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30 NE 97 St (6)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 April 20 I9 61 Owner's Name and Address ._.... T -- ...M ._L No..__30__I1?....E.. Street 97th, St . Registered Architect and /or Engineer Name and address of licensed contractor Location and legal fle iription of lot to be built on: Lot J Block Subdivision Street and Number where work is to be done .3n.. '. - ..E.....97G)1._..r? State work to be done and purpose of building (by floors) Bathroom i Story Addmr tg R si- ence Z- Ply built — up asphalt and gravel roof over wood deck and for no other purpose. New Building Remodeling Addition Repairs No. of Stories o To be constructed of Kind of foundation Roof Covering _....Gr Estimated Total cost of improvements $ .125.OQ Amount of Permit $ 5..00 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 _. L submit 77all ll * the plans � and / specifications T ff L�4 or / 1.. 11. 4 said building. All notices with reference to the building an`d its ay construction m b e sent to _. LA 1''ri_11A1� ! r- 1. l'. 1Z. 11-1-.. U._ y __. ).._.",. 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, 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 ubcontracto on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks. ----- -- ____ -- 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 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. . isc 2 - Disapproved _ (Signed) (Signed) dt_.r Chairman Member Member ui7d Insp tor Date D 2(--V Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. e.Cato 77E. W1. 135th: Miami Shores Dedtion Read, Sworn to and Subscribed before me. LANNING BOARD DATE Member Member Member Disapproved or changes to this application after approval to me well known, Notary Public, State of Florida My Commission Expires has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty Date .BUILDING PERMIT RECORD MIAMI SHORES VILLAGE FLORIDA Application is hereby made for the approval of the plans and specifications herewith submitted for the building or other structure hereindescribed. This application is made in com- pliance and conformation with the Building Ordinance of the Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all Ordinances of Miami Shores Village, and all rules and re3ulations of the building Department of Miami Shores Village, shall be complied with, whether specified or not. OWNER l ! ' APPLICATION 1, - ARCHITECT �'.; ;', CONTRACTOR ( LOTj -t-1 . ` BLIC ? SUM IVISION1f , -5 ' , -(!- 2 kSTREET i NEW' *ADDITION REPAIRS NUMBER OF S T ORIC 'ROOF �• COST (excluding Architect's fee, landscaping & garage)$: Building to be used for /''/( %r- !, ° -. and no other use. I hereby submit all the plans and specifications for said building. STATE OF FLORIDA) COUNTY OF DADE ) Signed /. 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) My Commission expires Secretary Building Inspector DATE Cubic Feet/ Cubic feet required in this Block. PLANNING BOARD Cha i rma:. Member Member /C .:, 7 72 e Permit No,. Issued to, Date /�. Electrical Permit No. Plumbing Permit No. OWNER'S NAME . .IV ..u. AS M . it.„ ► N PRESENT ADDRESS 3. A.N. � . `11 `'I. LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 3e ►J - C.- , S+ LOT 41 b... Io BLOCK Cc. SUBDIVISION :4J4 ►4 vA.♦ ' ,.iS ` J Z Z GENERAL CONTRACTOR 4,•+'S,o_eY LgT ADDRESS PHONE NO. LICENSE NO. a-SS BUILDING PERMIT NO. 1 ; DATE 4 -3 - (+( PERMIT FEE S 142 BUILDER•S BOND NO. DATE l�aO�T.e� ZONE REQUIREMENTS CU. FT. ZI►a da�.,E 611A A. PLAN CUBE aSa• iii CU. FT. y EST. COST S Too ♦ ,( DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BYr�.• N • •rO�.e 1 +. DATE l 4.• S • L, NEW CONSTRUCTION TYPE ■-A STORIES a..a E, ROOF CONSTRUCTION b ... . ... T 0 INTERIOR CONSTRUCTION dAit+4 At ca.t.., -e ADD. REPAIRS DESCRIPTION a1 S < f∎,Oeea S '�'....E ,.J.- . 'to r,� 7 ,,,,. (2 l.4 uTE .e0 4-4.v.% 4 0.-1 7 ALTERATION d DESCRIPTION ADDITION : t A S f 2 %.41. { r• .'b„ ... SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS y CERTIFICATE OF OCCUPANCY NO. / Z 3 / / I ISSUE 7- I " `/ BY � L //' TO P "•o , -• ilea l BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION TEMPORARY SERVICE ROOF DATE FEE II�, "' J� �3EAMS & LINTELS I4 -4--4/ £Ut6 POOL no � SEPTIC TANK fSC 1 FRAMING 1 4 S a AIR COND. 4 2- SEWER FINAL RANGE CONN. CLEAN UP $ SLAB S FIXTURES $ $ SLAB FIXTURES & FINAL- S $ SOLAR HEATER SPECIALS PERMITS DATE PERMIT NO. DATE BY FEE TEMPORARY SERVICE ROUGHING DATE FEE $ no � SEPTIC TANK fSC 1 O - TlC T 0+-9(L� 1 4 S a $ 4 2- SEWER I RANGE CONN. SEWER $ SOLAR HEATER S FIXTURES $ $ GAS FIXTURES & FINAL- S $ SOLAR HEATER INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE $ TUB & TOP OUT (_ 2.© -4( �p v"if4 $ RANGE CONN. I RANGE CONN. SEWER MOTORS S FIXTURES SEPTIC TANK $ FIXTURES & FINAL- S SOLAR HEATER FIXTURES GAS CONTRACTOR Go(.., Fy ,t) Ear-c-c- �• PHONE PERMIT NO. As I DATE 7` . /- 7-7- C( FEE $ , NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. H. W. HEATER CONN $ RANGE CONN. I RANGE CONN. $ MOTORS S FIXTURES $ FIXTURES & FINAL- S INSPECTIONS DATE BY RE-INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN - I RANGE CONN. FIXTURES & FINAL- 'i 2 L4,4 F,a� ' �. - - - c -.,. BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS CONTRACTOR . R ALM PHONE PERMIT NO. 0.-S2 1 DATE NEW BLDG. ® o m FEE $ d 1 ALTERATION I ADDITION REPAIRS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 1299 Owner, Agent or Tenant of Building Lot 9 & W 10 Block 6 Subdivision Miami Shores Sec. 1 Street Address 30 N.E. 97th St. Approved use by occupancy Bath Add Closet Addition Remarks 1 J 33 This Certificate of Occupancy is issued to the above named 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. Plan Cube 1358.87 Tax Value 679.44 Miami Shores Village, Florida, 7 -26 -61 DR. T. J. KAiN BUILDING DIVISION BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE /6" C:, Cj 194_1 Contractor's ` t License No, PERMIT N? 5947 Work to be performed Owner of Building Architect Contractor or Builder Legal Description Address of Building This permit is granted to e con • • or buil er named above to construct the b or to install the equipment or d ' 'ce bed in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in . s ' pliance with arty plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Peea�nut 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 condikion upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibi 'ty f • a thorough knowledge the ces and regulations pertaining to the work covered hereby whether shown on the plans or drawings pr , • the s • ` s or .. ecifi out and a `• es respon- sibility for work done by his agents, servants or employees. f / (-7 -d3 ci\ under this Permit /r/4"711"/ Signed. l 1444 Subdi- vision Value of Project i r vvil < / In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of g this permit I assume , • • • i bility for all work done by either myself, my t, servan aY 0 S, 4)6 em e e. Amt. of Permit .i e By. ces and regulations Shores Village. Name and address of licensed contractor 0 W A/0/ Location and legal description of lot to be built on: Lot Street and Number where work is to be done / U -N ,% ?J AJ 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 building 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 q- i 2. 