124 NE 96 St (2)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.
Owners Name and Address Robert Rossi Address ,_ No Street__ -. 96 St •
Registered Architect and /or Engineer
Joaquin Vasquez
tt:S.. its :•t :,f'!T,ttt.... „. :, :,,.1, 2:1
Name and address of licensed contritctor Air – Flow Ind. • Inc 308 NW 170 St • N.M. R. •
Location and legal description of lot to be built on:
12 & 13 20 Miami Shores Sect. 1
Lot Block Subdivision. _....__..__
Street and Number where work is to be done same as above
State work to be done and purpose of building (by floors) build swimming pool
ZcI3k.:.
Date..._..._....._ ..__.__._ _ .....__ ....... , 19..._.._
124
and for no other purpose.
New Building Remodeling Addition XIX Repairs No. of Stories
To be constructed of Kinf foundation.., Roof Covering
'4-
Estimated Total cost of improvements $.... ..� Amount of Permit
Zone cubage required plan Cubage
Distance to next nearest 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 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, Perinancnt 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 p the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such st #b on world tp_be lejformed under this
STATE OF FLORIDA,
COUNTY OF DADE. ss.
pennit, as are licensed by Miami Shores Village.
Remarks (Signed)._ .
Chairman
Member
Member ......
PLANNING BOARD _..__ .....DATE
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.
oa,
Permit No ? Date. __° '2 > ” ' Read, Sworn to and Subscribed before me.
Disapproved ..... . ._ Date___..__._.. __._._.. _.
Notary Public, State of Florida
(Signed)
Building Inspector `� My Commission Expires —
to me well known,
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 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials anti /or workmanship.
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date R I 0 Time
Type Insp'n 5 C r 'u
Permit No. 5 P .2-. J r i-a
Name C Cic) . RC(
Address 1D--(1 I V qc
Compan I fin((-el-00K
Phone # 1 310
l 0 - r
For Inspector: 6 P 1 I 1) Name & Date
Approved
Correction
Re- Insp'n Fee
)
,,
o
czr-t0
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buijding Inspection Request
Date / ( i L '' Time
Type Insp'n
Permit No. F5 �:
For Inspector: (3 f ' ) Name & Date
Approved
Correction
Re- Insp'n Fee
Name \ +�'_ ,
Address s S- E tc S
r 1
Company HC S, 1 , -1 S LY
Phone # 1 ( — 3 9 - 1
t l
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date GI ,. 1 Tiime
Co
Type Insp'n ne w -e
Permit No. V P aX — 9 9 .
Name C-061 \\CA .
Address I'1 ' 1 G S r -
Company HO r Y On •
Phone #
For Inspector: f7 of J ,Name & Date
Approved
Correction
Re- Insp'n Fee
E,
'?
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date G i 1 �� G Time
Type -
Insp'n -- 1 �� 1
Permit No. t Y-D ) cr
Name (Lod „t.\
Address \ ?(-\
Company 1 U r 'nu
Phone #
For Inspector: CE !O ,Name & Date
Approved ❑
Correction
fi
Re- Insp'n Fee ❑
Type Insp'n
Permit No.
Name
MIAMI SHORES VILLAGE
BUILDING DEPARTM
305- 795 -2204
Buil ding Inspection Req
Date 6 —- 103 Time
Address f
Company P �? A CL- / � f/?)t2dA)
Phone # 7Z '39 97 7
For Inspector: 6 -9 -p 3
Approved
Correction
Re- Insp'n Fee
2 &03- -272
/ a-V e 96
Name & Date
0
A.o7L 7as
544 Ois--
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
- - .3 Ti me I
Date �
Type Insp'n /�'trj���j 4
Permit No. s (2.o? - 72-
Name
Address / d- /JE
Company / (' A L .e l �,J®/?t4?44 J
Phone # 7g6 — 39 '9 977g
For Inspector: 6 -9. 3
Approved ❑
Correction
Re- Insp'n Fee
-0 AWL TCY
F,1,
2/Q 0
Name & Date
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building (0)Time
I nspection Request
Date 7.,�, Type Insp'n
Permit
Name
Address
Compa
Phone #
For Inspector:6 2 /03 Blame & Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
G
Datf� Time
Type Insp'n
I
Nam / /rk =( e < )
Address 1 c / � C,
Company
Phone #
Permit No.
