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339 NE 96 St (3)MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement ur me plans and specifications herewith submitted for the build inc 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 contracto /c70 le ��� . Location and legal d • cription of lot to be built on: Lot / 1 l Block y.j Subdivisi Disapproved (Signed) Date..._ Street and Number wheys work is to be done. .. State work to be done and purpose of building (by floors) i..�M:��� and for no other purpose. New Bui!ding Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof vering Estimated Total cost of improvements S•- • -�`'Q � ' Amount of Permit S. . 7t 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 %1'orkinen'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 f the work su public notice or notices as are required by the Act. The undersigned agrees to employ only such su • • ntr ors • k /to , , per ed under this pcnnit, 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 Date ... Building Inspector PLANNING BOARD DATE Chairman Member Member Member Member .. .. _....._......_..._. —...._ Member ..... Council Approved Date Disapproved MUTE: A charge of SI.00 will be nsadc for making corrections or changes to tlic 1'Lrnnir.g Board. A re inspection fee of 31.00 will be charged when such re- inspection is made materials and /or workmanship. 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. . "J Permit No.._..: 0 Date ' 1 I� 1� Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires lJt� 10..__ Street.. `G.,' .l. �/' to me well known, Date this application after approval has been obtained (rein necessary by improper notice for inspection or faulty 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 s ecified or not. A copy of approved plans and specifications must be kept at building uring progress of the work. ,19 wit Owner's Name and Address ( 4,161/4. [- 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 _ CA State work to b don — and pu1rp of ti 'Iding (b floors) _ No Street New Building Remodeling Addition Repairs To be constructed of Kind of foundation Roof Covering and for no other purpose. No. of Stories Estimated Total cost of improvements $ Amount of Permit $ _ _Plan Cubage Distance to next nearest building Size of Building Lot Zone cubage required Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to__ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontr cto on work to be performed under this permit, 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 ,:th deposes and says .that he is the of the above des4 ib- I construction, that he , c refully■read the foregoing application, and that he did sign the same, and that all facts ther:" /` azq true. � Permit N I . f � �_ Date _ ?( �/ _ i:_�_� 'R ead, Sworn to and Subscribed before me. Disapproved [ % ___ Da (Signed) � 1 ,� C - ' Notary Public, State of Florida uildg Inspecto My Commission. Expires PILiiNNING OARD 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. 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._ i A. D g , 197 Owner's Name and Address No .?__ _ _._ Street !v C 9 ' S Name and address of licensed contractor J14 .__... -Q INN ._ 5A #v 0 IBS- A S -t c N) c,) Registered Architect and /or Engineer M9AM1 SHORES VILLAGE �� BUILDING INSPECTION DEPARTMENT APPLDCAT8ON FOR BUILDING PERMIT Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 3 3 /kj L & S 1 State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of fo ndation Roof Covering ......... ........... . c?Z> Estimated Total cost of improvements $ Amount of Permit $ .Plan Cubage____ _. Size of Building Lot.__ Zone cubage required Distance to next nearest building_..__ 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 contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted fo section on the site . -- wor s c public notice or notices as are required by the Act. The undersigned agrees to employ only such s . 