7* 191 Owner's Name and Address O �y e / Q ' �T ` /I / ` 5 (��+ j 1 ,4411044-1 Street' LI'� ,/ � 3:w? Registered Architect and/or Engineer Block Subdivision `54 ?7 97,E State work to be done and purpose of building (by floors), state exterior colors (submit samples(, pO A&C V ) op 1-r' o flee Ai 026• and for no other purpose. New Building To be constructed of Estimated Total cost of improvements S 'IS. 0 t' 0 Amount of Permit $ Zone cubage required Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all 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 obligatons 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 taus • . be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agree employ ' such subcRntrac on work to be performed under this permit. as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. Disapproved (Signed) Remodeling Addition Repairs Kind of foundation Roof Cover'ng - Date Plan Cubage ty$ No of Stories Read. Sworn to and Subscribed before me. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Date Notary Public, State of Florida 1, A1' 1'1_Fr:,;N.1:__I'I'e:!•1sOF CII:'.i':'i•h 36 S.I'.I;. nODE RE: 1N'rl ti;IoN AND 1t11Rt,1 :.: :Y SECURITY 1. Ali l.o�'1;s on exterior door:; :;hall be capable of resist in}, a force t)1 7 direction and in accordance with resistance standards set forth in Metro Code 8 C. 2 All sinc exterior ' wi_n}; doors shall have aluck to !)e.• key operated from exLeri.ur with r min. of 6000 possible key change:; or locking auxiliary single dead bolt with hardened bolt inserts. 3 The active leaf. of na i.rs of exterior swing doors shall have same I(5_ks as required for single exterior swing door:;. The i nactive leaf of these pairs of doors shall have multiple point locks with 5/8" min. throw bolts with inserts. 4 Sl i.diny Mass doors shall b 1 :ovided with sliding door dead bolts or a belt or pin not rernovaL or operable from exterior', at the jamb, head, sill or at meet i rg mullions. These doors :;ha11 be reinforced in t.he strike and lock area to maintain bolt strength •ef fr•cr. iveness , if necessary, sary , and such doors shall have no screws removable from outside which would facilitate ready entry from outside. 5. Not applicable. 6. Hinges on exterior out swinging doors shall have non- removable pins. 7. Jambs of all exterior offset type in - swing doors he rabbetted, or of similar fabrication, to prevent defeating the purpose of the strike and the integrity of locks and latches. 8. Sing 1e ,__ swinnin , e)jreerior doors, if wood shall be solid core of not ress Ulan T 1 o Thick. 9 Glass and exterior di rs shall comply with the American National Standards lnstitute's - Standard 297.1. . 10 Vision panels in exterior doors other than glazing within 40" of they in! ;ide locking ae.ri•:at ing device of loose and :;wi.n}',inr, doors shall comply with American National Standards Institute's - Standard 297.1 l,l . Sl idinv glass doors and wind ws shall he installed and constructed so that no panel can bc� Iif Ffrom the tracks when in the locked position and so as to comply with the Architectural Aluminum Mfgs. Assoc. Standards for Forced Entry Resistance, AAMA 1303.3 12 Not applicable. 13' Not applicable. S C sy + 14 Front main enntr ,!,rc(_. .ioors be ,provided with :.t Joel .,c::p or vision panels. 1 5 . Doors :ind windows 1 'i •, le O ron 1'rodn t : (or 1.f i na 1) ; i i ci inl; dou.. No. 5651, awning '. ,.inuc,w No. 5704, horiontal rolling No. 5/13. PROJECT NAME AND ADDRESS: •, BUILDER: ►N/V ~A , rte �� N€ �� T PERMITT - /.e l CLIMATE 7 r j 8 (�GY 9 j ZONE: LJ l(/� Li --. M I /} i S I�DA't5 ( / itvl 1 SHO R E$ ; OFFICE: V 1 L 4 f} , OWNER: J,// R 5 ► v PERMIT NO.: JURISDICTIO NO.: i_... I2 3, J a RENOVATION .ADDITION ❑ IF MULTIFAMIL" NUMBER flF UN TS COVEPEG BY .i,NDITTJ4f D :t.YIR AR'A •• Z , i ,..., SO FT NEW cuss AREA AND P'PF CLEAR TINT FIL1.' SOLAR SCREEN SINGLE DOUBLE- REJOM I ANT pvE LEI LE�hANG I CP. O� I I F T PANE 1 (SC 6 F1 SINGLE - 1 1 I PAN ISO F' MULTIFAMILY ATTACHED ❑ SINGLE - FAMILY DETACHED ❑ THIS SUBMITTAL 1 , I'G',(,n ';.EaHAN;, ;FN`,,T -_ FT PANE SO r1 DOULE- PANE 1 1 1 SC 1 I ' FT FOR ADDITIONS ONLY PERCENTAGE OF GLASS TO FLOOR WALL TYPE AND INSULATION CEILING TYPE AND INSULATION FLOOR TYPE AND INSULATION WOOD FRAME T MASONRY MASONRY UNDER ATTIC: — WOOD EXTERIOR �j r P = L_.� L. EXTEFIGT �' , = 5 . )J4CENT -- T — 01 R, RAISED [1 R = I 1 I RA ISE D P = (�J _ r l • J , , ADJACENT 7 COMMON r , R = - ' I ' SINGLE ASSEMBLY R = - COMMON 1 r; COMMON L �' % CJM4 +G I: — ' H = C OMMON: R - I / _ • v SLAB -ON- � '^ I� G RADE: P = '� L� . DUCTS COOLING SYSTEM I'EATING SYSTEM HOT WATER SYSTEM IN - UNCONDITIONED SPACE R - ❑ CE if NONE ❑ ROOM ❑ PTAC NEW SYSTEM F - T S E ERIEER - ., ❑ ELECTRIC STRIP ❑ HEAT PUMP ��--; r lI NATURAL GAS L_' ROOM /PTHP u OTHER FUELS 1 $11 NONE El NO NEW SYSTEM r i - COPIHS�F AFUF =- }� Imo! ELECTRIC U NATURAL GAS El OTHER FUELS ❑ SOLAR ❑ HEAT RECOVERY ❑ DED. HEAT PUMP 1 IN CO SPACE R ❑ NO NEW SYSTEM EF = rl ) SF /EF = _ ,.1 NUMBER OF BEDROOMS = [ LI In accordance with Section 553 907 F 5 . I nereb/ certify that he clan, and specification covered by this calculation are 'n Lom,kar._e with thv Florida Energy Code. �.