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360 NE 97 StMIAMI 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. kJ -AT a S,� , Date Owner's Name and Address.- No 3 0 41 -. treet !7 *4-S4'i Registered Architect and /or Engineer Name and address of licensed contractor ®ice 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 (13/ Chairman Member Member .. Council Approved Date 460 4/ 7 floors) New Building Remodeling Addition , 19.17 -1— "SeetilLernfti .0 ' • �°� l 004 042-in& Repairs and for no other purpose. No. of Stories . 2... To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ ,..V,Q Q Amount of Permit $ Zone cubage required Flan 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 perrnit 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 -co ctors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the e o e ork such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such rac o o. ' to b . tee. 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 4- L Date Disapproved .. (Signed) Read, Sworn to and Subscribed before me. • Notary Public, State of Florida Building .ector My Commission Expires PLANNING BOARD DATE Member Member Member 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 81.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER (00 . eelji2A-0 (;" ;: 1940 /44./V1) I i (/)— 1941 4 1 I,_:1 K _.4:stiiii)} 1942 , i. fle' e, 0 J • 1 A ,-,4,/,,,, 4 ; t , i Ct- 4 41A) 1943 / 9" 1../ 17 e; _ , /4 / _jj_ Z2. - C5----37 g _d. r/2 a C?.."_,,,i-e..) 1944 3 ,Q.e.,2_,z;e , 1945 /0 . 0 0 1- 1946 ,7 . , eit 4 k #1 1-:f k s 4 7 1947 i 1 0 C.7 -- 15 -- )Vi . & ,7 / , II 1 I 1948 /2-• =/-"-- 7 ,-/:- 7 i / /,''-'" 0 , 1 ri--1 1949 / -- ''''. I 2 ' 5i - 47 /-/- (-) I 7. / f /1.- 1g- F D if i ,,, /, ., 1950 _ it Jg -. ZP• LOCATION 360 Y - GARBAGE TAX RECORD 3&)\ 11..E. 97th St. r /a- 00 by year e.nnual tax period used 4. Ross A. fieeder //-772 ocz a 70 STATE OF OF TA OF STA DEPARTMENT FLORIDA MASTER SITE FILE D ,v,slon o1 Archives, History Site Inventory Form FDAHRM 802 = = and Records Management DS HSP 3AAA Rev. 3.79 1009 = — Site No. Site Name 830= = Survey Date 8506 820= = Address of Site: 360 NE 97 St., Miami Shores, FL 905 = = Instruction for locating on S side of NE 97 St. between NE 3rd Ave. and = 813= — NE 4th Ave. = Location Miami Shores Ser 1 And 4'; 5, 6, E20' 7 868= = subdivision name block no. lot no. County Dade 808= = Owner of Site: Name: Furr, Walter E. Jr. , Address: 360 NE 97 St. Miami Shores FL 902= = Type of Ownership priurate - 848= = Recording Date 832= = Recorder: Name & Title:Stofik, Marty $ Rodriguez, Vivian Address' MSHPB 818= = Condition of Site: • Integrity of Site: Original Use private residence838= = Check One ❑ Excellent 863= = I� Good 863= ❑ Fair 863= = ❑ Deteriorated 863 = _ Check One or More IN Altered 858= = ❑ Unaltered 858 = = ® Original Slte 858 = = ❑ Restored ( ) (Date: )( ) 858 = = Present Use private residence850 = = Dates: Beginning +1929 844 = = CulturelPhase American 840= = Period 20th Century 845= = ❑ Moved ( ) (Date: )( ) 858 = = NR Classification Category: Building Threats to Site: None Check One or More ❑ Zoning( )( )( )878= = ❑ Transportation( ❑ Development( )( )( )878 = = ❑ Fill( )( ❑ Deterioration( )( )( )878= = ❑ Dredge( )( ❑ Borrowing ( )( )( ) 878 = _ El Other (See Remarks Below): 878= = Areas of Significance: Architecture 910= = Significance: Structure is a fine example of Mediterranean Architecture during the second phase of development of Miami Shores in the late 1920s. Noteworthy features include compass arched transoms on ground floor windows and twisted colonnettes between 2nd story windows. Structure is in scale and character with the surrounding neighborhood. 