279 NE 96 St (6)) °
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MIAMI SI-HI ES VILLAGE
BUILDING INSEEC 'ION DEPARTMENT
APPLICATION FE:iiR 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
State work to be done and purpose of building (by floors)
1 via _ 2 '154y44- 1—es
STATE OF FLORIDA,
COUNTY OF DADE. j SS '
Disapprove r — D
(Signed) ` -
l&o,1
6
Date - ^ 19
.Plan Cubage -d "�
a
Registered Architect and /or Engineer.. _ - %,-4..
Name and address of licensed contractor. _ W l % N _ __ S . ___C_ RP e C.iL . ���� _ — � _.� Lii) ._ s)---q-J- a: Ai : N.ry:)..3
Location and eg d 'ption lot to be built on: '
Lo. ZQ t' / / ..^ ' Block 3 0
Subdivision--. t . / t_ � I • • /
Street and Number where work is to be done 2 . 1 9 � t E b
and for no other purpose.
New Building ` Remodeling Ad tion Repairs__ No. c crnries
To be constructed of S Kind of foundation 1-uC`— f covering
Estimated Total cost of improvements $ 42 n� 'T Amount of Permit -
Zone cubage required /N,
Distance to next nearest building
Maximum live load to be borne by each floor
I hereby su it all the plans and specific,,tions for said building. All notices with refer-nce to the building and its construction may
be sent to. - - -L. - �I�� e
Size of Building Lot
Notary Public, State of Florida
L-
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup lenient,
and has complied with the provisions thereof, and will require similar compliance from a ontractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for ction on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only ch ntractors, on wor to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signe
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 z,.01 Permit No __ _ _ __ __ _ .. Date_ Read, Sworn to and Subscribed before me.
Building Inspects' My Commission Expires
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
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 correcrions 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.
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Order No.
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12
15
P' Pe '
Order No. 81876
F.B. No. 1409
NE.
07
R E V I S I O N S
Date 1 Field Book 1
ST
ST.
Date: December 9th, 1966
Scales Shown
Signature
Reg.Lana burveyor#
C)
L4
2
S cale'I "=10C
SKETCH OF SURVEY
Lot 20 and the East 1/2 of Lot 19, Block 30, MIAMI SHORES SECTION NO. 1,
according to the plat thereof, as recorded in Plat Book 10 at Page 36 of
the Public Records of Dade County, Florida.
I HEREBY CERTIFY: That the attached "SKETCH OF SURVEY" of the above described
property is true and correct to the best of my knowledge and belief as recent-
ly surveyed and platted under my direction.
SCHwIBKE- SHISKIN & ASSOCIATES, INC.
Y.Pres.
Registered Land Surveyoir # /715
State of Florida
Reg.Land Surveyor# State of Fla.
orate or rla.
Reg.Lana burveyor# stare or rla.
Reg.Land Surve orff State of Fla.
STATE OF FLORIDA, t .
COUNTY OF DADE. i ss.
Disapprove
(Signed) ..
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement are ene 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 iuilding 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 RiV
Registered Architect and /or Engineer
Name and address of licensed contactor 4 .
Location and legal description of lot to be built on:
Lot Block Su . ....._ 0 _
Street and Number where work is to be done
Stet work tR be done nd par s -of brain y floors)
Building Inspelrtor
Date...
lT
Repairs..
New Bui!ding Remodeling Addition
To be constructed of Kind of foup ation Roof
Estimate Total cost of improvements $ .. _ Amount of Permit t.
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 lahur 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
pcnnit, as are licensed by Miami Shores Village. G� l Y—lt Remarks (Signed) r
Q
and for no other purpose.
o. of Series
Notary Public, State of Florida
My Commiuion Expires ......._...
Before me, the undersigned authority, a notary public, duly authorizcd 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 fads
therein by him stated are true.
Permit No 3 ) 2� Date > A > Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
Citainnan Mcmbcr
M erober Member —
r .. .. 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 hero obtained from
the Planning hoard.