< OWNER/AGENT. /. ieltd -s? Review of the plans and speahcattons covereo by this calct.Iailon indicates compliance with the Florida E :r. Code. Before construction ;s cxs:pteteo. th building ldrn will b inspected fo , ,• ianc .m accor^;nce with Section 551 X18 F.S. BUILDING OFFICIAL: DATE 9 — / r3 '—" � ) �y � DATE: 1 l x TABLE 10A MINIMUM REPUIREMt:YTS FOR SMALL ADDITIONS AND RENOVATIONS COMPONENTS SECTION 1 REQUIREMENTS WINDOWS r'■ 904 1 1 MAXIMUM OF 0.5 CFM PP L;'.EA.1 FOOT OF OPERABLE SASH CRACK. EXTERIOR 8 ADJACENT DOORS _ 904 1 SO ILIL -ORE. WOOD PANEL, INSULATED OR GLASS DOORS ONLY MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR APEA. INCLUDES :.LIDIir� GLASS DO'S =.5 t/ �— EXTERIOR JOINTS /CRACKS _ 1 904 ' ,G JE CAULI'.ED C TED wEA1RERSTRIPPED OR OTHERWISE SEALED SOLE 8 TOP PLATES i 903' SOLE PLATES AND RENETRAI'�Nj1H90UGH TOP PLATE$ OF EXTERIQR WALLS MUST SE INFILTRATION BARRIER SEALED 903 2 INFILTRA r ION BARFIIrrT MUST BE INSTALLED IN EXTERIOR WALLS 6 RAISED WOOD FLOORS. ��� 119/ INTERIOR JOINTS /CRACKS 903.2 ALL OPENINSS IN INTERIOR SURFACES OF CEILINGS AND EXTERIQR WALLS M T B A ED. FIREPLACES 903 2 FIREPLACES MJST HAVE FLi'E CAMPER LASS t • AR AND • TSIDE COMB ST • •N AIR INTAKE EXHAUST FANS 903 2 EXHAUST FANS VENTED TO UNCONDITIONED SPACE SHALL HAVE DAMPERS, EXCEPT FOR COMBUSTION DZVICES WITH 1 INTEGRAL EXHAUST DUCTtvORN WATER HEATERS 904.2 1 1 MUST BEAR LABEL INDICATING OLMPLIANCE WITH ASHRAE STANDARD 90 OR COMPLY WITH EFFICIENCY AND STANDBY LOSS RECUIREMENTS SW. ° C!- OR EARLY MARKED CIRCUIT BREAKER (ELECTRIC) OR CUT -OFF (GAS) VALVE MUST BE PROV'DED AN EXTERNAL QR 914ILT -Ili HEAT TRAP MUST BE PROVIDED / A l /� r ✓ SPAS AND HEATED SWIMMING POOLS 904.3 SPAS AND HEATED PGi,L3 ML CT AVE COVERS (EXCEPT SOLAR HEATED). NON-COMMERCIAL POOLS MUST HAVE A rPUMP T.MER GAS SPA 8 PC':L HEATERS MUST HAVE MINIMUM THERMAL EFFICIENCY OF 75%. HOT WATER PIPES 904 , �I •VSULATION IS REUJIRF'1 ON! FOR RECIRCULATING SYSTEMS INCLUDING HEAT RECOVERY UNITS L'• SUCH CASES PIPING HEAT LOSS -H.ALL BE LIMITED TO A MAXIMUM OF 17.5 BTUH PER LINEAR FOOT OF PIPE SHOWER HEADS 904 5 WATER POW MOS BE RESIRI.TE2 '0 LO MORE THAN 3 GALLONS PER MINUTE AT 80 PSIG HVAC DUCT 903 2 CONSTRUCTED IN ACC kDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHNICAL CODE. JOINTS IN UNCONDMONED CONSTRUCTION 9(14 6 I SHA BE ; EAL-.2 T iil'Aa BE INSULATED TO A MINIMUM ✓/ � % _ OF R -4.2. HVAC CONTROLS 904.7 A SEPA.EATE, READILY ACCCSSIc.I.E MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM PENOvA TIONS ONO GLASS 1Q030 . MEFT,) THE RED' ^II EM :'.TS 0: `1C 1 0'03 0 SEE STEP 3 OF PAGE 2 OF THIS FORM FORM 1000•C•89 SMALL ADDITIONS AND RENOVATIONS FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION SECTION 10 — RESIDENTIAL PRESCRIPTIVE COMPLIANCE METHOD CLIMATE ZONES DEPARTMENT OF COMMUNITY AFFAIRS SOUTH ' 8 9 COMPLIANCE WI1H SECTION 10 OF THE FLORIDA EN:RSY EFFICIENCY CvDE MAI BE DEMONSTRATED BY USE OF FORM 1000C-89 FOR ADDITIONS OF 60( SQUARE FEET OP ! ESS ANC RENOVATiDNS TO SINGLE AND MULTIFAMILY RESIDENCES ALTE; METHGt.S P RE PROVIC.EL' FOR ADDITIONS BY USE OF FORM 100 -89 OR 900A -09 Renovations Existing Buildings. 1106. Ptesoriptive Requirements tor Small Additions (600 So.Ft. and Less) and tor EFFICIENCY INSTALLED INSULATION INSTALLED 5 MINIMUM INSULATION R -5 R•11 R-19 R -11 R -3 R -30 R-19 R -11 No Minimum R•11 R•5 R•11 R.4 2 No Minimum ti ( • 2 r i EOUiPM "N' Cenral A IC Room unit or PTAC Ele Inc •es Electric 'esistanc? G ratu•ai o• orooane Feel Oil SEER EER MINIMUM EFFICIENCY :,EEF = 9 0 EER = B 5 ANY Heel pcmt : o' - 2 7 or HSPF = 6 4 Room nt :r OT..P CCP 7 2.6 or uSoc = 6 1 Gas na:un' or Oropi.r2 ' FUE = 70 F'.el rn' • AFUE = 70 EF = 88 Fc = 54 Ec = 54 COPIHSPF = COPIHSPF = AFUE AFUE EF EF EF T '0VP'. NENT .c ~ •rte w'1I•ame2' x .vood !tame 7' x 6' :ommon Wood !came' '.ommon Mascnry' ' 2 :IIc S,nme asFim„ly ,pmmon WnoG !'time' ;rat• -0r gr.ae R :,HeC woad Rarlsad cam:iere C^•Tr^on Wood' "ame' m ,,nccnC vac" ( 'n cand."or ed space •0 •:e••roanems are those wr Icn separate two conditioned living units in a multdamiIy cui'o.ng ktE taC. Prescriptive Requirements for Glass Areas in ADDITIONS ONLY (Renee ?tion!•sae 3 below) m pert 'tags glass to floc- area allowed is selected by type. overhang length. and shading coefficient See below tin T CLIMATE ZONES 7 8 9 GLASS TYPE, OVERHANG. AND SHADING COEFFICIENT (TINTING) RECUIRED FUR G LASS PERCENTAGE ALLOWED 20°%° UP TO 30% L'D TO 4n % UP TO 50% Single r Do. ble Double Double OH :.0 0' - 90 Single OH - SC 2' -10 1' - .86 0'-.65 Double OH - SC 1'- 90 0' - 70 OH -SC ON- 3' -1.0 2' - 86 1' -.65 0' -.45 2' - .90 1' -.70 0' - .5C' Maximum % = 30 Single OH - SC 0'-.35 Srtadtrg coefficients (SC) may be obtained from the manufacturer of me glass Typical s. a; Ing coetlic enis are: single -paned clear SC = 1 0 double -paned clear SC - 90, and single -paned tint SC = .86 Installed %= ¢5 OH - SC 3'-.90 2' - 70 1' -.50 0' - 40 • ".3\ ,s used tc .om; v :^.: following types of construction .'.ALL ADDITIONS TO EXISTING RESIDENCES. Additions which have 600sauarefeet rte, sol co; d' ticned area - nay !- ompw with the Energy Code using this form The prescriptive and is r TaDles t 0 10E Y. 00 apply only to the components of the addition not to Ine exist 19 pane .Ieat,ng :0011 and water heating equipment efficiency levels must -,a! Only wnen ec jtoment s '� s!a'ied specifically to serve the addition or is being mstalied In cc ction with tr,e addition :on;tru :tics Components separating unconditioned spaces Iron) ac "•E space's mu r - et tre c rescr bed minimum insulation levels v.\L TIONS Resorta c. ngs ,;ndergoing renovations costing more than 33 ° : of the assessed "awe of 'h= b. ^Id.Ig must comply with the Energy Code using this form The .ered:.:reme ".!5• Tate: 13■ and 108 apply only to the components and ea—omen' being 'er..aie3 r reolacno - "IIEJ AL DIRECTIONS: • : e^ c,ce tilled INSULATION INSTALLED inoicate 1' E R-va e I the r.s 31.0- JE :.10 addeJ!^ e'cri component On the right side of Table 10B Indicate me • . , sec sO' I e r�' - e��g Installed in the column tilled EFFICIErIC'' ''.('ALLE: 4i' R- 12,c,. a' d L livencies In.'s' ,� mutt meet or exceed the minimum values prescnoed • "!'cod .1 riot; mtl Ir' " i' ccnponent Components and equipment neither 08 rna awe.: nr' L^ ri: te: ma, be lc ; gram Act-rots ono, DeIe'r,Ire Ire percentage 01 new glass 10 conditioned II00r area '1 the audition as t' 0 . ;dia. Ste areas c' al' glass windows sliding glass doors and glass panels in vi'n,.r. 31E 1ro•_ than - of 108 area of the door Double the area of all non - vertical roof glass and add It tc - rte pre.Ious total Wnei1 glass in existing exterior walls is being removes Dr a-, ,DtM,It nitirm a1 amnun' equal to the total area o1 this glass may be subtracted irc m Inc Iota: y :a'•s are Divide the ar1t sled glass area total by the conditioned floor area of the ..77.417 Pl'_Hlply 0 . 