For Inspector:
Correction
Re- Insp'n Fee ❑
p/03$ Name &D:te
O03- 45,4
(X •r °L 4
r\
Approved
Correction
Re-Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Building Inspection Request
Date / ./ , Time
Type Insp'n ./(/'
i )
Permit No. / - 3 7.: -) -
„ ,
;) 9 ' i
Name - f\-4\ -- ---- -- '1'..,--\
i - 4 , / i. '1 j
i
Address ) .../i
'- ! --- 1 t ,
/. 71 , 0
/
Company - / • , ..--i r." ', / ../ , -; : ,, 'r ,-
Phone # / :/ '-) ' -; „I i j . 7 / 1 2
-- -) , , i , ,
/ I Th -. , --.,
For Inspector—) / - ' / /Name & Date
'
t, A :
Legal Description:
Lot:
Comments:
APPLICATION FOR CERTIFICATE OF. RE- OCCUPANCY
I, TI—Gt n / / �J , hereby apply for a certificate
to re- occupy the single family residence known as : (address)
a 2 / / % .
I hereby certify that I understand that the zoning of the property is for single - family residentialuse
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, certifies only that the -
referenced property is being used for singe-family purposes and that such Certificate does not
constitute any representation, warranty or certification as to the condition of the dwelling or other
structur ch property. /
Applicant
_.... Date 2-1/0
Print Name Y y lA.j,
**** ****** *** * * ** * * * * * ** ** * * * * * * ** * ** * *s*
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land •
Development and Zoning Code, please contact:
Block PB & PG:
Contact Name: jvt 14 _ . Telephone: 95 l -292,
Buyer Seller Realtor X Company Name — l kot—
Application Fee ($50) paid: Cash Check No.
Inspected by: � Approved X Denied
PAGE I OF 2
, Miami Shores, Florida.
Date
757 -3 13
TiA
/3 ° 3
CER'i I 'CATE OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property •
described in the above application has been inspected for purposes of re- occupancy pursuant to
Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such
property may be re- occupied by the above applicant for single - family residential.purposes.
THIS CERTIFICATE VERIFIES THAT THE REFERENCED '
PROPERTY HAS BEEN INSPECTED BY SHORES. •' r: -
VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY .
COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
MIAMI SHORES LAND AND DEVELOPMENT CODE
PERTAINING SOLELY TO THE REQUIREMENT THAT EACH
ONE -FAv [LY 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 OTHER STRUCTURES ON THE
PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH
• CONDITION, AND INTERES /ED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DE 1 ERMINE THE CONDITION,
THEREOF.
PAGE 2 OF 2
MIAMI SHORES
E, FLORIDA
By:
Date of Certification: 02 — 1 3
MIAMI SHORES VILLAGE, FLA.
JOB
ADDRESS
INSPECTION
TIME READY
1 7
N2 7
• ,
4
REMARKS
INSPECTOR DATE
Date
X Type Insp'
Permit No.
Name
,Address
--' Company
Phone #
For Inspector:
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
ap602_4,
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
C toSed
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N °'" 4361
Work to be performed under this Permit
'`ee t ,, ......
Architect
Contractor
or Builder
Legal Lot
Description ` / i +"�
M
Addyesgof. / `� Value of .�- l A ■► 14 Building / I Project Q Permit tgt. of
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in th appli-
cation herefor rn strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in •: • • < • oe th any
plans, drawing* statements or specifications that may have been submitted to and approved by the proper municipal authorities. This P 't b 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 con• ion u.. , hich'tb$s
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowled e • the ordinances and
regulations By
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specificati • ■ _ + ∎
Signed iw. � assumes respon-
sibility for work done by his agents, servants or employees. ,�e�'� , 4 ,
7 e
INSPECTOR By
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordi • • p inm thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of .•,,
In g a
accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
to
Bi. ,,...,
Subdi-
vision
BY
Contractor's
License No.
4 dr tr J
v
1941_
AUTHORITY
ei)
tUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
11
PERMIT N9 3762
Work to be performed under this Fermi
e
L ' d w`Z
W ec /to
Lot ,f htr I
MIAMI SHORES VILLAGE, FLORIDA
DATE
Value of
Project
Address o f
Buildin at < 4
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or devices _
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed
with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities.
be revoked at any dine if the work is not done in compliance with such ordinances or if the plans are changed without authorisation.
upon which this permit is granted is the onderst*nding that the contractor or builder named above assumes the responsibility for a th
the ordinances add regulations u n to the work covered hereby whether shown on the plans or drawings or in the statements or
that he assumes responsibility for tai work done by this agents, servants or employees.
