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278 NE 97 St (7)Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2004 -1427 Printed: 11/30/2004 Applicant: ARTLES MICHELLE Owner: FITTS JOB ADDRESS: 278 NE 97 Contractor Local Phone: Parcel # 1132060133990 Signed: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 3 & E1/2 OF LOT 4 BLK 30 LOT SIZE Fees: FEE2004 -11887 FEE2004 -11890 FEE2004 -11891 FEE2004 -11892 FEE2004 -11893 FEE2004 -11894 FEE2004 -11895 Description Building Fee CCF Training and Education Fee Notary Fee Technology Fee Scanning Fee Submittal Fee Total Fees: Amount $225.00 $1.80 $0.60 $5.00 $5.63 $21.00 ($50.00) $209.03 Total Fees: $209.03 Total Receipts: $0.00 DEC 0 -t 5 � Permit Status: APPLIED Permit Expiration: 4/30/2005 Construction Value: $2,600.00 Work: CHANGE KITCHEN CABINETS (INSPECTOR) Building Permit FITTS ARTLES MICHELLE ST Contractor's Address: Page 1 of 1 Signed: (Contractor or Builder) BY: 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 responisibility for all work done by either myself, my agent, servants or employes. BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle Building Owner's Name (Fee Simple Titleholder) t;/' Owner's Address S.2 % �� �'Y `1 / r `' ) 1 City Al kr 'r State } !- Tenant /Lessee Name Contractor's Company Name Contractor's Address Citv Qualifier S Value of Work For this Permit �e Code Enforcement $ Total Fee Now Due $ rTt) (Continued on Opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (3a5.).7.5 972 Permit Fee $ Electrical Plumbing Mechanical Roofing Job Address (where the work is being done) 7j / h (f ' < City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO (ki Type of Work: ❑Addition ❑Alteration ❑New Describe Work: Structural Plan Review. S L a Permit No. Master Permit No. ?>1 1 5 Phone # ( t' Zip .5 t •5, Phone # Phone # Zip S State Zip State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: ' * ** * * *** * * * * * * * * * * * * * * *** ** F * * * * * * * **** * * * * * * * * ***** *** ❑ Repair/Replace ❑ Demolition CCF S / CO /CC ( t ,/r� Technology Fee $ . C ' , Submittal Fee S 672 Notary $ Training/Education Fee S Scanning S 1 Radon $ Zoning ''� Bond S 1 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 / () Owner or Agent The fore oin instrument was acknowle day of � 200 , by who i personally known to me NOTARY P •.-i A �_ Sign 1 Tint: (A) Chc 05/13/03 Signature Contractor ged before me this a�- The foregoing instrument was acknowledged before me this �/!— day of , 20 _, by r who has pro uced who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: As identification and who did take an oath. APPLICATION APPROVED BY: y oven Expires: Commisstor#DID3 ?3870 Bond� � ssion Expires: tag My Commission Expires: " 111, " Atlantic Bondi wwwAr4************************************** *************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** NOV 2 3 2004 Plans Examiner Engineer Zoning VILLAGE OF MIAMI SHORES I Produced OWNER BUILDER DISCLOSURE STATEMENT BUILDING DEPARTMENT being the legal property owner, for the property k S Legally described as , Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7),(1nd I have read and understand the following disclosure Statement, which entitles me to 3ivork as my own contractor, I further understand that I as the owner must appear in person to complete all applications. DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two-family residence or a farm out - building. You may also build or improve a commercial building at a cost of 525,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal Iicensing ordinances. Any person working on your building who is not Icensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) initial of reviewing clerk. The foregoing instrument Was acknowledged before me this / day of nekarg420 g , r fo(A,�L wh is personally known to me who has • as identification and who did take an oath. tinny H. Gonell Commission #DD323870 •' . Expires: May 26, 2008 Bonded Thni Inc. 0 °"` Atlantic Bonding Co., STATE 0:= FLORIDA, COUNTY OF DADE I HERE2Y CART ,''Y t-r1 true�ccji)y o ongrna , -. ,n a ^i,c on D�" ! c : of WIT , SS hr. 