10 to got the percent Find the largest glass percentage under wnlen your ca culated : er•:entag: lads c 1 Tobl2 ' 00 For example. 29% glass would quality for the "Up to umr Prr - -onnves a :e given by the type Of glass (Single or DouL* panel and the overnang (Or c3're1 with a ,hading 0e:t ent 'SCI Any pair within the selected "Up To ties „ ._a11aae For 2 given glass type and overhang the maximum shading coe,flicieO! a 'lowed ., sce: Thee Indicate ,ne category Into which the percentage falls in the box at the top l ,murr = 'nine next column titled "Installed Indicate the calculated oerce stage of class .r he addition Act' iai glass windows and doors previously in the exterior walls • ar1d : the addition do not have to comply with the overhang and >hacinO coe!' ent iequirements on Table 10C All new glass in the addition must meet the - 1 ,"'?' 21!S Iorotr; =,tthe opt'ins Ir. ;he glass percentage category you indicated Tne ovemc ng pH) d._lance''s r perpendicularly from the face of the glass to a point directly • • -• me C•_IPr-rr ;•w d)e 01112 overhand 'ENCVA IONS ONLY. nni nl,ss areas which are being replaced as part oI the renovations r eed 10 ^lee: "e foi re ,ui'er^2r. s Any glass type and shading coefficient may be use :• -1sT yeas ,vP urdr' TI least a Iwo foot overhang and whose lowest edge ode , not extend turtle th.o. 8 eI trorn the cveili ng Glass areas being renovated that do not meet this • • '9' a Dee- rice :inglei Jane iir.ted double -pane clear or double -pane tintea ':••'c :12 r ^e "!'' Tnon red .,:sled on the too hall 01 page 1 '' ^ ^ H :J Ii fl!p I omal Additions and Renovations Table 104 or pane • a -c cnecli 10 inJicate ynur mtertion 11 rcmply with all applicable items - 3: 5 c' 3 leN • 04:1 - - agent certification statement on page 1 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date . ff Job Address ., , f 7 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant ,/,-2/4 � ate Master Permit # 3 Owner's Address 3 /v P i 97 — � !�_ Phone 7 .S6' - .5' .- 2 S Contracting Co. DG!//��� Address _ Qualifier 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 *C /4) Square Ft Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT z/C2. RADON APPROVED: Zoning Buildin Mechanical 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. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. V 74, ; •404.--- --- e of Contr" or .r Owner-Builder Date (pu Ckyj,,, i/4?/9 Notary as to Contractor or Owner- Build � Date My Commission Expires: OFFICIAL NOTARY SEAL 1P�Y pose, BARBARA ANN FUGATZI C� CamMISSioN NUMBER tiaj, a C C723468 1,A COMMISSION EXPIRES MAR, 29 2002 C.C.F. • 1p(/ NOTARY " ' BOND 3 O4, Electrical TOTAL D L/ Plumbing Engineering 1 r SKETCH OF SURVEY Scale la= 20' /5, S' S / d e. MY n / /t > r .97 9 7 --//- G . - '1. 75 x7' 1 4' � C \CI. 22.4 /3.4 .___ _.. .. - -'57 - - - -- / /.O CiL° /G . w75 \ ' 0 0 is L ` /ir a � 1 P� ; /5' L. . Y' ^9 , moo vim G/ 6 1 am' Shores Village, Fla. OWNER ,,V P • ADDRESS 300E: 7 s 1 INSPECTION / /t l ?/l 1 TIME READY o( , PERMIT NO. 7 CONTRACTOR 64 , J'vl.Q/1/ DATE TELEPHONE NOL3OV) 25 ' arP -C> 7 • INSPECTOR DATE liZtat ca atar4.a,,e alad 4, a tisuit h.e fa ',� /-5 f Date 1 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE • ob Address 3 0 . 4' • J Tax Folio Legal Description ,, � •- y #� _____ Owner / Lessee / Tenant t �� li �'�!mil p l (C_ ` �Za Master Permit __ Owner's Address /�, ' • l 1- S Contracting Co. / e/ G„ef,Oge Qualifier f VIe/ l'SSit 5Phone State #!�tAc''Ve # / Competency # Ins.Co. Architect /Engineer �� 7 / � "t Address 74/ d� � /9 Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ji��7 � /� J �''� Square Ft. Z--- 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. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work Signature Date Not My Co ** * APPROVED: of owner and /or G`ondo President Zoning * S ndo President * * FEES: PERMIT 3 7 RADON C.C.F. Fire B Mechanical Plumbin Address /2.fr/ Estimated Cost(value) 2 'y 2- 2 stated. Date ) re of Co �� 0� A t . Date: : ���4G� ; p1 / CLm iro m tIC j - y� p 1'��\ :�U4�L �A Jul r:. VY f°Lh.•04i'1 �' "a+ Notary as o Contrac't9�.#e1����d�i�.` My Commission Expires: * * Phone 7 T `�` - i✓ n r actor or - * * * * ** 6 � - TARY TOTAL DUE Other Electrical Engineering SKETCH OH SURVEY 1 .?,0" • 57" _ ,- / a c,, 11/ Cl / k. 4* 77 '75. :, L7' .� `o T j r - - - --. °'°'a.'_ . 1 I t:\ / 5 ! `, + , "4 C,. '.. r9 '/Cif7_7 C� ∎•7 -/ ,^__ .rt F .O. Date: 76t7C 2 L - 6 4 LOCATIOrSj SKETCH A amid !L P ri : �� NOTE: NOT VALID UNLESS SEALED WITH AN EmBOSSED SURVEYOR'S SEAL. .7 rar " f ° .. - s, T r . ► p F5 � ; (.0 i 4-c-, i I 71 Fn± SKETCH OF SuR'EV M*. Kati:? inz woke.;; _ ti Lot 9 ar d the Lwat 1/ c Lot F, 6tccA 5, Ati` Af.(E?e:rED PLAT OP ;. 140', Sr1Qg S 1 + SECT . JP. KO. c.CLV o Lte'q to the r ti' _ r n ( 7 n D S �.� t cJt.2� Q.� �dP � �_3 .C.r. ;,�. ok cv;: Pa:,a, D c4 the P.E:Zcc Record: c'4 Da/e Cour.,t!,', FZoa„Wz. ..,:ci /e4z: . 30 k. E. 97.01. St•tee'_, Mumma, Shota, ?z. JUAN R, fARTINEZ & ASSOCIATES, INC. 8550 V. Ftagter St, Suite 105 Miami, Florida 33144 l) u'nt'ie: 552 °71 Scales as Shi WE HEREe CP.Ftr:FYo That t' ' SKETCH OF SURVEY' reoreserts the abc‘.e described property and is true and correct t., f. he best 01 our knowledge and brtief, and meets the' Minimum Technical /S/and iet forth, by the Florida t,+oard of Land Surveyors, pursuant tb, /Section 4172.0?7, Florida Statutes. �•r� _ BY..,. JUAN R. y.AXTINEZ, -'res. Pre4es3�ce 1'. �..a� Syh ey;,r tic.2 Stave of Ftoricz aaa ,kcE, t , ." • • , „ — d. • ' Pg. ' • .0;4" . „is.; :, ,.I .. ., . 41 , ..... - • ;., . • . `..,,, ,-(7, ' i' ,,, 4 ,... ,11. -•:,.. ... . :1 X d ' . 41)(1 (I ■Ally. . a " • . • at': „,e , ', ` e. VT: • k�- '00" OWNER LOT BLOCK SU N Y Date Issued For a_story aiami Aores F L O R ID A PLUMBING PERMIT N9 770 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. ./ building at ).' / / ,l f Fixtures Fixtures $ `b Sewer $ v r ( 5 \ ` Septic Tank / $ 1 /vr' Total $ / ` /E -. 445 '..)w Village Plumbing Inspector <<'" ,� •� ' f, Received Payment by OWNER'S NAME Ticttbr E. Kuglar PRESENT ADDRESS LICENSE NO. PHONE r"). , JOB LOCATION (ST. OR AVE.) 30 N.1. 