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265 NE 96 St (11)3486 fi � MIAMI SHORES VILLAGE ���` BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 8 1 1 105 Type Insp'n C C.COpanCi.I Permit No. 2 0 200 18 Name Mar ;a Monfalv Address ZS N� c C ompany K I Ie 1 \A{ 1 1 1 I o r Phone# (954)471-7 5 17 05 Inspection Date Approved Correction Re-Insp'n Fee • Building Department REr!flIED RE- OCCUPANCY A AU / 805 P- �LrICA -T -ION — - - ( - Date ? - / 7 — a s Property Address (� S �1 ( '1 h S't City Miami Shores State Fl Signature r✓l ' Sign: Print: (Rev. 10/02/03) My Commission Expires: Miami Shores Village AUG 15 PAID 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 -Permit No. Z 005- 1 I Loc ID Contact Name ALL. r la A . Ak 6 Aqa _ b Phone # q - 4 / - Buyer Fa.kk y Seller AO n / z (ti) Realtor, l'r61" Company Name ' A r - W: ///0 IV S . 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 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 the property. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate. Applicant Name ,"a y- to- / - 146 et t& ((' The foregoing instrument was acknowledged before me this /(p day of 4) ev 51 , 20 by ,/-44v,,A, ). o N �4v O , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: , i'v;, EMILIA SUYAPA PALMER y: ■•■ ::: MY COMMISSION # DD 414358 I ... .• EXPIRES: April 4 2009 ' 14'4 , hd Based Thru Notary Public Underwriters Building Officials Approval: Zip 3,1 / 3 e OS, Re -Occ. $60.00 Notary $5.00 CCF $0.60 Total �' (oO. Gbh z 12 OWNERS NAME D N SC rl'rn d D 7 FAE N A RESS 2 c$ If L.o , ?e° - i ■ LICENSE NO. PHONE NO. JOB LOCATION. (ST. OR AVE.) 24-5- ,J. E ' 5 - 1 C7/t -t �� . LOT /8 4 E %L /q BLOCK SUBDIVISION 071.4P-77 , cE e3 - - I` 1 GENERAL CONTRACTOR 2�.� ° 6 7 /27E0 / o 4 o ADDRESS iZ 7 -4 / Z /J. cv . / e.13 r PHONE NO. LICENSE NO. /11 JS Cl BUILDING PERMIT NO. a �`�/ DATE I �'� ° � UQ PERMIT FEE $ BUILDER'S BOND NO. 2.1-s `9 DATE' S7-L ZONE REQUIREMENTS 1 5 0 CU. FT. PLAN CU'BE ZZ, ! r3 ,/L CU. FT. EST. COST S /? ®c'r>d DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:� n - ". Z/L!}�/J DATA r7--C> 7 NEW CONSTRUCTION TYPE e-6 STORIES ©.4 c ROOF CONSTRUCTION Ti Lc INTERIOR CONSTRUCTION 7 --,z/LFtz z-, Fe.rze,� 5 REPAIRS DESCRIPTION 1 /f P 7 C- .SD�'' -L-�S 4 .&/ 1, .v C c p 009-aC ALTERATION nn . [ DESCRIPTION A D 7R'` - 7 - 4 , CC ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGF. COUNCIL REMARKS CERTIFICATF OF OCCUPANCY NO. /i ts r5 ISSUED�� (. 1 `/�,,'� BY TO P*4 �-"" 1.24 ' 0 j BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION SEPTIC TANK •WbTU- _ pt c _ IA•/l �, ROOF SEWER 1 BEAMS & LINTELS 1 POOL I $ GAS FRAMING I RANGE CONN. AIR COND. SEWER FINAL � ' $ CLEAN UP $ SLAB f I • S FIXTURES & FINAL SLAB SOLAR HEATER SPECIALS PERMITS PERMIT NO. I DATE FEE TEMPORARY SERVICE 1 I $ SEPTIC TANK •WbTU- _ pt c _ IA•/l �, V /. I $ SEWER 1 I $ SOLAR HEATER 1 I $ GAS I I RANGE CONN. I INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE VL.p tom_ 41-Cr71-- s $ "a•cd. % e'mt: TUB & TOP OUT H. W. HEATER CONN $ RANGE CONN. SEWER MOTORS � ' $ FIXTURES $ SEPTIC TANK f I • S FIXTURES & FINAL SOLAR HEATER FIXTURES GAS CONTRACTOR i 1 4(... i EC 7 * *L c . PHONE ��` PERMIT NO, 5 1 DATE C 1 ?