'd A • OUcral Seal. IAR. E �ii��e��, ... ° ircu ;t and Couniy Courts 1102 Fri D.C. NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. I ' a 0til d 133 990 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1 . Legal description of property and street/addr ss: - )O / L J _/ 7�t` S+ /4;c1)44.1‘ S ew % L- �/l: nni More Sr c AA P13 )0--7a L o f 3 J- E `/ o fLawi 3513P b l It 30 2. Description of improvement: 1C 'fc° Le„, r.e knv4.1-�61 3. Owner(s) name and address: (0._e `{ .M j 1 (�'t/ :,2.18 /v E 9 7 . i , A 1`0,,,0_ 1' S )r„✓ „ 5� J 33/3e Interest in property: Wit +.° Name and address of fee simple titleholder: SgmE o 4. Contractor's name and address: , C a,,v qi ) tk 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specinied) SFgnatur f Owner Print Owner's Name 6j e t) /" l ill Pry Prepared by Sworn to and subscribed before me this Pe d y of Q0-- , 20 0 Notary Public Print Notary's Name My commission expires: 123.01 -52 PAGE 4 8/02 - V / ette4gf, , Ginny H. Gonell '�"� C ommission #DD323870 '41 Expires: May 26, 2008 Bonded Thru Atlantic Bonding Co., Inc. 111111111111111111111111111 1111111111 11111111 c:F'= N 2004 Rn u9 2'- o8.,6 OR Bk 22772 Pg 3883a (.1pg RECORDED 1U:'28/2nU4 10:45 :44' HARVEY RUVIN? CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE L1' S /tic A?«vu Address: - 8 L' 9 fi 5 . v-e L 3%r 3 e 10 -06 -2004 17:35 FROM- T -657 P.001 /004 F -365 American Woodmark Gettysburg Maple full overlay Door Style Mocha Glaze fl CI 24 36 II 15 •l I� 5 7 i 5; 1241 184 33 5a 5 15 24 - t 36 1 • All dimensions & size designations given are subject to verification On job site and adjustment to fit job conditions. 324 - - 24 18 — .11 30 3 6• 1 3� 33 -- 9 30 -- .1J4'6/— 33 CW 2442 BSS R 3633 RWD W15 36R BSD UF6 I: BOC U33 Ut I7I W15 BSD 36L BER•336L CW2442R W 936 611 his design W1836L TB9 L D512 4 33 • 12 122& W3624X24 36" REF -IC 4 �l l cu e34,vi11 - hav% intess h'aod sej5irate 30 —3 fro 7dtchal4irder • • " -- 5 corbels under the hood headef i mantle customed for over windo and over stove top nae HOME DEPOT ! _"F/ACI 614 B n DISH. 24" 1 34 le - -30 30 This is an original design and must not be released or copied unless applicable fee has been bald or job order placed. W3 1 530 15 ••3 725006D D Scale : maximum Designer 404 754 1 8', 123; 324 4 8 Design : 07/19/04 Dwg no. Date : 10/08/04 10 -06 -2004 17:35 49 34; 12 6; 123 173 531 All dimensions & size designations g iven are subject to verification on job site and adjustment to fit job a onditlons. FROM— T -657 P.002/004 F -365 24 18 -1 CW2442R BSS3633RWD ,= -- • — 33 9 71,4, THE HOME D EPOT 1221 36 —° 6, 333 36 F SE W4 3 2R 4 QT U BS o F DC6 ILL; ..1-t' 6 ,1%1 This is an original design and must n ot be released or copied unless a pplicable fee has been paid or job o rder placed. 725006DD 321 scale : maximum signer WaIVC Line # 4 84 96 10 -06 -2004 17:36 FROM- 53 12 61 24 493 343 6 51h — 24 M dimensions & size designations glven are subject to verification on Job site end adjustment to ft job conditions. • 3 15 — /5 184 —'5; •'Sa. - 15 .'3' 24 e HOME Tr DEPOT 1243 O LID (Or (1D BOCU33 1 f This Is an original design and must not be released or copied unless applicable fee has been paid or Job order placed. BS DC. 66 0 36 6 411 33 — Vii 6 , 36 725006DD T -657 P.003/004 F -365 CW2442R BSS3633RWD Scale : maximum esigr ar WalI/C Line # 3 84 96 Dwg no. t 0 w 10 -06 -2004 17:36 FROM- 12 5i 61 181 491 118 30i 4 538 U 3. dimensions & size designations given are subject to verification on job site and adjustment to fit job conditions. 