97th St. LOT BLOCK SUBDIVISION 1 . GENERAL CONTRACTOR 'aul C. Harrison ADDRESS PHONE NO. LICENSE NO. �] 13023 BUILDING PERMIT NO. 2 DATE _ _ .00 PERMIT FEE S BUILDER'S BOND NO. DATE ZONE REQUIREMENTS CU. FT. 6�5 PLAN CUBE CU. FT. 800.00 EST. COST S DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: DATE NEW CONSTRUCTION TYPE STPRIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCR IPTION x ALTERATION ADDITION SUBMITTED TO PLANNING BOARD R E- SUBMITTED TO PLANNING BOARD 'UBMITTED TO VILLAGE COUNCIL addn. fob storage and utility room DESCRIPTION APPROVED REJECTED REFERRED TO COUNCIL REMARKS i P • CERTIFICATE OF OCCUPANCY NO. ' , / ISSUED 4 ° BY TO • a'". '.�,.�.� BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE REASONS INSPECTIONS DATE BY RE- INSPECT BY ® BY FOUNDATION DATE FEE TEMPORARY SERVICE $ BEAMS & LINTELS $ SEWER FRAMING SOLAR HEATER �,,���� , /Ir .. $ GAS . % fir ; $ INSPECTIONS FINAL BY y y� RE- INSPECT BY ROUGHING CLEAN-UP ILL���"�� GAS CONTRACTOR PHONE PERMIT NO. I DATE FEE $ NEW BLDG. I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK $ SEWER $ SOLAR HEATER $ GAS $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING GAS f/ SEWER SEPTIC TANK SOLAR HEATER FIXTURES CONTRACTOR ' . "' PHONE PERMIT NO. cJ _ � DATE FEE $ 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 f/ H. W. HEATER CONN RANGE CONN. t 4 FIXTURES & FINAL BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE B VICTG > GL :11 3� ;;L 97th Street GENERAL CONTRACTOR • t7, ner-- Luilder BUILDING PERMIT NO. ZONE REPAIRS JOB LOCATION (ST. OR AVE.) DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: JS 12/9/47 TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION NEW CONSTRUCTION ALTERATION X ADDITION OWNER'S NAME 5947 Convert Garage PFQUIREMENTS CU. FT. B inspector APPROVED S UBMITTED TO k49 / 4/ R RE- SUBMITTED TO PLANNING BOARD .JPMITTED TO VILLAGE COUNCIL DATE 12/9/47 12/9/47 9; u Same PRESENT ADDRESS 3 NE 97th St, LOT BLOCK PLAN CUBE 6 ADDRESS PERMIT FEE S 7.00 DESCRIPTION DESCRIPTION REMARKS LICENSE NO. NO. PHONE NO. • CU. FT. EST. COST $ into Bedroom and Bath — IIisc repairo. REJECTED REFERRED TO COUNCIL REASONS CERTIFICATE OF OCCUPANCY NO. ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE 7 -5595 SUBDIVISION BUILDER'S BOND DATE PHONE NO. LICENSE NO. DATE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 1 SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE BEAMS & LINTELS $ D PT C TANK Futch -R j�Q 6080 1/10/48 $ 1 /00 SEWER FRAMING $ SOLAR HEATER $ GAS DATE BY $ BY RE- INSPECT BY FINAL INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT CLEAN -UP ROUGHING 12/15/4 PUS CONTRACTOR Futch e- Roberts PHONE PERMIT NO. 594 1 DATE 12/9/47 FEE $ 3.50 NEW BLDG. 1 ALTERATION ADDITION X REPAIRS 1 SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ D PT C TANK Futch -R j�Q 6080 1/10/48 $ 1 /00 SEWER $ SOLAR HEATER $ GAS DATE BY $ BY RE- INSPECT BY $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING 12/15/4 PUS H. W. HEATER CONN. GAS RANGE CONN. SEWER SEPTIC TANK 1/20/48 EWS FIXTURES & FINAL SOLAR HEATER. FIXTURES SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FI)CTUR,ES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN. RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS COk'TRACTOR PERMIT NO. NEW BLDG. PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS DATE ALTERATION APPROVAL TO POWER CO. FOR SERVICE DATE ADDITION PHONE FEE $ REPAIRS BY OWNER'S NAME EUGLFA, VICTOR E. PRESENT ADDRESS 30 N. E. 97th Street LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 30 N. E. 97th Street LOT BLOCK SUBDIVISION GENERAL CONTRACTOR Owner ADDRESS 30 N. E. 97th Street PHONE NO. LICENSE NO. Q L BUILDING PERMIT NO. 8360 DATE 10 / 1 7/49 PERMIT FEES 5.00 BUILDER'S BOND NO. DATE ZONE PEQUIREMENTS CU. FT. PLAN CUBE g �° ' `' CU. FT. - ... EST. COSTS 900.00 �} DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY JD DATE Q 10/17/49 NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCR IPTION ALTERATION DESCRIPTION Porch on rear of residence X 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. ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 10/25/49 JDH TEMPORARY SERVICE TEMPORARY SERVICE $ BEAMS & LINTELS H. W. HEATER CONN. $ SEWER FRAMING 0 *if 11/6/ $ SOLAR HEATER MOTORS tl � GAS FIXTURES FINAL ' +""'i� ., $ CLEAN -UP DATE BY RE- INSPECT BY CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG. I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE TEMPORARY SERVICE $ SEPTIC TANK H. W. HEATER CONN. $ SEWER RANGE CONN. $ SOLAR HEATER MOTORS $ GAS FIXTURES $ $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING TEMP. SERVICE GAS ROUGHING SEWER H. W. HEATER CONN SEPTIC TANK RANGE CONN. SOLAR HEATER FIXTURES FIXTURES & FINAL CONTRACTOR PHONE PERMIT NO. DATE FEE S NEW BLDG. 1 ALTERATION 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 APPROVAL TO POWER CO. FOR SERVICE DATE BY BUILDING ELECTRICAL PLUMBING Owner of / Building Lot MIAMI SHORES VILLAGE, FLORIDA Bl. • Signed. Subdi- vision Value o Project BY DATE PERMIT N° 5947 � Work to be performed under this Permit L/ `t, m Contractor's License N. Amt. of Permit Architect Contractor or Builder Legal Description Address of Building This perms is granted to tl e con actor or builder named above to construct the b ilding or to install the equipment or . vic escribed in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 .r a thorough knowledge of the dinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the is or ecific.tions and th e as mes respon- sibility for work done by his agents, servants or employees. //.! /r1 By 7i7 O • 04/ 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 authcficlifi of Miami ShqesNilinge. In accepting this permit I assume resp » ibility for all work done by either mysel , my agent, servant or employee. AUTHORITY 194 • Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building her structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores VII$ Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regula- tions 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 N: me and Address Registered Architect and /or Engineer_ —__ Name and adiress of licensed contractor Location and lzgal description of lot to be built on: Lot Street and Number where work is to be done _ State work to be done and purpose of building (by floors) • [ – C� 4 `C / New Building__ 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 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 su ntractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Disapproved _________ Date (Signed) _—_ -- --- Council Approved ` Y MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Block, — Subdivision_ Date i No. Streeter f and for no other purpose. Remodeling __L —__ Addition__ 4/ Repairs No. of Stories______________ Building Inspector My Commission Expires Notary Public, State of Florida PLANNING BOARD DATE Chairman Member Member Member Member Member C STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 ii true. Permit No J ■ Z i Date � ,_4 Read, Sworn to and Subscribed before me. _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. ....�, # r FRONT DEPTH HEIGHT STORIES TYPE OF CO 'STRUCTION • BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE - . •)/ ----) Frame, Tile Concrete. Stucco Resid nee, Apts.. Stores, Hotel , BUILDING PERMIT • No. OFFICE OF-131.1ILDING INSPECTOR Miami Shores Village, Florida, ..-- , 193.... ..,_ Owner of Building r - ok 'a N° 220 Architect Contractor or Builder / 7 ' '• STREET PROPOSED LOCATIVINO PART OF LOT DESCRIPTION OF BUILDING LOT • BLOCK MIAMI SHORES VILLAGE SUBDIVISION BUILDINGiNSPECTOR r This permit is hereby issued to the building above described, as per applicatio Plan/ To and Specifications heretofore filed in this office. This permit is granted upon the ex- press condition that all facts stated in the ap 'cation 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 Villegp. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or uppet ,IS change in the plans and specifications •authorized by the 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 the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regula of the buil 'lig department of Miami Shores Village. / \ / i 19. • ..- •,, s. 4 . (, /9 , • it Dated i c_....-' (SEAL) - _ iami cShores9 llage F L O A D A PLUMBING PERMIT ■9 770 7- Fixtures $ Sewer *tic Tank Received Payment by $/ Total $ / Village Plumbing Inspector LOT BLOCK SUBD1V7S1 N dr-se >hi to install the followin escribed plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in M' i hores Village, Florida. r For aLstory building atQ51 O Xs. „.97,7 Fixtures • `VWN • LOT BLOCK SUBDIVISION e / /6 / 5 Issued to Miami cfhores�illage F L O A I D A PLUMBING PERMIT ,444.1 / 4h4i , z 6 I to install t,Ae following described plu ing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Flora and the State of Florida, goveri ing plumbing and drainage work done in Miami Shores Village, Florida. For a story �'' building at G� 1 Fixtures f - L / y ' 1I- j jt.A.4 tiz Fixtures $ Sewer $ * tic Tank $ J , ,,.,, Total $ . • ell Village Plumbing Inspector_ Received Payment by ■9 758 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub ;' ed for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Or nance of Miami Shores Village, Florida, and 11 provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Dkision of Miami Shores Village shall be complied with, whether herein 1ecified or not. A copy of approved plans and specifications must kept at building during progress of the work. r Date 1� " Owner's Name and Address . - Registered Architect and /or Engineer Name and address of licensed contractor To be constructed of Kind of foundation Estimated Total cost of improvements $ Zone Cubage required Distance to next nearest building STATE OF FLORIDA, COUNTY OF DADE. ss. and who, being by me first duly sworn, upon oath,depos of the above described construction, that he has carefull therein by him stated are true. Permit No , ° Date Disapproved Dat - 'r (Signed) d ing Inspector BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Chairman Member Member MIAMI SHORES VILLAGE Location and legal description of lot to be built on: Lot_ Block Subdivision__ Street and Number where work is to be done _ _ , State work to be done and purpose of building (by floors) __________ _� � - and for no other purpose. New Building Remodeling Addition j": Repairs No. of Stories 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____ Amount of Permit $ flan Cubage_ p Size of Building Lot 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 t be performed under this permit, as are licensed by Miami Shores Village. • Remarks ( S ned) i Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared -N. Roof Covering and says th t h is the ead the ,to • applic� Iaesf,'m ad, Sim to and $ ubscribed before me. PLANNING BOARD DATE Street V � y f ' to me well known, d that he did sign the same, and that all facts Notary Public, Sta I'" ,f Florida My Commission Expires 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. Aj is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build - . or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shrn,.- Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and re ions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved 'plans d specifications must be kept at building during progress of the work. Owner's Name and Address - 4 _4__!_ Registered Architect and /or Engineer Name and address of licensed contractor__ / Location and legal description of lot to be built on: LotxL f 1 Block SC MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Subdivision Street and Number where work is to be done i?__ 2 ° State work to be done and purpose of building (by floors)___ (ia and for no other purpose. New Building Remodeling Y Addition Repairs No. o Stories / � To be constructed of Kind of foundation s /t " R G C / Roof Covering C "t fi' S Estimated Total cost of improvements $ ,lee c" Amount of Permit $ cubage required _.Plan Cubage ir stance to next nearest building 1� '___ ___________________ _Size of Building Lot 2,5 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 performed under this permit, as are licensed by Miami Shores Village. -- — — Remarks - (Signed) :5`' t 1 -- - ----- i � 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 syorn, upon oath deposes and says that he is the _ of the above de 'bed constructio that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hi atcd are t Permit V0. __ Dat Chairman Member Member _. Council Approved _ Date Read, Sworn to and Subscribed before me. Disapproved Date (Si m = �\ ' Build fi Inspector PLANNING BOARD DATE Me ber Member Member Disapproved Date ) 7 Notary Public, State of Florida Commission Expires _________________________ ,19 No d L?_1___ Street �1 r s L r%'7� • ! r ✓ r r r dta r Date NOTE: A charge of $1.00 will be made for making corrections or changes to th's 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 ma necessary by improper notice for ins or faulty materials and /or workmanship. �• 1 A • / 567 . t 2•Z ......z.,, 7 ' . .37 i.. (-- -,-- lak t/ 4 c3 5/ 7 2- e , coct,- ,L4TreL A rEAlt‘cei( i 77 091- 5 ■9 1601 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla , ' / .2 - 5 Owner, Agent or Tenant of Building \ } Lot Block Subdivision U ' Street Address 3 6 + 9 ,, . Approved use by occupancy Remarks. ) • I This Certificate of Occupancy is issued t the above named , 3,__, _ 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. i v 1 , '�' ""» ' BT�ILDING DIVISION • Owner's Name and Address D 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 thet3uilding 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. Registered Architect and /or Engineer Name and address of licensed contractor MIAMI SHDIQES VILLAGE BUILDING INS P CTION DEPARTMENT / Date ._ FR / L 4� 7 4- C '.. K4/ No &l7 iJ, 2eV /1/ C'47 Location and legal de� of lot to be�uilt on: , Lot .._. --if � /a- / 0 Block Subdivision _3 9 �7 /M I Si d6/Ze S Street rY 9 / _ 7 _c' air S a '2 State work to be done and purpose of building (by floors) ' ' 5 - , 3 4 7 ( ctrivirk l4"7) D / ri O /1 Street and Number where work is to be done New Building Remodeling To be constructed of 2 8_'' Kind of Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor I hereby - bmit . the plans and specifications for said building. All notices with refe e to the building and its construction may be sent to. The undersigned app cant 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 Miarni Shores Village. Remarks (Signed) Disapproved (Signed) DU / Addition foundati C -42/1/ 9 Roof Covering - / G 5 Repairs No. of Stories Amount of Permit $ i d _Plan Cubage t 3 • 6 1 Ts J �_+vim, 2 4.4-- _ //6 Size of Building Lot 7 X / 6 and for no other purpose. 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.._ /.3 - Date 4-3 C / Read, Sworn to and Subscribed before me. Notary Public, State of Florida Bur mg I • tor My Commission Expires LANN'ING BOARD DATE Chairman Member Member Member Member .. Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. P0.-T y t4 ' ‘es to-.l ti No STREET PART or Low Lor }Imo SUEDIVI$ION p a T PROPOSED LOCATION DESCRIPTION OF BUILDI Rood Corr or Buse the above described, as per applica l and iI tions heretofore filed is office. iaft is granted • time en- pre sore f3on that all fade stated in the tree and that the ce tr ' cowman, strict . with the grass and tio•s Wanted, i s � ae Y nee and the" laws of the State of with ordinances nod maw hors of and riles tad refi•latione of the bn 'de�srtsiewi+ of Shores Y � : , < Th s peru aiay be ref any tae upon violsties of any provisions of said laws, ordinances or rules and_res•latleoa, or upon' chills* in the plans and a � una•thorbed by the buildinir inspector, �- of the iawanee to re et thia Wang permit I'hereby agree to the Prepased amatructila la atidet egafindt, s aid WIC1040111111. thereof heretofore by lee submitted, and fit e��see with an prorbioss of all bs�ag Ism all the tig or�rsaoes so•fr; laws of Maui Shore Village l all rules sad of the G r °� TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior V Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other Step 1. • . • • • • • • ••• • • • • • • • • • • • • • • • ••••••• .... • • •. Maste>; p ,prmit No. • • • • • • . Subsidiary Permit No. • • ••• • • • • .. • ••• • • • • PERMIT APPLICATION (73 60 INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application w rust baignelilay tQe'l3rop fSt owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate prbcesOfIlofycplelic':tton. If toofing 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. APPLICATION Job Address: 41 '7Se 97 /&y ,v � '/ i4T7 5 ,- c Address Apt. City State Zip Folio Number /7 3 d/ 07P0 Description of Work 7 ' &e 4 -ms Ai) 1~e 6/ Lot d' 9 ,, ' ,, x // 9 Block ,4 /7/9/ G�7` , i , Ac/ - e Subdivision / - g PB /L PG 7 Zoning Current Use of Property /ex/0) &/ a Square Feet 4) Units / Floors Proposed Use of Property Value of Work 4 Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax RTY OWNER PQa�ie Addr Home Telephone Business Telephone Fax Linear Feet ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECELVEI? yoUR VA,L1D4FD PE$QIJT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 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 MAINTAINERIN A CLEAN. lilEAZ AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KBl'I' FR AE QRQ143IQT DORIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAG4D BY EQUTACEICf (3R=/1414LES, AND 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. STATF,.OF FLORIDA, COUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE Si re Owner Signature of Contractor / Qualifier Print Name ( Print Name Swo • o ands .scribed before me this 5 day of�' Sworn to and subscribed before me this day of Signat • of Notary ' "1 c = Stat of Florida s ..a+ Ange -.M Becker SEAL: i 4 My Commission 0D150048 ' n d 43 Expires November 15, 2006 ... • • • ... • • • • • ..• • • • • • . • • • • • .•.. • ••••••• • Personally known OR, Produced Identificatiod/ Personally known OR, Produced Identification Type of Identification Produced: J: \ 1 ! - FS ))--q0--s- Type of Identification Produced: • • • • Signature of Notary Public - State of Florida SEAL: PERMIT APPLICATION SECTION BY D TE Zoning , ��� Y /4/a.:1 Electrical Mechanical Plumbing Fire Public Works Structural Building Official 7— 22--03 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 $ • • .• • • • •• • • • • • • • • • • • • • • • •• • • • • • • .. • • • • • ..•• • ••...•• • .. • • ••. • CHECKLIST • • • • • • • • ❑ PROOF OF OWNERSHIP (Attach) •• ••• •. ••• . . ❑ HRS .DERM APrgc VL :•; ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ � O $ $ (¢.005 /sq.ft.) $ S, 0 (x .6 x/1000 0) (¢.01 /sq.ft.) • PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) •• • • • ❑ BPR APPROVAL (Restaurants) • ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL 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 ELECTRICAL 'FIT ; Minimum Fee QTY. TYPE Dryer Q; 1 . ?1,P E Qu , et, AppLance QTY. TYPE. Service Repair QT1'. A/C Central 1 -3 Ton Fan bullet; Vaal Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent 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 Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUnMIBING 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 • • • INSTRUCTIONS: Please indicate the type of 'ork bPjngpgrforejl �n quantity(ies) in the space provided below. i\c Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1/21/2003 Applicant: JAVAN Owner: THOMPSON JOB ADDRESS: 30 Contractor Local Phone: Parcel # 1132060130790 NE 97 Fees: FEE2003 -349 FEE2003 -350 FEE2003 -351 Description Building Permit Application Fee CCF Notary Fee Total Fees: Amount $60.00 $1.20 $5.00 $66.20 Total Fees: $66.20 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 7/9/2003 Work: EXTERIOR PAINTING AS PER AGREEMENT 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 ins • ection. This Permit is granted to the contractor or builder named above to construct th( ordinances pertaining thereto and with the understanding that the work will be per and approved by the proper municipal authorities. This Permit may be revoked al authorization. A further condition upon which this permit is granted is the underst ordinances and regulations pertaining tom work covered hereby whether shown by his agents, secants or employees. Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the wort with the plans, drawings, statements or specifications submitted to the proper autl ° myself, my agent, servants or employes. Building Permit Permit Number: BP2003 -50 (Contractor o THOMPSON JAVAN ST Contractor's Address: Construction Value: $2,000.00 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 W1/2 LOT 8 & LOT 9 BLK 6 LOT SIZE • JAVAN THOMPSON P. O. Box 660458 Miami Springs, FL 33266 PAY TO 2 THEORDE FOR rat Union National Bank • f rstunton.com Org. 003 R/T 06700643 • ':06700643 21: LO L004'r 50 36 /--Z2 03 • DATE l � 1343 63- 643/670 BRANCH 00551 P6 614(441■ 21;r DOLLARS t eiR ••• MIAMI SHQRES:.VILLAGE Paint Colo Apifdsialiaikd Agreement • /— r./ d .. • .. • • • • • • • .. • • . . • • OWNER'S NAME: �� -•- PHONE: "7W5 - ADDRESS: 5e rerer--7 .4;4 C * * * * * * * * * * * * * * * * * * * * * * *• * * * * *•* * . ** * * * * * * ** * * * * * * * * * * * * * * ** . ......* * * * . * ADDRESS OF SITE: ...'6: '. M.. CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls Fascia Drip Cap/Drip Edge /tic-) Soffit 44-1 r , Roof , � /V/f -_ tio Flower Bins , Shutters ‘0/ fro Awnings Chimney Doors and door jams h)f7k Garage Doors Railings Fences Decorative Metal All brick (simulated or regular) ) i/7 ) Stucco Banding Any other stucco features Accessory Buildings Other 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. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached sa ,j,, les. 003 gnatu of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION O //C% 3 Building Official Date 4/23/01 f The S UCENSE NUNS T51242 -53-020 -0 ,µ►VON 30 NE 81ST 382 M I SHORES, M. RED EImORBE. BIRTH 63 M 540 01-2663 p�LICAE Woes 00 „00 0p q sti-05°00 005 • • • •. • •••• • • •••• • • •• •• • • • • • • • • • • •• • • • • • • • • • • • • • • • •••• • • • • • • • •• • • • • .• • • • • • • • 30 N. E . 97th St. by year _ dual. tax ies used amount paid date paid receipt t Victor E. Kugler Jr. Ana - /A'S/ �) 4 - - - -- .._- 10-1 i'-' Z z u . -& .. /j_./,,, / 1.Z4 Ir /: /1.--:=1/-,;/' / , LOCATION 30 N. 97th Street GARBAGE TAX RECORD PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER � r �f C ' 1940 /0 . /d /0 es ��, ��� /r �0 ..;_--//-44-/ 42 7.2.--4-Yoe /� 4 , 30.6 3 t)-3- 4 b r� 1941 1942 V - ,te � " V � L ,Ct- F. i , ' s 1943 /a ° ° /I 7 T .-.4 -4- !' . ° C. f .-= . r • / l E:F._ / �� ��� 1944 1945 1946 ie. / - .2 )3 /n o o 1- 0- qr /4 C) / - - =1 Ei ,i 6 , -e 6 y ��- e. 4F- k (( 1 .1 1947 /I • 0 el (Y ` —V Y71 f /O2'�p �/ 43 799 4 V u 4 1948 I Z-' c -' o ' ? - 3 - f - 12- vo ' -/ - v ' f1 I I / .. 1949 I � ` r /�- �/' �7 `,- 5/- SG � I_ i :1 f • ,'- 5 Fe ,„ „ /• •/ 1950 f , LOCATION 30 N. 97th Street GARBAGE TAX RECORD MITI SHORES VILLAGE, FLA. No JOB 'b ADDRESS 3-- - ' • INSPECTION "1" - TIME READY Vin6.. REMARKS: • ! , r•3 C--A •- 2074 INSPECTOR DATE ___ BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building CONTRALTO MIAMI SHORES VILLAGE, FLORIDA PERMIT IT? 13023 ❑ Work to be performed under this Permit OR BUILDER Architect Contractor or Builder Legal Lot II BI. Description Address of `l Building Signed • Value of Project $ BY This permit is granted to the contractor or builder *arced above to construct the building or to install the equipment or device herefor in strict compliance with all ordinances pertaining=. thereto and with the understanding that the work will be performed in c drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Per time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assu done by his agents, servants or employees. DATE ' i x ' mow✓ INSPECTOR i In consideration of the issua : to me of this permit I agree to perf.,pr'in the work covered hereunder in compliance with all pertaining there and in strict confo •ty with the plans, drawings, statements or specifications submitted to the proper authorities In accepting is ; ermit I assume res • sibil for all Task done by either, myself, my agent, servant or employee. Contractor's License No Amt. of Permit �.. BY es 'bed in the application pliance with any plans, may be revoked at any on which this permit is finances and regulations responsibility for work finances and regulations Miami Shores Village. BUILDING ELECTRICAL SUBBING ROOFING Owner of Building ❑ PERMIT N? 11443 MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit Architect Contractor or Builder Kt- �..r ! `d I ,�,•"� ��r.�....�.� 'Legal Lot II Bl. Description Address of Building Signed: Subdi- vision _ Value of Amt, of 4 411 ,J , + P f i ii•OP Project $ :..f,: I Permit $ lyZ 'rse This permit is granted to the contractor or builder named above to construct the building or to install the equipmeht 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 upoh 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 drawin or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. In consideration of the issuance to me of this permit I agree to perform the w. j ; '�. tred hereunder in compliance with all rrdfttances and Lions pertaining thereto and in strict conformity with the plane, drawings, statements or spe tions submitted to the proper authorities of Miami Shores Village. In pting this permit I assume responsibility for wor done by either, myself, agent, servant or employee. BY DATE — Contractor's License No BY , AtrrHO 1Ti MIX4I(HORES VILLAGE, FLA. N? 2083 JOB L q ADDRESS C • 1 - r INSPECTION V I �- - ' & A3 7'R A.S c.. TIME READY 4 -1-4- REMARKS: INSPECTOR I e� Its.( { s,n t ri 01 7 / 6 t DATE —_