911 = = 916= = )( )878= = )( ) 878 = = )( ) 878 = = ARCHITECT 872 = = BUILDER 874 = = STYLE AND /OR PERIOD Mediterranean Revival 964 = = PLAN TYPE irregular /irregular 966 = = EXTERIOR FABRIC(S) textured stucco 854 = _ STRUCTURAL SYSTEM(S) concrete block 856 = _ PORCHES open deck FOUNDATION: concrete block ROOF TYPE: multiple gable SECONDARY ROOF STRUCTURE(S): gable CHIMNEY LOCATION: E, end, ext. WINDOW TYPE: wood casement, aluriinum awning CHIMNEY: CBS ROOF SURFACING: barrel tile ORNAMENT EXTERIOR: cast masonry NO. OF CHIMNEYS one 952 = = NO. OF STORIES two 950 = = NO. OF DORMERS none 954 = = Map Reference (incl. scale & date) Miami Shores Village Plat 1980 809 = = Latitude and Longitude: O Site Size (Approx. Acreage of Property): LT 1 a E. 475 T.p. EMMEN grairining 46 s LOCATION SKETCH OR MAP M.E. Mina= Contact Print 5 T. N , E L 01114„,o L111 36o N.E. 97rx St O It Township Range Section 6 53S 42E UTM Coordinates: Tone Ea sing — FrorlTiing Photographic Records Numbers 8 S N108HG27f85N108HG28 860= = 942 = = 942 = = 942 = = 942 = = 942 = = 942 = = 882 = = 882 = = 882 = = 800 = = 833 = = 812 = = 890 = = c OF FLO DEPARTMENT OP STATE Divi ,ion of Archives. History and Records Management S- HSP.3E 9 -74 CONTINUATION SHEET Site Name 360 NE 97 St. Miami Shores, F1 Physical Description: Structure is a two -story Mediterranean Revival residence with a 1 -story E wing. E wing facade has French door flanked by windows, all with arched transoms. Second story windows separated by twisted colonnettes. Large cast masonry decorative grillwork to E of entrance. Entrance is E third of small projecting wing fronting two -story mass. Entrance porch has large square masonry pillars. Roof has exposed wood rafters. Projecting wing has square scuppers just below gable line. MSHPB USE ONLY Original owner: Ross Reeder 1 . ... 1, f ! W N t Immo mm ®mmmmmmm� ti 11Mem®omaq maev�amo nth:t i mmm ,a '111/1 a ®m t do ®� 7 , S N. W. N.w It i l.. 1 W. I 7J 680 = uri ill am ®D agligum n Mil I11U11l N E - 1 O �1po °�aoaoam ammo dma ca 3 a 111 • 10 C" A 10 S T aging t • 9 ,_1141111L141111 • NW+ • O T " T. 411112 11 minim ra News .. 'Axe fampoi e; 57. Mtn 110116 11011 „ nee M N.w. 9 4 111011101 mlomm N.w. 93 RD. gni , n ammo mum 111411'11 imm 9 9 r ... �.T. 96'l 5. Z W MOM 107 es— mourome VIII oavvaoom 1 x11111 11111111 mmmmmvaom 111M1mm 9G, 51" r Q ��OIOD 1,msmoveea A man Ls 111111811 5 T. IRRM 5 T. •mmm1o41m 41111/ 1111 5 T. OWN MO: 5 T. 5'r: 1 t p: '8' - r• mmmmmmmm 50 a. W 4 1 eo 111mmmingeoII MEMO r ®mmm 0 a N 5T. N.t sormin alomdo®m 7 •J N.E MUM 9 f t fi i J _ tH � a olna�mm , YA s ,N pr mmm ff vet— r J . e If fe I/ rc E. 109 07' "• IOG=" gm: MUM d �_Oa m . dmmm :. 1 11 mm111. 