30 W1530L O LI 00 U 00 DISH. 24" THE HOME DEPOT 123 55/ — 7 SB36 DB12 4} DWR= Thls Is an original design and must not be released or copied unless applicable fee has been paid or job order placed. 725006DD T -657 P.004/004 F -365 9 .. 24 BER3336L 344 - • 531 344 3 15 24 36 - 12 33 ,' Scale : maximum - Designer Wall /C Line # 2 84 96 Dwg no. 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. fi /Ps 0 % , Date / (/ , 19 Owner's Name and Address.. C� - . \�, No Street Registered Architect and /or Engineer _ 1 1\ APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Name and address of licensed contractor (Signed) )1,.. JJ &Aiding vector 1 i Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done? C dr State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 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 pennit 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 subcontractors, on work to be perfofined under is permit, as are licensed by Miami Shores Village. Remarks .... - --- --- �-- - - - - STATE OF FLORIDA, 47 COUNTY OF DADE. 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 true. / G' Permit No � : _ Date __ r Read, Sworn to and Subscribed before me. Disapproved Date 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 or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 113 p ° • ` - ' -'-' Miami Shores Village, Florida, a 4 r Owner, Agent or Tenant of Building �i �'`�, , �, < %t\_,,'� ,, Lot ' (1, ri G Block; C) " Street Address A 1 \ . <� , `= A A Approved use by occupancy % Remarks: This Certificate of Occupancy is issued to the above named (i 1- Jk, for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUILDING DIVISION OWNER My Commission expires Chairman : Member Member Secretary BUILDING PERMIT RECOI D i.IJMI SHORES VILLAGE FLORIDA DATE APPLICATION Application is hereby made for the approval of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in com- pliance and conformation with the Building Ordinance of the Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all Ordinances of Miami Shores 'Village, and all rules and regulations of the building Department of Miami Shores Village, shall be complied with, whether specified or not. ARCHITECT CONTRACTOR LOT BLKSUBDIVISION _ STREET# � NEW ADDITION REPAIRS NUMBER OF STORIES 'ROOF COST (excluding Architect's fee, landscaping & garage)$ Building to be used for _ and no other use. I hereby submit all the plans and specifications for said building. Signed STATE OF FLORIDA) COUNTY OF DADE ) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgment, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the builder of the above described construction, that he has read the foregoing application, and that he did sign the same, and that facts stated by him are true. Read, Sworn and Subscribed before me, Notary Public (Signed) Cubic Feet Cubic feet required in this Block P BOARD / Building Inspector Permit No..__ Issued to Date 9 Y Electrical Permit No. Plumbing P ;rmit No. Painting Plastering Electrical M -& eanerete. Plumbing o ' Roofing Cllrz ing Miscellaneous LAST OF SUB - CONTRACTORS Lathing 1 i 72 JOB: • BUILDING PLUMBING ELECTRICAL : • Inspoctor is Roport: : WORK : DONE BY: : REQUESTED AD 4 vi 11.5 74:1 Tho following is ready for Inspoction: -- No. DEPTH STREET STORIES / PART OF LOT LOT BLOCK PERMIT FEE SUBDIVISION V l l %ice // i�� //. // i / �/ / // I; / ' i/ � / FRONT DEPTH HEIGHT STORIES TYPE OF CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OP BUILDING PERMIT FEE F rame, Tile Concrete, Stucco Residence, Apts., Stores, Hotel 7/ BUILDING PERMIT Owner of Building /l " / / /// Architect /? 