'"'
Signed. `..-
.• e • i '" By
INSPECT O E
In co ' • • , of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordi and regula-
tions pertaining - • • and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In ; , permit I assume responsibility for all work done by either myself, my agent, servant or employee.
WARNING This Nnsirucr'on may be in v Jn— r of
War Production Board Genet I r,, 0 Or , dl
You are Lautiened 10 coiisuit yvw year f a :.c •lon
Board office before sta►iing tue work author; ; t in
this perm d.
Subdi-
vision
/1-74- �y f
Contractor's
License No.
BY
a �/
— Amt. t of
Permit
7/e s *,'
6 i ' #
AUTHOIUITT
t, b
194—
described in the
in compliance
This Permit may
further condition
gh knowledge of
8cations and
;�a
Date O 3 Job Add
Legal Description
Permit Type (circle one):
of
PERMIT APPLK.:ATION FOR MIAMI SHORES VILL
10050 N.Ek nd Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 • Fax: 30i- 756 -g972
j --O l iter/Lessee/Tenet 4 kt - A Vs, C` 0 0_61 a
Owner's Address \ 2, 'NE C1 Lo S +
Contracting Co.
Qualifier 'kN( • C prN.Q. -.e,,\ �T �� MaV� .
State # CRC 0 % L I R Municipal #
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
BUILDING
WORK DESCRIPTION: \ ' s
NI 'ON"- .
Square Ft. \ C)O
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT ND 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 ANY 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 all disciplines.
OWNERS 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.
OALLIA, 0I�E.tLL l'f 8-703
ignl of owner and/or Condo President Date Signature of Contractor or S 1• r Builde Date
n 2-PL—C3 1D-' 6 loo, V LL - t I SS ..ssi. 5 (Acs_ 0
\lr\i\ y D
ary as to Cactor o wner Build Da e
My Commission Expires ,rrRN Angela MgetkO ,,
A • My CommiSSlor� r y : -e ,• f
, '
14 Expires Novemc, , u,,;
FEES: PERMIT RADON C.C.F ■ 6 6 NOTARY 5 0 d BOND (1
APPROVED: TOTAL DUE c■ 6
Zoning Building Electrical
Mechanical Plumbing Structural Engineer
wner and/or Cbntfb Pr s
y Commission Fy s Ar t ". F '
�� , ^0001500
ent
._xu+tt'S ro vem
der 15,100
12. E 1 +� J4 . Tax Folio
11/1/ Late
Historically Designated: Yes
Pho e.305 -15 7 - 73670
Address \ 2.J _ e r c�.v A V - 5
`c•'c \ ,, 3 3 1 3
ss #Ilp7'�� — Leg "J \ Phone 1073 -221a
Competency # Ins. Co.
ELECTRICAL PLUMBING MECHANICAL ROOFING
4 \ O C A\■`C - C\ NNE.- r CQS ■x,'1
Estimated Co $t (v' Jue
ster Permit #
o0i,. —
0'4 l l Q03
I AN z
r
kv
4
A
dI
•,. i ...,' 44 ,44444044.iii.4414.4 1 . 4 A 404190 / 414/01/00iiii # 11444"....44.44
04:44.4.44i...01014444
1
• •
•
C340-010-65-102-0
ARTURO J CADILLA
451 NE 53ST
MIAMI, FL 331374042
BIRTH DATE SEX HGT. REST. ENDORSE.
03-22-65 M 5.11 A
ISSUED EXPIRES DUPLICATE
02.25.02 0342.06 00.00-00
The Sunshine State
UCENSE MASER
cite motor vehicle constitutes consent to any sobrialytest reqtred by law.