6 , tractors opt^ w > to erformed under this permit, as are licensed by Miami Shores Village. , eJ Remarks Chairman Member Member . _. Council Approved to Building Inspector (Signed) - s 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 ar true. Permit No // �...._._ _ Date - -�v Disapproved (Signed) Read, Sworn to and Subscribed before me. Notary Public, State of Florida My `Commission Expires PLANNING sP RD__ _.. DATE 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 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 APPLICATION FOR BUILDING PERMIT Owner's Name and Address BUILDING INSPECTION DEPARTMENT 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. �'- S 4 i Z__a = '' 4 12 Registered Architect and /or Engineer Name and address o£- 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 purpose of building (by floors) _____ 11 G; 21.11' and for no other purpose. New Building Remodeling Addition Repairs ✓ No. of Stories To be constructed of Kind of founda Estimated Total cost of improvements $__ p _ �?_(� Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building __________ —_Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work,to be performed under this permit, as are licensed by Miami Shores Village. � T 3- .5 7 3 y thority, a notary public, duly lorized -:" administer oaths and take acknowleig ents, personally ap- Remarks (Signed STATE OF F ORIDA, COUNTY OF DADE. ss. Before m , the undersign peared fr Disapproved _ Date No.4,3_ 3 ? Street and who, bein of the above d therei4 by him 1m1 No Date_: _ ____ ___ Read, Sworn to and Subscribed before me. to me well known, Fes and'says at he is the y lea • e •j egoing application, and that he did sign the same, and that all facts Notary Public, State of Florida Building•... ✓•ecto �� My Commission Expires PLANNING BOARD DATE Chairman v 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 BUILDING ELECTRICAL PLUMBING Owner of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 6651 ork to be performed under this Permi >6Ir) ("V fry' Architect Contractor or Builder Legal Lot Description Address of Buildin g This permit is grant to the contractor or build r named above to construct the bdilding or to install the equipment or evice described in the appli- 'n herefor in strict compliance with all ordinances pertaining thereto and w'th the understanding that the work will be performed in compliance with any _is, 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 item-plans are changed withogut authorization. A further condition which this permit is granted is the understanding that the contractor or builder named above 'assumes the for a thorough knowledge of e o ances and regulations pertaining to the work covered hereby whether shown on the plan or drawi s or in e tatements or spec fins and t h ins es respon- sibility for work done by his agents, servants or employees. Bl. Subdi- vision Value of Project DATE Contractor's License No. /0 194 AUTHORITY oo i ed 0 4 C ▪ CY° "-t..' -G ` f�•'" By 'N.,,, • IN ECTOR In consideration of the issuance to me of this permit I agree o perfo the work covered hereunder in compliance with all, ordinances and gy s^ pertaining thereto and in strict conformity with the plans, drawi _s, stat ents or specifications submitted to the proper authorities of Miami Shor Ville. In acceptinjthis s = • it I assume r sponsibility or all work done e' h er n 5 my agent, servant or employee. RUSTY BROWN A - CONCORD IVORY BM-74-15 BM -73 -18 Legal Description T 1 r Owner / Lessee / ► Aj oR kb Et&O £)DOb Owner's Address 53(17 N - 2,_, 9G, (+ Contracting Co. CT/4 -ley Pi �,1,V4/V,L A JAi //N� C Address 650? -.8 wfy,7, /42 )/ %, Qualifier "e,y R tmDioi9 L SS# 2662 - F(` -73/ Phone 62 S ` / Y 3 State #40 .233--3 Municipal # 2 ) 0,233 3 Competenc # / 7 I z 0 Ins .Co.8ie ) /1'0 //ne PRo7°k d Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one):BUIL ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION C&• r7 GC4 4 Square Ft. 55 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 auiho�riz the abov- -named contractor to do the work stated. 