7' Contractor or Builder MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR Miami Shores Village, F rida, / , 19 ii PROPOSED LOCATION DESCRIPTION OF BUILDING N? 302 This permit is issued to i" mil. // ;, .' To the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the eicpress condition ild at all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and gulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by tb/e building inspector. In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of he State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. Dated ,19 StN *N 3 INSPECTOR (SEAL) 4. • La. .✓ •a Ira+ ._. . ., �..,• i't • II .. y1 .:3,:' •L. °l y.. .may ". :f 'i .., ,:f'i _i t . ,. . .: . 1'21" : / Y_. '' r ..: 4 4 x., \ f , ,/ „,„ a k a . , 'J'.D.� .u1. 1: r1 lS • d +J.,. .r. . (, ± .' is: i. " 1 Cre5 ” ' ,_. !..., . v_ � ....i(?. r .. '); ..�`t .: 4,i"4 +vi:;;�' • ' t1..34.i '1", n. • ._.• . ,,'7. ' . • r'l f , 1.; 11 on il ly` •�.J3 �Y . -.. �D.. s • �.. a .. • ". ; ' , , . :)t; ;.s !.* .. F • ...�. .; J w .. (Z)) at .. J ,• J t i !lib • � t ol. -_: .�ry��,;.' • yf wet ?s.; :')1. • 1 ysa e p ♦ - . `?•:. . . . �.. • • • I • 't n 41 a , al! w s ,• a 1 _ 4 • 4- • * N.ThIrrila • ',114 ¶ 4s13! ", t14, t-ittni 2. £n. ror 4;0. 1 :Ala ; rir 1'i 1.43/4" • ale 5/ ZMI!'s Cfl 1111 ',• e 4 V. ' . • • . • • t+ • it•`", J 170 r' s rt )01 • I '‘; '117 e' :11" '• 4' 71. Ir: Y. • r3.1.L6 4 .4' . • 1 • ..' SA • 1 J7• omo • '.: • •-•!‘".• 7, 1 • • • • k 'it7,71-!sr rz. .,• „ L' . , 1 17 4,' r • "„ 1 i. * 16. .1,7., 4 V 1 4+.0 ""•• 1 1 .4 •"'"' ..,.1o*•7 • ..- ' • • 1 :4 • ' 104 ■ ) I • SZik, rt.41 If 74`. ' • :,;" ' ' '.."4,14.;",h, • Co, • - *4 40C: . 1qt 446 t ma. , , 11 l . ' s • `-* • " 1, "!...). 4 :'• 1 ' 4 44 - • • ;1R • a , r• 3 ••9 •a •II•••w••••4• nw * +••••••• V* • r . 48Livitvievalva • AIM 4. r , e' • • • s • '` " ' ,41111 1r4 ..• • -'• • • • • a &a # • nu' •••••■■ . • VW LoV , 4. 1 v 4 ..1. Ay rots,' ' • 0 , • • • , • - , °,1; t , • • !,:r* BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE 194— PERMIT N? 8855 Contractor's License No. Work to be performed under this Permit Owner of Building Architect -- — Contractor or Builder Legal Lot Bl. Subdi- Description vision Address of Value of Amt. of Building _ _ Project 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 appli- cation 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: By INSPECTOR In consideration of the issuance to nee 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 011 BUILDER BY AUTHORITY rt( “fs ', `kC\n e hereby apply for a certificate to re- occupy the single family residence known as: (address) V J N 5 c , Miami Shores, Florida. Legal description: Lot: c E 1 /2 11 \ ,Block: 3c> ,PB&PG: l 0 " 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, Florida, 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 such property. Applicant: - ;c Ci c ` {-7' Date: 1 4 ) �. ? j 9g . Print Name: l rt \ C) \\ ** * ****** *********** ii************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For the purposes of conducting the inspection required by Section 902 of the Miami Shores Development and Zoning Code, contact: Contact Name: j( ( r N Telephone: ( M3 -( 131 Buyer: Seller. Realtor: jompany Name: pc ici -t «.\ . Application Fee (S50) Paid: Cash: Check: Number: Inspection: By: /L Approved:( Denied: Date: Comments: APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the application has been inspected for the purposes of re- occupancy pursuant to Sections 901 and 902 of the Mani Shores Land Development and Zoning Code and that such property may be re- occupied by the applicant for single- family residential purposes. MIAMI SHORES 1 - , FLORIDA By: Date of Certification: THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES 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-FAMILY 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 INTERESTED PARTIES ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION THEREOF. Coxy BUILDING PERMIT NO ZONE REPAIRS ALTERATION ADDITION OWNER'S NAME JOB LOCATION (ST. OR AVE.) 271 r7. = St"e & :, GENERAL CONTRACTOR ._%1° PEOUIREMENTS CU. FT. DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: NEW CONSTRUCTION SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL DATE APPROVED 5 -20 -55 cac 7)orte, swimming noo_l, breez ?. REJECTED LOT PLAN CUBE PRESENT ADDRESS ADDRESS PERMIT FEE S BLOCK TYPE STORIES ROOF CONSTRUCTION 10.00 DESCR IPTION DESCRIPTION REFERRED TO COUNCIL CU. FT. Cf� ,r I�_ (nTER CONSTRUCTION REMARKS CERTIFICATE OF OCCUPANCY NO. ISSUED = BY ic> I 4 ri TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE LICENSE NO. SUBDIVISION PHONE NO. BUILDER'S BOND NO. DATE 75D j 0 EST. COST 5 O a 0 REASONS 5,700 PHONE Nr LICENSE NO. DATE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION Lj )3 DATE FEE TEMPORARY SERVICE BEAMS & LINTELS ?/ ASS ' /y7• // " r $ '' - SEWER . FRAMING P ' / SOLAR HEATER t $ n GAS -.. - 7. GAS d'' $ (A,; 2 c 01 /3 N, FINAL A.- �l -" BY RE- INSPECE BY RE- INSPECT BY CLEAN -UP ® i °;- , n � -,` -S'� C - CONTRACTOR \,` , �- PHONE PERMIT NO. J DATE FEE $ NEW BLDG. I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK tC/1�--: '. _, S t �' {c_ /y7• // " r $ '' - SEWER . $ SOLAR HEATER t $ n GAS -.. - 7. GAS d'' $ (A,; 2 c 01 /3 INSPECTIONS D E BY RE- INSPECE BY RE- INSPECT BY ROUGHING �J - GAS SEWER ,_ . i SEPTIC TANK (0 ' - ;') SOLAR HEATER FIXTURES 7' ?-7, (3i ii ,c..c CONTRACTOR PERMIT NO. 1 ' r ' DATE F FEE $ ' , NEW BLDG. I ALTERATION ADDITION REPAIRS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER 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 BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 235 Owner, Agent or Tenant of Building Lot Block Subdivision �3 Street Address l J� Approved use by occupancy Remarks. j `v Miami Shores Village, Florida, This Certificate of Occupancy is issued to the above named ; V' -i-; l ` - for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, constructs , alteration or ,modeling of buildings or structures. i °--0 �' l � � V I ;/ BUILDING DIVISION 7 .....Lip OWNER'S NAME JOB LOCATION (ST. OR AVE.) • S l/ry L ..'ouay BUILDING PERMIT NO. ZONE GENERAL CONTRACTOR DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: NEW CONSTRUCTION 532 REPAIRS ALTERATION ADDITION PEQUIREMENTS CU. FT. SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL DATE 9-7-54 APPROVED LOT 3 1 of 4 REJECTED PRESENT ADDRESS ADDRESS PERMIT FEE S BLOCK 30 PLAN CUBE/ /• if/ TYPE STORIES ROOF CONSTRUCTION coil lc %'t r, s c: ;.°, ro medls 200M a Di2'u bath REFERRED TO COUNCIL 5.00 DESCR IPTION DESCRIPTION CU. FT. REMARKS LICENSE NO. PHONE NO. NO. EST CERTIFICATE OF OCCUPANCY NO. ( ) ISSUED �' BY/ . f TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE SUBDIVISION PHONE NO. 1704 COST S BUILDER•S BOND REASONS DATE INTERIOR CONSTRUCTION LICENSE NO. DATE INSPECTIONS Af E __ BY RE- INSPECT BY RE- INSPECT BY FOUNDATION. PERMIT NO. DATE FEE TEMPORARY SERVICE H. W. HEATER CONN. BEAMS & LINTELS RANGE CONN. $ SEWER MOTORS FRAMING ,,� SOLAR HEATER FIXTURES $ GAS $ $ INSPECTIONS DATE $ FINAL DATE - BY RE- INSPECT BY RE- INSPECT BY CLEAN -UP ROUGHING hV%.. i ��<�. CONTRACTOR r�i / //,„., / -�' -, PHONE PERMIT NO. DATE FEE $/, NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE H. W. HEATER CONN. $ SEPTIC TANK RANGE CONN. $ SEWER MOTORS $ SOLAR HEATER FIXTURES $ GAS $ $ INSPECTIONS DATE $ INSPECTIONS DATE - BY RE- INSPECT BY RE- INSPECT BY ROUGHING ROUGHING GAS H. W. HEATER CONN SEWER RANGE CONN. SEPTIC TANK SOLAR HEATER FIXTURES & FINAL„'_ FIXTURES PERMIT NO. ) �� DATE FEES ,� P NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER 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„'_ BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR ,' . - - � - PHONE APPROVAL TO POWER CO. FOR SERVICE DATE BY AVIS RENT -A -CAR SYSTEM ans gnc. Telephone 82-6591 EXECUTIVE OFFICE 2830 N. E. 2nd Ave. - Miami, Florida AFFIDAVIT The projected improvements at 278 N.E. 97th St., are for maid services only, due to the recent death of my wife. This will verify that they will never be used for any other purpose, such as rental. Sworn to and subscribed before me this 3rd day of Sept. 1954. LICENSEE 9/3/5+ Signed: Olin Harbett otarg ublic 'ovary 1' Stan c' 'If..,. YI commission expir::_ Cli.i. 47iIried l,y American .....