•
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Contractor r t GAq, -e l-. p-c --rnq y1
Local Phone:
Parcel # 1132060132690
Signed:
In consideration of the issuance to me o
conformity with the plans, drawings, state,
done by either myself, my age `e, ants
Signe•. . . `
PAY
ORDER OF
First Union National Bank
° firstunlon.com
Org. 003 R/T 067006432
Building Permit
Permit Number: BP2003 -682
Printed: 4/28/2003
Applicant: 13AV4 ftu <ReHf4 Ce
Owner: AH I G c, 4 '' 11 DAVID r r
JOB ADDRESS: 124 NE � 6 ST
Contractor's Address:
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 12 & 13
Permit Status: Approved Permit Expiration: 10/25/2003 Construction Value: $1,000.00
Work: DEMOLISH EXISITNG BATHROOM FOR FUTURE
Page 1 of 1
BLK 20 LOT SIZE 100.000
Fees:
FEE2003 -2514
FEE2003 -2515
FEE2003 -2516
Description
Building Permit Application Fee
CCF
Notary Fee
Total Fees:
Amount
$60.00
$0.60
$5.00
$65.60
Total Fees: $65.60
Total Receipts: $0.00
MICHAEL S HOFFMAN
DESIGN & CONSTRUCTION
1235 Meridian Avenue Suite 5
Miami Beach, FL 33139
Ph 305 - 673 -2244
a
DATE
nr�r, 1 a.. annnn 1LE.r. 1 lcine
1088
42- 12-c)
3
1 $ (.9 5 . [D V ivo
DOLLARS
63- 643/870
BRANCH 88292
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 5/13/2003
Applicant: DAVID
Owner: ROHN
JOB ADDRESS: 124 NE 96
Contractor HOFFMAN, MICHAEL STEPHEN
Local Phone: 305 - 673 - 2244
Parcel # 1132060132690
,52_
.M?/1 ,S
Permit Stat us:
Approv
Work: REMODEL MASTER BATH
Signed:
INSPECTOR)
Building Permit
Permit Number: BP2003 -772
ROHN
DAVID
ST
Contractor's Address: 1235 MERIDIAN AVE #5
/- 69,
Permit Expiration: 11/9/2003 Construction Value: $10,000.00
Page 1 of 1
Total Fees: $0.00
Total Receipts: $0.00
Legal De : ription: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 12 & 13 BLK 20 LOT SIZE 100.000
In consideration of the i.suance 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 responisibility for all work
done by either myself, my agent, servants or employes.
REC x`01 051603 0950 MD101 00711 CHARGE ,tte 0n
007117 ill'li; aL PLuG.UL�
(Contractor or Builder) BY:
OR[vr-
Date 511 03 Job Ad., ss , 2. 1- c a4" Tax Folio
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd venue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305- 756 -8972
Le al Description Historically Designated: Yes
caner /Lessee/Tenet r} lA �t`o \,\ c�► Master Permit # k/ Lam' _iiiric -
! wner's Address
, i), ,
ontracting Co. ( 4\n. o.P` �eNS
'M e
Qualifier\ "• c.�a.. e. \A.AR•h -
State # C.C. 1., 0 B 9,7-BE Municipal # Competency # Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): CBUILDING� ELECTRICAL PLUMBING MECHANICAL ROOFING
DESCRIPTION: f, v�,o d . ✓ ✓ re..a. s y. \o
Square Ft. Ep ated Cost (value) \ 0, OOC) _
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 ANY 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 all disciplines.
OWNERS AFFIDAVIT: 1 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.
Signat e of owner and/or Condo President Date
Notary as to Owner and/or Condo President
My Commission Expires
Address123 5 MexZ • • a,,,.. v!' .
`
�
Phone 30 5'- L73- 229 k k
gnature sf Contractor or Owner Bui
Date Notary as to Contractor or Owner Builder
My Commission Expires
FEES: PERMIT / 5 . RADON C.C.F & , 00 NOTARY Z7 i 0 0 BOND
APPROVED: 9, F ` ' TOTAL DUE 0
Zoning Building _ /r Electrical
Mechanical Plumbing Structural Engineer
0
Date
Date
Date
— The Sunshine State
UCEt4SE NuMBER
H 155-557 -52 -265-0
MICHAEL STEPHEN HOFF5W1
1235 MERIDIAN AVE 0 5
MIAMI BEACH, FL 331334000
E1RT14 DATE sot tar. REST. evonsE.
07-2642 M 5-09
ISSUED EXPIRES DUPLICATE
01-22-02 07-26413 00-0040
.41
ORGAN DONOR SAFE OMER
4201220241
Operation ot a motor vehicle constitutes consent to any sobriety test required by law.
•
The Sunshine State
LICENSE NUMBER
0340- 010-65 -102 -0
ARTURO J CADILLA
4®1 NE 53ST
MIAMI, M.331374342
BIRTH DATE SEX HGT. REST. ENDORSE.
