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100 NE 96 St (7)
BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building : PERMIT N? 2 8 Contractor's 19 ❑ License No. ❑ �,. Work to be performed under this Permit Architect Contractor or Builder Legal Lot Description Address of Building — CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Bl. Subdi- vision Value of Project $ Amount of Permit $ This per nit is granted to the contractor or builder named above to construct the building or to install the equipment or devica described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed is compliance with any plans, drawings, state ments or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 6 -$1,7:71,, OWNER'S NAME JOB LOCATION (ST. OR AVE.) REPAIRS A_TERATION ADDITION GENERAL CONTRACTOR PUILDINC PERMIT NO ZONE REQUIREMENTS DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY N EW CONSTRUCTION S'',:RMITTED TO PLANNING BOARD REiSUBMI IrTED TO PLANNING BOARD SI IRMITTFJ TO VILLAGE COUNCIL DATE 5-2C-55 CU. FT. PRESENT ADDRESS 6 r, , 93Dd Street LOT BLOCK 34-15 20 PLAN CUBE ADDRESS PERMIT FEE S TYPE STORIES ROOF CONSTRUCTION CS3S .I. Vq. ?_C APPROVED REJECTED 36.00 27,302 CU. FT. DESCRIPTION REFERRED TO COUNCIL CERTIFIC/ TE OF OCCUPANCY NO. ISSUED BY TO REMARKS Sec. NO. 1 BOO LICENSE NO. 613 EST. COST S e . BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE SUBDIVISION DESCRIPTION Y'7c S c: ^`. CC.L.L 1gS PHONE NO. LICENSE NO. BUILDER'S BOND REASONS (DATE PRO": = NO ? - 3,000 DATE INTERIOR CONSTFUCTION uooci and terrazzo _ 1oo ; ^_,, Pr 3 " 3 b l':hs - i vi r7 room - i r: n? rco_m3 UCh;?n norch- Ror € INSPECTIONS ' DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION PERMIT NO. DATE FEE TEMPORARY SERVICE ,.l - M- 4 $ BEAMS & LINTELS �,,/ ��"" ' 2' S--) gy p „/� / r S F +! >� t SEWER FRAMING 7- ,27- 'is et. $ FIXTURES $ GAS $ S � ,. $ DATE ' FINAL ,i / F'�' - �� -e.Jl /\ %i r ^ . l �'< - � , � 2/-3 - i ,. CLEAN -UP I CONTRACTOR �':; i �� J � -� , - ' ` PHONE PERMIT NO. n ' DATE - j FEE $ NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ,.l - M- 4 $ $ SEPTIC TANK S F +! >� t SEWER ; - ' $ SOLAR HEATER $ FIXTURES $ GAS $ S $ 0 DATE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING �` %` �h? G�' 4 ' ,s- ^ B9U GRING r, GAS . H. W. HEATER CONN SEWER r RANGE CONN. SEPTIC TANK -� SOLAR HEATER I FIXTURES & FINAL . f:C FIXTURES 93`Z/' " o ,, 1 , • ' _. -- 6t- w- . 2 '.--.. � CONTRACTOR �. w /��. PHONE PERMIT NO. v� 5 DATE Y ' - - - FEE $ / 111 �- 4 NEW BLDG. 1 ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE � «✓ :-‘...! ,.l - M- 4 $ H. W. HEATER CONN. RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE-INSPECT BY BY RE- INPECT S BY TEMP. SERVICE - �. (,�' , P l A' ,A. -2 4 ' ,s- ^ B9U GRING r, 1 . H. W. HEATER CONN r RANGE CONN. I FIXTURES & FINAL . f:C ,' ', • A/0z BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS 'ROYAL TO POWER CO. FOR SERVICE DATE / . 9 - `,�� CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Ii? 245 Miami Shores Village, Florida, Owner, Agent or Tenant of Building Lot Block Subdivision 1 Str€et Address Approved use by occupancy N _d Reriarks• Thiii Certificate of Occupancy is issued to the above named L4) - for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zon.ng, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of .buildings or structures. ��, f' % rZ Vic' ; , k, - > �i '-- BUILDING DIVISION STATE OF FLORIDA) SS COUNTY OF I)AI)E ) A F F I D A V I T 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, amending paragraph (d) of Section B-368 of Ordinance No. 97 of the Building Code of Miami Shores Village, h9 desires to build a on Lot Block of Subdivision, that he is the owner of said property, and will be the owner of said , that he will do the work personally, and that he will, at such times as are required by the Zoning and Building Director: m 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 certificates 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. S. Not set himself up as a "contractor ". 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 exercized 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. And Further this Deponent says not: SUBSCRIBED AND SWORN TO BEFORE ME this s !/,f day of 195 NOTARY �, � Public, Star, t Florid t 'Large; fi Commis3ior1 e;:aires Jan. 17, 19513, Bonded by Arnenc,an Fire and Casualty Co. A.D., f 7 4 •' 2 ,4,„, 7 n-- '7 t 4 ■•• • ." r '.^ , ..4.■• 1 i 16 . 