-.•.,,, Cc PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date l , � / Job Address - 'Y !, Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant r/5:< Master Permit # Owner's Address Contracting Co. ?`f Qualifier ?G C 2!" Square Ft. / Sigr�ture of o er and/or otary as to Owner and/ r Condo President Date My Commission Expires: f-2(a ( 7V do President Date Y C.. C.C.F. 7 ( Phone Address /' / 37 SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING / ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION l ' `� ',� ° / / %/ �• �' e d Estimated Cost (value) 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 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. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable la egulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. APPROVED: Zoning Building y B Mechanical Plumbing Electrical &-;1? Sig a of Contractor or O lder 7 N,dtary as to C tractor or wner- Builder My Conunissiciff e61ISS! W OO M' -;:1411.1Vd Vi111 .te tid - GEORGIA PANTELIS MY COMMISSION # CC 599019 • EXPIRES: Novemner 4, 2000 R 4' ▪ Bonded Tin Notary Put& Undenvettero - , ` , Y Date Engineering / / / • •• •• • • • • • • • •• • • • . • •••• • • • • •••• • • • • • • • • • • • • • • •••• • • • • • • •• • • • • • • • • •• • • • • • • •• The Suns hive State �F32p_ ARTLEs s 62-0 278 NE 97ST MI CHELLE M CI, FL 33135 28)4 0 5 0 SEX - 0 REST. ISSUED F 107 041 0E �XP 0 IRE 0 S 5 u ENDORSE iv. _DUPLICATE SAFE ORNER tau *bdbyc ■ Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1/21 /2003 Contractor Local Phone: Parcel # 1132060133990 Building Permit Permit Number: BP2003 -95 Applicant: ARTLES MICHELLE FITTS Owner: FITTS ARTLES MICHELLE JOB ADDRESS: 278 NE 97 ST Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 3 & E1/2 OF LOT 4 BLK 30 LOT SIZE Fees: Description Amount FEE2003 -381 Building Permit Application Fee $60.00 FEE2003 -382 CCF $0.60 FEE2003 -383 Notary Fee $5.00 Total Fees: $65.60 Total Fees: $65.60 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 7/20/2003 Construction Value: $300.00 Work: DRYWALL If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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, sery , is or employees. Signed (INSPECTOR) BY: 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 responisibility for all work done by either myself, my.agent, servants or employes. (Contractor or Builder) BY: REG C01 012403 1118 t9Ctt01 004274 CHARGE $65.60 PROPERTY OWNER New Construction Nai i_Ai V. (j el, l 'L .P4+ Enclosure Address c( 5 7 1M1 `V Alteration Exterior Home Telephone ^ ^ Alteration Interior Business Telephone n 5 L' p f 1 ; - � `5 _! 7 Fax Shell Only TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other Address Lot Block Subdivision PB PG Zoning PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • ••• ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. 