'jai Signature of o per and /or Condo President Date: D , ‘F , R Y P ( B OFFICIAL NOM SEAL ,• i JOYCE A HOLZ coIIossioN P*JMBER* CC336459 ro �' R MV COMM APPROVED: t7$ Fire Building Mechanical Plumbing_ Zoning A ,IGAATION FOR MIAMI SHORES VILLAGE 39 - r g _ =as 96 c? 1, Tax Folio 11.3.9.04.13i5 41. Y3 Estimated Cost(value) * Signat Date IF Notary as t My Commi s s i * � G Master Permit # Phone 75 / 9 7 5 ■ ntractor or Owner- Builder * • • • : F or SST O ettnBui er .COMMISSION NUMBER 45.1*,), CC255237 t "+ p MY COMMISSION EXP. OF F■.° ! ,ti*q. 1997 * NOTARY 45 ‘°6 TOTAL DUE Pi Other 4 4 / 7 t r Electrical Engineering CUSTOMER: 14573 C E R T I F I C A T E O F I N S U R A N C E PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS ARCH HOLMES BRODER NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, NOTTINGHAM INSURANCE EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 6122 WASHINGTON STREET HOLLYWOOD FLORIDA COMPANIES AFFORDING COVERAGE ZIP CODE 33023 INSURED GARY P. MCDONALD 6325 SW 30TH STREET MIRAMAR, FLORIDA ZIP CODE 33023 COVERAGES A GENERAL LIABILITY ( ) COMMERCIAL GENERAL LIABILITY ( ) CLAIMS MADE ( ) OCCUR. ( ) OWNER'S 6 CONTRACTOR'S PROT. ( () AUTOMOBILE LIABILITY ( ) ANY AUTO ( ) ALL OWNED AUTOS ( ) SCHEDULED AUTOS ( ) HIRED AUTOS ( ) NON -OWNED AUTOS ( ) GARAGE LIABILITY 1 ( ) EXCESS LIABILITY ( ) UMBRELLA FORM ( ) OTHER THAN UMBRELLA FORM OTHER WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY CERTIFICATE HOLDER MIAMI SHORES VILLAGE 10050 N.E. 2ND AVE. MIAMI SHORES VILLAGE, FL ZIP CODE 33138 COMPANY LETTER A FTBA -FUND COMPANY LETTER B COMPANY LETTER C COMPANY LETTER D COMPANY LETTER E PERIOD s INUICATED, NOTWITHSTANUING QQLIREMENT, TERH EOt' UF CLNTRRACT WITH WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,. INSURANCE AFFORDED BY THE POLICIE: DESCRIBED HEREIN IS SUBJj=CT TO ALL THE TERMS, 'EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES.•LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY POLICY LTR TYPE OF INSURANCE POLICY NUMBER EFF. DATE EXP. DATE ( ) STATUTORY LIMITS 890 -02799 01/01/94 01/01/95 EACH ACCIDENT DISEASE - POLICY LIMIT DISEASE -EACH EMPLOYEE DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /SPECIAL ITEMS POLICY LIMITS ARE THOSE SHOWN ON POLICY AS OF INCEPTION DATE. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE AH- ABC -FCCI- RENEWAL EACH OCCURRENCE AGGREGATE ISSUE DATE: 01 /31/94 LIMITS GENERAL AGGREGATE $ FRODUC T S- COME' /OF' AGG . $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ I FIRE DAMAGE (ANY ONE FIRE) $ MED. EXPENSE (ANY ONE PERS) $ COMBINED SINGLE LIMIT $ BODILY INJURY PER PERSON) $ BODILY INJURY (PER ACC) $ PROPERTY DAMAGE $ $ $ $ 100,000 $ 500,000 $ 100,000 CUSTOMER 4 21957 1 1 OTHER PRODUCER ADVANCED INSURANCE UNDWR RAVENSWOOD OFFICE CENTER 5201 RAVtENSWOOD ROAD,1 7 FT. LAUDERDALE FLORIDA ZIP CODE 33312 -6004 INSURED BOB MCDOi1ALD FAINTING 6325 S.W. 30TH STREET MIRAMAR FL ZIP CODE 33023 -3947 COVERAGES FTHHRISSOISINTOO CERTIFY THAT POLICIES OF INSURANCE EriLISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 4JHICH ATE VU 4I INT96 i Y� HEREIN UBJELT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE GENERAL LIABILITY X ( ) COMMERCIAL GENERAL LIABILITY HBA80528350 ( ) CLAIMS MADE (X) OCCUR. ( ) OWNER'S & CONTRACTOR'S PROT. AUTOMOBILE LIABILITY ( ) ANY AUTO ( ) ALL OWNED AUTOS ( ) SCHEDULED AUTOS ( ) HIRED AUTOS ( ) NON -OWNED AUTOS ( ) GARAGE LIABILITY I() EXCESS LIABILITY ( ) UMBRELLA FORM ( ) OTHER THAN UMBRELLA FORM WORKER'S COMPENSAT ON AND EMPLOYER'S LIABIL dY DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /SPECIAL ITEMS CERTIFICATE HOLDER CITY OF MIAMI SHORES 10052 N.E. 2ND AVE MIAMI SHORES, FLORIDA ZIP CODE CERTIFICATE OF INSURANCE ISSUE DATE: 04/28/93 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE GOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY LETTER A ASSURANCE CO.AMERICA COMPANY LETTER B COMPANY LETTER C COMPANY LETTER D COMPANY LETTER E POLICY POLICY POLICY NUMBER EFF. DATE EXF'. DATE GENERAL AGGREGATE $ 600,000 04/25/93 04/25/94 PRODUCTS- COMP/OP AGG. $ 600,000 PERSONAL & ADV. INJURY $ 300,000 EACH OCCURRENCE $ 300,000 FIEF j� "i�i;`�(4NY SE FJ�EE)) $ 50,000 i1EI1. Exk h (HNY U rE RS) $ ,,,000 COMBINED SINGLE LIMIT BODILY INJURY (PER PERSON) BODILY INJURY (PER ACC) PROPERTY DAt4AGE EACH OCCURRENCE AGGREGATE ( ) STATUTORY LIMITS EACH ACCIDENT DISEASE - POLICY LIMIT DISEASE -EACH EMPLOYEE CANCELLATION SHOULD. ANY OF THE ABOVE DESCRIBED POLICIES BE CCAANCEELLLLEERI @EFIIEE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL EtWEAVUR Tu MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE � 4,e0, LIMITS . 