22 Owner's Name and Address Architect and /or Engineer Name and address of licensed contractor MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Location and legal description of lot to be built on: Lot Block 4 = 3 Subdivision Street and Number where work is to be donee /7 State work to be done and purpose of building (by floors) t %? Maximum live load to be borne by each floor - / . Date � , No. • 9 Street. .... - .a_.. _. A 1 . ".. , x , - -✓" • � Addition - and for no other purpose. New Building Remodeling F Repairs No. of Stories (� To be constructed of Kind of foundation �.__.___._�/ L�_ Roof Covering �� ' Estimated Total cost of improvements $ J� < f Amount of Permit $ G < a^ 44, Zone cubage required _� ,;__� plan Cubage__.- i' -../.. ..,...- Distance to next nearest building .c) G <,,'— Size of Building Lot _ I hereby submit all the plans and specifications for said building: All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands 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 thr foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No t Date t „ Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida \ Building Inspector My Commission Expires Chairman - Member Member Council Approved Date PLANNING BOARD DATE to me well known, Member Member Member Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE A PENALTY IS IMPOSED FOR FAILURE TO KEEP THIS LICENSE EXHIBITED AT YOUR ESTABLISHMENT OR PLACE OF BUSINESS Vi THIS LICENSE EXPIRES 19 In consideration of the sum of License N° 643 �... _ Dollars ($ Paid to Miami Shores Village, Dade County, State of Florida, is hereby licensed to engage in or operate the business of MIAMI SHORES VILLAGE, FLORIDA Date Issued By THIS LICENSE NOT TRANSFERABLE WITHOUT THE APPROVAL OF THE VILLAGE MANAGER. MSV 1934 Owner's Name and Address._ Name and address of licensed contractor MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done ��- ° L Date. No Street Registered Architect and /or Engineer State work to be done and purpose of building (by floors) New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ \ Amount of Permit $ o / __. Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot and for no other purpose. Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands 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 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 __.L _ � Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. f� TYPE OF INSURANCE POLICY NUMBER EXPIRATION DATE LIMITS OF LIABILITY WORKMEN•S CGMPENBATIGN I,'J�J , 54 . ^- G ./ 9 - 56 SP9a F9Nator MANUFACTURER'S OR CONTRACTOR•S BODILY INJURY LIABILITY a (`3 4 11//!' �� fv�, 5 6 EACH PERSON 5 9 ® ® ®O ®� EACH ACCIDENT $ 10 0 000 0 00 PROPERTY MANUPACTURER DAMAGE LIABILITY WM -2' Vi i`ly/ C Y Z , ,3( -, '` EACH ACCIDENT $ . .5• „9 . 000000 AGGREGATE $ 25 0000 O® OWNER'S OR CONTRACTOR'S PROTECTIVE BODILY INJURY LIABILITY .,.,� – /1/ EACH PERSON $ I ' . EACH ACCIDENT $ OWNER•S OR CONTRACTOR•S PROTECTIVE ;. PROPERTY DAMAGE LIABILITY .. .... .. .. EACH ACCIDENT . AGGREGATE $ AUTOMOBILE BODILY INJURY LIABILITY - EACH PERSON $ EACH ACCIDENT $ AUTOMOBILE PROPERTY DAMAGE LIABILITY EACH ACCIDENT COMPREHENSIVC GENERAL LIABILITY— BODILY INJURY - -- - EACH PERSON $ EACH ACCIDENT $ COMPREHENSIVE GENERAL LIABILITY— PROPERTY DAMAGE EACH ACCIDENT $ AGGREGATE $ COMPREHENSIVE AUTOMODILE LIABILITY — BODILY INJURY EACH PERSON $ EACH ACCIDENT COMPREHENSIVE AUTOMOBILE LIABI LITY— PROPERY DAMAGE EACH ACCIDENT $ 0 % o L 0� G 0 !!!) J 0 ,( 'o l 'o } bA '0 0 11 0' 0' 0 0. I 0.i I 0 0' 1 loA • S 0Il In ` 0 ) , 0 ▪ / G i U 0 0, 0 0 0 ,, 00 NAME OF INSURED: ADDRESS OF INSURED: LOCATIONS COVERED: DESCRIPTION OF WORK: DATED THIS 19th DAY OF Irrtif ira e of Jnsixra tre ISSUED AT THE REQUEST OF: City of Miami Shores ADDRESS: 10050 YE 2nd Avenue, Miami Sho ez 9 F1a 0 THIS IS TO CERTIFY THAT THE INSURED NAMED BELOW IS AT THIS DATE INSURED WITH INLAND EMPIRE INSUR- ANCE COMPANY AS DESCRIBED IN THE FOLLOWING SCHEDULE. DESCRIPTIVE SCHEDULE Lau a I now]i©n 61 NE 93rd Street 100 NE 96th Street, Miami ; Shores 9 Fla. Building of Hom IN THE EVENT OF CANCELLATION OF THE INSURANCE INLAND EMPIRE INSURANCE COMPANY AGREES, IF POSSIBLE, TO GIVE NOTICE TO THE PARTY AT WHOSE REQUEST THIS CERTIFICATE IS ISSUED TEN DAYS BEFORE THE DATE OF CANCELLATION. BUT SHALL NOT BE LIABLE IN ANY WAY FOR FAILURE TO GIVE SUCH NOTICE. May, 1955 INLAND EMPIRE INSURANCE COMPANY BY AUTHORIZED REPRESENTATIVE TODD INSURANCE AGENCY, INC 1 1 1 4 4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I • • S S j o o 1 S 1 • • Village of Miami Shores JOB ADDRESS INSPECTION TIME READY N? 4758 REMARKS INSPECTOR DATE