- 7 FEE $'�•� NEW BLDG. 1 ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE VL.p tom_ 41-Cr71-- s $ "a•cd. % e'mt: H. W. HEATER CONN. H. W. HEATER CONN $ RANGE CONN. $ • MOTORS � ' $ FIXTURES $ f I • S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN .. - RANGE CONN. - ' Cr FIXTURES & FINAL { Jo J 0 C. BUILDING INSPECTIONS. PLUMBING PERMITS & INSPECTIONS CONTRACTOR �° S Co,�,.,_ /v 1.N6 PERMIT NO. yZ 1 DATE S �- 6-'7 NEW BLDG. 1 ALTERATION I ADDITION ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE PHONE BY Imo �r co FEE $ 2 Z. �— REPAI RS OWNER'S NAME MD.. 4 Ma-s , J- LO tZI D® PRESENT ADDRESS 2�.5 N .€ . Q 6, =" .Cz LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) '. �,- ki .E. 'IC, g7. LOT 18 va.% 11. l i BLOCK 3c. SUBDIVISION M . A&.� S .c�.z � I GENERAL CONTRACTOR A 9 . . . 1 S o a e. Z tt1 co ADDRESS .7 4 To 6� . a . 4, - '4•.1•x. , PHONE NO, LICENSE NO. BUILDING PERMIT NO. I l v' - 1 3 DATE zq- Coq PERMIT FEE $ i 5 — BUILDER'S BOND NO. v DATE h om1 :t. et. ,s.j REQUIREMENTS CU. FT. PLAN CUBE 33 4� CU. FT. ca.... EST. COST $ Q� s DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: L.) 6� ' s` - �� �� �' DATL' a �� � �Vt?et NEW CONSTRUCTION TYPE I STORIES C. n S 4 ROOF CONSTRUCTION - ,...-r. ,....1), _ , INTERIOR CONSTRUCTION £? ICI D 0 1 "T . 1 0 al -- REPAIRS 1` (+ a DESCRIPTION W G3rVe '€. (t -4-�es _ p c,_4A- e.c^@l C......1 C......1 �S e-- C. L ALTERATION DESCRIPTION Q .} - - �t9C.)el 63a SCI ` r ""' ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. I ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION ROUGHING DATE ROOF SEWER BEAMS & LINTELS 1 $ POOL FRAMING 1 GAS AIR COND. $ FINAL I CLEAN UP FIXTURES SLAB SEPTIC TANK PR-7i c., / / 1 rez0 d p„la.� I SLAB h S SPECIALS PERMITS PERMIT NO. I DATE I FEE TEMPORARY SERVICE RE- INSPECT BY $ SEPTIC TANK ROUGHING DATE $ SEWER ROUGHING $ SOLAR HEATER $ GAS $ MOTORS RANGE CONN. S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE ROUGHING $ TUB & TOP OUT $ RANGE CONN. SEWER MOTORS RANGE CONN. $ FIXTURES SEPTIC TANK $ S SOLAR HEATER FIXTURES & FINAL FIXTURES GAS CONTRACTOR SU.a )7 CE ft'` C" , PHONE PERMIT NO. / I .3--11 I DATE --17-- ('' FEE 3- s -- c) NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ROUGHING $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS RANGE CONN. $ FIXTURES $ S INSPECTIONS DATE BY RE- INSPECT BY RE - INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL CONTRACTOR PERMIT NO. NEW BLDG. BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS 1 DATE ALTERATION 1 ADDITION PHONE FEE $ REPAIRS ELECTRICAL PERMITS & INSPECTIONS TO POWER CO. FOR SERVICE DATE BY BUILDING ELECTRICAL PLUMBING ROOFING Owner or Building 4.0110 M E Architect Contractor or Builder Legal Description Address of Building Lot ❑ PERMIT NQ 0 as 4 e $ fl Bl 50 z iror l►' . yi1. �7 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 e oyees. e UILDER r CONTRACTOR or B MIAMI SHORES VILLAGE, FLORIDA 4..4 Igi 710X r. Date _ 9 A Ceti 87 .1.-r; .* t Work to be performed under this Permit . 46C04. Z 4 tai Signed In consideration of the issuance to me of this permit I pertaining thereto and in strict conformity with the plans, dr In accepting this permit I assume responsibility for all work !fit I . gas- d,. r of' s i..... T Ii$s iP bi er to F. f toc046 44111". 0.41, 110 E Cal-•• •t p aikk Subdi- vision in • 01 . d IKOt ►t C' SPECTOR) BY ee to perform the work covered hereunder in compliance with all ordinances and regulation, gs, statements or specifications submitted to the proper authorities of Miami Shores Village. ne by either, myself, m agent, servant or employee. • BY Contractor's 1 dj•'1� License No. T Sq Ft MG Value of I Amount of / :I ' Project $ 1'2 11 Permit $ AUTHORITY Owner's Name and Address MIAMI SHO x-• Date_ ___.