A re•in.pection 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° 1708
Miami Shores Village, Florida, 4.21
Owner, Agent or Tenant of Building DANIEL sca im (5c_. 1 ► At ► V
Lot 20 , ^ Block 30 Subdivision 'liami Sho�'e8 SCC
Street Address 279 N.13, 96th Street
Approved use by occupancy 3 Br. 2 Bath Veg.
Remarks'
This Certificate of Occupancy is issued to the above named ow
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 pert• • ing to
the erection, construction, alteration or remodeling of buil ings oytructures
Plan Cube 22,387.45
IN DIVISION
ITEMS
SUB CONTRACTORS & SUPPLIERS
NAME & ADDRESS
1. Architectural Fee plans
47` ° - Ar '.l i
2. Asphalt (walks, drives, etc.)
3. Cabinets - Bath Vanit
ak
4 Cabinets - Kitchen
yy�� %lleW l" Wirdrff rim
5. Cabinets - Medicine
6. Cabinets - Unit Closet
7. Cleanin:
�� '
8. Clearing Site
. �,
9. Concrete - Foundation Slabs Beams
Q-c.t..pt.at , d C+.'..e.;6
10, Concrete - Walks drives. etc.
it
11. Contractors Fee
12, Electric Fixtures
All__;�
13. Electric l lirin:
14 Eg4pment Rental
rS ' d « /J _'�Tr�
15. Excavation
16. Fill for Sl..
� JIME Ir
17, Floors - Finish wood & kitchen
•
18, Floors - Terrazzo
19. Gara:e Doors
20, Glass Slidin: Doors 4- - ftwommerionownegnm
21. Hardware - Finish
1 - A-�- L ..' _ . .�'
,t w
22. Hardware - Rou_h
23. Heatin: ¢- 4 .C.
1 i i iiiP" �.:._ �M
24. Insurance - Liabilit com.. -bond
//
25. Labor - Pa oll
6. Labor - Contract
INITA / a
27. Labor - Contract
28. Landsca in Fill. Gradin:
4
29, Lath, Plaster, Stucco
,_ _ n " , c', 4,, .r
30, Lumber (A11)
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IIILVIMIINMPIPWAIIIIIIIIIIIIIIIIIIIIMIAI
31. Masonr • Labor
32, Masonr Materials Block
/ / , . ", r '-
330' Millwork
k /
.34. Miscellaneous
35. Ornamental Iron Work
.
36. Oven & Plate - Built -in
37. Overhead
•
38. Paintin:
39, Permits Temporary Power
IMIESW� i II S
40, Piling (Foundation)
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•
_,,,, .. e.e
41. Plumbin: Com.lete
42. Pool - Swimming
Ft
43. Roofing & Sheet Metal Work
....11L...- d'i � + . ' o,1.� AMMO _
44, Roof Trusses -Pre -fab.
/_fie _ - " - ! I I I WZ
MIIIIINIFA U r
'
45. Screen Enclosures
-
46, Se. tic Tank or Sewera•e
47. Shower or Tub Enclosures
I' ' / I, r_',
48. Steel - Reinforcin: & str1.
7" ,/
49. Su.ervision
50, Surve s
- _. - 3A i
51. Tile & Marble
t_ , �' , �, P f/ /
52. Water - Public
53. Water - Well & Pump
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54. Windows - Glazing & Screens
, - .... aw
55. Window Frames - Concrete
,. Buildera Bond Must Accompany this Application for Final Inspection
Prior to a final inspecti n this application must be filled out; if sub contractors have
failed to take out permits the general contractor shall 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.
JOB ADDRESS L l 7 )i ` C i 1: • it 4
LOT01- j ` LOCK 3 SUB.
OWNER 0f.A,
BUILDER
MIAMI SHORES VILLAGE
APPLICATION FOR FINAL INSPECTION
DAY LABOR CONTRACT DATE Li-
/
19 ti
TOTAL
1