8f 0 •• • ••• • • • • • • �'tlbsidiary Permit No. • • • • • • • • • • • • • • • • • ••• ••• • • • INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit gpplicrioli me sj be eitn.dib+y the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a morecc a ite rro.esei� d o!i your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. • •• • • • • • ••• •• Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICATION Job Address: t, Apt. City t ^ � Sttate U6 Folio Number escription of Work V� CW o Current Use of Property . Square Feet Units Floors Proposed Use of Property Value of Work �) �) ' CO � Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection LAk c Hv 4 - ( ' Zip Linear Feet ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOII2 YA:.IIATED• AND P4RMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday thfough'Prtday frar?i :30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FR ®M DIitT.APND DNA. : • • • 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPIVIENhbR IIELGS,V14D MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. ' • . ••• • • • • • • • • • • 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COU T,Y F MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE X gnature of Owner II Signature of Contractor / Qualifier V al d ( fir 45 ature of 'nt Name and subscribed before me this 1 t day of SEAL: otary Publ - State o Flonda ngela M Becker My Commission DD150048 nw Expires November 15, 2006 Type of Identification Produced: • • • • • • • • ••• • • • • • • • • • • • • • • • • •••• • ••••••• • Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: PERMIT APPLICATION Personally known OR, Produced Identification � Personally known OR, Produced Identification y6 1( vType of Identification Produced: ELECTRICAL TYPE Minimum Fee QTV. TYPE Dryer QTr. TYPE Pullet, Appliance QTY. TYPE: Service Repair QTY. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton - Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of - Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE: Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 • • • • • • • • ••• • • • • • • • • • • • • • • • • • • ••• • • • • •• • • •• • ••• RECEIVED AND REVIEWED BY: DATE: PERMIT APPLICATION •• •• • al INSTRUCTIONS: Please indicate t t } y o lk be gin= p and quantity(ies) in the space provided below. Page 4 OFFICE USE ONLY ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary ••• ❑ PROOF OF OWNEIISHIP (Attach) (Septic / Sewer7.. ..; ; ; O IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE • •• •• • • • •• •• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • •••• • • • • •• • • • $ ( sq.ft. = x/1000 x ¢.60) $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) $ 5 o ) 3 • • • • • • PERMIT APPLICATION CHECKLIST . 0 CONDO ASSOCIATION APPROVAL (Attach) •• ••• •• • • • •• • ❑ HRS / DERM APPROW/L• • :: :GC Wit (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ Z-CA ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com FRONT No. STORIES TYPE OF CONSTRUCTION BUILDING TO BE USED FOR ROOF STREET PERMIT FEE PART OF LOT LOT BLOCK SUBDIVISION ,', r Residue, A•ts. Stores Hotel .1 I I S. ' ( �y ✓ I : V t• .. i i : i ' !!! 3 F : j ( . - '[1 f t. -{ . ,.. I . FRONT DEPTH HEIGHT STORIES TYPE OF CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE j/ ' F rame;ile Stucco ,', r Residue, A•ts. Stores Hotel i 'A(� L,, f A �I► yr. .. ` BUILDING PERMIT Dated Owner of Building Architect Contractor or Builder This permit is issued to r , 19 Miami Shores Village, Florida, PROPOSED LOCATION DESCRIPTION OF BUILDING f . , , c '4 To 1 i l„ express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. f f 4_ i MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR N9 302 ' , 19 HuI4. .4NO " NBPECTOR In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. (SEAL) MAMu] SC—H2P-\?.E2 VCLLAE BUILDING INSPECTION DEPARTMENT AIPPLECATMN FOR UOLDONM PERMOT 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 Registered Architect and/or Engineer No Name and address of licensed contractor_dal Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done g e State work to be done and purpose of building (by floors) Et Xtj e ) •Qiiez-vi“ Date- 0. 41 2 44i , ig.2j . 