131 NE 96 St (2)Date 1/ Job Address 13/ wv Xr S
Legal Description t3'7' /9 /9 6 4t-e1,
Owner / Lessee / Tenant RRL C44=0 se/�G ®Cpi=r4D Master Permit #
Owner's Address / ,i / /vi ?6'
Contracting Co.
Qualifier g7gv.24 -5 SS4t �?€ - Phone e.5.2O - 5
State # Municipal it Lf 2 o U Competency # Ins.Co. 2 7S ode f/LN
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION A2 PL.iQce
®474 - Vir/ (.t
Square Ft. 2 2
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).
Appiication 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 a'.ve -nam d contr =, or to do the work stated.
0 d
Signature of owner
Date: 3 //v PP/
Notary as to Owner
My Commission Expir
** *
APPROVED:
* *
FEES: PERMIT
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
cdev ®..
or Condo resident
crtri ,« 20 k'1 S!..Ik L
0� r 0 9Gb� W VAVIS
r
..: ;R j? C ;, CO{L MISSION NUMI ER
`1 � , ‹k' CC: ^55237
- W 9 MY C01 !XP.
.S
Tax Folio
RADON C.C.F. 1 , 0 NOTARY
Fire
Zoning Buildi
Mechanical Plumbing,
Phone 15 pi 3 c
Address 5"®o 3 ye/
Estimated Cost(value) qt5 � S c '
Notary as to
My Commissio
c-Pe
I ,20( 2;1
TOTAL DUE
Si -ture of Contractor or Owner- Builder
4 r
a - SCOTT h� DA�
9° COMMISSION NUMIizia
• CC:755237
C) .... - --
Other
Electrical
Engineering
s 15
7.16
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40'
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F;0 3 CaAI L. and C.Qeo !J. �.002�.te.2d. JO= N e. 06- 20 -90 -3
• S Miam.i. Shoe: Tid 33138. DATE F. BOOK 2 -90 -35
P ROP. ADO 131 N.C. 96.th ; 2i, .. oza, 6 -20 -90
SURVEY OF Lot 19 and #h
SECTION NO. 1,
Page 70 o the
w
AI. F .
A( E .
TYPE OF SURVEY: Bow-Ida/ay
ABSTRACT
NOT REVIEWED
east ! o/ Lot 20 n Block 19 o/ AN AMENDED PLAT OF Pi{41'lI SHORES
acco'zcLL .g to the plat the/Leo/ ae /seconded .in. Plat Book 10 at
Pattie Recoade o/ Dade County, Tio v da.
l 4
5p'
V •
12
1.
l0
It
8
So'
IS' 4LL%'-/
F1 A ILO , 1) I" i5211:2� ?;CE" RATE MA:' DATED
( I _ $ (> I ' ''4'[1) Tiles
• -`; ..,, )tJ' -!,:'i r .'JD .1 . DEVELOP-
1 ■.'•I-i:_. ;LIH F LSCRiBED LAND
U 1 dl_ b I l)r.l �U tdi f I Ili: LUPIL.k
I � � N
/ T
T
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9 N
S7 .
/1
m
CORP
FREEDOM OF LAND
SURVEYING SERVICES
P.O.BOX 65
Miami, Florida 33265
Telephone : (305) 266 4451
No valid unless im
6=,
2 3
Caal L. and Cleo U. Schoo.2,'_.e.ed ;
SURVEY CERTIFY TO: NCNB National dank of T �o�uda, -its Zuccee.5o�r s and/oz ass.ignrs
Richand 0. feanandez, Eq. ;
A.t.toaney' . Title Inzu/sance Fund, Inc.
LOCATION SKETCH
SCALE: I "= /00' CP,ient
NOTES: The survey of the property shown hereon Is In accordance with the description furnished by
Subject tO all reservations, easements and Right —of —Way of Record.,
No search of the Public Records has been made by this office for occuracy or omissions.
THEREBY CERTIFY: That the attached SKETCH OF SURVEY of the above described property is true and correct t0 the
best of my knowledge and belief as recently surveyed and platted under my direction; also that there are not above
ground encroachments other than those shown. This survey meets or exceeds the minimum Technical Standards
set forth by the Fla. Board of Land Surveyors , pursuant to Section 472. 027 Fla. Statutes.. and Chapter 21 HH 6 of FAG
a•..;n
r
Rot-A&Ic o o er l z
REG. LAND_ SURVEYOR 43/0
STATE OF FLORIDA .
'1(001 w . f LFZ ST
Mt iet 1 �L . 3314
ranted with arl emhossed seal
MIAM SHORES VILLAGE, FLA. N9 7047
REMARKS :
ADDRESS /1.3/
INSPECTION
TIME READY 4/e
f
INSPECTOR
ADDRESS
PAID BY
LEGAL
ELD D CARMAITIE TAX
YEAR
ANNUAL TAX
'ERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
BUILDING
ELECTRICAL PERMIT N? 12065
PLUMBING
ROOFING
Owner of
Building
CONTRACTOR OR BUILDER
Work to be performed under this Pe
/1
Architect /_.E5 J
contractor z r ,g•
or Builder � rLs„ '+.r
Legal Lot
/ BL
Description / 7 ( �••
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA ,
'7 DATE 15/ L(9`,/
BY
Contractor's
License No
AUTHORITY
This permit is granted to the corrfractor or builder na ed above to construct the building or to install the equipment or device described in the apply
herefor in strict compliance with all ordinances pertaining thereto and with the under •'s • 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 p per 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 with ut authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the ,responsir icy for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawittgror. io. the sta. • p ent •fications and that he assumes responsibility for work
done by his agents, servants or employeTes. ' ,
a ii
,
Signed • C . f ..""
I INSPE .w° w•
In consideration of the issuance to me of this it I agree to Perform the work covered hereunder in Lan
p ce with all o dinances and regulations
pertaining thereto and in strict conformity with the plans, ements or specifications submitted to the proper authorities f Miami Shores Village.
In accepting th}s permit I assume responsibility ftkpll work dither, myself, my agent, servant or employee.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect r
Contractor
or Builder
Legal Lot /4 , Bl.
Description
MIAMI SHORES VILLAGE, FLORIDA
PERMIT IN? 12064
p Ai6
r
Subdi-
vision
Value of
Project $
DATF.
Contractor's
License No
195
Work to be performed under this Permit i ( /Obi
/1;-, 4i_ -
Building
Address of
ss of /' Permit $ r
I�
This permit is granted to the contractor or builder named above to construct the building or in the equipment or device described in the applt''on
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that 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
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 responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY
LDING PERMIT NO
ZONE
JCB LOCATION (ST. OR AVE.)
GENERAL CONTRACTOR
2C
REQUIREMENTS
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:
NEW CONSTRUCTION
REPAI RS
ADDITION
OWNER'S NAME PRESENT ADDRESS
ALTERATION
SUE'V1TTED TO PLANNING BOARD
RE.SURMITTED TO PLANNING BOARD
S‘JF3MITTED TO VILLAGE COUNCIL
DATE
CU. FT.
LOT
• . c. t.V
ADDRESS
PERMIT FEE S
BLOCK
15
,�ii �. UFlls
PLAN CUBE
TYPE STORIES ROOF CONSTRUCTION
DESCRIPTION
CU. FT.
REMARKS
CERTIFICATE OF OCCUPANCY NO. ISSUED BY TO
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
LICENSE NO.
SUBDIVISION
._
PHONE NO.
1 BUILDER'S BOND
o yr o-'•' � r
NO. DATE
EST. COST S
P r or+ro
INTERIOR CONSTRUCTION
PHONE NO.
LICENSE NO.
DATE
Alb !iv :. t. '.NOd. L° 41 .. �: = J IJ Vd
DESCR
1 7rirkr' TQac`° Ci7.e 7 !ly T+
• - _ _
C:,, �fC$ �..111:`?.�. S.C'..',.� -.� ^' (?`;.'��`J. 'CO `v �._Z`%'Q�'_',`. 371 .•••
APPROVED REJECTED REFERRED TO COUNCIL R �p
INSPECTIONS\
" DATE
PERMIT NO. I DATE '•
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
FEE
TEMPORARY SERVICE
w
$
SEPTIC TANK
BEAMS & LINTELS
/4 °„ � .
�
r/ / < -'
$
SOLAR HEATER
FRAMING
$
GAS
$
$
INSPECTIONS DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FINAL
N 4
�-?'"
0 V
GAS
CLEAN -UP
It.
,
SEWER
H. W. HEATER CONN.
CONTRACTOR
PHONE
PERMIT NO. I DATE '•
FEE $
NEW BLDG. I ALTERATION ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
SEPTIC TANK
$ �.
SEWER
$
SOLAR HEATER
$
GAS
$
$
INSPECTIONS DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING 06- )( -,(
�^��\ •'
GAS
ROUGHING
•
SEWER
H. W. HEATER CONN.
SEPTIC TANK
/ P,'
1 .,
SOLAR HEATER
�
FIXTURES
i l
� 6 -5 gg9 /'� I �
FIXTURES & FINAL
-
CONTRACTOR - '
PHONE
PERMIT NO. ! << 'r- /, / I DATE
`I
FEE $
NEW BLDG. ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY'SERVICE
$
II. N. HEATFR CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
•
H. W. HEATER CONN.
RANGE CONN.
FIXTURES & FINAL
-
BUILD
INSPECTIONS 7 "J
PLUMBING PERMI1S & INSPECTIONS
ELECTRICAL PERP TS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
EsY
a- MIAMI SHORES VILLAGE •
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted fox'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.
Dater- 7 , 19
Owner's Name and Address " " r / `� No Street
Registered Architect and /or Engineer L e Yar-`
State work to be done and purpose of building (by floors)
BUILDING INSPECTION DEPARTMENT
Name and address of licensed contractor ri-
Location and
r egal description of lot to be built on:
/�
Street �nd N u /��__ __ 7.0 Block
17 l�!
Subdivision___ Q L �' �e
mbe where work is to be done
/3 S / # y
_L
-- /— and for no other purpose.
New Building !/' Remodeling Addition Repairs No. of �Stoories /
To be constructed of c 6 Kind of foundation 6-7-, l r C ,Roof Covering le
c
Estimated Total cost of improvements $ __.____ _____ _____— ______Amount of Permit $ ,
Zone cubage required _Plan Cubage „
Distance to next nearest building Size of Building Lot 7,5 X
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 tt/— .4 . rif-e_h -Ace 3 / G S C a rf /17 t a 1....' i P-15,
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 th(work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subc• tractors, on work to Jpe performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) / ■
`'
STATE OF FLORIDA,
COUNTY OF DADE.
}
ss.
take ac 111110111,1;11 cn 1
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and tak g ents, 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 Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
Building Inspector 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 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.