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PAINTMIAMI SHORES VILLAGE 7S ff BUILDING INSPECTION DEPARTMENT 3 Stf 6sr0 APPLICATION FOR BUILDING PERMIT ApA ication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein �escribt.f. 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 Staie 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 ty.trein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. .I Date MO U !8 19 8 Owner's Name and Address .7 DAviO d' JEf�NNE M • PE/v IQ No. Street 960 NE 9c5 -' Y7&c7 Registered Architect and /or Engineer - MA — Name and address of licensed contractor 0 1,0 M e� Location and legal description of lot to be built on: Lot p ���LL Qh�Q y Block // Subdivision ivy /1 ,7 I �Sf a? Q / 3o Street and Number where work is to be done 1oV Aj t 95 S7 b ET State work to be done and purpose of building (by floors), state exterior colors (submit samples) I4 / "IT) A) crP E X TG ,elo t (b)))//e._ a5 /S " ) a nrl lJa intIvk, c $ .Shv 2rC — 5Qr.,1'� 19T-7—AN/loci) / and for no other purpose. New Building Remodeling Addition Repairs V No. of Stories To be constructed of 7 Kind of foundation cy Roof Covering Estimated Tbtal cost of improvements $ —Se? , QO f) Amount of Permit $ .9 / ' 0 Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof. and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to em loy only s bcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application. and that he did sign the same, and that all facts therein by him stated are true. Permit No. Disapproved (Signed) Council Approved Building Inspector Date Plan Cubage Size of Building Lot Date J' /'Xf / 7 Read, Sworn to and Subscribed before me. Notary Public. State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member nate 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. MIAMI SHORES VILLAGE BUILDING DEiARI✓IENT 95:5) 305- 795 -2204 Building Inspection Request Date 1I 1,P-Z Time Type Insp'n F l Fip r Permit No. 6Pxo3- 055 Name Fran G ` Address ' (0 0 'vt � ` J 54- Compan G Oyu\ ponrC Phone # �S For Inspector: 6P 7 ID- Name & Date Approved Correction Re-Insp'n Fee ❑ MIAMI SHO S V LAGE c9R BUILDING DAR LENT 305- 795 -2204 Building Inspection Request Date 11 S Time Type Insp'n "F"1m y.J ■ ��("' Permit No. ��jj p" I t `3S Name i 4 ( n L . Address (0 ( 54- Company , -)ene((\ pCI 1 n -\1 Phone #1 ry I For Inspector: ee 7 SI . -Name & Date Approved Correction Re- Insp'n Fee 7 \, Miami Shores Village M. 03 Building Department BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing (F Owner's Name (Fee Simple Titleholder) j ,Y /t /7 (/1'/ Phone # TDC' 7(' 7rS Owner's Address 9t /VC 9_4; 0 5?T" City /1//AfW 5/ /OR£S State Ft.- Zip 3f3'? ( / !�- Tenant/Lessee Name Phone # �3 Y ?eel/ Job Address (where the work is being done) City Miami Shores Villa e County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name 0!'61.4 '1'.441. 4 Phone # 3 - 2 °"8 S Contractor' Address ( P#31 ti-c) ° ,1114 A L. City State e Itet Zip b3) S s Qualifier A ioc c.4 Architect/Engineer's Name (if applicable) . Phone # Architect/Engineer's Address City State Zip $ Value of Work For this Permit Code Enforcement $ 7SO •' X Number of: Bays Stories Families Bedrooms V Baths _< Type ofWork: ['Addition ['Alteration [New [I Repair/Replace ❑ Demolii:ion / Describe Work: Vf ^ goof + E I U2 /0a. 3 QrD * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** County Escrow Fee Permit Fee $ t(J a V Education/Training Fee $ Tech $ Bond $ 10050 N.E,2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. t3 P 2003 Master Permit No. Square Footage Of Work: Notary $ 5 . 00 Scanning $ Radon $ Struct. $ Minus Plans Check Fee $ Total Fee Now Due $ J . Q t) (Continued on opposite side) ' ftt CT Q _ C —Nat I . � 1 Bonding Company's Name (if applicable) ba Bonding Company's Address City State Zip Mortgage Lender's Name (:.f 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 commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signs r or Agent The foregoing instrument was acknowledged before me this ■-4 The foregoi ig instrument was acknowledged before me this l q day of JO , 2 0. 