7 7 street_lif • cs (Signed) Building Inspector My Commission Expires C. ••■ Notary Public, State of Florida and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constnicted of Kind of foundation Roof Covering ....... Estimated Total cost of improvements $ 6 S 0 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, 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 perfo ed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) e, S STATE OF FLORIDA, COUNTY OF DADE. 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 true. Permit No. Date Read, Sworn to and Subscribed before me. Disapproved Date_ 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. BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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_ Registered Architect and /or Engineer ...._ Na!ne and address of licensed contractor STATE OF FLORIDA, I COUNTY OF DADE. ss ' MIAMI SHORES VILLAGE Date ,19 No Street Location and legal description of lot to be built o • " l.,, Lot e "1t _ `- Block -/L .. Subdivision , Street and Number where work is to be done . 0 . / „ , '% �r ' S' r . _____�, � \ ' c ' r r State work to be done and purpose of building (by floors) !�•.._ __i',____�_ , K '; a „, -, . .� : '' _ -, � - I _ , � ._,. _ �._- -��'-• -rte-'- `-- -"---. �---- New Building Remodeling To be constructed of Kind of foundation Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor hereby submit all the plans and specifications and for no other purpose. Addition Repairs No. of Stories Roof Covering Amount of Permit $ ..__' - _Plan Cubage = _r Size of Building Lot • 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 y 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 t Date ; ` ` Read, Sworn to and Subscribed before me. Disapproved Date___ '•----_- \ Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Ch.iirman Member Member Member Member ...... Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. to me well known, //4' cek6k- 5 fi f e 6A /h fl /7 B 0 t; CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION ■9 113 Miami Shores Village, Florida, Owner, Agent or Tenant of Building Lot Block Subdivision Street Address Approved use by occupancy Remarks• This Certificate of Occupancy is issued to the above named fcr building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUILDING DIVISION = 1 — ° PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIP`. NUMBER J %— , �. —\ l ,a 1940• 0® // I % ' r M ` / / . i_ ' ALL ' % f 41.6-4 - A_ i ' 1.4 ' 1941 -So re) 1942 J. — /o -`;' , A S „ . � I 1943 �- /0 . — ®E . `4 °• � % %��' ,:/ ��, »%, 1944 1945 r 11 • ; aaa /O. C_C �`' ,� ' i . ,y f ,, _ t / _ P;!.. er( (c ' 4 , o ,,,ir . _ 1946 U G 1947 /.-- G tv' ' *, :'-ii . Q c f v 1948 0 ° 0 0 /,'.-- 3 0— V /- / -i, /pl e/ ,S ° d 9' P p /o ' � f -Y Z / /i ",i1W` y E ,P -6— Sv / ' ,14/ y I /$ it CS, et 1949 '' if ,t .. 1950 ,' LOCATION V 0 , J GARBAGE TAX RECORD 278 N. E. 97th St. by 0. ? 1. llarbert C . A ). , i! n• year annual tax 951 period used amount paid date paid / 2_ ery e:© receipt # lt ¢a Vi 4 O 9 MIAMI SHES VILLA BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date C OJAV 5 Type Insp'n F.VVA: ' C' ' ' ' ''. Permit No. lg 10i 1 \VV Name h,\Mi, 5 Fit 3 Address 11 ° 51 Company tiwr Phone # �� R6R ° 31 al Inspection Date kol Approved Correction Re- Insp'n Fee Date Time �/ Type Insp'n � Wel , Permit No. P 2 Name Address — Company Phone # pprove For Inspector: Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Name & O6)5 a5 0 /. -2- Ziv 3. x'11. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date (),C) b 1D5 7 Type Insp'n 5 /0( Permit No. � � lco 5 • 1 � Name KI A aB(L Fiir5 1 Q 151 147 -3349 Address V155 i\J E Company . Phone # ' D, - Z.S ( - Z. 65 (o$1F"?' t Inspection Date ApprovFd orrection Re- Insp'n Fee Ar p c r G /J eL-1 c 7:2-< MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date__ Type Insp'n Permit No. 2 R i 4-?fD 5W016/9 Name °°�� Address C9" Nis on Sr S-- Company Phone # Inspection Date Approved Correction Re- Insp'n Fee zq39