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'warm ; =mg 5T. 4 iika* 5 T now •- m =1 ' ® ms s ��0001 �m �'�°��+��1111 94' "' 5 4 1 111 :11 93 5 T 11 1:11 Elan �m10a0�1mOtl� T 70 h • Ta ACT A • OD a -5° JI ROSE Of [/MA JCNOO( r CNURCN a 10 11 (I I4 1' =1 f " 111 \0 L A K E Pa 11 Angetie usiagnig NE 5 e • ; ov� * *4 MU IN gm mg= a ::fim 3 1111111 terrmRY SCHOOL alargioin Po rg? 11 l ir iltdr mom namm IW 0 5 1! ?T; et 9 1 .4� CERTIFICATE OF RE-OCCUPAN Shores Village, Florida, the undersigned certifies that the property to On behalf of �� S u oses of re- occupancy pursuant application rP Code and that such described in the and app has been inspected for p purposes. Sections rna and 9 cup b Shores Land Development and Zoning the above applicant for single-family residential pure property may be MIAMI SHORES VILLAGE, FLORIDA PAGE 2 OF 2 By: Date of Certification 12/11/ — B EEN DES THAT THE REFER THIS CERTIFICATE VERIFIES SHORES PROPERTY HAS BEEN INSPECTED BY DETERMINED TO PRESENTLY PRO HAS S VILLAGE AND SCHEDULE OF RE GtJI,ATIONS OF THE MIAMI SHORE THAT H EAC COMPLY WI'I LAND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT H T C ONE-FAMILY DWELLING IS USED AND PURPOSE ONLY; USED FOR AONE -FAY DWELLING DOES NOT CONSTITUTE ANY HOWEVER THIS CERTIFICATE AS TO THE CONDITION REPRESENTATION OR DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, D SpECT OF SUCH OF IN OR ANY RE ADVISED AND CONDITION, AND INTERESTED PERSONS ARE PD ADVISED THE E NCO - HEIR OWN INSPECTION TO MAKE ETER.MIlIE THE CONDITION, PREMISES IN ORDER THEREOF. I APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY to re- occupy the single family residence known as : (address) Legal Description: Lot: , hereby apply for a certificate Block PB & PG: I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. , Miami Shores, Florida. Date /& Applicant .� Print Name '7 * * * * * * * * * ** ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Contact Name: ��`"" ` - cY� Telephone: Buyer Seller e Realtor Company Name Application Fee ($50) paid: Cash Check No. Inspected by: F . LUB I EN ` Approved X Denied Date 12/11 /98 Comments: PAGE 1 OF 2 S `b iJ rc , hereby apply for a certificate to re- occupy the single family residence known as : (address) D ,&) , Miami Shores, Florida. Legal Description: Lot: I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. Applicant Buyer Comments: APPLICATION FOR CERTIFICATE OF RE OCCUPANCY Inspected by: F. LUBIEN Block PB & PG: Date / Print Name * * * * * * * * * ** ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Contact Name: ;a�`"" --- Telephone: '7I'6S Seller Realtor Company Name Application Fee ($50) paid: Cash Check No. Approved X Denied Date 12 / 11 / 9 8 PAGE 1 OF 2 CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for purposes of re- occupancy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single - family residential purposes. PAGE 2 OF 2 MIAMI/SHORES VILLAGE, FLORIDA By: Date of Certification: 12/11/98 THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE - FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY. DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE. CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETER[vIITTE THE CONDITION, THEREOF. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. r .0200 • go Name Address Company Phone # For Inspector: Approved Correction Re- Insp'n Fee a . ,Name & Dat Time Permit No. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time r f -i t Type Insp'n - \ t- ` ; . / Name Address - Company .- /— Phone #,/ For Inspector Name Approv - Correction ❑ Re -Insp' n Fee ❑ •