♦4 10 . 61.4. 03424 M 511 A
EXPIRES DUPLICATE
032805 00-00-00
ISSUED
- ...088 082542
X08020224908
ofa =Caryatids canadhtss consent tDany sobristytmt required bylaw.
Approved
Correction
Re- Insp'n Fee
MIAMI VILLAGE 2A
BUILT '�1 kEPARTMENT
7/j -2204
Buildir1 ^tion P ruest
Date
Type Insp'n 100 c
r�
Permit No. 13P )3- r i l l
Name ' N N
Address G4 44E___ q S'a- _
Company C
Phone #
Inspection Date lap {oLt
i7
MIAMI H4,RES VILLAGE
BUIL G 15EPARTMENT
15 -795 -2204
Buildin , pection Request
Date.
Type Insp'n (' t
Permit No. . - c )
Name s )•
Address
Company , ,C i r . l ; '
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
f
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
Owner's Name (Fee Simple Titleholder)
Owner's Address 1 i Zy L
City\ N C . C La r C S State
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
p \. _
ur C %r" --1
Contractor's Company Name �a.z \\\C tt v \- Phone # � 5 - C0 7 _'3 - rL �. l 1
`1 4
Contractor's Address \ Q ' 57 \ 1-P Y` - , C ,� V ,
City ``A\ -, c-r. e_ C3 � - State V L Zip �J 13 1
Qualifier �'. • C� O- V� \---- a "NV'\ \,
Architect/Engineer's Name (if applicable)
Architect/Engineer's Address
City State
$ Value of Work For this Permit
Number of: Bays Stories Families
Type of Work: ['Addition EAlteration
Describe Work:
Miami Shores Village
Building Department
Electrical Plumbing Mechanical Roofing
V `c' *U ■'C O C c,- • \ 1 Phone # 1 j 0 j
C\ Q S
['New
County Escrow Fee $
Education/Training Fee $
Code Enforcement $
NrNrs
Permit Fee $
Tech $
(C
Permit No.
Master Permit No. 2W 3 1 7 "2_
Zip 3 1 3
Phone #
. Phone #
* * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972 .
-� - 7
-
Zip
Square Footage Of Work:
Bedrooms
❑ Repair/Replace
Baths
❑ Demolition
c C_ _ MAN
Notary $
Scanning $ Radon $
Bond $ Struct. $
Minus Plans Total Fee
(Continued on opposite side)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of ,20 , day of . ,20
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Commission Expires: My Commission Expires:
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
chc7/7/03
Zoning
JUL 14 2003 julDhlaInft Plans Examiner
Engineer
T
�ev 1. Z3 - 20o3 - a
emu, rLII (,
Id' o •c. (, -k-
G.r�r 0.ti Gam.
\\N‘c\/....,\
P4 1 1 2
9103
'(v &0%.,\31e
10 uNeN
New PT 2X
a co
cloa `r • Tts-)
,k•r-•ow
Q.41\kc,
R ev. � _ ."j72
X 5 s e � �h
Q1 c�h.
amSisesSnir
.e: vA" o ice e- e- ► , �r, c�
-- P49„. Z- � 2
— 11
c\\•0
s"1 no 1 2_2€
Qe.uu ' (.
• 11 oc + €
2
a.v.. \ (z," oc (,imk )
\ t\f\: \ c\-.o,.t\ \ccsCiv\tx.v\
E(c) — 3 0 -7)78
Wood Deck System Limitations:
4. ''/ Type X gypsum board is acceptable to be installed directly over the wood deck..
Page 37 of 41
Product Control No: 97 0804.21
1. Fastener spacing for anchor sheet attachment is based on a Minimum Characteristic Force (F')
of 95 Ibf or greater as tested in compliance with Merto-Dade County Protocol PA 105. If F' as
tested is below 95 Ibf, a professional engineer may submit a revised fastener spacing utilizing
the withdrawal resistance value taken from Merto-Dade County Protocol PA 105 and
calculations in compliance with Metro-Dade Roofing Application Stanadrd PA 1 17.
2 All standard insulation panel sizes are acceptable for mechanical attachment. When panels are
applied in hot asphalt, maximum panel size shall be 4' x 4'.
a. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') of
275 Ibf. as tested in compliance with Merto-Dade County Protocol PA 105 & Roofing
Application Standard PA 117. If the fastener value, as field tested, are below 275 Ibf. insulation
attachment shall not be acceptable.
