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279 NE 96 St (6)) ° .•, 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. L c I • ' 17 1;2 d-a-7 -2-11s3 7,42, to" e, •-e): / etc,. 9, Ailf1.7.9 3 7 fI Ig 5 (:).0 J . 8 .. 7 .. G 22 s 4 " 3 5 2 5.G3 I E IS So. o2 1 CD 17 18 5002 1e 25a 0, 5.0. 21 50.0Z 22 So.o2 2.5 5 uJ 2 Order No. P 10 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) .• r , 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) ° • _,,,, .. 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 ) ( 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