0 LICENSED TO DO BUSINESS AS A CONTRACTOR AS SPECIFIED HEREON. LICENSE NO, p0 —ZZO BUSINESS NAME /LOCATION :F _'MCDONA�D 80B =PAINTS ,, - - Q PERA7IN6rrii 1 l- - �F�- OWNER :GARY'� 19CDONA i Licensee: must register in t10 City . w er el l irorkisto - . MCDONALD BOB PAINTING CO -be y.V : 6325 SW 30 ST MIRAMAR FL 33023 PAYMENT RECD. • DADE CNTY TAX 1 COLLECTOR. t } l 10/19/93 U OE07910 I 000175.0 OZ6LT0000 # 3 3 £— ££ZOTZ "ON 3SN3011 1VM3N321 ICZ'ON 11Wtl3d 1d'IWVIW OIVd 3DVISOd 'SY1 SSV13 .I.S1111A 5 S33A01dW3 • • DO NOT FORWARD £ZOEE 1d 8VWV21IW IS OE MS 5ZE9 03 ** tt N a,V 80g ai v N oa 3 W FIRST CLASS US. POSTAGE -- PAID • • MIAMI. FL PERMIT NO 23 • 3015 83H10 33S 05 ZOOT6 090 £6/6I/ OT 311O0 XVl A.Nnoo 38110 O 3A1303311 1N3$IAdd NOUVO If: �v71C S 33SN3011 3.4 • NOLLVOI .1;1 30 S S S:Hl MVl 4B 030Int; -IN01,1 1 . 35N10 •t�C.r.v nf 0i 3...1 .on3ri n� 1 Nl1C • 3N. 0: • b ..NV 3:• ?L 0: • 33SN30 3-L l.V.b3n 1 O 5300 • 11N0 554 IVVOLL - 5dM100 NV Si SILL 9NIQ1IfS AllVI33dS 96T SseU!Sng Jo •oes 0IVN003W d AIMS a3NMO AIN3 MVO NI V3d0 03 9NI1N 3 IVd I 9O8 U11VNOU)W NOLLV001 /31AWN SS3NISf18 9 —Z 6600Z • ° . PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date A "ol., ( /l Job Address 331 n/c 94 .Stn z t Tax Folio Legal Description Historically Designated: Yes , / No Owner/Lessee / Tenant L 15,4 lS% -4 r - Master Permit # `i y3 op Owner's Address 33 9 Mc 9, S - -- Phone 7S C e " 2:1 3 Contracting Co. Ov el ec Address Phone Qualifier SS# State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /'e -Fi:, ,'s! c,,./ ? - 7 4 i,e,-, o„ ,rte ri a,., Square Ft Estimated Cost (value) '$ 5z7'. do 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. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT v RADON APPROVED: i •1 Zoning Building [ /E . 4 a.r • ` i u re % , f r : c or or Owner- : ui NReary as to Contraci& or Owner - Builder My - Commi O , ` P RY Ptj OFFICIAL NOTARY MARGARITA MOP EL i 2 + `Y 0 coeusa$ QN NUMBER i �, e o CC797277 �. cl MY COMMISSION EXPIRES OF F'- DEC. 17,2002 C.C.F. NOTARY S BOND TOTAL DUE Electrical Date Date — c 5 ?7 Mechanical Plumbing Engineering sy NAME OF PROPERTY (if applicable) : HAROLD J. WILSON HOUSE ADDRESS OF PROPERTY: 339 N.E. 96th Street NAME(S) OF APPLICANT(S): (NOTE: IF THE APPLICANT iS A PERSON OTHER THAN THE OWNER(S). EVIDENCE OF THAT PERSON'S At.THORITY AS AGENT MUST BE .ATTACHED TO THE APPLICATION.) TELEPHONE OF APPLICANT(S): (305) 758 -8533 H (305) 377 -5369 0 ADDRESS OF APPLICANT(S): (if different than address of property) PRESENT USE OF PROPERTY: Primary Residence CLASSIFICATION OF WORK FOR WHICH CERTIFICATE IS DESIRED: (circle the letter next to the appropriate classification) MIAIMI SHORES VILLAGE HISTORIC PRESERVATION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS please type or orint clearly Lisa Fowler Israel 111AJVT£NANC£ OR REPAIR: The act or process of applying measures to sustain the tcisting fair. integrity and material of a building or structure and the existing form tic vegetative cover of a site. 11 may include initial stabilization wort_ where necessary. as well as ongoing maintenance and repair. Samples of material must he suhmincd with the .application. B. RESTORATION: llte process of accurately recovering the norm and details of a property and its setting as it appeared at a particular penal of time by meats of the removal of later work or by the replacement of missing earlier work. All applications for moralism shall include site plans (if required by the Budding Permit). a statement with bibliogaphy histoncally justifying the work. and any additional photos or irtl'urmation to support the proposed work C. REHABILITATION: The pnreess ot'retuming a property to a state of utility through repair or alteration which makes possible an efficient contemporary use while