3 A slip sheet is required with Ply 4® Flex PIyTM 6 and Ply 6® when used as a mechanically fastened
base or anchor sheet.
' I /
Roo fing Product Control Examiner
ION EON) 'IDuvl ` .
I here by. eel"ttfy t e
,tlie a'trupt ,cote is .r.
.
the above, Bond. haa, bees. eo ].eted an. t thya 1
aa the at ou rd ng-premia.a t�r:b� deiaae�d;'and``repIlrsd i t'arq
good hoaditpa, es: tb y were before calmeenoiag aid eonatr tics.
C C 'Lot
Ownef f s
General
Zone Req.Cu.Ft.
Plat Restriction Checked by
To Planning Board Approved Rejected
Re- Submitted to P.B. Approved Rejected
Plans & Spec. Checked by
To Council Approved Rejected
Fee . Cost `7
Bldg. Permit No.
Type
New Construction
Pluming Per t No.
Septic Tank
Sewer
Misc +1
New Const.
! lectrical Permit No.
Fixtures
Heater
Motors
Misc ll
New Construction
Plumbing Inspection
Roughing
Fixtures
Sewer
Septic Tank
Solar Heater
Final Certificate
Block , Subdivision
' G
Name Lic.No.
i (, Date
Service O.K. to ower Co.
i%
Stories
Electrical Inspection Date,
Roughing �-
Fixtures
Final
Tema. O.K.
v
Alteration
n
1
11
Alteration
Building Inspection Da e By Re -insp By Re -Insp By
Foundation 7 '2 1 CL
Beams & Lintels
Final
Final Clean -Up
Date
11
11
1,
Date
t G u Cu. Cont .
r .n
t r i L.
Roof
J_ _ _ 4
No.
Add. or Phone
Contractor Lic.No. Add. or Phone
Alterations Repairs
Fee
11
11
Repairs
Fee
11
11
Ir
n
Repairs
By
L
Re- nsp
Cert.Occup.Issue
/
Street
By
!�G
By Re -Insp By
Re -insp By Re -Insp By
•
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.
Owner's Name and Address ____ t No Street ,
Registered Architect and /or Engineer____,_._. e __
Name and address of licensed contractor =ry - L
Location and legal description of lot to be built on:
Lot 1 .:- ) Block . c- Subdivision ,,
------------------
Street and Number where work is to be done __ ___, __.' __ L_.,-
State work to be done and purpose of building (by floors)__- '_____ ,
and for no other purpose.
New Building_____ Remodeling Addition• Repairs No. of Stories 1
To be constructed of • Kind of foundation_ — Roof Covering
Estimated Total cost of improvements $___ Amount of Permit $ w'
Zone cubage required _Plan Cubage
Distance to next nearest building____` ,!_ —u. Size of Building Lot 1 ..;'
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 - :.---=-=- ' —_L- --
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_______ _
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 are e.
� :
Permit No._ ___ = 3 Date Read Sworn to and Subscribed before me.
Disapproved
Member
Chairman / . <�ie•slA
Member
Date
.f 4'2
Building Insctor
Date_
Notary Public, State of Florida
My Commission Expires ' •
,19
PLANING BOARD DATE
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.
L _b.___ , 19.i
Owner's Name and Address P r ) (.(/I ti � l L_ !`- No.L4_4_—_ —_ Street .l _ ,..._9_
Registered Architect and /or Engineer �?
Name and address of licensed contractor .e a, ' -- 2 .S ^] �/_ = 2 O Q` �
s
Location and legal description of lot to be built on:
Lot �3 - Block___ '�_�____ Subdivision
Street and Number where work is to be done f
State work to be done and purpose of building (by floors) 1 —
----- __and for no other purpose.
New Building 7 __ _, -2.__ _ __ Remodeling_ Addition_______ —_ Repairs No. of Stories___) _______
To be constructed of__ _d_ 4_.T_ Kind of foupJlatiga____ _ _ Roof Covering___________ __—_
Estimated Total cost of improvpmentg $ ! - ' __Amount of Permit $
Zone cubage required 2 s ■ n Plan Cubage car+ i C__ o
Distance to next nearest building s 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 > — Al • r_ �°11
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)
STATE OF FLORIDA,
COUNTY OF DADE.