__9'""( ° BUILDING INSPE(tTIQN 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. Date _... 0/2100 Registered Architect and /or Engineer Name and address of licensed contractor /h/ __e s Location and legal description of lot to be built on: s p Lotta_ _ . /_L. O 4 Block ° Subdivision.. _ -/ ii / i� _ - eG � -- __--- a .op /ol/C 79,573 X 1/L Street and Number where work is to be done Stpte work to be done and purpose of building (by floors) OAo p�, • ,, _ _ N o r a. ; Co -R &7 a C C-44.1 14... 14. pc.....J D d W J o M — Wo Ph. Z .c- a PoO. 7'i o j/ 1 :lit .... -____ A:5' (o k, /o p. R...4 T 4•444 t N G. •aa W 04.7 t o ,� and for no other purpose. New Building Remodeling Addition ?X Repairs No. of Stories To be constructed of de// Kind of foundation 4 VQ'Y� Roof Covering Al ®A/ Estimated Total cost of improvements $ �� A mount 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 sub it all the plans and specifications for said building. All notices with reference to the building and its cons'ction may be sent to .42__1L/S _ - , . O _ p G2 /,!J da '"R/ ? 9 : 4.t/ v.- ITV!.t..6/1___. 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, Pennanent 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 ° ° sybcoptlactors, o Sy be performed under this permit, as are licensed by Miami Shores Village. Remarks____ _ ( Signed ) STATE OF FLORIDA, I COUNTY OF DADE. j ss • Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared W U-AMe/ ( / _Ii, S 0 A- 7 P.41242/ ..S la..a_eli O r) GL i.v Go - - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the G ©'1D7 efge. 7 of the above described construction, that he has carefully read the foregoing application, and that he did sign the s. and that all facts therein by him stated are Permit No._ 1 is Read, S VILLAGE ,1962 No 2.6.5 Street //), Go S 7; Subscribed befo Disapproved Date Notary Public, St ( Signed) Building Inspect. My Commission Expires w 77,1"' NING 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. STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved Date (Signed) `-'f�SJ 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. Date... Owner's Name and Address s Registered Architect and /or Engineer... Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done done and purpose of building (by floors)... Estimated Total cost of improvements $. Amount of Permit $ No . Street.__ f t!. . ......C.E!M .. ...._._........ ,19.. / �`— A42< C (4 / U and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kin of foundation Roof Covering /a• Zone cubage required ........... 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, 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 p tice or notices as arc required by the Act. The undersigned agrees to employ only such subcA ntractors, on work to be performed 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 t ' _. ? Permit No.._...._. /93 trrue. / 3 Date fCl . . 