1 , by S) \y u 4 C) 2k (do i z ; day of 20 (Z) byl (G'(10 a_ : e ft V` who is personlally known to me or who has produced who i : rsonal known to me or who has produced ,Li■• L As identification and who did take an oath. is 2.15 0 (pI bas identification and who did take an oath. NOT 1 ' f� U1t 1 C NOTARY P! C: � ��''' Angela M Becke, Sig, _ . ! : 1 Si� / `� t l _ My Commission DD 150048 Print: UBLIC: My Commission Expires: APPLICATION APPROVED BY: Chc7/7 /03 f eta M ,n, ecker �(� y . iosion rlpicnnAR draKires November 15, 2008 1 e�� /�- -4 lam` Exp November 15, 2006 Print: � My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registation No. Certificate of Competency No. JUL 16 2003 Contractor Plans Examiner Engineer Zoning MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: - 7 f'f d 3 OWNER'S NAME: ) r • £vy PHONE: 3 OT- ADDRESS: ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls /Paz•...7' Fascia Drip Cap/Drip Edge dam" Soffit p Roof uJiit,r Flower Bins 409 Shutters /y Awnings /y Chimney ea.t,..0"" Doors and door jams Garage Doors 1y t 1/A0 Railings Fences //�j Decorative Metal /ys4 All brick (simulated r regular) Stucco Banding �_ Any other stucco features N,4 Accessory Buildings A//- Other - 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. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colo s will be as • er the attached ■titifigrali III r 4310,11 Date ((( 4 3 samples. Signature er Date **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: ` EN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 6e. ° 7//5'/O3 Building Official Date 4/23/01 Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address- ....0_v\f_`I: c ® 4 \ V Lot Block Subdivision Street and Number where work is to be done State work to be done and pgrpose of building (by floors ) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 8C) Amount of Permit $_.._.. -i_ Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live Toad 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. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No 7 11 Date Disapproved (Signed) Bui ding Inspec or MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date �1" 4� , 19. No dfi t. 42t/ Street- i-l..5- i_Ql.. to me well known, / Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building ❑ PERMIT N° 7081 Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit ` B1 Value of Project $ DATF. 195 License No. Contractor's Subdi- vision Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the sttements or $pec ficat ris and that he assumes responsibility for work done by his agents, servants or employees. r .signed y ° " ` ' BY: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami SI;.ores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY D 9 ` O/('Q b Job Address 5 G e A) I, 9" s4 Tax Folio Legal Description Historically Designated: Yes v 911 s • Owner/Lessee / Tenant Z e a � f " . 4 Master Permit # 1 7 V - 7 9= Owner's Address 1 (o O N G S 5+ Phone 4O C /16 Contracting Co. ` k e c kO-v1. L.)0L - IA f✓. Address l 63 0 ow q,i-t aJe Plcuke k o„H . Qualifier ez,Dc ■ k)o. A Ss# Phone 6.94) 37o -8S State # 1' I Municipal # i otriIOV 3 Competency # , Ins. Co. �L-1 S'� c Architect/Engineer I V Address Bonding Company N Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN „ J / X'r, Rro R2 "200 " ■c/ t/.r 7 s.c1 /7Z WORK DESCRIPTION Square Ft. Estimated Cost (value) 1 0 0 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand the sep'arate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. e of owner and/or Con 9e Notary as to Owner and/or Condo President Date My Commission Expires: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE c. FEES: PERMIT I 1 •4) RADON Went._ Date OWNER'S AFFIDAVIT: I certify that all th foregoing information is accurate and that all rk will be done in compliance with all applicable laws regulatint construction and zoning. ermore, I uthorize the above-nam contrac . o do th ated. O o Signature of Contractor or Owner - Builder Date Notary as to Contractor or Owner - Builder Date My Commission Expires _. -- ■■ ..,,J.