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1196 NE 97 St (8)MIAMI S HORES VILLAGE BUILDING INSPECTION DEPARTMENT / s � F /1 FOR BUILDING PERMIT Application is hereby made for tlic approval of the detailed statement or the plans and specifications herewith submitted for the build • inc 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. Date..._..._ �� Owner's Name and Address I � h -I 3 1-0-11r i Son ._ No... ._..��.7.'P Str �� •. . Registered Architect and /or Engineer Name and address of licensed contractor 111.4.... !"t :.. f so r — Location and legal description of lot to be built on: Lot Block /� Subdivision ...__. __ _. Street and Number where work is to be done 1 N a m ......Y h 0 (e _ State work to be done and purpose of building (by floors) COYl r f-e art V e__ ® "7 S'} 0 -p- 1 (p x 4-0 Permit No.._ Disapproved (Signed) Date uilding Inspector Chairman Member Member _---- .-- ....._..._._ ..... Council Approved NOTE: A charge of $1.00 will be made for making corrections the Planning lloard. A re-inspection fee of $1.00 will be charged materials and /or workmanship. Member Member Member Date Disapproved My Commission Expires PLANNING BOARD DATE / Owner New Building Remodeling Addition Repairs No. of Stories _ To be constructed of Kind of foundation Roof Covering _ Estimated Total cost of improvements $ 6c &. 00 Amount of Permit $ .4019 Zone cubage required Plan Cubage Distance .to next newest 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 unricrsigncd 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 hint 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 )...72).1 � fl_'t- h2 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 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 ar Read, Sworn to and Subscribed before me. Notary Public, State of Florida or changes to this application after approval and for no other purpose. Date has been obtained Irnm when such re- inspection is made necessary by improper notice for inspection or faulty PLANNING BOARD AGENDA OF104 0�� '`' ITEM NO. 15 Name of Owner /Appl i cant Alit A` 4 4, k .1s01 Phone No. 11 ° 7b Address of Property, and /or Legal Description 100 f$' 11 5 Nature of Request N" Present Zoning C( Area of Present Building Area with Proposed Addition Parking Spaces Provided Parking Spaces Required with Addition Setbacks as per Code Setbacks Provided Variances/Exceptions/Zoning Change PAl.1r.vgp AKVA ` t `r )A 50 t D SONAL Council Action Required g© Date of Applicant Notification Planning Board Action Council Action t iami cfhores9 llage F L O R I O A SAL PLAM `'fig, ' X4 ■9 . r cickt Director of Building and Zoning I7. 1 e 3 I GOTH. 14, v00�i N / 7t /4 ert ZO 7/ t• 73 °4Z, w /0 0 97TH MIS RIZ REM IEEE mum W Q 2 W > 1 3 4 4' t J a 01 TRACT- 1 N.E / 00 95 TH /60 s 6 7 e 9 0 0 N / 213: Tr • 4 / C •.740 7r /5 /4 /3 /Z 75 2" u • ��000paaao� 4 41 11 14 /390 5T: b 2 1 4 96T 70,9 I 7f • /3 • 4 91 2 4, .71 // /7 75 IS /0 /6 ;5 9 .3 11 a. (G ) e (Evv/V5 /OF (44 -53) .9 /3 N 0 t /0 /2 1 1 5 T. 9. /9r' E. 4i 1 1 1 111111 gt6 •0 7!' 9 r OOIM. ST 4 7 e 20 6 1 O I 7 ,/ .0 7 0' 7 ..19 If42 IS r 7. 0 6 71 5 /2 7 1615 0 /4 5 �I s V II ,r /r/ 4 3 t / f0¢7 7S" /0 7 /3 4 3 • e / 11 /4 /3• 31 7r 2 RE. 1021g. S T. S SO /7 / PO 9 6TH Z! . ' , o .5T. •• M 7 ./ / } 4 9J1 ,. T 43 / WS / ZO 9/e :7 lb .Jl10. / z 9LL r t0 13 /7 • /2 9 AMR 6 ITt ' 99'" T Amedia AIRAI11111 NM gormst NE. ,,gaigengintilw PPMesi MAW v NE 97 TI 5 T 2/ J m f Z4 IS /4 24 71 70 /1 /6 /5 re 01.41 f 17 /e G Ze 9- .7 03 9 Z9 30 114 4 3/ 1.5 go Brif 1 ..`+ fV, Mat 94/ 3 NE. 100TH- 5T. NC 99TH. ST. !16Th ST. L N e 3 7 6 f 4 e 7 9 / 9 .7: .t• B 34 34 7 IV.E ra 14' 195 G %Wel 5940 *t1 9 e Zt Z0 2 Mil TitAC T /0 4•A A. • 4 1 4 - 491.7111111111111 „ Z 103 /9 9 2 14�� ®�� tf 74 / 76 4 ► - < I � ..�.I `} -W es la, .• /robe/ _ 0 G° h T12AGT' - 2 0 w 77113_ K 9 v :Ifl.I „LIJW 0 /00 1.0t� o aoe�I\-1, 31 - 6 53 0 .1 ©,a • ►I 0 : 7 8 /3. : /4 • /3 /7 /0 ., \ /Je E. 105 T � s 6 7 8 W m 7 '8 9 .