preserving those portions nr features of the property which are significant to its historical. architectural and cultural values. All applications for rehabilitation shall include: site plans (if required by Building Permit). and any other supplementary information. such as drawings that will support the proposed project. D. DEMOLITION: The prow or desttuying or tearing down a building or structure or a part thereof. or the pro.xss of remocing or destroying an archeological site or a part thereof. The applicant shall include a report explaining why the proposed action should occur. if this actitm is to occur for reasons of financial hardship. all pertinent financial data should he included pertaining to the cost of prcervatron. demolition and new construction. Any other material pertinent to the application is also encouraged as supplementary information. E. ,VEW CONSTRUCTION: The prcxeas of constructing a huilding or structure that has never existed at that laatiun. .Applications shall include : a site plan. elevations. floor plan and/or landscape plan. FORM . \ISIiPB.COA (adopted 4.95) a DESCRIPTION OF THE PROPOSED PROJECT (Explain what changes will be made and how they will be accomplished - use continuation sheet if necessary - all applications shall be accompanied by at least one 3" x 5" photograph of the property): I propose to paint the fascia, soffit, vertical, and diagonal half - timber columns on the front of house a dark, mahogany brown. In addition, I will paint the small detailing on the vertical columns a contrasting color, possibly red (I may use a burgundy) in order to highlight them. At present, the columns are painted the same color of the building. The soffit and fascia are painted a pale rust color. 3. DENTED SIGNATURE OF APPL[CANT(S): SIGNATURE OF OWNER(S): Behi A„fi'e CERTIFICATION Ma h °J`" ^y 1(WE) CERTIFY TO ma: BEST OF MY (OUR) KNOWLEDGE AND BELIEF THAT ALL INFORMATION IN THIS APPLICATION AND ITS ATTACHMENTS IS TRUE AND CORRECT: ( FOR BOARD USE ONLY APPLICATION DATE (date application received by Sccretar of the Board): DECISION OF THE BOARD (circle the appropriate number): PROVED 2. APPROVED WITH CONDITIONS (set forth conditions below): SIGNATURE OF CHAIRMAN: Z DATE: ✓ 7 cy - 4, L DATE: ;� -5> DATE: DATE: d .-L - S 5 NOTICE TO APPLICANT(S) HEARING: The Board will act upon the Application within ten (10) working days after receipt of the Application by the Secretary of the Board. You will be notified by the Chairman of the date of the hearing. An Application will not be considered until the required supplementary material has been provided and the Applicant and the owner sign the Application attesting to the truthfulness of the information provided. APPEALS: Any person desiring to appeal a decision of the Board shall within fourteen (14) days from the date of such decision. file a written notice of appeal with the Village Clerk. HELPFUL TTP: Historic photographs. photographs showing existing conditions. proposed plans and drawings. and samples of proposed materials are all very important in assisting the Board in making an informed decision. - h e G��SI �en5 A rC f mere 1 .e %- r n e6t661 Vey Co ✓te i iris PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 33R . Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenantx 1.- I SA 1.5g A e L Owner's Address ( 3- ,.if 9 S + e Phone Contracting Co. 0 h Q ' Address Qualifier SS# State # Municipal # Competency # Architect/Engineer Address Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTIO vVe. _ .1 b Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: Address otary as to ontra My Commission Expire Master Permit it Phone Ins. Co. c r2r. -4 G CG _ i - f - 4-1-e- .rt of,- . rr c -%--, e % o vte. e -1 y' G %/, C lr -/ r, rvficG ` ve ` " Estimated Cost (value))( Square Ft. .5? . 00 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. Date or or Owner - Builder wner- Builder GlD =IV 'STATE OF FIDRIDA RV COMMf SiOt4 FxF 1%1,471 Date FEES: PERMIT yd RADON C.C.F. 1 (J ° NOTARY. S e- BOND TOTAL DUE 2-- APPROVED: Building 9(t 2' Electrical ZoningBuii g Mechanical Plumbing Engineering