7 Read, Sworn to and Subscribed before me. Notary Public, State of Florida Builds Inspector My Commission Expires to me well known, 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 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. MIAMI SHORES VILLAGE APPLICATION FOR FINAL INSPECTION Prior to a final inspects n this application mus'1 fj.11ed out; if sub contractors have failed to take out permits the general contractov.sliall be responsible for the permit and fee. A final inspection must be made prior to "the release to Florida Power and Light Co, and the issueance of a certificate of occupancy, OWNER LOT /e - BUILDER Architectural Fee lans As halt walks drives etc. Cabinets - Medicine . Cabinets m Unit Closet Concrete - Walks drives. etc. Contractors Fee 12. Electric Fixtures 18. Floors - Terrazzo 19. Garage Doors 20,, Glass Sliding Doors • ..- _ 4.4111 Millwork 38. Paintin Foundation,Slabs,Beams Contract 28. Landsca.ing Fill. Gradin 29. Lath. Plaster. Stucco 39, Permits, Temporary Power Piling (Foundation Pl 42. Pool - Swimmin 45. Screen Enclosures 46. Se tic Tank or Sewera:e 47. Shower or Tub Enclosures 51. Tile & Marble Com.lete Pre -f ab, 1 . 2. 3. Cabinets - Bath Vanit 4. Cabinets - Kitchen 5. 6 7. Cleanin 8. Clearing Site 9 1 0. 11. Concrete 13. Electric Hiring 14. Equipment Rental 15. Excavation 21. Hardware - Finish 22. Hardware - Rou h 23. Heating . C- 24. Insurance - Liabilit comp. -bond p . - Labor Payroll . Labor - Contract 27. Labor 33. 40. 41, BLOCK 3 p ITEMS 30. Lumber 31. Masonry Labor 32. Masonry Materials, Block 34. Miscellaneous _ 35. Ornamental Iron Work 7 36. Oven & Plate - Built -in 37. Overhead 43. Roofing & Sheet Metal Work 440 Roof Trusses - 48. Steel - Reinforcin 49. Su.ervision 50. Surve 52. Water - Public 53. Water - Well & Pum 54. Windows - Glazin_ & Screens 55. Window Frames Concrete 5b. Builders Bond Must Accompany this Application for Final Inspection JOB ADDRESS SUB, j_, DAY LABOR CON ,/ DATE - aZ , 19C • TOTAL MI SHORES VILLAGE UILDING 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. p� Date.__- 8_ •- , 19.Z f/ Owner's Name and Address M R 4 I4 j_____ L ea !3 l po No.,? es _S toe Street_ 9'/. 67 Registered Architect and/or Engineer !e , C 4 •J / 2 N o L D - Name and address of licensed contractor WARR.tS Q i�10D.a41111(- Location and legal description of lot to be built on: Lot._.(_8_ W - '2 1 ' Block s td Subdivision 41/d1 4)Q 1 Street and Number where work is to be done 91 2 _ c5 . 7 State work to be done and purpose of building (by floors) C_,S___ ZZ 4- D-P/_ZL_ato .E S--r- ry1/-a= - 1 EJAN1Li 1 ---- - 7 FS LAEAICE New Building Remodeling Addition To be constructed of Ce3_.S Kind of foundation 414UP Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building Disapproved (Signed) Amount Repairs ( Signed) ht9 - -4 Roof Covering of Permit $ 1 plan Cubage 7" K g • {_ • t Size of Building Lot '75 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 PJIZ -li- R ktoPeL.I N - P 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, Pennanent 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 s of t.: work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s contractors, on y6gfk 1. - performed under this permit, as are licensed by Miami Shores Village. Remarks____ STATE OF FLORIDA, COUNTY OF DADE. J Before me, the rsigned authority, a notary public, my authorized to administer oaths and take acknowledgments, personally ap- peared __ /�C.C'i�4' �Z , /34SO 4 to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the C7Q of the above described construction, that he has carefully read the foregoing application, and that he did sign the s therein by him stated are true. �j q Permit No._ 11 ?3 Date O � 1_�_ Read, S Building Inspec My Commission NNING BOARD Chairman Member Member ____ Member Member Member Council Approved Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice materials and /or workmanship. 