° /o /6 ' /r : /4 /3 ft. ,STREET 50 75' ) / /6 /7 —a_ 74 /07 /i = J ( 43 -79 • • `° ®1 0®1me�mo �oo©litlia l norm o vommm ® NE fitH. • • 1 2. 7Z Z! IJ ,0 1 71 1� ; 1111101 r - 13`, II ' 14 : w w� J " / • e r1 ra »4 0 N.!. 10 r- ORA /r/ Ac. 7) 02 ■ TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair .....5' Alteration Interior r■ Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Job Address: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION 109 141 g Wsyvt4' Sit44-e-0 Address Apt. Folio Number Description of Work 6� �`� % "� Lot Block A 01...,ca Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet ® '2. 0 a Units l Floors k Proposed Use of Property Value of Work 100 15 4 ' Bldg Value Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PROPERTY OWNER Name M i Address p ° IG 146 C O Home Telephone 3aS $ 3V Business Telephone Fax . 10 ' ,,Subsidiary Permit No. Flood Zone Master Permit No. City -/-3W itZ r State Base Floor Elev. PERMIT APPLICATION 33 t 3 Zip Tax Assessed/Appraised Value ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name f +F Cous••104ems, uo ° License No. C e Co 0 St Ct Address 30 Q ® 'T,,�v 4CACUAACje -°° Telephoneg4.4L / 't 4 ax CO S /� Qualifier Nauyei. ,r- tJ {y /�L `� Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. Signature of Notary SEAL: Personally known FLO DA, : O " Y OF MIAMI -DADE Print Name Sworn Sworn to . nd subscribed before me this day of (��(/ 1 g riNte of A FARLEY i < My Commission # CC 818228 or Qe Expires: 03 /16/2003 1 800.3NOTARY Fla. Notary Service & Bonding Co. OR, Produced Identification Type of Identification Produced: STATF F Fiall4DATeefIINTY OF MIAMI -DADE PERMIT APPLICATION Signature of Contractor / Qualifier f� (Z lc— 1t- t2- OLS C3t Pn'nt Name Sworn to and subscribed be ore me this 7 7 day of 412 , ••.Jo- a �0 LAURA FARLEY My Commission # CC 818228 1 Qe Expires: �OFS�O �P 1- 8063 - NOTARY Fla. Notary Service & Bonding Co. Signature of SEAL: Personally known OR, Produced Identification Type of Identification Produced: Page 4 OFFICE USE ONLY CHECKLIST LI OWNER - BUILDER FORM (Attach) LI FIRE DEPARTMENT APPROVAL (Commercial / multi - family) • CONCURRENCY (New Construction) ® OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond O PROOF OF OWNERSHIP (Attach) D HRS / DERM APPROVAL (Septic / Sewer) LI IMPACT FEE (New Construction) ® OTHER (Specify & Attach) PERMIT FEES s‘ V Metropolitan Dade County (C.C.F.) $ J / 0 (sq.ft. = x/1000 x ¢.60) Inspector State Educational Fund $ (¢.005 /sq.ft.) State DCA (Radon) $ (¢.01 /sq.ft.) Code Enforcement Fine $ Zoning Review ISSUING OFFICIAL REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE tdriez PERMIT APPLICATION U CONDO ASSOCIATION APPROVAL (Attach) • BPR APPROVAL (Restaurants) ® CONTRACTOR REGISTRATION (On File) TOTAL $ DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAL 1'YPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: M. R. HARRISON M I A M I F L O R I D A C O'l2�I'LbtCILO t Carteticeatt Building Department Miami Shores Village Florida GENERAL CONTRACTORS AND ENGINEERS March 10, 1949 Gentlemen: Ro: Builders' Bond No. 745, :50.00 The residence for which the above numbered bond was put up has now been completed and we would appreciate it if you would return our bond. The residence is located on Lot 1, Block 181, I:4iami Shores; the address is 1196 W. E. 97th St. Kindly make check to H. R. Harrison Construction Corp. and mail to P. 0. Box 188, Hialeah, Florida. Very truly yours, H. R. HARRISON CONST. CORP. By: A. Roy A ken URHJr /b j1 office I,anagor M. R. HARRISON , { Cortatiart M I A M I E L O R 1 D A (Sttit'LGLClian, Building Department Miami Shores Village Florida Gentlemen: GENERAL CONTRACTORS AND ENGINEERS March 12, 1949 Re: Builder's Bond No. 745, 1, The enclosed Builder's Bond No. 745 is forwarded as per telephone conversation March 11, 1949. ARA /bj1 Yours very truly, E. R. HARRISON CONS`. CORP. By: A. Off Aiken Manager