1086 NE 96 St (5)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Co / / 7e Job Address / 0 BC, ,t/ t= g Co S % . Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant �
Owner's Address /013c, ^/ C 96, 7 Phone �' S - .P el i! 8 9'3
Contracting Co. ✓t-- Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION / a
Square Ft.
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 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 will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
otary as to
My Commissi. s E
FEES: PERMIT
Signs •f owner and/. ondo President Date / Signature of Contractor or Owner- Builder Date
2,36 ss Y
g
f." do 'r -: ; ! 1 VTLI1Mte R Notary as to Contractor or Owner - Builder Date
i My Commission Expires:
rtes: IIt C'T iY IsL`B4r.CSiATEO FFLORIDI �
COMMISSION NO. CC714103
MY COMMISSION EXP. MAR. 1 2_1
RADON
Master Permit # 9-3 o ,�2 )
Es timated Cost (value) , ,3C)
• m
C.C.F. it 0 NOTARY .&» E) t ��
TOTAL DUE
APPROVED: I1 # Electrical
Buildin * 1�
Zoning Building
Mechanical Plumbing Engineering
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
(a' 7- 2-o co n(4-
Date to // / ?C? Job Address / Og Co ,✓ t 9 S Tax Folio
Legal Description
Owner/Lessee / Tenant Master Permit # '4 / Os� ,
Owner's Address
Contracting Co.
S c•
g fr /c-/ Sc, S f✓�
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION /dow n yy ft r ' S -
Square Ft. l 6 r . Estimated Cost (value) 300,
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 installarion as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all lam s 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 will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Date
Signature of owner and/or Condo President
�� • OFFICIAL NOTARY SEAL.
Y��,,,,,,
"I ANN FUOAZZI
2 rl r ' C� COMUISUON NUMBER
' - 41? o CC723460
.4• MY COMMISSSON EXPIRES
OF `O MAR. 29,2002
Notary
My Co
FEES: PERMIT 40 ( 00 RADON
Date
Historically Designated: Yes No � —
Address
Phone -7 6 ' - y 0
5 of
Signature of Contractor or Owner- Builder Date
Notary as to Contractor or Owner- Builder Date
My Commission Expires:
C.C.F. • (0 NOTARY S k bD BOND
TOTAL DUE 45 , 6'4
APPROVED:
Zoning Buil• ! 1' F . J 2 Electrical
Mechanical Plumbing Engineering
Applicant:
Inspection: By:
Comments:
APPLICATION FOR CERTIFICATE OF RE OCCUPANCY
hereby apply for a certificate to re- occupy the single family residence known as: (address)
/ D R 4 m E 9 1 6, _ - , Miami Shores, Florida.
Legal description:
Lot: y ,Block ij/' ,PB&P� b — c 7
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, Florida, 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.
Print Name: dp.-j) P _ C ;1 del/ /ti
**_******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For the purposes of conducting the inspection required by Section 902 of the Mani Shores
Development and Zoning Code, contact
Contact Name: C)44 4 ,I /() Telephone: rI7,3 e / /
Buyer. Seller. Realtor:, Company Name:
Application Fee (S.50) Paid: Cash: Ch eck L Number
orv
pproved: Denied: Date:
Date: 57c,2 75d '
CE CE =:ATE OF RE- OCCUPANCY
On behalf ofanu Shores Village, Florida, the undersigned certifies that the property described
in the application has been inspected for the purposes of re- occupancy pursuant to Sections 901
and 902 of the Mani Shores Land Development and Zoning Code and that such property may be
re- occupied by the applicant for single-family residential purposes.
MIAMI SHORES VILLAGE, FLORIDA
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 MIAlMI SHORES LAND AND DEVELOPMENT
CODE PERTAINING SOLELY I'O THE REQUIREMENT THAT EACH
ONE - FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR
A ONE-FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS
CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR
WARRANTY AS TO THE CONDITION OF THE DWELLING OR 0'1 t1ER
STRUCTURES ON THE PRENIIS ;ES DESCRIBED HEREIN, OR ANY
ASPECT OF SUCH CONDITION, AND INTERESTED PARTIES ARE
ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION
OF THE PREMISES IN ORDER TO DETERMINE THE CONDTIION
THEREOF.
MIAMI SHORES VILLAGE. FLORIDA
BUILDING X 195
ELECTRICAL ❑ �;;� i r �: .; '`' -'� t.
PLUMBING ❑ PERMIT No
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot 4
r
6
❑ Work to be performed under this Permit-
CONTRACTOR OR BUILDER
Bl.
>ubdi-
vision
SQ. Ft
lralue of
Project $ a ' . •!a
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 approv4.d 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 dhanged 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 th ugh knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or 'n the statements or sp i c s 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 accepting this permit I assume responsibiliq for all work done by either, myself„ my agent, servant or employee.
BY
Amt. of
Permit
[tt
$;
AUTHORITY
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
TEMPORARY SERVICE
ROOF
I
BEAMS & LINTELS
TUB & TOP OUT
POOL
n9
C-.
FRAMING
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AIR COND.
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SEWER
FINAL
I
CLEAN UP
$
SLAB
SOLAR HEATER
FIXTURES & FINAL
N L
I
SOLAR HEATER
SLAB
GAS
SPECIALS PERMITS
DATE
PERMIT NO. I
DATE
BY
RE - INSPECT
FEE
TEMPORARY SERVICE
I
$
TUB & TOP OUT
SEPTIC TANK f'3 fc..c -_> (S t
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SEWER
I
$
SOLAR HEATER
FIXTURES & FINAL
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$
GAS
I
$
GAS
I
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE - INSPECT
BY
ROUGHING
ROUGHING
TUB & TOP OUT
H. W. HEATER CONN
RANGE CONN.
SEWER
SEPTIC TANK
FIXTURES & FINAL
N L
SOLAR HEATER
GAS
ELECTRICAL PERMITS & INSPECTIONS
CONTRACTOR %/_ D . / i q....
PHONE
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PERMIT NO. ' /e. vs-- I DATE / - 4 1-- 49 v
0
FEE $ 3 2 '—
AIEW BLDG. I ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE . ti A.
p `cG7 2 . C
. ? S '7 7
$ 2 . ,�
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
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INSPECTIONS
DATE
BY
RE - INSPECT BY
RE- INSPECT BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
N L
�Vl b21Z a S BUILDING INSPECTIONS i Z
CONTRACTOR . c.,.^ - .
PERMIT NO. L S`1 c.
NEW BLDG. YE-- 1 ALTERATION
PLUMBING PERMITS & INSPECTIONS
d APPROVAL TO POWER CO. FOR SERVICE DATE
DATE
ADDITION
PHONE
FEE $
REPAIRS
BY
OWNER'S NAME
P A, 01-- S • L A,,0
PRESENT ADDRESS
. 1-4e,3 t� . flit, n;.,,. A
LICENSE NO.
.�
PHONE NO.
y Q., JOB LOCATION (ST. OR AVE.)
1 C O KS, c. 9, `�: + AL -c�-1
LOT
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GENERAL CONTRACTOR
P 4 - 0 L__ - %• L
ADDRESS
C i I.- Cta3 0 ., ,,, °
PHONE NO.
LICENSE NO.
3 7 ) 7
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v �
Ct BUILDING PERMIT NO. �O \
DATE \, �' -
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PERMIT FEE $' �-'
BUILDER'S BOND
NO. 7- ' ` - DATE S 2'.r-,
S REQUIREMENTS " o CU. FT.
ZONE. Z a ¢
�
PLAN CUBE • i 4 Y -4 1, 4 Y -4 1, q ` CU. FT.
EST. COST $ `Z.V o C!,
. . 1 k4_ k---
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: e' . ( -\ • (V
DATE c
I I — Z d— — 1t1
NEW CONSTRUCTION
TYPE
STORIES
ROOF CONSTRUCTION
INTERIOR CONSTRUCTION F
REPAIRS
DESCRIPTION
— 40. vJ p a a 1=4 12--3. Q L A . 1 .) �1 1. C. & L I /l.)
� Pc
ALTERATION
'44---a--& �j1 DESCRIPTION Q�
�ll r ' . I '—�"'Z l� �a fa 1x A-.•3 0 7 rvs- —
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SU'AMITTFO TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. �� a
�
- ` -b
"-- '} SUED
BY
TO \ - = _ �. _Of/ t ,�
BUILDING PERIMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE