1260 NE 97 St (8)Owner's Name a Address
Location and legal description of lot to be built on
Lot Block Subdivision
Street and Number where work is to be done b-'�° �' 0 ' �,
STATE OF FLORIDA,
COUNTY OF DADE. ss
M0AM0 SHORES V9LLL
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PEA- MIT
Disapproved _ Date__
( -/3
(Signed) .z_b..s _- - P4 \ DI )
Building nspector
-
•
t•�
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.
i
h r q Fht.S - rwr.ove tu� NWS C.E
Date 61
sTa P )ir_Aep . Z IC cfu -- rte -- �-
19. 1
No.. Z G C7 Street_ • l&- , 1.
Registorod Ar hitect and /or Engineer „,,,, it / t. ,,,,,,,,,,,,,,,, ,,, ,, ,,,,;,, , -,,. , p,
Name and address of licensed contractor P O ''� ” SI t1 ,W Yl.'e 13 �i V CiL ��t Vti J P
State work to be done and purpose of building (by floors) 427- °W VL * I° T�lp iE 1� ` tn' -CtJ P( t oW 1 tJ t
Q, , a"t, ID is to TtN ?t 1$`t°I in1 tritz.0 C
rr. and for no other purpose.
New Building Remodeling Addition � " '^ilk Repairs No. of Stories
To be constructed of Kind of foundation Roof Cvering,
c-
Estimated Total cost of improvements $ ' C9 -".-' Amount of Permit $
Zone cubage required .Plan Cubage
Distance to next nearest building Size of luilding 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 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)
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._._. -13.L 3 Date.. C ! _.11. Read, Sworn to and Subscribed before me.
to me well known,
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
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.
or changes to this application after approval has been obtained from
BUILDING ❑
ELECTRICAL ❑
PLUMBING
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE.
❑ PERMIT N? 8961
CONTRACTOR OR BUILDER
Bl.
Work to be performed under this Permit
Subdi-
vision
FLORIDA
DATE
Contractor's
License No
8q. Ft
Value of
Project $ :
Am".. of
Permit $
1951
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 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
.,ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
:n accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
BUILDING I=1 MIAMI SHORES VILLAGE FLORIDA
ELECTRICAL
1=1
PLUMBING 19__
PLUMBING ❑ PERMIT N? 9033 Contractor's
ROOFING f � / f
❑
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder ,. �> �'.�
Legal Lat
Description I I BI
Address of /
Building
CONTRACTOR or BUILDER
Subdi-
vision
Sq Ft.
Value of I I Amount of e
.11 011100
Project $ I I 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 applica-
tion 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 statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed !t_ ' (INSPECTOR) BY
In consideration of the issuance to me of this ermit I agree to
p g perform the work covered hereunder in compliance with all ordinances and regulation:,
pertaining thereto and in strict conformity with the plan4 drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
1.
BY AUTHORITY
00:10
Date 6--A:14 Job Address M A)C q 745-7
45-0 Tax Folio //39 ®c.5" "
Legal Descriptiong
Contracting Co. (--CO3 / eDebecc
Address /:k ,deakaweif
Qualifier Oamel S v ss# Phone ' 57 ~a38g
State 06:4 municipal 0 Competency 0 Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMB
C .5
WORK DESCRIPTION
Square Ft. Estimated Cost(value) _ 4 ovo
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 an nstallation as indicated above, and
on the attached addendum (if applicable). I certify that all •rk will be performed to meet the
standards of all laws regulating construction in this ju . I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOL•, ROOFI and MECHANICAL WORK.
OWNER'S A:'IDAVIT: I certify that all the foregoing info
be done tom hence with all applicable laws regulating r.
authoriz e ove - named contractor to do the work stated.
Signatur
Date:
Notary as to Owner and /or
My Commission Expires:
* * *
*
PEES: PERMIT
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
I
Lessee / Tenant
or and /or Condo President
TO
Zoning
Mechanical
6 -S .,@ s
WI' ye/
/ ? 0 4/, . 97s?`.
