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325 NE 96 St (7)8/1512006 To: Current Owner 325 NE 96 Street Miami Shores Village, FL 33138- Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 Permit: BP2004 -1368 Address:325 NE 96 Street Miami Shores Village FL33138- Date Expired: 411612005 Dear Sir or Madam In order for us to serve you better, we need to keep our files up to date. Our records indicate that the above reference Permit has expired. The Building Department has determined that the work applied for has been completed with out the required inspections and it has been more than 180 days since your last approved inspection and thus your permit has expired as per Sec. 104.5.of the Florida Building Code. You are required to renew your permit and schedule all required inspections. In the event you do not comply with the requirements herein, the Building Department will file a complaint with Miami -Dade County Building Code Compliance Office for possible disciplinary action against your licensed contractor And/or if permit was obtained by the home owner the requirements of the Unsafe Structure Code of Miami Dade County Sec. 8 -5. (3) will apply. "The building shall be presumed and deemed unsafe and a permit shall be obtained to demolish the structure or bring the building in to compliance with applicable codes as provided herein." Please contact the Building Department, immediately upon receipt of this letter. Mabel Vargas Administrative Assistant BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Titleholder) v Phone # �� Fj - oz) Owner's Address City Tenant/Lessee Name Phone # $ Value of Work For this Permit Type of Work: ❑Addition Describe A. rk: Total Fee Now Due $ 3 (Continued on opposite side) State Miami Shores Village Building Department olio Pte' 1-14- g p d 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 L t3�8 Job Address (where the work is being done) 3' 5 , t a. q, 5T City Miami Shores Village County Miami -Dade Zip is Building Historically Designated YES NO Contractor's Company Name Contractor's Address City State Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # teration New • 1 1 * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ Tel: (305) 795.2204 Fax: (305) 756.8972 Code Enforcement $ Structural Plan Review. $ Permit No. g '..9 4 /..f36 Master Permit No. Electrical Plumbing Mechanical Roofing Zip Phone # Zip otage Of Work: CCF CO /CC ❑ Demolition Submittal Fee $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ 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 rust 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, a certified copy of the recorded notice of commencement must be posted at the job site for the . first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not he approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instr was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 _, by , day of , 20 , by who is personally known to me or who has produced who is personally known to ire or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 ****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. * , *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 1 5 & y Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10/18/2004 Applicant: ANNE MCCOY Owner: MCCOY ANNE JOB ADDRESS: 325 NE 96 ST Contractor Local Phone: Parcel # 1132060135890 Building Permit Permit Number: BP2004 -1368 Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 15 & 16 BLK 43 LOT SIZE Fees: FEE2004 - 10182 Description Amount Building Fee $35.00 Total Fees: $35.00 Total Fees: $35.00 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 4/16/2005 Construction Value: Work: OLD PERMIT NO. 43580- REVISION CHANGING TRELLIS BEAMS FROM FLAT TO "K FRAMED. ■ 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 pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Square Ft 4 FEES: PERMIT Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 112-1(9 Job Address 325 I ST' Tax Folio Legal Description Historically Designated: Yes No APPROVED: � Zoning Building °� /Sr- Master Permit # 1 /35 - 8 0 Owner/Lessee / Tenant Mc CO y Owner's Address 3Z5 I 9 � ST. Phone (3 1 754 —7ZZc7 Contracting Co. O w Jt E k 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 WY— NNZ Estimated Cost (value) 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 on and zoning. Furthermore, I authorize the above -named contractor to do the work stated. so AILA _ ci 98 ' i v ../ 4ir ?-02Y-P7 �(� No as to Own or . • o `resid nt Date Notary as to Contractor or Owner - Builder Date My Co s •,. My Commission Expires: 'r , NWJWAR S t � :r CLAMS' V1LLAR � PUBLICSTATE Or b t ^e4eir'Ak! EXP. 11.4 f +P e re sident 63 D:te Signature of Contractor or Owner - Builder Date RADON i t- � C.C.F. • 7 NOTARY 5 BOND 30 0 TOTAL DUE 361 � 66 Electrical Plumbing Engineering 51��.c A6/ kVAT NNIMINNINIII■111111111111W . • ....1 MAIM •11.e ■•■•■• IIWM •••• oa■••••• •11., • Ia... ••■■•■• •■ vie ■••■••■ as 1M • a. COM au,* • • w.•■■■••■•• C.••;•:1 • •Z • . • •• ...• :••• •.• • • • . '41/Azir - of It 6iger 4.• ". .. FOR: CLAUSSEN CONSTRUCTION COMPANY ORDER No.57:4- P .B . Project: <NONE> Contractor: :....•...• •• ............... Inspection Date: 08/22/2006 Inspector: Grande, Claudio Owner: MCCOY, JAMES Job Address: 325 96 Street NE Miami Shores Village, FL 33138- Building Department Comments Monday, August 21, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 AUG 2 2Rev Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number Parcel Number 1132060135890 Lot: Page 2 of 2 Passed g >V Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Project: <NONE> Contractor: :....•...• •• ............... Inspection Date: 08/22/2006 Inspector: Grande, Claudio Owner: MCCOY, JAMES Job Address: 325 96 Street NE Miami Shores Village, FL 33138- Building Department Comments Monday, August 21, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 AUG 2 2Rev Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number Parcel Number 1132060135890 Lot: Page 2 of 2 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Type Insp'n r!"vl' int3 Permit No. PP Z903- (MO Name j. A60 Address 3Q 5 /U! 9 St Company Phone # 505'63? Z5 —� p �e ao or ns c'Co � Name fDate Approved 1 1 ! �"M/9/Y // ''.3° e � Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 309795 -2204 Building Inspection Request \ >7l Date Time Type Insp'n ECA Permit No. P JDO3 e O Name �7. 1 C.©y Address 3 IV, 9 57 R Company Phone # 5 5? —.°$9°C3 For i n 19 7 g ame Date Approved P ! A l iAe N" Correction Re- Insp'n Fee ❑ Date - 1 r FEES: PERMIT 0 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 3Z5 s 1 . Tax Folio Legal Description Historically Designated: Yes No O w n e r / L e s s e e / Tenant 3 P M es -A. 14I CLb' J- . Owner's Address `/.5 `4C "f ( S . Contracting Co. i d -I &i c 6e Address Qualifier SS# Phone State # Municipal # Competency # //'' Ins. Co. Architect/Engineer C,Lkl 0 J O Address E -t z t s v\1 ∎ O Z Cl Bonding Company Address Mortgagor � Address Permit Type (circle one): BUILDING ELECTRICAL n PLLU I MBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION i �T �' `� CC Y t�.V" Square Ft Estimated Cost (value) Z10 C) 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 regal:: ,• I • truction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. c�l� RADON APPROVED: Zoning Building 1 / Electrical Mechanical Plumbing ll Engineering Master Permit # 35 Phone (305) 154.2 /0 ( 30) - Lo t Signature of Contractor or Owner - Builder Date Notary as to Contractor or Owner- Builder Date My Commission Expires: C.C.F. '^ 0 -- NOTARY ..5� BOND TOTAL DUE ��.7 'l ¢ ( 2704.g 60,07)(1) 2704,z (e)(J) PLANS EXAMINATION SHEET JOB SITE: /� GOv/ - 3 ZS Ne • (('/a 5 2 DATE: 9Vc/a TYPE OF REVIEW: .5 • BY: 7) CODE SECTION PAGE LOCATION COMMENTS v AohK4 av4ev be l ux o' ''/ 2 P r ey-v . 0U. k p . 012,44_ c use 4(444 rid YIP 1 h ceK O AT 5evetfr e (s 4-o r P v CAL 3 i 5 ea • uoa 66" 41Ne( OGtvt, atiotics �,� Io ®I v-F BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of MIAMI SHORES VILLAGE, FLORIDA DATE 19 ° PERMIT ❑ Work to be performed under this Permi ` — 4 Lot k h Bl In consideration of the ivance to me perta g thereto and in strict donformity with ceptfngs permit I assume responsibility for r . CONTRACTOR OR BUILDER N° 6614 BY i A t`. - 'Y Contractor's License No. 7 1. 0 Subdi- vision f, 1 L c_ r Value of Amount of , + ; s Building , ` j '� Proje $ 1 �- } '''� I 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 applica- tion 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 regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. L4 - ��- a • - - . � 1 ( INSPECTOR rm the work covered hereunder in compliance with ordinance of this permit I agree to perform regulations the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao all work done by either, myself, my agent, servant or employee. AUTHORITY ABBOT PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ( /5 Job Address 3,2S ti t E „IT Tax Folio Legal Description Historically Designated: Yes No OOwner/Lessee ," / Tenant 1 /.A + 1� bl C ()\/ Master Permit # 6 7 1 '91 ® 6 Owner's Address 3 ZS �� Q% STccET / Phone (5DS 154 :UM Contracting Co. o /ti Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Address Address Architect/Engineer Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Square Ft. /( 500 = 10 n o President I ZZ 'Date Notary as to Owner and/or Condo President Date My Commission Expires: - a FEES: PERMIT ,D 0 ' RADON 99 WORK DESCRIPTION 5F-C}) S S &c\\- c ws opt u • Estimated Cost (value) 4_ 4 0 O. cc) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IIVIPROVEMENTS 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 regulatinginstruction and zoning. Furthermore, I authorize the above -named contractor t,dathe ork stated. Signature o Con ,actor or Owner- otary as to Cont actor or Owner - Builder My Commiss 4 14 P U OFFICIAL NOTARY SEAL I. s a wwoARrr a . r �/ 0 OOWASSION MISER ,U��. � Q u v CA EXPIRES 74. 0P f1O DEC. 17,2002 C.C.F. ' T NOTARY BOND .. I • z 2/ Date /te a. /q7 / a yr TOTAL DUE APPROVED: Zoning Building i %ljk ) Electrical Mechanical Plumbing Engineering 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. Owner's Name and Address 1 Gfi Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot ' Permit No Disapprov (Signed MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) ss. 'Date, _ f Buildin 'Inspect° Date _ PLANNING Chairm Member - Member 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. Date -- /- L" No._ �.1 ddition Remarks ( Signed) OARD DATE 2 ____ Street Repairs No. f Stories Read, Sworn to and Subscribed before me. 14 and for no other purpose. New Building modeling To be constructed of - ie4/4� _________ ___ of found. ;„ ,__ _ 1; Coverin Estimated Total cost of improvements $ f 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 t site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such su : . trkors, w to be performe .. nd this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. 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 con uction, that he ha ca fully read tlde foregoing application, and that he did sign the same, and that all facts therein by him s ated are Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty Date Type Insp' Permit No. ----- Name Address Company Pho spector: A roved ection R Insp'n Fee Time MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request TO "72 60 1 1 ?fe4c&-el MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT , Application is hereby made for the approyal of the detailed statement in tne plans and specifications herewith.submitted for the build • ing'or other structure h d This application is madc 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 realations of thc Building Division of Miami Shores Village shall bc complied with, whether herein specified or not. A copy of approved pi*: and specifications must bc kept at building during progress of the work. 1 Da te••••••■••••••••••••••••••••• •••••■•■••••••■■•■•■•••••••••••••••••■■••••••••••••••••••••••••• so • • Owner's Name and Address MR .sf: WO. 0 eaki ..... No.. 3 2 ST. ...... Street—NE 9 ‘. - J.. :3 3 / 3j Registered Architect and/or Engineer . RoFoRD 11•••flt•trITTM!fT/1•••Ift ttttt err-tt Name and address of licensed contractor. DOAAILS d.S.eau 3.2-r_...eva .2 S / • 3/' Location and legal description of lot to be built on: Ci t " /9 8 9 f -40 / 57,re Lot /C Block L t - 3 Subdivision M /OM I 51_ Sec. 17 iv .1 Street and Number where work is to be done 3 2S - ft,1E 7 5 / State work to be done and purpose of building (by floors) ..5.27 46e f ob.% s and for no other purpose. New Building 4 Remockling Aett‘i. Addition IX Repain . o. of Stories / _ Ce fie oo Covering. .eiC e To be constructed of 5 Kind of foundation COAx_R fme Estimated Total cost of improvements $ 2 ?co 9 0 CD Amount of Permit L. Zone cubage required .Plan Cubage Distance .to next nearest building 0 c Size of Building Lot /00. 00 t 9.P .... 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 / AP 41 Cygen er /cif) / be sent to.. „DOA C US-Cleit.) 3 - /WE 9 C 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, anti has complied with the provisions thcreof, 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 ark such public notice or notices as arc required by the Act. The undersigned agrees to employ only such sub9tytractors on performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. SS. C-6 0 9 ‹PoP 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 stat d are 4 Permit No Date k! Read, Sworn to and Subscribed before me. 1 " Disapproved Date Notary Public, State of Florida (Signed) Buil mg Inspector My Commission Expires PLANNING BOARD DATE Cbainnan Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for niaking corrections or changes to this application after approval has been obtained from the Planniny, Board. A re-in.pection fee of 31.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. STATE OF FLORIDA) SS COUNTY OF DADE ) Q thY /6re of the Village of Miami Shores, County of Dade and State of Florida, being duly sworn, doth depose and says that under the provisions of Section B -368, Sub - section (d), of the Building Coda of Miami Shores Village he desires to build 1 .�i 'f W L/ - ..5./2)4 - 44 on Lots ArA ‘ Block of ,* • jelcr. / subdivision; that he is the owner of said property, and will do the work personally, and that he will, at such times as are required by the Zoning and Building Directors - 1. File plans and specifications and obtain approval Village Planning Board and bf the Building Inspector. 2. Apply for and secure a permit. 3. Pay the required fees for licende and for permit. 4. Execute the work in accordance with the provisions of the Zoning, Building, and Electrical Codes of Miami Shores Village. 5. Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workman's Compensation, Public Liability and eroperty Damage Insurance. 7. File with the Building Inspector as the job progresses certificates 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 contractors or sub - contractors other than those properly licensed by Miami Shores Village or any part or portion of the work including, but not limited to, general contracting, plumbing, heating, electrical, septic tank, solar system, lathing, tiler' torrazo, painting, roofing and sheet metal work or installation. 9. Not sot himself up as a "Contractor ". 10. Execute Builder's Bond. And further this Deponent says not, 1. Signature of Applicant. 2. Signature of Officer administering oath. SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY of A. D., 19 t 4. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder : Legal Lot Bl. Subdi Description /.�� �� y3 vision. �/� Address of ( ' � E ' �� V f a of A � ' Q , r Amt. t 0 , 1 / t o 3 Project Am o 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 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 ass e • - esp. sib' ' for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or .. in s • in .; .,te ien� tts or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. -//1' / Signed. � /..ter By CTOR In consideration of the issuance to me of this permit I agree to perform* the .. co red eunder in compliance with nances aid rrg�ggyglg ns pertainin eto and in stric conformity with the plans, drawings, statements or peci ations submitted to the proper authori�f Miami STtorAs TBlaage. In acc p is pe e responsibility fo all work done by either myself, my agent, servant or employee. CONTRACT MIAMI SHORES VILLAGE, FLORIDA DATE P ERMIT N° 5454 Work to be performed R OR BUILDER • • under this Permit y L.Lt.1 i2t 21-7 BY Contractor's License No. 6 - ' 194_7 AUTHORITY Ox fac MI '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 f +> "�a -+ Owner's Name and Address rt^_ Str t eet �c �: s. 447... Registered Architect and /or Engineer ?ix 1 -e w [ \ ,� ° Name and-address of licensed contractor 1 .: - `__ {:__ r, Building Inspector Location and legal description of lot to be built on: Lot__41 ..__ Block_ __ 4,_Z_ a Subdivision_ Street and Number where work is to be done e State work to be done and purpose of building (by floors)_ t.-7 / t�� . 4-1/ 1�1 tom• Q -! '!°',� 2N and for no other purpose. New Building (f.� - ij Remodeling � Addition Repairs No. of Stories 1 To be constructed of___C,_ _ Kind of foundation � . _ _ ,i?' -� Cr Roof Covering &_• ( { Estimated Total cost of improvements $_ }_ e �``® p P c Amount of Permit $ __j / Zone cubaee required _Plan Cubaee . ` 2___ _ t ,.t/ ---- - - - - -- Distance to next nearest building _______Size of Building Lot ` �� ■NA 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 1 1_:_ 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 . ' tractors, o ork to be performed under this permit, as are licensed by Miami Shores Village. ' Remarks__ — ( Signed) Read, Sworn to and Subscribed before me. 1 . L • NING BOARD_ -- ���� .�, ----- DA'C e�;ll ,�, c�T'.��C0 Chairman `� ' P f Member Member _ .� _ .►r_ Member _ Member - % __ ____ Member Council Approved /____Date Disapproved STATE OF FLORIDA, COUNTY OF DADE. j 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. ' �� Y Date 4 ) " Disapproved Date ( Signed) Notary Public, State of Florida My Commission Expires 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. A 4 , / OWNER'S NAME ®N �7aA✓ /�.C'E PRESENT ADDRESS .2 7 /YE 2/-'' ® . - I LICENSE NO. t PHONE NO. 7 e$:,/ JOB LOCATION (ST. OR AVE.) J M A l E . � 1 1 . fi r - LOT / F / / BLOCK i i . 3 SIJ�IVISION /5,.5c. 1. GENERAL CONTRACTOR 611)n%e ADDRESS /er© , aE PHONE NO. 7-4.57 I LICENSE NO. /fig f � BUILDING PERMIT NO. �� / g DATE ! 7 PERMIT FEE $ ® a BUILDER'S BOND ..� NO.�V U DATE © d ? /f EST. COST $ l� �V Z-- ZONE .2 REQUIREMENTS 7/ / 6. / ®O CU. FT. PLAN CUBE Ze/ CU. FT. Q DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: 4• DATE 0-ar27i'l /,�/ !/ ` NEW CONSTRUCTION / TYPE ZI /0� STORIES / 7 ROOF CONSTRUCTION INTERIOR CONSTRUCTION " 16 - 1,O, %0s REPAIRS QQ j� H Pfr //�� `I tt'' DESCR IPTION .44�Nl .-A,• 47eh // 0:4 Ate* ee*,eizi eer • a3 A0.04•!J.. 94 rgj ALTERATION DESCRIPTION DESCRIPTION ADDITION fi jj �� /at .e 1/ A /� ran � zeid f��. SUBMITTED TO PLANNING BOARD APP OVED /• S. / gr REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. 459 I ISSUED 12 /8 /19p.7BY EIS TO • LOTI Hunickle BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE SY RE- INSPECT DY RE- INSPECT DY FOUNDATION q " *Il 4 IJi DATE FEE TE`.P: RARY SERVICE BEAMS & LINTELS / /�"-, g 4/1/3 f+ /Vs g a7� ���JJJ�j // % � .% $ FRAMING / $ SOLAR HEATER S $ GAS FINAL RE- INSPECT S RE- INSPECT BY SERVICE $ __ CLEAN -UP BY RE- INSPECT BY S ROUGHING i _ �s CONTRA CTORT,0(,,,/ /O 0� :e PHONE 7 .Z r f' PERMIT NO. ii DATE 4S7+'/ FEE s NEW BLDG. )c ALTERATION AD REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TE`.P: RARY SERVICE $ SEPTIC TANK AG.�7L° g a7� ���JJJ�j // % � .% $ / $ SOLAR HEATER S $ GAS BY RE- INSPECT S RE- INSPECT BY SERVICE $ __ INSPECTIONS DATE 1 BY RE- INSPECT BY RE- INSPECT BY S ROUGHING i _ �s GAS H. W. HEATER CONN. '� 1, SEWER RANGE CONN. II SEPTIC TANK /j 7 idi SOLAR HEATER FIXTURES y /� /At7 'WS NEW BLDG. )C ( ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE q O � S S H. W. HEATER CONN. RANGE CONN. _ Iay n FIXTURES S _ / S ?SPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY SERVICE E 1I.`I ROUGHING ROUGHING 9 �s H. W. HEATER CONN. '� 1, RANGE CONN. II FIXTURES & FINAL 11 1 1 ��i4 / P PLUMBING PERMITS &c INSPECTIONS CONTRACTOR ELECTRICAL PERMITS & INSPECTIONS PHONE C J4 j 8 FEE $ Al C t BUILDING INSPECTIONS 7i/ f4 APPROVAL TO POWER CO. FOR SERVICE DATE 11/20/47 BY EVS JILDING ECTRICAL UMBING v CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 6 ' 7 7 194 Contractor's `i License No. /6 *6 PERMIT N° 5454 Work to be performed under this Permit vner of j ilding 1 i ,1,1 chitect ,n Builder r ( -(4WvL IA, " LAr�.� 4.4A, Builder :gal Lot _ //�� Bl: y 3 Snbdi- / :scription /3 + / i9 vision • S. # 'dress of r } C ?' Value of r Amt. of 09 X r1 ! / '� , Project ��'jQ Permit P/ 7 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device escribed in the appli- ion herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any ns, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked 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 mit is granted is the understanding that the contractor or builder named above ass esp, b ' for a thorough knowledge of the ordinances and ;ulations pertaining to the work covered hereby whether shown on the plans or .N '• in.... ent:ss o specifications and that he assumes respon- ility for work done by his agents, servants or employees. A; Signed: *outer ' B TOR In consideration of the issuance to me of this permit I agree to perform•the w co - ed he eunder in compliance with all ordinances and regulations taini thereto and in stric conformity with the plans, drawings, statements or peci ' ations submitted to the proper authorities of Miami Shores Village. a pti this permit d "�e responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING ❑ Work to be performed Owner of Building Architect Contractor or Builder Legal Lot II Bi. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Ly r ❑ PERMIT N? 14653 ]DATE under this Permit Subdi- vision Value of Project $ Signed:`_ BY 4 INSPECTOR Contractor's License No Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device d • 'cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in comp i. • 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 regulations pertaining 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 done by his agents, servants or employees. 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, statiemEnts or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY v!7 ADDRESS 3 25 NE 96th st LEGAL 15 & 16 Blk 3c 43 SS#1 RECORD GARBAGE TAX PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER Lon Huni-cke (o) -- T — K /9 yS /2. c o /2.- 3 / -y F f2--a d /z- /3--- y 7 /a y/d / 9 ,1 /. (.. z • do 2 - 7 4' 1- 3 - 4/ P (/3sk j .e 1 /° " If y y ", 42 -3/- eh ', /95 / /-� 9 '7,,' 1, 1/ /..2-.3/- so 0- s/ . .�/• / -V/ -..,g, „ . / i',2 °° / -5/ -6 / - .s / /&-:,,,3- &./ /3(0/9 /3885A d /51.S < < ` ► /� . ADDRESS 3 25 NE 96th st LEGAL 15 & 16 Blk 3c 43 SS#1 RECORD GARBAGE TAX 10 Lig 1[11% 4. lili t!. df. 1f. tl. t/. tf. tf. ll.��y��tl. 1!.••'•'•• t! • t!••'•'••1!.• l.• tl.•• "'••)I,f Fi '"'•• 1f•• "'•• 11•• "'•:�• "••1!.••'•'••t!• "it ' t o j ct 4�iicp�4�iih list 4�iic iii 4�licO dri:Wite ZdilMtf03 :;I iii +�ih� ;ictt �iicp��ii 4�ilc� lic IVigig lki i:cp1�4�;icp O�;iit �;l elb Iss l. Amount No. Houses BUILDER'S BOND i KNOW ALL MEN BY THESE PRESENTS, that I, :1 ' L& - ? f C','a - pi Address _ s, S-'" '. y g r`, s- X Village, Florida, of a permit or permits to construct or repair a building *= in consideration of the issuance to me by Miami Shores Villa e 0 C 9 , or buildings at the followg addresses:, i.4 . wq�.r..__t3 #: ;p•.. „. -.uW.4 -".t; ..•a 19 ' 7 t. do hereby deposit with Miami Shores Village, Florida, the sum ofS 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, -4: 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 r := completion of such construct n wit) the meaning of such ordinances, the Village may clear and repair the same and pay the costs of such clearance and repai out qf the aforesaid , and return the remainder to me; and that, if I shall dear and repair said property immediately, as aforesaid, then • said f4� shall be returned to me. WITNESS MY HAND and Seal at Miami Shores Village, Florida, this day of - t-t = `•" '' r ' Jhores9llage r I. o s I a • 41/ .L =' ( (Seal) • INSTRUCTIONS TO BUILDER -- -When above mentioned construction is completed and the premises are cleared and repaired take this bond to the 9 - • Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your money in accordance with the above agreement. •. .—:. VILLAGE BUILDING INSPECTOR'S APPROVAL -•• ti I hereby certify that the construction contemplated under this Bond, has been completed and that the builder thereof has 11 �� r caused the surrounding premises to be cleared and repaired in as good condition as they were before comme ing said construction. i WHEN CLEARED AND REPAIRED BY THE VILLAGE - - - -- - �` 1 Amount of Bond $‘ o Village Buildi cto Miami Shores Villa ie. , -•. Cost of clearing and repairs done by Village . . $ S .440 C2b—e .0 2t Balance due Builder $ Cancelled 19 By N9 588 M!S •n` °'• i•v�.••h`.° 06 f •'ir e.'•iIM`•°. °•''jr '• r°. °. hill`•°. °.•'•i fi°•.°. r °.•'icr•°. i `•°. °,•'n:°3a•'•ii` al3;1 ii°•'• eli— .•'• r .°••'' r•°. °•'f►` t, MIAMI SHORES VILAGE . BUILDING INSPECTION DEPAR MENT 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. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor_‘ 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 pure of building by -floc ) F and for no other purpo To be constructed of New Building _ , Remodeling Addj Repairs No. of Stories Kind foundation Covering Estimated Total cost of improvements $ / c)-0 Amount of Permit $ - J Zone cubage required plan Cubage Distance to next nearest building 9 Size of Building Lot te 114144‘ Maximum live load to be borne by each floor I hereby submit all the pi- ,s and specificatio for said building. All notices with reference to the building and its construction may be sent to. 4" / - toe _e . / 7 « . 197/ ° No Street- • / GJ --6. 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 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 ...j' actor on rk 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 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._____________.__ _ _______ Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) 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. Owner's Name and Address MIAMI SHORES VILLAGE /'Ac OLD) BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PEIRMIT Application is hereby wade 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..._...__..... ._.�. -0 re # 66.0 . �" �. No a.02 5... Street....W T S'L C� Registered Architect and /or En gineer Name and address of licensed contractor _.... .. Location and legal description of lot to be built on: Lot /6 3 A/4 P PL14) 7- Q F m �A i S s�,� . 2f s � s Block � Subdivision Street and Number where work is to be done a S C _ G State work to be done and purpose of building (by floors L Q c /‹ D O 0 k S ,., � •, ,,, and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit S. Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of 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 subcontr •ctors, on work to be performed - pennit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. j 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.._. 1 Date U F-7 3 Read, Sworn to and Subscribed before me. Disapproved - � ► ate. �s Notary Public, State of Florida (Signed) s Building nspect, 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 51.00 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 DEPARTMENT 305- 795 -2204 Building Inspection Request Date J ) t'u Type Insp' n c"rc1 I "PG DES'S 0r % 4%). Permit No. R e 6- Name O Address 325 NG 9 0 Company • E. eNC -Ct (— _ .)oc Phone # C(csS cV I? - 3 73 +� " Inspection Date 5 (cc IJ Approved Correction Re -Insp' n Fee Lf-e_e_A-ae -a-te 6-1 g MIAMI SHORES VIL AGE BUfl DIlNG DEPARTMENT 305- 795 -2204 Build', ig Inspection Request Correction Re- Insp'n Fee Date Type Insp'n Permit No. Name Address Company Phone # Inspection Date czo be 05 3-0 BUILDING PERMIT APPLICATION FBC 2001. Permit Type (circle): ( Building Contractor's Company Name DC--U nP Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building D epartment 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical Owner's Name (Fee Simple `leho dl er) 7 ( (3 Phone # Owner's Address Permit No. BPO5 - se39 M er Permit No. Mechanical . Roofing City State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) 32-5 He 9 `'T; 141115 1 City Miami Shores Village County Miami- ade Zip Is Building Historically Designated YES NO Phone # Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect /Engineer's Name (if applicable) Phone # Q ��� O $ Value of Work For this Permit . X _ 1 Square Footage Of Work: I f O F Type of Work: Addition ❑Alteration X ❑ New [1 Repair /Replace ❑ Demolition Describe Work: ,� +0 � � r �� (1 It /s * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ "� CCF $ �t O CO /CC Notary $ t- Training /Education Fee i 12 O Technology Fee $ Scanning $'" Radon $ Zoning Bond $ Code Enforcement $ ` Structural Plan Review. $ �� Bonding Company's Name (if applicable) - Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address _ City 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, a certified copy of the recorded notice of commencement must be posted at the job site Jar the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approve •d a, ins ection fee will be charged. Signature Owner o JBLIC: known * * * * * * * * * * * * * ** 4(, ry , 17 11■■ , The foregoing instrum day of who is personal NOTARY P Sign: Print: My Comn •scion Expit * * * * * * ** * * * * * * * * * ** chc 05/13/03 , oy o me or APPLICATION APPROVED BY: Agent State Contractor cknowledged before in�._e, this • The foregoing instrument was acknowledged before nee this "` ( " " — , day of , 20 , by -- — o has produced Signature identification and w hid tal3e a►t,oath. as identification and who did take an oath. ° IS '01 NOTARY PUBLIC: xi, I Sign: *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * who is personally known to me or who has produced_ Print: *************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** My Commission Expires: . !PR252C5 * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer //) S /(' Zoning Printed: 4/26/2005 Contractor Local Phone: Signed: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 795 - 2204 Permit Number: BP2005 -589 Applicant: ANNE MCCOY Owner: MCCOY ANNE JOB ADDRESS: 325 NE 96 ST Parcel # 1132060135890 (INSPECTOR) Building Permit Contractor's Address: Permit Status: APPLIED Permit Expiration: 10/22/2005 Construction Value: $8,000.00 Work: PATIO PAVERS 16X16 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 15 & 16 BLK 43 LOT SIZE Fees: Description Amount FEE2005 -5199 Building Fee $150.00 FEE2005 -5203 CCF $4.80 FEE2005 -5204 Training and Education Fee $1.60 FEE2005 -5205 Technology Fee $3.75 FEE2005 -5206 Scanning Fee $6.00 Total Fees: $166.15 Total Fees: $166.15 Total Receipts: $0.00 APR 2 7 PAID 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 Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: =STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, 3111 INACC,04 , does hereby attest that the (property owner) attached survey, performed by (name of surveyor's company) performed on , is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. Witness(sign and print) Witness(sign and print) before me this day of Affiant is personally •s own tome, . roduced ' as identification. �� , Mabel y us r° '\V=Co 00231914 a 1 ISsion ° *:. .o°= Expire`: Ju • 3,2007 7,' ''coded 1'hr i ' antic Bonding Co 1" J1r' �1ccA� Located at: 3Z5 %4E 96 ST 1 V t1I --5 _ 31 b $ , 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),,,nd I have read and understand the following disclosure Statement, which entitles me to 3lrork as my own contractor, I further understand that I as the owner must appear in person to complete all applications. Produced C nouur) • OWNER BUILDER DISCLOSURE .STATEMENT Owner VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT being the legal property owner, for the property 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 Iicensing 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. initial of reviewing clerk. The foregoing instrument Proof of ownership provided ( ) Was acknowledged before me this oL5 day of 1 l l , 20 JS . B who is personally known to me or who has as identificati • an• who did ta an oath. �l ‘'CPgV P *'? �: U 4 Con �sion ,.,23 Expl -e : 3, 2.,(1"; '.coded lint r. anncBnndink(ll This property described as: Lots 15 and 16, Block 43 ' AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1, according to the Plat thereof, as recorded in Plat Book 10, Page 70 of the Public Records of Dade County, Florida. 4 2.6.5 ' 005 • 2/ so' / /.00' ME,o /.1A1 VIII i tom, umirr I Iu: Sl ll 4u: Ahll 111E x1111 :N.11. 111151' 1, SEA 1.111 1 1 11111114 I.If EN %E 11 5111111:1 AMU .11 Irrl i Qo.00 27od A SGHALT ,¢o4D, 1 tiles . g6 ,.. �.TiPeaT A BOUNDARY slaver 1 hn,Ll tenJj ohm der 11iKh u•p,, tensed herons merit Ow u■ hnit al osnds,dt tr, luclh 61 Ow 11 1 01 land Stn•eru,t on cbsplr, { IGI /•{ Ilu,id• AdminhU Slirr ('ode punusnl to Section 4 Simonet. tarot ar no toctuarltmenit, ,wrdgn, eslemrnit &paroling an Ihr Plot. odor, Ilion at 'blown ',twin • •. 11/00S /.a <acrCE _ G Rjta_. NoCE A SPNAC.T @OA 92 Fl • C2o 0 0 • p • •• • • • ....\( • McCoy;' James A.; and • PROPERTY OI: MCC° Anne,, 325 N.E. 96th Street, Miami Shores, Florida • ••• •• • 5, ' /2• D 7 ((ITS) ID) 0 A ^C ^ 0 BEALE SMITH #5238 Sr 33138 LANNES AND (:ARCIA, INC. 1 "IL 11 2117H till!(Vh:VOI(S- NIAI'I'I {R5 -LANI) PLANNERS Mire nll,tl'r \I: .IS') Akn7.1' ,t,r,,ue, ('urn! (:nhIrt, Florid. 111.1.1 (.1115) 61.6.79119 0{.() 52.1416(0 IIIRW ;. NO 136806