7 ci V ,y E 4 cis 11 q - and for no other purpose. No. of Stories 1 6IPi410FL 2361a- ... Vr ,SP& q :I,y Commission expires ; cy. 27, 1971. DATE Date has been obtained from for inspection or faulty This is to certify that 'CONTRACTOR'S CERTIFICATE OF COMPETENCY METROPOLITAN DADE COUNTY ROBFR.T kIrtIDI :TM (Cor Gdg n P 1 r t10 r ADDRESS C "".7.7.7M2 a I• u or Individual) FILE COPY having met the requirements under Chapter 10, Code of Metropolitan Dade County as amended, is hereby entitled to a license AS A fif171— RUTJ,DFR CONTR NAME AND ADDRESS OF QUALIFI ER 123.01 -16 • ROBERT MENDHEIM NLNDHEIM CONSTRUCTION 2 > ' 2412 N.W.. 1.08 S'r. KJ A'1I, FLORIDA P. t.= TRUCTION - .. -• • �.. ....�. COUNTYWIDE YES ® NO ❑ Restricted to the following jurisdictions• with all work to be done under the direct supervision of: Who is duly qualified by the examining board. This becomes null and void at such time as the indivic at the left is no longer associated with the al> organi T ' s certificate good until September 30, 19 67 NO 33644 c ntr. ,.rs E x./ i ng Board) • (Choi rrman Lontr� awo s - Exom rir • Application is hereby made for the approyal 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_ Repristered Architect and /or Engineer.._ _ -�A Name and address of licensed contractor_._ .----- - .42,11 Location and legal description of lot to be built on: Lot_. / -__ G /2., - ,/q Block 8 0:-.) - Sub�d iv ision .. _. _.. Street and Number where work is to be done.__ ./ t/ ' State work to be done and purpose of building (by floors) .3 4 L 1) i New Building V Remodeling To be constructed of___ L_.�_ __ Kind of foundation Y Estimated Total cost of improvements $ t-Z 4 00 Zone cubage required 1 - Distance to next nearest building_ .... . ! Q Maximum live load to be borne by each floor... Chairman Member ....... Member . Council Approved the Planning Board. APPLICATION FOR BUILDING PERMIT he - ! l9 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT _Date Member Member Member Addon iZ e. -- . ?00f Covering_ Amount of Permit $ Plan Cubage 2., Size of Building Lot I hereby submit all the plans and specifications fin said building. All notices with reference to the building and its construction may be sent to...— The undersigned applicant for this building permit doc 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, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e toyed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site t - work . public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on wo p: o ed under this permit, as are licensed by Miami Shores Village. Remarks — — ------------ - - - - - -- - - -- - - -- - -- (Signed ) 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 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 r • .. egoing application, and that he did sign the same, and that all facts therein by him stated a mt e. �- / __ Permit No._ 7 S 1 Date_._ ead, Sworn to and Subscribed before me. Disapproved ____ _ .. ___ __.... Date (Signed) �.'� `�' • Building Inspector , - Commission Expires. PLA BOARD__ __ . DATE 1a-,ci-ccd idee_ci, 4- 1 A C e- and for no other purpose. Repairs No. of_Stafies Notary Public, State of Florida S : to me well known, 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 A re-inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or fault materials and /or workmanship. PC- 01-? 2 c' 06 a ® �e� i9014,g sq . 