RADON
/91'r 1-4dder
I SPM1AEL RAM:IS (I ZZY ) PAGE 01
e ?'4c9/? i('o a Master Permit 0
? Y c'38G
*
C.C.F. (.00
Phone
ROOFING PAVING PENCE SIGN
Signatu
Date:
Notary as to
My Commi =.a
*
NOTARY
e : n1d that all work will
g. Furthermore, I
ne��}si lde_r
fJ1 i • Q: r , h3stoi;! rl cc 2.4
Ise. C*23 bEr e, 1R
TOTAL DUE 8(o . DO
Fire Other
Building Electrical
Pl bjntt Engineering
A ADDENDUM TO BUILDING PERMIT APPLICATION
;AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEE
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
ITEM
BATH TU8
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
r, _
—_
FEE
BIDET
OUTLETS
,
CENTRAL HEATING 0
DISHWASHER
RECEPTACLES
,W ,
A/C (WIND)
A/C (CENTRAL) L1L�''V,
DUCT WORK
REFRIGERATION
PROCESS AND PRESS PIPING
UNDERGROUND TANKS
wISPOSAL
— .INKING FOUNTAIN
FLOCR GRAIN
GREASE TRAP
INTERCEPTOR
SERVICE TEMPORARY
SERVICE SIZE IN AMPS
SERVICE REPAIR/METER CHANGE
APPLIANCE OUTLETS
RANGE TOP
LAVATORY TRAY
:LOTHES WASHER
"O'ER
SINK, POT /3 COMP.
OVEN
WATER HEATER
MOTORS - 0- 1 HP
MOTORS OVER 1- 3 HP
MOTORS OVER 3- 5 I,P
ABOVE GROUND TANKS
U.F. PRESSURE VESSELS
STEAM BOILERS
HOT WATER BOILERS
MECHANICAL VENTILATION
SINK, RESIDENCE
SINK, SLOP
TEMPORARY WATER CLOSET
._
r''TER CLOSET
itOIRECT WASTES
;ATER SLPPLY TO:
•
MOTORS OVER 5- 8 HP
MOTORS OVER 8- 10 HP
MOTORS OVER 10- 25 If
MOTORS OVER 25-100 HP
MOTORS OVER 100 HP
A/C WINDOW
AIR CONDITIONERS
_
TRANSPORTING ASSEMBLIES
ELEVATORS /ESCALATORS
FIRE SPRINKLER SYSTEMS
COOLING TOWERS
VIOLATION
REINSPECTION
_
A/C UNIT
FIRE SPRINKLER
HEATER -NEW INST.
HEATER - REPLACE
LAWN SPRINKLER -WELL
STRIP HEATER
GENERATORS TRANSFORMERS
GENERATORS TRANSFORMERS
GENERATORS TRANSFORMERS
SPECIAL PURPOSE
_
I
SWIMMING POOL
WATER SERVICE
EWER CONNECTIONS
TILITY -SEWER
T!LITY -WATER
EPTIC TANK
._AY
:AINFIELD, 4' TILE/RES.
14P & ABANDON SEPTIC TANK
?AKAGE PIT CU. FT.
ATCH BASIN
...CHARGE WELL
'VFSTIC WELL
+cA DRAIN
OUTLETS COMMERCIAL
SIGN TUBES
SIGN TRANSFORMERS
SIGN TIME CLOCK -
FIXTURES
ANTENNA
TELEVISION OUTLETS
VIOLATION •
REINSPECTION
I
I
_
OF INLET
=
)LAR WATER HEATER
RE STANDPIPE
Cl. PIPING
_
A SPRINKLER SYSTEM
. AANGE
_
TER SET (GAS)
S PIPING
A ADDENDUM TO BUILDING PERMIT APPLICATION
;AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEE
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL