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301 NE 96 St• BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Title holder) Owner's Address yy /v / ,, C City/n/6/M S /l State Tenant/Lessee Name Job Address (where the work is being done) 3 / A/C City Miami Shores Village Is Building Historically Designated YES NO $ Value of Work For this Permit Describe Work: • Miami Shores Village Building Department Electrical Plumbing W'S Schi �2) � h - 1 Phone # 9'6 -� State 7?"6" Number of: Bays Stories Families Type of Work: ❑ ' dition ['Alteration County Miami -Dade Permit No. Zip '3 3 /36 Phone # Master Permit No. CtIVED 7 2003 1Q05QN.);.SIA enue iami ores, o • . 3138 Tel: (305) 795.2204 Fax: (305) 756.8972 Roofing 30s 7570355 Zip 33/36 4 31 1 <26 // Contractor's Company Nam.* ,,.6 4 &i 0 "7 Phone # �e Lt 0 &/ Contractor's Address & 1 s' It) 00 / b 9F / 3V t 33/6 3 City State Zip Qualifier J jfd is 7 Architect/Engineer's Name (if applicable) „ / . Phone # Architect/Engineer's Address / v City Zip Square Footage Of Work: 63 S * Bedrooms )24kepair/Replace Baths ❑ Demolition * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * *• County Escrow Fee $ v Permit Fee $ D Education/Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Notary $ Minus Plans Check Fee $ Total Fee Now Due $ 6 0, 2b (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City chc7nios NOTARY PUB Sign: Print: My Commission EXpirese APPLICATION APPROVED BY: State Zip i,/ !Inez M';' COMM' ON << CCo ao "C EXPIRES i, _ , 2 %r.'03 Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is sus ' ct to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the firs ' spection icy •curs sev• ) days after the building permit is issued. In the a ence of such posted notice, the inspec '' n will not be ap; oved nd a ' znsp • tion fee will be charged. Signature Signature Owner or Agent Contractor / �, The for g instrumen was acknowledged before me this � 0 % The fore g ' trument was acknowled d me thi /� day of , 200 , by - -1). 70 , day of �r 20 0--"by r L J/L who is ejnally known to me or who has produced personally knoto me or who has produced as identification and who did take an oath. As identification and who did take an oath. NOTARY PUBLIC: Sign: C R , + Ir P. Moir ez Print: M' CC ^,88200 EXP!"ES 7.03 My CommissicdExpires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. JUL 2 4 2003 Plans Examiner Engineer Zoning Florida Building Code Garage Door Windload Design Pressures The positive and negative design windloads for the garage door opening(s), listed below are derived from the Florida Building Code (American Society of Civil Engineers, ASCE 7 -98), Section 1626 for Components and Cladding ( Exposure C ), 140 MPH wind velocity for Broward County, or 146 MPH wind velocity for Miami -Dade County. Address: Schillo, John 301 NE 96 St. Miami Shores, Fl 33138 Miami -Dade Gary Pfuehler, P. E. 5665 Green Oak Ct. Fairfield, Ohio 45014 Florida P. E. License # 49850 ph: 513- 858 -1490 Garage Door Opening Size(s): 9' - "x 7' - Clopav Model No.: 94 - 84A, or HDG Mean Roof Height: Less than15' Measured Minimum Building Dimension: 24' - Measurement of Nearest Garage Door Opening to Building Corner 2' - Positive Design Load: 41.0 psf Negative Design Load: 45.6 psf June 25, 2003 Clopay Model: 94 -84A Approval No: 01- 0326.01 Clopay Model: HDG Approval No: 01- 0427.01 i The design Loads shown above are based upon the measurements listed above for enclosed buildings and require that the door(s) installed meets Section 1626 of the 2001 Florida Building Code for windborne debris in the High Velocity Hurricane Zones. The related calculations do not address the jambs or supporting structural adequacy. The Building Official is the final determiner of the suitability of the garage door connections for the particular building or home at the designated location. R M1 -0ADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Clopay Building Products Co. 312 Walnut St., Suite 1600 OH 5 Cincinnati `'� Acceptance No.:00- 0329.12 Ex P i res`0$ /21�� Approved: 06/29/2000 Internet mail address: postmaster ©buildingcodeonline.com r MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE. ,METRO•DADE FLAGLER BUILDING j40 WEST FLAGLER STREET. SUITE 1603 MIAMI. FLORIDA 33130-1563 (305) 375 -2901 FAX (305) 375.2403 CONTRACTOR LICENSING SECTION (305) 375.2527 FAX (305) 375. 2555 CONTRACTOR ENFORCEMENT SECTION (305) 375.290 FAX (?05)375._45 PRODUCT CONTROL DIVISION (305) 3 5.200: FAN (305) 372.6339 Your application for Product Approval of: under Cllaptera d the of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County BuiIdini4 Code Compliance Office (BCCO) under the conditions specified herein. . This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, it'll is determined BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. •rancisco S. Quintana. K.A. Director Miami -Dade County l3uildin`, Code Compliance 011icc Homepage: http : / /www.buildingcodeonline.com 1 'Clonav Building Produc'tsCompnnv. ACCEPTANCE No. • 00- 0329.12 APPROVED JUN 2 9 2000 EXPIRES OS/21/2003 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE This renews the Notice. of Acceptance No. 97- 0124.02 that was issued on 08/21/97. It approves a sectional • steel garage door 9' -0" wide x 6' -6" through 8' -0" high, as described in Section 2 of this Notice of Acceptance (NOA), designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For the locations where the pressure requirements, as determined by SFBC• Chapter 23, do not exceed the Design Pressure Rating values indicated in the approved drawings. _ . PRODUCT DESCRIPTION . The Clopay Garage Door and its components shall be constructed in strict compliance with the following documents: Drawing No. 101703, titled "Models 2200/01• 2400/01, HDG, 4200, 4300/01, 4310, 4400.01" prepared by Clopay Building Products Co., drawn on 11/19/96 with latest revision on 07/08/97, sheet I of 1. They bear the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product Control Division. These documents shall hereinafter be referred to as the approved drawings. 3. LIMITATIONS This approval requires the manufacturer to do testing of all coils used to fabricate door panels under this Notice of Acceptance. A minimum of 2 specimens shall be cut from each coil and tensile tested according to ASTM E -8 by a Dade County approved laboratory selected and paid by the manufacturer. Every 3 months, four times . a year, the manufacturer shall mail to this office: a copy of the tested reports with confirmation that the specimens were selected from coils at the manufacturer production facilities. And a notarized* statement from the manufacturer that only coils with yield strength of 26,000 psi or more shall be used to make door panels for Dade County under this Notice of Acceptance. 4. INSTALLATION 4.1 The sectional steel garage door and its components shall be installed in strict compliance with the approved drawings. 4.2 The installation of this door does not require a hurricane protection system. 4.3 Units with dimensions equal to or smaller than those shown in the approved drawing shall qualify under this approval. 5. LABELING Each door shall bear a permanent labe! with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. . 6.1.2 Duplicate copies of the approved drawings as identified in Section 2 of this NOA, clearly marked to show the components selected for the proposed installation. 6.1.3 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this sysle n. • Candido Font, PE. Sr. Product Control Examiner Product Control Division 2 of 3 • Clopnv Building Products Co. 9 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the cri2inal submitted. decume:its, including test - supporting data, engineering documents, are no older than eight (8) years. Any and all approved products shall be permanently labeled with the manufacturer's name, city; state, and the following statement: "Miami -Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. • Renewals of Acceptance will not be considered if: a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. _. !f the 'Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer, who' originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and /or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fce) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer needs not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of cee- tance. This Notice of Acceptance consists of pages I, 2 and this last pare 3. ENI) OF TIIIS ACCEPTANCE 3 of 3 ACCEPTANCE No. 00- 0329.12 JUN 2 9 2000 APPROVED EXPIRES :08/21/2003 Candido Font, PE: Sr. Product Control Examiner Product Control Division • INSTALLER MODEL RETAIL MODEL DESCRIPTION HEIGHT i.--- - i h• -1 i ih----== ih� 1 1'1 1'1 1'1 I'1 1'1 1'1 1' 1 III III III 1 1 1 I 111 NI tIl ' 4200 2200 24 GA. EXTERIOR SKIN; TRADITIONAL RAISED PANEL 4300 HDG, 2300 27 GA. EXTERIOR SKIN; ELEGLNT RAISED PANEL 4400 2400 24 GA_ EXTERIOR SKIN; ELECANT RAISED PANEL 4401 2201 2401 24 GA. EXTERIOR SKIN; FLUSH PANEL 4301 2301 127 GA. EXTERIOR SKIN; FLUSH PANEL 4310 N/A 125 GA. EXTERIOR SKIN; RAISED WIDE PANEL MM. UOUR HEIGHT = FY (FIVE SECTION DOORS) lr- - 11 111 1 .1 11 11r 1 • II' II 1 1 1 II '11 11j' � ' 1 ! I I L �" • 11 1 ' ' '1 - � ! 1 t J 2 c11 HEIGHT i.--- - i h• -1 i ih----== ih� 1 1'1 1'1 1'1 I'1 1'1 1'1 1' 1 III III III 1 1 1 I 111 NI tIl "X1' I "X2' "X3' 1 '1 1' 1 '1 ■ 1 1 1'1 I III III III III III I I 11,11.1 1 11 1-4 I 1'1 1'1 1 '1 1' 1 '1 1'1 1'1 1'1 �Y 1 1 1'1 1'1 1'1 1'1 1' 1 S !L —4 ./ 1 . ! i t - Al !,! 1 4 .1 1 . ! 1ti 4 60" i — 1 1 1 1 1 -� i i tt- -i 1 - i 1'1 1 1 1 1 '1 1't it 1 ' 1 11 1 1 11 1 1 11 III I I I II I I II 1 10- - I i 111)- -It 1 1 13- jI i :1 - \I 1 1 - -- t 3 -142' ! 10' 1 38` MAX. DOOR WIDTH = 9' 0' DOOR BRACKET PLACEMENTS I HEIGHT "L" "X1' I "X2' "X3' "X4 "I 6' -6' 70' 3 -1 /2' 110` 1 35" 60" i 7' -0` 76 1 3 -142' ! 10' 1 38` 65` I 7' -6' 82" 3 -1 2' 1 10 1 34" ' 5E' 8' -0 88 3 -172' 110'. 1 34' 1 55` • M0DS' S 2200. 2201 2300. 2301. 2400. 2401 4200. 4300. 4301. 4310, 4400, 4401, HDG NOTE 1 • DOORS 6'6' HIGH CONSIST OF 4 SECTIONS: 2 OF 21' & (2) OF 18 ". DOORS 7'0" HIGH CONSIST OF 4 SECTIONS; 4 OF 21 DOORS 7'6" HIGH CONSIST OF 5 SECTIONS; 5 OF 18'. - DOORS 8'0" HIGH CONSIST OF 5 SECTIONS; 2 OF 21' & (3) OF 18 NOTE 2; SUPPORTING STRUCTURAL ELEMENTS SHALL BE DESIGNED BY A REGISTERED PROFESSIONAL ENGINEER FOR WIND LOADS SHOWN ON THIS DRAWING. LOCATION OF OPTIONAL VENTS &MAXIMUM VENT OPENING: 60 IN L, C i z • 1 ▪ I IC I C. I I 'X3' ■ 1 I' Y.2' . 3 I 1 I 1 I REINFORCEMENT PLATES ATTACHED TO DOOR SKIN WITH PATENTED TOG -L -LOC SYSTEM (NOT VISIBLE FROM OUTSIDE) (2) INTERMEDIATE REINFORCEMENT PLATES PER SECTION ATTACHED WITH IOC-L--IOC SYSTEM (NOT VISIBLE FROM OUTSIDE) L 'X1' ) NSIDE Ft FVATION - -+— A 13 GA. GALV. STEEL FLAG BRACKET. EACH FASTENED TO WOOD JAMB WITH . _ . " SAW. STE TRACT: �^ TP;•CK THICKNESS: .060' T`' ?. 2-1/2 GA. GALV. r TWO POINT LOCKING INTO TRACK PER SFBC 3603.2. 5/8' MIN. ENGAGEMENT (OPPOSITE SIDES OF DOOR) (SEE LOCK OPTIONS) HORIZONTAL TRACK SUPPORT BY DOOR INSTALLER (TO SUIT) STEEL TRACK BRACKET. EACH PREPARATION OF ,I■MBS RY OTHERS, REINFORCEMENT PLATES /- ATTACHED TO DOOR SKIN WITH PATENTED TOG -L -LOC (NOT VISIBLE FROM OUTSIDE) (2) INTERMEDIATE REINFORCEMENT PLATES PER SECTION. ATTACHED W/ TOG -L -LOC SYSTEM (NOT VISIBLE FROM OUTSIDE) I -- A ° TWO POINT LOCKING INTO TRACK PER SFBC 3603.2. 5/8' MIN. ENGAGEMENT (OPPOSITE SIDES OF DOOR) (SEE LOCK OPTIONS) 1 1 1 1 I'1 i 1 1'I 1'1 1 1'1 I1 II 111 II 1 1� 1 L I ii 1 I i i 1 �" 1 "{' 1'r '\ : I t— ' 11 V.:, '\I 1 END STILE • 2x5 WOOD JAMB 12 GA. GALV. STEEL TRACK BRACKET FASTENED TO WOOD JAMS WITH ONE 5/16'x1 -5/8" WOOD LAG SCREW PER BRACKET. 2" GALV. STEEL TRACK J FASTENED 70 TRACK BRACKETS. BRACKET ATTACHED WITH ONE 1/4 - x5/8' BOLT & NUT 913 TWO 1/4" Rrvz .I.U- C<ONFIGURATIO MAX. DOOR WIDTH = 9' -0' INSIDE FI FVATION LOCATION OF OPTIONAL VENTS MAXIMUM VENT OPENING: 60 IN' SLIDE BOLT LOCK ENGAGES INTO VERTICAL TRACK. ONE LOCK ON . EACH SIDE OF DOOR. ) NSIDE SLIDE RO; T t OCK OPTION 4 2 STEEL — -•- A OUTSIDE HANDLE DET/JL D HINGE SEE INTER. HINGE DMA.. K° OUTSIDE YFD 1 OCK LOCK BAR LOCKING THE 2x6 VERTICAL WOOD JAMBS ARE TO BE GRADE 2 B OR BETTER YELLOW PINE. NO LOA;) IS TRANSFERR . -0 TO THE HORIZONTAL (TO ?) JAME.. ALL JAMB FASTENERS MAY BE (BUT N OT REOUIRED) COUNTERSUNK TO PROVIDE A FLUSH MDUh'TING SURFACE. OUTSIDE KEYED HANDLE END STILE LOCK BAR GUIDE LOCK BAR ENGAGES IN TRACK ON EACH SIDE OF DOOR. STOP MOULDING BY DOOR INSTALLER (TO SUIT) 18 GA CAL V. STEEL END STILE (END STIL ES HELD a( IINGE SCREWS) f F 1'8 GA N D TO I NSI MIN:. GAILY. STEEL CENTER HINGE FASTEDE SKIN W (4 EA:r 145/8 SHEET METAL $ - 14 GA. GALV. STEEL END HINGE FA STEN :E0 TO END STILES W /(4) EACH i 14x5/8 SHE METAL SCREWS AND ' 1/4'x5/8" SELF, TAP ?LNG SCREWS. ROLLER. hi( 7 -8 -97 6)x•11110• ADDEO MAXIMUM VENT OPENING SNAP LATCH ENGAGES ONTO VERTICAL TRACK. ONE SNAP LATCH ON EACH SIDE OF DOOR. INSIDE HANDLE OUTSIDE KEYED 1 0CK SNAP I ATCH LOCK .OPTION 27 GA. MIN. EXTERIOR STEEL SKIN (MIN. YIELD STRENGTH: 26 KSI, DRAWING DUALITY) WITH G -60 CALV., BAKED -ON POLYESTER PAINTED TOP COAT APPLIED TO BOTH SIDES OF STEEL SKIN. 14 GA_ 'END HING• END STILE TONGUE AND GROOVE JOINTS. (4) j14x5/8" SHEET METAL SCREWS (4) 1/4 "x3/4" SELF TAPPING SCREWS 2x6 WOOD JAMB CAN BE ANCHORED TO GROUT REINFORCED BLOCK WALL OR CONCRETE COLUMN. BLOCK CELLS SHALL . BE FILLED WITH CONCRETE AND REINFORCED WfTH CONTINUOUS 15 BAR EXTENDING INTO THE FOOTING AND INTO TIE BEAMS. ANCHORS CAN BE 1/4 x1 -3/4" EMBED TAPCON CONCRETE ANCHORS STARTING AT NO MORE THAN 8' FROM BOTTOM AND 16' 0.C., QR WITH 3/8'x4" (1 -3/4" EMBED) • RAWL LOK /BOLT ANCHOR STARTING AT NO MORE THAN 8" FROM BOTTOM AND 24' O.C. 7 DESIGN ENGINEER: - � �z00 MARK W. WESTERFIELD FLORIDA REGISTRATION No. 48495 MECHANICAL ENGINEERING ® Building Products Com on A SIUCONE FILLED CHANNEL SEPARATES FRONT AND BACK SKIN OF DOOR �- 2" THICK ALUMINUM EXTRUSION & VINYL WEATHERSTRIP. CLOPAY BUILDING PRODUCTS COMPANY 312 WALNUT STREET SUITE 1600 CINCINNATI. OHIO 45202 (513) 381 — .4800 8 • - 14 GA. INTER. HINGES USED ON 24 GA. EXTERIOR SKIN DODR MODELS 11/19/95 DU.v' 1!, MWW oc au 11. 1.95" THICK. 1# DENSITY EXPANDED POLYSTYRENE FOAM INSULATION LAMINATED (SUPPLIED BY FACLON MANUFACURING) TO BOTH EXTEROIR AND INTERIOR SKINS. 12 GA. GALV. STEEL TOP ROLLER BRACKET. EACH BRACKET ATTACHED W /(4) #14x5/8" SHEET METAL SCREWS. 13 GA. GALV. STEEL BOTTOM BRACKET. ATTACHED WITH (2) #14x5/8' SHEET METAL SCREWS. 27 GA INTERIOR STEEL SKIN (DRAWING OUALITY) WITH G -60 GALV., BAKED -ON PRIMER AND A BAKED -ON POLYESTER PAINTED TOP COAT APPLIED TO BOTH SIDES OF STEEL SKIN. SECTION A -A 14 GA. CALV. STEEL END HINGE. EACH FASTENED TO END STILES 1N/(4) $14x5/8" SHEET METAL SCREWS AND (4) 1/4 "x3/4" SELF TAPPING SCREWS 3' TALL. x 20 GA. GALV. STEEL U- BAR. TWO PER DOOR SECTION. ATTACHED WITH (6) 1/4 "x3/4" SELF TAPPING SCREWS PER U -BAR, (2) ON EACH END & (2) AT CENTER HINGE LOCATION. • DESIGN LOADS: +48.0 PSF & -60.0 PSI:. APPROVED AS COMPLYING WITH Tiff SOUTH FLORIDA BUILDING CODE DATE - — ? 2 000 PRODUCT CONTROL DIVISION 3Ul1U:NG CODE COMPLIANCE OFFICE ACCEPTANCE NO. J -0129 • /2 PLOT 1 =42 s*7 9.0'W x 8'0'H xtca'r70'2200/01, 2400/01. HDG. 4200. 4300/01, 4310, 4400/01 L µyYe 101703 CLA: f 71CA1 '30+ • _ • -; T,. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date b 12-S (' 6 Job Address 3 Y1J S k 'el Tax Folio Legal Description Historically Designated: Yes No ✓ Owner/Lessee / Tenant t a v (MS Master Permit # Owner's Address 3 0 1 9 T Phone %v `-( Contracting Co. 0 (tit 1/1 � Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address B Co Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION A) L- L— I iUS ( O E F■e..C-.L) L-\ Doc 8e-4-TA.,, p,j cJ Square Ft. Estimated Cost (value) U o 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. 6 2 )? t sq Q Signature of owner and/or Condo P Date Signature of Contractor or Owner- Builder Date , 5- a° .. 9 ,,,7 -5 " 3" 2 Sg-q otary as to t(wn poi CgnrdeZPTas`iaantal:Y S FsDate Notary as to Contractor or Owner - Builder Date My Commission Expires: GI. ADYS J %PILLAR My Commission Expires: d NOTARY KJBL I . SFATE OF FLOAIDA p CO! ',MISSION NO. CC7141O3 I PAOMMISSION EXP. MAP_ 1,24,"74 j Y C FEES: PERMIT T ° RADON C.C.F. 0 NOTARY BOND TOTAL DUE 40.& APPROVED: Zoning Building JP Ji_ Electrical Mechanical Plumbing Engineering 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. r Date MARCH 2- f ,191. Owner's Name and Address Mt' .� ,1R JA R� O FF No Street Ro b' I- P. W t - Registered Architect and /or Engineer Name and address of licensed contractor MeYi Ut PaofJ t - V 4tK AU OJT Location and legal description of lot to be built on: Lot 13 Block 4 13 Street and Number where work is to be done Disapproved (Signed) Date Subdivision ' / f a gu S 4 0vC'J • ,' • 3oI State work to be done and purpose of building (by floors) Come." - r' d Gv y / re //W • IC— New Building . ff--••Remodeling Addition Repairs No. of Stories To be constructed of_ / .17.6. llit Kind of foundation Roof Covering Estimated Total cost of improvements $ 7 Am( nt of Permit $ "Z-"Z - e, ca, Zone cubage required Pla Cubage Distance to next nearest building _Siz of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said buildi . 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) 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. �y Permit No o Date 3- � () -' 1 Read, Sworn to and Subscribed before me. Notary Public, State of Florida Pxldiitg Insnector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 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. C' ?1 \ � Date ' � Owner's Name and Address ' -1 x , 19 €� � 4 _ - �N r: ,� r S�Ty ti, , , N � . -y�. -, -0 Street Registered Architect and /or Engineer \ Name and address of licensed contractor...„_,_ ��� �� C.7 _ a c ( l o Location and legal description of lot to be built on: r- , _ __ Subdivision " t- t'`'1v�- .. / C-s' 4 ,% k P 6 Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. ss. State work to be done and purpose of building (by floors) Remarks (Signed),‘:- Notary Public, State of Florida r i t Q New Buildin ° Remodeling Addition Repairs No. of Stories To be constructed of Kind foundation Roof Covering Estimated Total cost of improvements $ 0__Q..__. 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(Sub it all the ans sp c ications for said building. All notices with reference to the building and its construction may be sent to -a )— h - ?—� ( y__ �� i ' ;.z 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 contr ctors 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 n the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, n work to be p rformed under this permit, as are licensed by Miami Shores Village. `„ 'o , :v �k and for no other purpose. 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 Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) to me well known, Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member ..... _ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 ,will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. e • CERTIFICATE OF OCCUPANCY MIIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N? 925 Approved use by occupancy Remarks. 8450 — RisR0 Plan Cube 902 Tax Value 406 Pool T.V. 1400 Miami Shores Village, Florida, 5 -20 -59 Owner, Agent or Tenant of Building STEPHEN SARNOFF Lot 13 Subdivision_Mi8tpi 3horeo #1 Street Address 301 N.E. 96 th Street This Certificate of Occupancy is issued to the above named Owner for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUILDING DIVISION OWNER'S NAME . .. E SAdN of / PRESENT ■30/ N- � . LOT 13 - /4- ADDRESS 1r'li c�1". BLOCK 4.3 /l,'..o.,, LICENSE NO. SUBDIVISION , 5 MB ..,e ,c-- PHONE NO. i JOB LOCATION (ST. OR AVE.) s ( d L !G � S'‘' GENERAL CONTRACTOR � Jt . C . // ' 'S 0 A.! ADDRESS k"Pd S. EtSG. /J,--rL PHONE NO. LICENSE NO. Z1 BUILDING PERMIT NO. *1 -1 7 DATE 3 ? '� "'CV b o l PERMIT FEE S / b BUILDER'S BOND NO. — DATE /4 -3 -- ZONE REOUIREMENTS CU. FT. r PLAN CUBE 'JO/• Si CU. FT. °- EST. COST S 410 1) I ' /y� ��J DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: C• a • nyth .l�F'� DATE 3- 2 NEW CONSTRUCTION TYPE G.,3 STORIES ROOF CONSTRUCTION c.....) /G. INTERIOR j� F7 INTERIOR CONSTRUCTION ) l.7i 7G�OArm 14 0/7/ON Arm REPAIRS DESCR IPTION G 4..... .. ice. 10 G 0 es � J /y1E,e AP1.ig/�i' 12olo C //VC. 6 1� ALTERATION XESCRIPTION tff//// T �J /,� Ts+lc J(.4.,- a�E -- // Std') — ES/ dO, j = f +YQ ADDITION I SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RESUBMITTED TO PLANNING BOARD SUBMITTED 70 VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. ISSUED ?..0 -gi ILAPiLL BY TO �1 t "14 / i'-) e S Ar.FF BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE - - iINSPEGTIONS DATE BY I RE- INSPECT BY RE- INSPECT BY FOJNDATION SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE BE. & LINTELS $ $ SEPTIC TANK S " - S S FRAMING $ S SOLAR HEATER $ S GAS S S FINAL $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT CLEAN -UP ROUGHING CONTRACTOR INS C,. 2-. G /C P /'C J - PHONE PERMIT NO. k P ' 7. DATE d- ... .'" / FEE $ NEW BLDG. ALTERATION I ADDITIO REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ $ SEPTIC TANK S " - S S SEWER $ S SOLAR HEATER $ S GAS S S S $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING GAS ROUGHING SEWER H. W. HEATER CONN SEPTIC TANK RANGE CONN. SOLAR HEATER. FIXTURES FIXTURES & FINAL CONTRACTOR Ass y.cJC Gt.' 7 .,_.__ , PHONE 1 E T / NEW BLDG. ALTERATION I ADDITION j(, R SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. S RANGE CONN. $ MOTORS $ FIXTURES S S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL G _ { � ..�'1,�✓.�� "- t^ /`;�'�J ILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY STATE OF FLORIDA) SS COUNTY OF DADS 301 N E 96th St Miami 38 Fla County of Dade and State of Florida, be that under the provisionc of Ordinance ing paragraph (d) of Section B• -368 of 0 of Miami Shores Village, he desires to on Lot 13;11 _Block 43 _ of that he is the owner of 7i.d_7777ty: single family residence and that he trill, at such times as are Director : - And Further this Deponent says not: OWNER SUBSCRIBED AND SW0RN TO B:FORE NE this 9th day of November 1948 . A F F I D A V I T NOTARY H. L. Boring of the Village of Miami Shores, ing duly sworn, doth depose and say, Ne. 105, dated June 15, 1928, auend- rdiranoe No. 97 of the Bail.hro Code bulid a sin le family residence M S Section 1 Subc'.iv- sion, and will be the owner of sc.i('. that he will do the work perecnlly, required by the Zoning and Building 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. 3. Pay the required fees. 4. Execute the work in accordance with the provisions of this Code. 5. Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen:s Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certi- ficates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing other than properly licensed contractors by Miami Shores Village for any part or portion of the work. 9. Not set himself up as a "contractor". 10. Sign an affidavit before commencing work to the effect that he has read this Article and will do the work personally and observe all of the requirements of the Building, Electrical, Plumbing and Zoning Codes of Miami Shores Village. Such affidavit to be properly notarized upon blanks to be supplied by the Building Inspector. 11. In order to prevent abuses and subterfuge the right of such owner-builder as herein provided, is limited to but one owner - builder permit each 2 years, and where an owner - builder has once exercised the privilege herein conferred no second application for owner - builder permit shall be granted in loss than 2 years, unless the applicant is qualified as a licensed General Contractor under the applicable Ordinances of said Village. Owner of Building • BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder Legal Description MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 7263 1C to performed under this Permit Lot /3 /S Bi. Address Of `� s '�� "'r p ��� Value of Amt. of Building (y (`• ! `...- `' . / 4 : 4 9� Projec Permit r ' .. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and 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 wittbout authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above Assume respoz ibility for a thorough knowledge of the,erdinances and regulations pertaining to the work covered hereby whether shown on the plan( or drawings or hi the statements or sifications and that heias es respon- sibility for work done by his agents, servants or employees. + f , • Signed: ' � ` ` / � INSP . -- y s � By v i , i or DATE Contr ) Liceis t 194' Subdi- vision • In consideration of the issuance to me of this permit I agree to perf rm a work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, state nts or specifications submitted to the proper authorities of Miami Shores Village. In accepting Wpermlt I assupte r4sponsibility for a work done by either myself, my agent, servant or employee. • CONTRACTOR OR BUILDER BY AUTHORITY • 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 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 Name and Address CZ " Vie. o l �✓ Registered Architect and /or Engineer___L T r!_g Name and address of licensed contractor_ —P 1 A i? Location and legal description of lot to be built on: Lot / .3 'W Block_ _ Street and Number where work is to be done State work to be done and purpose of building (by floors) New Building / Remodeling To be constructed of_C_ S ___ Kind of foundation_ Estimated Total cost of improvements $ , �t Zone cubage required —_ w ,..., O STATE OF FLORIDA, COUNTY OF DADE. Permit No.__! Disapproved / (Signed) Member Council Approved B ilding In.pecto Distance to next nearest building Maximum live load to be borne by each floor I hereby submit all the plans and specib atipns for said building. All notices with reference to the building and its construction may be sent to !!� .2 Q G 6 79 `Ls/ 7 Ott veer,n -,� The undersigned applicant for this building permit does hereby certify that be 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 PLANNING BO Subdivision 301 1 __ Addition ____Amount' of Permit $ Plan Cubage r Size of Building Lot / o 1 $ (Signed e /✓ Date_ / D_- �— -- — 19 _. Street._2/___2. ``' ✓ _ and for no other purpose. Repairs No. of Stories__ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described constytction, that he has carefully , ad th oregoing application, and that he did sign the same, and that all facts therein by him stated ar t ate Date My Commission Expires _Roof Covering_ I dorzetiepc Read, Sworn to and Subscribed before me. Notary Public, State of Florida DATE Chairman Member Member Member Member _Date Disapproved aviov X5 0 0 _t._ _____ to me well known, _—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. ,/ • /c: cc ci 1, C1 )6 Sic_ 2 02 3 23 sy ntGe. .32 970 CA4 63 ."7 7 6 TALIC1/220 = ;E;cc IttoeD&S145%.* A :=.33 s kt 1.9 3 1.3■11,2."x 2r-.7 c3 7,27 722. z6) /14;-0D = -44 sts).%00 in , 5 / 2 Ntft ‘rokf,2.'2. t tsit, 7 : L t lEirC 0/ '91047' .44:540 AVCE = ic2CO i ML. 5(;iv se? LOT 13 ec,/4 iSti2c443 30/ A LIA S`y, 7,zz. 2333 Si4 I305G • .0••■••■•04.•••••■•••■•••••••••••••••• 1 Liz) t,Q cz c32, 97 clY- OWNER'S NAME H. L. FORINe ' • PRESENT ADDRESS 1276 N W 55th St LICENSE NO. PHONE NO. 3- 8126 JOB LOCATION (ST. OR AVE.) 301 N E 96th Street LOT 13;14 BLOCK 43 SUBDIVISION M S Section #1 GENERAL CONTRACTOR Owner ADDRESS same PHONE NO. 78-5751 LICENSE NO. 0-B 3075 BUILDING PERMIT NO. 7263 DATE 11 /9/4 8 PERMIT FEE $ 2 5. 00 UILD ER' S BOND NO. 757 DATE 10/26/48 ZONE REQUIREMENTS 25,000 CU. FT. PLAN CUBE 3 CU. FT. EST. COST $ 21,00 DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: JDH DATE 11/9/48 y "f NEW CONSTRUCTION TYPE I� CBS STORIES 1 r R � OOF CONSTRUCTION Ile Frame: e• INTERIOR CONSTRUCTION Oak & tile flrs. REPAIRS DESCR IPTION Liv Rm - Din Rm - Kit - Enc Porch - Fireplace -3 BedRms 2 Baths ALTERATION DESCRIPTION Attached Car Porte and 1 -car garage ADDITION Bldg Inspector SUBMITTED TO/',44(4 M WJ/ APPROVED 11/9/4 REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL R ARKS aZie °A0 t -- C 720 CERTIFICATE OF OCCUPANCY NO. (� ISSUED 3/ BY JDH I TO H.L. j3 ,,.,4."., , 111 1 WPM ..-,/ , BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES tL�i E�' z�� 7° '''t• INSPECTIONS DATE PERMIT NO. 7310 RE- INSPECT BY RE- INSPECT BY FOUNDATION �y 11 16 48 JDH H FEE TEMPORARY SERVICE $ 1.00 H. W. HEATER CONN. BEAMS & LINTELS f r 17 0/ - I .= f Lt°f I. �t�,� 0.. $ 1.00 SEWER $ FnAMING $ SOLAR HEATER $ FIXrURES $ GAS $ ■ 'NAL , — ..-5 ,, :,: -'` ` $ _ $ INSPECTIONS CLEAN -UP CONTRACTOR Smith BrOS PHONE PERMIT NO. 7310 DATE 14.,/20/48 FEE $11.00 NEW BLDG. I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ 1.00 H. W. HEATER CONN. $ SEPTIC TANK Acme 7313 11/23/48 $ 1.00 SEWER $ MOTORS $ SOLAR HEATER $ FIXrURES $ GAS $ $ $ _ $ INSPECTIONS DATE 1 BY RE- INSPECT BY RE- INSPECT BY I _ -s- ROUGHING /2/48 JDH GAS ROUGHING 1 /21/49 JDH SEWER ^_ H. W. HEATER CONN SEPTIC TANK ^ .. �- RANGE CONN. SOLAR HEATER. FIXTURES :f '# V FIXTURES & FINAL 3/14/' ) gyp 9 Tn JDH CONTRACTOR June electric Co. PHONE PERMIT NO. 75 0 DATE 1 21/)49 FEE $15.50 1 REPAIRS NEW BLDG. X ALTERATION f ADDITION SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE J Elec 7234 11/2/48 $ 1.00 H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXrURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE :Ain 5 Fl e c11 /2/48 JDH ROUGHING 1 /21/49 JDH H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL 3/14/' ) gyp 9 Tn JDH BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL. TO POWER CO. FOR SERVICE DATE 3/14 BY JDH 111 at sad er aaaatresidia irealAsamo *4 1331 SS 96th Street, Perth 17363 Nev. tvaairativa ae/100 25 E. L. &WA il z 96th 3% Ntiekai 38 Fla 01411111•110111MS li 9. 194• Newaisr 9. 194• as above //; - Name :nd address of licensed contractor. MIAMI SHORES VILLAGE BUILDIN INSPECTION DEPARTMEN' APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the deL iled statemem of the plans and specifications herewith submitted for the build- ing or o h, r structure her. i., described. This .irtlicatic.. is made in compliance and con•o'm•ty w.th the Building Ordinance of Miami Shores Village, t' :or'da, and all pro isions of the Laws rf the State of hkrid. all o d nances of Mi .tit Shores Village and all rules and regulations of the Building Div.: - • i of ,iam' Shoi illage h '1 a of ipl.ed with, whether herein specified or not. A copy of approved plans and specificati .nrr must be ket at buitding durin progress of tl.e wcrk. Owner':, Name and Address :__ Registered Architect and /or Engineer.__. _ ��_ Location and legal description of lot to be / Iui il lt on: Lot a: 14 Block. ______.`f d.. __ _. Subdivision \O rN-S Street and Number where work is to be done_ 3_Q 1 "-f) Date ? 19 5 N n Street_ State work to be done purpose rpose of building (by floors) and for no other purpose. New Building_ Remodeling.. _.__ _ _. Addition__ -_ _____ _____ __ _ Repairs. To be constructed of. .__ _ _ Kind of foundation ,'R Cov 'ring_. Estimated ., ;tal cost of improvements Amount of Permit ��$jj__ Zone cubage required_ Cubage 4,w Distance to next nearest building__ 0 Size of Building Lot �' Maximum live load to be borne by each fl o o r 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 unde signed appli :'ant for this budding permit does hereby certify that he understands and accepts his bligations as an employer of Lbor under the Florida Workmen's Compensation Act being Ser 5966, Coi pled Gen al Laws of Florida P. r anen. Supple vent. and h:is compled with the prov :ions thereof, and will require similar compliance from all contractors or sub - contractors emplo led by him in the work to be perf•gmed under this permit: and will post or cause to be posted for inspection on the site of the work su :h public noti. e or r.otit es as are required by the Act. The u. d•. r,igned agrees to employ only such , ubcontr. ctors, on work to be perform d .. der this permit as are licensed by Miami Shores Village. Remarks._ _ .. .. (Signed) _ No. of Stories. f ' AMC STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to adn oaths and take acknowledgments, personally L p- peared ._ .to me well known, and who, being by me first di ly sworn, upon oath deposes and says that he is the of th abov. described instruction tl..!i h- has carefully read egoing application, and that he did sign the same, and that all facts therein by him t are tr ie. Permit No ay Dat:'l q Read, Sworn to and Subscribed before me. Disapproved �. .--.— _ -- Notary Public State of Florida n (Signed) - - -- - - - .. u (1 . My Com:nission Expires. PLANNIN BOARD .. DATE Chairman __ !_ _ Member Member ___ 1 Member Member _ Member Council Approved Disapproved NOTE: A charge of $1.00 will the Planr:ng Board. A re- inspection fee of $1.00 will be charged when such re- inspection is male necessary by improper notice for inspei•hon or fa ity materials and /or workmanship. _Date be made for making corrections Date or changes to this application ift r approval his been obtained from BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building 1 "`\‘ 1;tr DAV ,.. ❑ PERMIT N° 15257 itto CONTRACTOR OR BUILDE1 MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit 1 Architect Contractor or Builder . tt , Legal Lot i 1 ' II BI. Description. 1 Address of r Building ,7 Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and re uiations pertaining to the work covered hereby whether shown on the plans or drawing or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. '.. ) ,,.,. ;' . $ ., ''.— Signed: {,` BY f�J LA t , INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores \Tillage. In accepting thi permit I assume responsibility for all work done by either, myself, my agent, servant or employee. * i • ,\ t ,4. P +. , g • BY i Amt. of Permit r' cr AUTHORITY Owner's Name and Address STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application. is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. sJ Registered Architect and /or Engineer ' n Name and address of licensed contractor \NL_t Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done dt 6 N.._ State work to be done and purpose of building by floors) and for no other u P rpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Coverin 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 home by each floor I hereby subriiit'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) BUILDING INSPECTION DEPARTMENT ►� 0\N Date -e - �- , 19 - �.6 2' No Street f, __ - Cy 1p 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 arm re. Permit No Date s �G Read, Sworn to and Subscribed before me. Disapproved Date / (Signed) / Notary Public, State of Florida __ Building Inspy' or My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. OWNER'S NAME H.L. Boring PRESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 301 N.E. 96th Street LOT 13 -14 BLOCK 43 SUBDIVISION MS ilk GENERAL CONTRACTOR owner ADDRESS PHONE NO. LICENSE � �j 15257 2 " 7 BUILDING PERMIT NO. DATE 9 -29 -53 PERMIT FEE $ 6 BUILDER'S BOND NO. 1605 DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE 2,229, tax YC "D -FT i"HST $ 2 DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: DATE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCR IPTION front screen porch ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. i (r)C ISSUED ,j., BY l.!i TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION DATE FEE TEMPORARY SERVICE $ BEAMS & LINTELS $ SEWER FRAM ING SOLAR HEATER S GAS $ $ INSPECTIONS FINAL - - RE- INSPECT BY RE- INSPECT BY ROUGHING CLEAN-UP ROUGHING GAS CONTRACTOR PHONE PERMIT NO. DATE FEE S NEW BLDG. I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK $ SEWER $ SOLAR HEATER S GAS $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING ROUGHING GAS H. W. HEATER CONN SEWER RANGE CCNN. SEPTIC TANK FIXTU - 1NAL SOLAR HEATER FIXTURES CONTRACTOR - PHONE PERMIT NO. 1 DATE FEE S NEW BLDG. I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ I INSPECTIONS DATE BY . RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CCNN. FIXTU - 1NAL - BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTI ELECTRICAL PERMITS & INSPECTIONS APPROV ?WER CO. FOR SERVICE DATE BY N° 1862 CERTIFICATE OF OCCUPANCY Owner, Agent or Tenant of Building Lot I? 1 Block 4,..1 Street Address Approved use by occupancy ! ' t Remarks. l' -i- r4-e1 .W -A =, This Certificate of Occupancy is issued to the a ove named CA 4 _ 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. 4 � N,AN � MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla , ` 7. `' rf J c‘ - I ISO �j �' BUILDING DIVISION N9 1862 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla , `� :• Owner, Agent or Tenant of Building Lot , :'" 3 ` Block 4 Subdivision Street Address i r„ +. ., . Approved use by occupancy Remarks _ M , 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 us the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. IVA BUILDING DIVISION �+ ctf.occ. 3-15-49 PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER H. L. Boring (o) 1949 ! "',12.00 /01-51-./.9 9. ®o 1 -G- /9' f.,��.: /(/'tvS /9‘5 0, / 5-0 / a.O a /- 3/ -5 —o /l 1 . _ L ° !M i ,e,/,. /Mw //// ® - /f6-,? /o 1 i 3/ -tll / •. , ®o /y / �, --- -6 / • ADDRESS301 N. E. 96th St. LEGAL 13 -14, Blk. 1 iii S S ;1 RECORD GARBAGE TAX 720 Owner, Agent or Tenant of Building CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION This Certificate of Occupancy is issued to the above name for building at above named location only upon the axpress pr abide by and comply with all conditions of Ordinances Nos. 92, Zoning, Electrical, Plumbing and Building Ordinances 4f Mia the erection, construction, alteration or remodeling of building Miami Shores Village, Fla , Lot Block_ s Subdivision . Street Address Approved use by occupancy �= j Remarks • ision t the ' 3, 94 and 7, Shores Villa e or structure applicant will known as the pertaining BUILDING DI 0 tt.) VISIOr' r 1 MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL ❑ DATE PLUMBING ❑ PERMIT N? HSO License No Contractor's ', t ,YF ROOFING ❑ - , ❑ Work to be peritimticrun Owner of Building Architect r > Contractor or Builder Legal Lot Description Address of Building f � CONTRACTOR OR BUILDER Bl. Subdi- vision r,this Permit r + Sq. Ft Value of Project $ Amt. of Permit BY '1 AUTHORITY a4 $ J This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further col upon which this permit is the statements or specifications and that e assumes responsibility for work granted is the understanding that the contractor or builder named above assumes the responsibility, for a thorough knowledge f the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or it done by his agents, servants or employees. 195 Signed • rt 133;. T INSPECTOR 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 speci cations submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, ment, servant or employee. MIAMI SHORES VILLAGE. FLORIDA - ECTRICAL ❑ DATR /si,a c : - = _ - UMBING ❑ PERMIT N? 848 r Centrc�ctor's License No - + •. TILDING �I ?OFING ❑ liner of ilding chitect ntractor Builder gal scription ldress of ilding Lot ❑ Work to be performed under this Permit r Bl. Subdi- vision r 3q. Ft Value of Project $ Amt. of Permit $ 195 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application efor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, wings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any e 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 nted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations taining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work le by his agents, servants or employees. Signed INSPECTOR 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 taining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. RR I CONTRACTOR OR BUILDER i BY AUTHORITY n Registered Architect and /or Engineer Disapproved Dat (Signed) 0' / � / , P •••-- -••••• t A But ding Inspcc 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 bc kept at building during progress of the work. l ' Date..._. / __. ____________ .._sass ,19 .._._ Owners Name and Address .. 0 5 6 / 1 / .._ 1 ' ._ No.... � / ..._... Street___ 1 57- A C ' Qu/ r%.-- Name and address of licensed conttpctot ®e4//v Location and legal description of lot to be built on: Lot 3_ ( 1 - Block (4- Subdivision. _ _. . Street and Number where work is to be done 3 o A '6' 9 41 : r sass.--- ......._.._.._..,.^. State work to be done and purpose of building (by floors) 9 .....-‘ 4 /7 71- ' 119w r/-‘7 -Ti o ✓S Chairman Member Member sass.. Council Approved ANNING BOARD _.._ DATE Addition Repairs No. of Stories New Building Remodeling To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit S. ` , Co Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Notary Public, State of Florida My Commission Expires and for no other purpose. 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, Pennanent Sup �Iement, and has complied with the provisions thereof, and will require similar compliance fro' ntractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted f • insp. tion on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such bco • actors, v• work 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 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.__ 0 R Date r "— - Read, Sworn to and Subscribed before me. Member _... ..._._.... ._..._ Member _- .............. ._.._ Member 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 rc 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. (0: ( tf. tl !, tl.�� tl.��l �!.• �•. �. y., �, al �, �.. �. y., �• �1,....,• �!•-,. �. y.._: tl.•_•• �. y. tl, �.. �. y. �, tl, �.. �. y. �, �t/, �.•�.y.�,�J�,�..�.y. �1, �,. �. y ., �• tl �, �,. 8.. �, �1, � �. y.. �, tl, �.. {.�..�,t!•�..�.y.•�•t!•�..� «y l ,. t .., t!• ,.�..,� • fCW�yICO I'z:&I1�Di4�ii�14�fZ'ii/�V�� ia;;5Y�i� taAf d�i(GDiQn fail i�D�LAi 7�Qi�iI�OW�1t�V�7�it�DW�iIL CQ�4�itGVW�•ir�V���rNyV� rs Issu Amount_ No. Houses BUILDER'S BOND ^� % , KNOW ALL MEN :Y THESE PRESENTS, that I, Address in consideration of e issuance to me by Mia i Shores Village, Florida, of a permit or permits to conlruct or repair a building or buildi ks at , e following addresses: do hereby deposit with Miami Shores Vil . ge, Florida, the sum of A WHEN CLEARED AND REPAIRED BY THE VILLAGE Amount of Bond Cost of clearing and repairs done by Village . $ Balance due Builder $ aiami cfhorenillage F L O R ID A S.� Imo , and I agree with said Village that, when such construction shall have been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me, used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the completion of such constructiyn within it the meaning of such ordinances, the Village may clear and repair the same and pay the costs of such clearance and repairs out of the aforesaidy S.ZIL — and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then said U shall be returned to me. 'T WITNESS MY HAND and Seal at Miami Shores Village, Florida, this day of ( Seal) INSTRUCTIONS TO BUILDER —When above mentioned construction is completed d the premises are cleared and repaired take this bond to the . Village Building Inspector and obtain his approval, after which Miami Shores Village i11 refund your money in accordance with the above agreement. ¢ : VILLAGE BUILDING INSPECT R'S APPROVAL I hereby certify that the construction contemplated under this Bond, h< has been completed and that the builder thereof has caused ? the surrounding premises to be cleared and repaired in as good condition as trey were before commenci g said construction. X Inspector, Miamhores Village Cancelled � n n n , � t r n , ,- ,�, n , + , s ,s r •e , .. I ern, ?r �. o ,o�e ; eo�•� .ea�,o�l: u1 i : ,°' cv�az ,v u 1. 1. . � 4 ��ir n i� n ii Jr re !1 !r• !r ! i•... ..�lr•.....�a•....••lr••.�..•,� lr••.,.. �i••....•ar••...••Yr !r••... r�••...••rr••....•�r• ri •i• •i N° 757 c? 19 By F. MIAMI SHORES VILLAGE , BUILDING DEPARTMENT z y 305- 795 -2204 � Building Inspection Request 11 Name Date 10 I O Type Insp'n Permit No. (� t✓ P 03 - cS3 4 • Approved Correction Re- Insp'n Fee Address ' 1`t6 G 34— Company Phone # For Inspector: ((jl (p Name & Date Time MIAMI SHORES VILLAGE BUILDING DEPARTMENT -. 305- 795 -2204 Building Inspection Reques Date 10 I 0 C I Type Insp'n T(1-1E i 6 Permit No. 5 P - s3 4 L (zap Name Address Company Phone # For Inspector: i of i o . Name & Date Approved tCorrection Re- Insp'n Fee Time Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment Also ' certified copy of the recorded notice of commencement must be posted at the job site for the first inspection w' rs - en (7) d'ys after the building permit is issued. In the absence of such posted notice, the inspection . not b • ' 'proved , d reinspectio 1 fee will be charged. Si who is personally known to me or who has produced NOT Sign: Print: As identification and who did take an oath. 44 'F!'' Mabel Vargas •ti ' . , t4 i = C sion #DD231984 MA 1N27 , . Bonded Th ru r My Commission Expires: APPLICATION APPROVED BY: chc7t7 /03 t Owner or Agent Contractor The foregoing . trument was acknowledged before me this 2 . The foregoing ins • ent was acknowledged before me this day of 01�� . 2063, by , day of 20 _, by who is personally known . me or who has produced as iden mpetency No. lion and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of SEP 2 6 2003 Plans Examiner Engineer Zoning SEP 2 2 2003 =_J BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): : uilding Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Sa�� - • ' 1� 'bW SC-W`L1 Phone # 10S 1'53 0335" Owner's Address 0 t N. E i (A cDx 5 as r ,fin, City 1 V , ►.,pt (2 State V-- Zip 33 Tenant/Less a Name Phone # Job Address (where the work is being done) 30 t Nt. E . a} 6''" ' City Miami Shores Village County Miami -Dade Zip 3313 Is Building Historically Designated YES NO K Contractor's Company Name '% . �C► Contractor's Address 30 t N. . 9 61 City i ► :Anil∎ 'Sous State �t.. Qualifier $ Value of Work For this Permit A 80 iami Shores Village uilding Department Architect/Engineer's Name (if applicable) f Architect/Engineer's Address ` City `' State i Nub of: Bays Stories Families Type of Work: ❑Addition ❑Alteration ❑New Permit No. o )?J H 534 . Master Permit No. Phone # 30S-7 Sq- 033 S Zip 3313'8 Phone # 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Zip Square Footage Of Work: COO Baths , ' air/Replace ❑ Demolition Describe Work: CAO:4><.CS " i (JONA.... " EPLr�r -t- T gator Bedrooms * * * * *► * * *. * * * * * *. * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** SEP 3 0 PAID .0 County Escrow Fee $ \ . SO Permit Fee $ \ Notary $ 5 •Ci CJ Education/Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Minus Plans Check Fee $ Total Fee Now Due $ t3q . (Continued on opposite side) 'Pau 3 3c c0 1110. 174 WA27 35L LSA 3 W27 36 SD16 .3 12 U 24 W12 121.. All dimartelona & size designations Oven are subjact to verification on Job slap and acquatment to fa job oondt ions. W18 BD18 36L .3 MCC 3024 90 U24 2490 L4 543 W2438L b DISH. 24" 1033 55 / 54 SB42 This Is an original design and must not be released or copied wine applicable fee hee been paid or Job order pleoed. Td WdTT :Z0 2002 02 • 3 2t3ZSZb9S02 : 'OH XdJ Scale : 3r8 - Deeignar Una Raton • Design : oerl 68,3 ,. Data : 08/19103 - - a tfldn i dr : WO U Note: This drawing is an artistic Interpretation of the general appearance of the floor plan. It is not meant to be an exact rendition. 5291new Rob Dwg no. 4- VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE STATEMENT I ___.eft►F SCe+t 4j being the legal property owner, for the pr rty ' Located at: G 1 ' E - ci 6 Legally described as Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7),rd I have read and understand the following disclosure. Statement, which entitles me to 31rbrk as my own contractor, I further understand that I as the owner must appear in person to complete all applications. DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family residence or a farm out - building. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) initial of reviewing clerk. The foregoing instrument Was acknowledged before me this P3 day of - 2003 B who is personally known to me or who has Produc - . / ,... as identification and who did take an oath. Owner Owner Mabel Vargas .'• Commission #DD231984 • Q Expires: Jul 13, 2007 ... •oP° Bonded Thru Atlantic Bonding Co., Inc. .* • Miami Shores Village Building Department BUILDING CRITIQUE SHE Permit No: Job 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel:1305) 795.2204 Fax: (305) 756.8972 • MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reques Date (0 " -743 Time Type Insp'n 7 9'Zt�uG�� Permit No. 2' � Name 9 Address L o/ / )P 9'6 g Company Cal 1 e 7E q Phone # 3 Q S- ,./W 7 p`t-C 0 For Inspector: 6 Nam D . to Correction Re- Insp'n Fee