Before m udeg / sign authgrity, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared l,.! �l1 "''ctP c � [�
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 Date
Disapproved
(Signed)
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 $1.00 will be charged when such re- inspection , is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building
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 regula-
tions 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.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Building Inspector
Date
Rog, to,agd Subribefl before me. ,
�
- Notary Pul)lic, State of Florida �
My Commission Expires 6L-+.-"— ,y
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
PERMIT N9 3762
Work to be performed under this Permit
/ e o y es
Architect / G Q/ 'J
Contractor F r Y h e e
or Builder
BI.
Description Lot / 2 /
1 a ,
Address of
Building / " '\/ L f �
t
T L • t� + LP
MIAMI SHORES VILLAGE, FLORIDA `
DATE 7 � f/
Contractor's 8 Q �)
License No. �r
Subdi-
vision
/' 4L1 48/A9
This CA.
,
Wzr ,
YCJ 6f?
Value of O Amt. of
Project a G Q 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
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.
f
Signed• t By
INSPECT
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with d egtqgla
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper a Pities of Mi i hbted
Village. In cc,ptigg this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
...1 "") ,
CONT ACTON OR BUILDER BY AUTHORITY
A C v
INSPECTIONS DATE BY
INSPECTIONS
DATE
BY
FOUNDATION I
ROOF
BY
$
BEAMS & LINTELS
FEE
POOL
$
SOLAR HEATER
FRAMING
TUB & TOP OUT
AIR COND.
GAS
$
FINAL
$
CLEAN UP
SEWER
MOTORS
SLAB
$
FIXTURES
SEPTIC TANK
SLAB
FIXTURES & FINAL
S
TEMPORARY SERVICE
DATE
BY
$
SEPTIC TANK
RE- INSPECT
BY
$
SEWER
FEE
TEMPORARY SERVICE
$
SOLAR HEATER
$
TUB & TOP OUT
$
GAS
$
RANGE CONN.
$
SEWER
MOTORS
4
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
DATE
FEE
TEMPORARY SERVICE
$
TUB & TOP OUT
$
RANGE CONN.
RANGE CONN.
SEWER
MOTORS
$
FIXTURES
SEPTIC TANK
$
FIXTURES & FINAL
S
SOLAR HEATER
FIXTURES
GAS
CONTRACTOR
PHONE
PERMIT NO. 1 DATE
FEE $
NEW BLDG. 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
RANGE CONN.
$
MOTORS
$
FIXTURES
$
FIXTURES & FINAL
S
INSPECTIONS I DATE
BY
RE- INSPECT' BY
RE- INSPECT BY
TFMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
CONTRACTOR
NEW BLDG. 1 ALTERATION
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
PERMIT NO. 1 DATE
APPROVAL TO POWER CO. FOR SERVICE DATE
ADDITION
SPECIALS PERMITS 1 PERMIT NO. 1 DATE
ELECTRICAL PERMITS & INSPECTIONS
PHONE
FEE $
REPAIRS
BY
FEE
OWNER'S NAME
QoF - T J. l oo sS l
PRESENT ADDRESS
1 11 t-1 An..) N.J. 94 -' ST.
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
l 2. 4 N. . 96o' S
LOT
12 4 E 3SI /3
BLOCK
26
SUBDIVISION
1 q,,,,k S'ti.=,zEg
GENERAL CONTRACTOR
� J. 1 S S 1
ADDRESS +
l 1? / - 4 - 1-4.—., . / q - J7
PHONE NO.
LICENSE NO.
7 G
BUILDING PERMIT NO. 1 3 ` - 7
G
DATE - 2 O-7
PERMIT FEE $ ��� �
BUILDER'S BOND
NO. I., DATE
itb,O 1.0.1 ill 4LTE74 (4 Ty O../
ZONE REQUIREMENTS CU. FT.
PLAN CUBE CU. FT.
�+ -..
EST. COST $ 1 J j 000
^^��
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: � `
' �• �iZA 0 F 0�-�
I DATE
NEW CONSTRUCTION
TYPE
c_.as
STORIES
o,i e.
ROOF CONSTRUCTION
ex, fr. r. .t.ry '
INTERIOR CONSTRUCTION
Ze.no4a(sel exlVt. res
REPAIRS
-( 1 DESCRIPTION /
L' l1,CLi► 7 a C.a7$Kuloc... S- :.4 r 4. s4,,- }d'
ALTERATION
r ESCRIPTION
f! O+LJ d(s"1 G �Q.� -- Ti_ rL/f 11,s,�9. --..
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTEn TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO.
ISSUED
BY
TO
1:1 ti. dVek
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE