaining why the proposed action should occur. If this action is to occur for reasons of financial haniship. all pertinent financial data should be included pertaining to the cost of preservation. demolition and new construction Any other material pertinent to the application is also encouraged as supplementary information. NEW CONSTRUCTION: The process of constructing a building or structure that has never existed at that location. Applications shall include : a site plan. elevations. floor plan and/or landscape plan. FORM : MSHPB.COA (adopted 4/95) DESCRIPTION OF THE PROPOSED PROJECT (Explain what changes will be made and how they will be accomplished - use continuation sheet if necessary - all applications shall be accompanied by at least one 3" x 5" photograph of the property): / Coe I Loo y`(uc i Ie s e p I (WE) CERTIFY TO THE BEST OF MY (OUR) KNOWLEDGE AND BELIEF THAT ALL INFORMATION IN THIS APPLICATION AND ITS ATTACHMENTS IS TR � • ORRECT: SIGNATURE OF APPLICANT(S): SIGNATURE OF OWNER(S): FOR BOARD USE ONLY APPLICATION DATE (date application received by Secretary of the Board): DECISION OF THE BOARD (circle the appropriate number): s p2A- clet 2. APPROVED WITH CONDITIONS (set forth conditions below): 3. DENIED f SIGNATURE OF CHAIRMAN: AA / t o f T -f /040--0-0 r 4 p 4 s CERTIFICATION Crr _ .atr,120 w DATE: i r-t Cl► r DATE: X1- 2 41 , 9' DATE: Z y — c� DATE: 91-Rico? NOTICE TO APPLICANT(S) HEARING: The Board will act upon the Application within ten (10) working days after receipt of the Application by the Secretary of the Board. You will be notified by the Chairman of the date of the hearing. An Application will not be considered until the required supplementary material has been provided and the Applicant and the owner sign the Application attesting to the truthfulness of the information provided. APPEALS: Any person desiring to appeal a decision of the Board shall within fourteen (14) days from the date of such decision. file a written notice of appeal with the Village Clerk. HELPFUL TIP: Historic photographs, photographs showing existing conditions. proposed plans and drawings. and samples of proposed matenals are all very important in assisting the Board in making an informed decision. LOCATED AT: 960 NE 95 STREET MIAMI SHORES, FLA 33138 FRONT OF SUBJECT PROPERTY REAR OF SUBJECT PROPERTY STREET SCENE