2 �9 �I c') c73 2 /, Is' 3, Ic BUILDING INSPECTION DEPA(tTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or cne 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, anti 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 Registered Architect and /or Engineer Name and address of licensed contactor _.._. Location and legall scri tion of lot to be built on: Lot .... f e� �L, �S :/.. io .. Block 3 Subdivision �j ..t�'... t:l_ £L.Jd& . . /... ' � Street and Number where work is to be done... S A• L ' 9 6 S - _.. .� _ _ — — State work to be done and purpose of building (by floors) A ...._.___ ./ - s.. -4 .4 9 5 '1 and for no other purpose. Ncw Building Remodeling Addition Repairs No. of Stories - To be constructed of Kind of foundation Roofvering Estimated Total cost of improvements $ /16-6- oa— Zone cubage required .Plan Cubage Distance .to next newest building Size of Building Lot \faxiunum 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 perinit 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 Sttp slernent, and has complied ssith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hies 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 noticcs as are required by the Act. The undersigned agrees to employ only such subcontractors, on wont , to be performed under this pennit, as are licensed by Miami Shores Village. Retn.uks (Signed) 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 - -- . — ..-- 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.. 1 ) Permit No.._. 7 1 Date (9) Z ) ..._._._ Read, Sworn to and Subscribed before me. Disapproved (Signed) MIAMI SHORES VILLAGE 19. Y LL/ tom.,— cr, l J- ._ No...._.._ _ . street 2.0 e. _ 96 S44 - 4 - .11 Amount of Permit $ ...ML Mt. . :.....,.• ................... ,.,:,, to me well known, Notary Public, State of Florida Building Inspector My Commission Expires _...._.. PLANNING BOARD DATE . Chairman Member Member Member Member .. .. _ ...- •--- ...._..._.— ...._....... Member -- •_ - .... Council Approved Date Disapproved Date NOTE: A ch.trge of $1.00 will be made for making corrections or changes to thls application after approval has been obtained from the P1.tnnir.;; l:o.rrd. A re-inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspet:tirsn or faulty materials and/or workmanship. r 5 H 1 yti PINE 17 e. , c p di c, 6e. box des i l- 9 x Y post SeT ti !, Tb i 13 l 1 e, -- L, 7S' A.691,9-c-5 020 ? 57 - o ... L Ti wAl x St t Co•icra- T puf.z`q 5.9 C • t th I 97 ST, rn t • 40 /( /30 Q /O SO' " 9 i� 8 "" 7 ." 6 "� 5 50' 53.6 / j h /1 h 4 3 2 � , ■ i,, o . a 50 •• „ 2B" �� ", 5o' 539' ' ao � /4 h /30' 751' 30' tn trfl s Z i 0 " i 7 • hy" A o SKETCH OF SURVEY Pipe 75' / Lot 18 and the West 1/2 of Lot 19, Block Sc'/e./".3O' 30, MIAMI SHORES SECTION NO. 1, accord- ing to the Plat thereof, as recorded in Plat Book 10 at Page 36, of the Public Records of Dade County, Florida. Order No. 82859 4 -14 -67 F. B. No. 1254/48 Scales Shown I HEREBY-CERTIFY: That the attached "SKETCH OF SURVEY" of the ibove described property is true and correct to the best of my knowledge and belief as recent- ly surveyed and platted under my direction. SCHWEBKE - SHISKIN :ISSOCIATES,INC. , /� 1 -- -. V. Pre s . Registered Land Surveyor #775 State of Florida R E V I S I O N S Order No. 1 Date Field Book 1 Signature Reg.Land Surveyor# State of Ala. Reg. Lana burveyorw date of r RUT Surveyor* butte 01 r Reg.Land Surveyor# State of Fla.