1050 NE 96 St (6)OWNER'S NAME
Frank Platz
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
1050 N.E. 96th Street
LOT
10-4 9
BLOCK
81
SUBDIVISION
Section 3
GENERAL CONTRACTOR
Dean R. Claussen
ADDRESS
PHONE NO.
LICENSE NO.
1730
BUILDING PERMIT NO.
5 ®11 -55
DATE
22000
PERMIT FEE
BUILDER'S BOND
NO. 1796
ZONE PEQUIREMENTS CU. FT.
d
PLAN CUBE 25,889 CU. FT.
� y DATE
EST. COST $ 18
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:
DATE
NEW CONSTRUCTION
TYPE
CBS
STORIES
1
ROOF CONSTRUCTION
tile
INTERIOR CONSTRUCTION
oak floors, plaster walls and
REPAIRS
DESCRIPTION ceilings
3 bdrm0m22 baths - living room-Fla. room - dining room-kitchen-garage
ALTERATION
DESCRIPTION
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. X3 3
ISSUED
BY '" °'3
TO O +"`' � -
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INS4CTIONS
DATE
BY
RE -INS ECT
/ yY
RE- INSPECT
Y
FOUNDATION
NO 12,G'
FEE
TEMPORARY SERVICE
{
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$
BEAMS & LINTELS
„7 1�p .r i
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7
�"
RANGE CONN.
FRAMING
SOLAR HEATER
MOTORS
$
GAS
FIXTURES
$
$
S
INSPECTIONS
FINAL
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
CLEAN -UP
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GAS
CONTRACTOR 4 - ._ "' - t ;
PHONE
PERMIT NO. 7 -7 `/ V 1 DATE £ "' `n ` �,,,, .
/ 7 �i
FEE $ J 0 4 (Y •.5
NEW BLDG. I ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
TEMPORARY SERVICE
-
$
//��
SEPTIC TANK f ' 7O
I
„7 1�p .r i
I 4
S
SEWER
RANGE CONN.
$
SOLAR HEATER
MOTORS
$
GAS
FIXTURES
$
$
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
t 4 (.. ;_ t
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GAS
ROUGHING
�61'
SEWER
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RANGE CONN.
SOLAR HEATER
FIXTURES
FIXTURES & FINAL
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i
CONTRACTOR i - tom. J _ !
PHONE
PERMIT NO. LILATE ,- --
FEE S " -
NEW BLDG.
ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
-
.�' / 71"..3
$
H. W. HEATER CONN.
-
S
RANGE CONN.
$
MOTORS
$
FIXTURES
$
S
INSPECTIONS
DATE
BY
RE-INSPECT
-BY
RE-INSPECT
BY
TEMP. SERVICE
5 �'
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ROUGHING
H. W. HEATER CON
RANGE CONN.
FIXTURES & FINAL
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" 1/4 BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
.j
CERTIFICATE OF OCCUPANCY A
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N? 233
Miami Shores Village, Florida,
Owner, Agent or Tenant of Building
Lot ®° W Block g 1 Subdivision______ -
Street Address
Approved use by occupancy ���� 1(2_1,4
Remarks
This Certificate of Occupancy is issued to the above named
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
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
-) �UILDING DIVISION
Q
Date o8 Job Address /DSd 46 7 71.7 S. T Tax Folio // J� ea /4/.170
Legal Description f i /✓ ref
/ Lessee / Tenant A. 6; rKts I Qt_ Master Permit ir: e f 77
Owner's Address /6 Phone
Contracting Co. ralc�/01;- terns / cMo Inc. Address -i / /15 / ' S 7 /0. L1j
Qualifier "4/WS t't/ 7 I /c� SS# /C/ -so -owoo Phone ?3
al # Competency # f3
p 1
State # Municipal 93 t'& Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one : BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION ,A.. /D L ' 44 _ _
A /.SAS Q cc. /'O / / P — r e /ace, 4r ✓O'Cl — 't � OP"
quare Ft. Estimated Cost(value) Qf)Q
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 clo 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 that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate +`' and that all work i be done in compliance witr_all applicable laws regulating construction an ,• 'author q�t37 ze the above -gamed cet? 9�SE U a ctARNE wor tated. 1t S ��
e,#) e
Y P INE ubtis CJt State 1fRiY of F[
w ,: , ?r commas= Exp. April 30,
Signature of, owner and /or
Date: 7M7 fj--.
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
C
' :Notary Public, State of Ronda
:My Commissu n Exp. April 30,1
/ not type or stamp name of Notary lyubthe
/ "personally known ❑OR Produced t.D
Air //
/1'
Ni ary "as to Owner and77F t ti /
My Commission Expires: O DID take an oath, or E
p_DID NOT take an oath. El DID take an oath, or
❑ DID NOT take an oath.
** * * * * * * * * * * * * * * * **
or stamp name of Notar Public
n wn E, �. ¢I.DO
ota y as to Contractor or urn 8 er • �
ar. o I. pro uml:
My Commission xpires:
FEES: PERMIT 3 RADON C.C.F. - NOTARY 51,0V TOTAL DUE 45,0e
0e
Fire Other
Zoning Building � �• 'L Electrical l
Mechanical Plumbing Engineering
MIAMI SHORES VILLAGE
BUILDING INSPEC :TION 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.
Owner's Name and Address...( y/ fy aeg
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot - +1 - b .. Block (1
Maximum live load to be borne by each floor
permit, as are hcensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. j
Disapproved _______ date
(Signed)
Subdivision
Street and Number where work is to be done / 0 S 0
State work to be done and purpose of building (by floors)
Date
New Building Remodeling Addition._ Repaj
To be constructed of @ 1 _ Kind of foundation l� J-�I� ` ?.'l. A
Estimated Total cost of improvements $ �. �'_...f!..14 Amount of Permit $
Zone cubage required __;�` ` r p -Plan Cubage
Distance to next nearest building Size of Building Lot
9"
and for no other purpose.
s No_\f Stories
Roof Covering_ -
Notary Public, State of Florida
O
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 subcoptractors, on work to be performed under this
Remarks __..__ (Signed) 417._1
r
,196s&
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 //3 Date g° / Read, Sworn to and Subscribed before me.
ildtng Inspector My Commission Expires
PLANNING BOARD DATE
Chainnan 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.
40Year.corn, Inc., Engineers
Professional Building Recertifications & Due -D
Florida Registered Engineer, PE 24803
Building Department
Miami Shores Village
10050 NE 2 Avenue
Miami Shores, FL 33138
RE: Recertification of Buildings — 40 Years Old or O1del
Dear Sirs:
Att
Record Owner
Property Address
Folio #
...
..
. .
iligence Inspections'
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• • • I j iiK 2 7 2000
.... • •• ••• .. BY: '
• • • ••• ..
REYNALD JP BLANCHARD &W EDITH F
150 NE 96 ST
11- 3206 - 013 -2670
Ok i35C.
We have examined the above referenced building and find that it is exempt from the 40
Year Recertification requirement.
This will certify that this building is in use as a single family residence, occupancy R -3.
We also find that the building was, in the past, used as multi- occupancy. At this time
various interior walls have been opened or removed rendering it an open, single family
plan. We note, too, that a Homestead exemption has been in place on this building for
several years.
Please see the attached photos offered as documentation.
tions please call me at ( :305) 856 3986.
Donald W Shackelford, PE 40Year.com, Inc. John P Smiljanic, Engineer, MBA
7810 SW 66 Street, Miami, Florida 33143
Telephone 305 856 -3986, Facsimile 305 854 -2201
www.40year.com
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North Elevation
3
South Elevation
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150 NE 96 Street
Miami Shores ••• •• .'.
June 23, 2006
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February 28, 2006
Reynald JP Blanchard & W Edith F
150 NE 96 Street
Miami, F133138 -2726
Dear Owner:
Sincerely,
Claudio Grande, Building Official
305- 795 -2204
1
Building Department
Re: Mandatory 40 Year Re- Certification for Property at:
150 NE 96 Street
Miami Shores, FL 33138
Folio # 11- 3206 - 013 -2670
Miami Shores Village
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2207
Fax: (305) 756.8972
Certified Mail # 7005 0390 0003 8150 7550
Notice of Required Inspection /Certification
The Village has been notified by Metro -Dade Building & Zoning Department that the above
referenced property has a building or structure that is forty (40) years old or older. In accordance
with Miami -Dade County Chapter 8 Section 8 -11, the subject property must be inspected by a
Florida Registered Architect or Engineer and a report furnished to this office.
A report and a fee of two - hundred fifty dollars must be submitted to this office within ninety (90)
days of receiving this Notice of Required Inspecti
If you would like a copy of Minimum Inspection Procedural Guidelines for Structural and Electrical
Recertification, or if you have any questions, please call my office at 305- 795 -2204.
1. Article Addressed to:
2. Article Number
(Transfer from service label)
PS Form 3811, February 2004
U.S. Postal Service,.
CERTIFIED MAILTM RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
For delivery information visit our website at
ii
Postage
Certified Fee
Return Receipt Fee
(Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees
-nt_et r aCdo yr 6__.,
or PO Box No.
City, State, ZIP+4
PS Form 3800, June 2002
See Reverse for Instructions
SENDER: COMPLETE THIS SECTION t
• Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mailpiece,
or on the front if space permits.
Reynald JP Blanchard & VA
150 NE 96 Street
Miami, Fl 33138 -2726
Edith F
7005 0390 0003 8150 7550
Domestic Return Receipt
Postmark
Here
COMPLETE THIS SECTION ON DELIVERY
A Signature �.
X .�
B. Receive yT,Pdnted Nam
3. Service Type
❑ Certified Mall
❑ Registered
❑ Insured Mall
Datot•Delivery
D. Is deliverddress different from it =? "❑ Yet
If VEES, a }erede ivery address below:
E i Ib' J ci1 / No
4. Restricted Delivery? (Extra Fee) ❑ Yes
ent;,�
dress
❑ Express Mall
❑ Retum Receipt for Merchandise
❑ C.O.D.
102595-02 -M -1540