-- tti� . ..:7 , C.C.F. e 1 1 3 NOTARY *5 r F 7. a. , es BOND /1/ • TOTAL DUE APPROVED: Zoning Building g g ?If/ Electrical Mechanical Plumbing Engineering 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): cfrim ''1 0.Q - 7 :: � / /l ev ✓l ; -f ' /l/, C o / %be U 2 C o � G I / 6 t / Le ± FeA GQ. a. coo; e • S4.4 /1`t/'s - D r e Ni G , CERTIFICATION SIGNATURE OF APPLICANT(S). SIGNATURE OF OWNER(S): FOR BOARD USE ONLY APPLICATION DATE (date application received by Secretary of the Board): G/1 J ,/6 �rcQJ- W ,7sz I WE) CERTIFY TO THE BEST OF�v1YI(OUR) KNOWLEDGE AND BELIEF THAT ALL INFORMATION IN S APPLICATION AND ITS ATTA HMENTS IS !LL AND CORRECT: DECISION OF THE BOARD (circle the appropriate number): 1. APPROVED Ck 6-0 0 0 , b CM - tz -r &t - m f,g) 2. APPROVED WITH CONDITIONS (set forth conditions below): fJo - /V, c /0 r or Q ye v R/t 74,4 -1- Pjfi 6; rn Mbbc - C, Ct2k ai® e C c ? 2,5) 3. DENIED SIGNATURE OF CHAIRMAN: G(/ t/71i'-Le,4,,j DATE: C old C��„ e_ 4 Q w (0 rn o 0) o 0 0 a 4 4 4 m an 0) 0) P') M 0) co 0) MIAMI SHORES VILLAGE HISTORIC PRESERVATION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS ADDRESS OF PROPERTY: NAME(S) OF APPLICANT(S): (NOTE: IF THE APPLICANT IS A PERSON OTHER THAN THE OWNER(S) . EVIDENCE OF THAT PERSON'S AUTHORITY AS AGENT MUST BE ATTACHED TO THE APPLICATION.) FORM : MSHPB.COA (adopted 495) please type or print clearly NAME OF PROPERTY (if applicable) : Cc,/ / , n S g g r LA,/ P/ Ca S t r d et) c 7 (6 -' e (if different than address of property) PRESENT USE OF PROPERTY: RQ s � � c_ <Z. /k/ A reA n,? e TELEPHONE OF APPLICANT(S): (305) 7 to ; (305) ADDRESS OF APPLICANT(S): N C. o f S r--ee 1 CLASSIFICATION OF WORK FOR WHICH CERTIFICATE IS DESIRED: (circle the letter next to the appropriate classification) CA) MAINTENANCE OR REPAIR: The act or process of applying measures to sustain the existing fomt 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 ongoing 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. 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 % ill 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. E. 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. /// ���� Please type or print clearly and prepare in duplicate. Hand deliver or mail to: ADE 5OUNTY RECORDER, 44 West Flagler Street, 8th Floor, Miami, Florida 33130.; fee for recording will be required. For additional information call (305) 372 -a 777.) N OTZCE OF COt ENCE MENT EMIT NO, TAX FOLIO NO. TATE OF FLORIDA: OUNTY OF DADE: E UNDERSIGNED hereby gives notice that improvements n accordance with chapter 713, Florida statutes, the otice of Commencement. . Legal deecri7t4. n of pr. - = rty and treet addree . Description of improvement: . Owner(s) name and address: nterest is property: , arse and address of fee simple title holder: . Contractor's s name and ad s + ,.,� 16 �r"1 J W °4 y J e lo"n, a ti . . surety: (Payment bond required by owner from contractor, ame and address: Mount of Bond: $ . Lender's name and address: - rsonally , c o Lto me or who produced I.D. Lary public _ - int Notary's Name 62 I, t 2 . , — Coa>rnis s io �cp'i pFrlCIAL t ,C. ) +c„ r 1....,..... .. <, SA .10. Tir 7 l COMMiSSIOS1 110:.,,_ ER ' : , a C e • Ci i : . 1 ,43 c MY CO.s,Au,I!....N `i:XP. E arF� P P A:'... ri will be made to certain real property, and(` following information is provided in this(*. 0- if l IA t [` OF Uiat OF JADE Cri:17i7V :;.tli ibis is a :rve pD of h0 Odgirfal kil n Ah4 pWoo bri , A. 8 19 my hand c • °Oficial $4Q!. ! 0111. :fy of Circuit and County CovrOs, any) . Persons within the state of Florida designated by owner upon whom notices or other documents Lay be served as provided by section 713.13 (1) (a) 7, Florida Statutes, ame and address: . In addition to himself, owner designates the following person(s) to receive a copy of the ienor's Notice as provided in section 713.13 (1) (b), Florida Statutes. ame and address: . Expiration date of this Notice of Commencement: (the expiration data is 1 year from the date f recording u.las.a. a different data fip : pecifi =d) ignatu =// Owner .eti ,fin 'r.,"" e int Owners Name 'peered before me pis /1 day of Ar , 1.997Q This Documen Prep ed py: Name: �� a,, p I • Address: 3 mt q a a•