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501 NE 96 St° To Date From of All?, X t16, / nu I (( +✓ .( - Time r 2 t- A.a, WHILE YOU ',/i ,�i<,-, i WERE OUT ` is ")o',✓' A —4 Phon Fax Message >� Area Code Number Ext. Area Code Number Telephoned Please call Came to see you • Wants to see you . Returned your call • Will call again • Signed Date Legal Description 5 WORK DESCRIPTION 1 6w.,1% C G� Square Ft. -1 3 s c c t • FEES: PE APPROVED: :��� �' z 7 7 Ji Zoning ,r�� ��/ Buil ding Mechanical Plumbing PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 5? iti • L . c/ 6 S Tax Folio // 3&O d /JS Owner/Lessee / Tenant f&Q.Nd • d'A 5r s • , A A, z, .s s Owner's Address 34C 9 Ai • Q . c� s �-a AA Contracting Co. /A c�a.�., f � C,ry , Qualifier (� eg � Zd. %va3 4e SS# Phone 3 c ( 69V State # (; S V J L C Municipal # Competency # Ins. Co. Address Arch' °ct/Engineer Bond1 ig Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN gnature o owner and/o ondo President C RADON Historically Designated: Yes No otary as to Owne d/or Condo President Date My CommisfiOrrE es - ,.rocs.:.o.A SZAL 7 (j'' / g � , Q/2 1S7277 :..,;% ° =::: OF O. _. Pi, Address C.C.F. ' NOTARY Master Permit # 9117 Phone C C P d 's�3� �3 3 L �cl G�� -.�-- � /Uric, ,2 . /•= /�, Estimated Cost (value) ) t; t 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. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and a at all work wi p done in compli: ce with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do No : as to Coft Es ommissio Expires: CI.ADYS l VILIAR ILOfAR'; PUBLIC S'TAT'E U. F,O':IDA COMMISSION NO. CC /14103 NW COMMISSION EXP. MAR. 'S,?CO ; s BOND 3 o(., TOTAL DUE 7/st Z,— .El ec trical Date 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 Street and Number where work is to be done State work to be done and purpose of building (by floors) New Building Remodeling To be constructed of 0 MIAMI SHORES VILLAGE B� lding lnspector Chairman - Member Member Council Approved BUILDING INSPECTION DEPARTMENT Date , 19 No Street PLANNING BOAR Name and address of licensed contractor V ,1, i ` = Location and legal description of lot to be built on: Lot i• Block Subdivision 4 and for no other purpose. Addition Repairs No. of Stories 1 Kind of foundation_ Roof Covering a A i a , Estimated Total cost of .improvements $ ' Amount of Permit $ Zone cubage required �____ ' Tian Cubage Distance to next nearest building ( Size of Building Lot_ f_ Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) j� %Z 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 1 _ `(3 \` ` Date ,. Read, Sworn to and Subscribed before me. Disapproved Date » ' / Notary Public, State of Florida (Signed) My Commission Expires 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. m0. M9 shr -as VILLAGE BUOLDING NSPECTVC DEPARTMENT APPLICATIO; °{ Fes' = .. 1L INS 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. q 4 o . , Date '� �> , 19 ,, • _'ice 9 , ,. Owner's Name and Address , , � q . 1 „ . No. Street 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 purpose of building (by floors) 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 'p' ' rove ments P $ � Amount of Permit $ Zone cubage required _Plan Cubage Size of Building Lot 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 rovisions 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to - perforn3e un r th permit, as are licensed by Miami Shores Village. v Remarks (Signed) . �Q� "�� ' (L t ° • STATE OF FLORIDA, r ; `/ �'e 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 • (Signed) - )3uilding Inspector My Commission Expires Notary Public, State of Florida 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. 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 Owner's Name and Address._. i o C,,k r- NOr D A Street ql ' ' tfa Registered Architect and /or Engineer Name and address of licensed contractor 1 '3- ,,_ ` Location and legal description of lot to be built di: Lot Block Subdivision Street and Number where work is to be done_ L..._.:_. - work to be done and purpose of building (by floors) STATE OF FLORIDA, COUNTY OF DADE. j ss MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 19 -Y and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Cgvering Estimated Total cost of improvements $ - S Amount of Permit $ ry i 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 5968, Compiled General Laws of Florida, Permanent Su1pleinent, 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 s bcontractors, on work to b� performed under this permit, as are licensed by Miami Shores Village. < y� ) , Remarks (Signed�v "'�. _ ,2� o ^ � ` / l . lA Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No .... ' Read, Sworn to and Subscribed before me. to me well known, Disapproved (Signed) - C�� / �! G - Notary Public, State of Florida . - - - ` `y' "�" ")i_ / :� 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. of 1 LI 1)t GO t 1 * +r A ct !tor ter tion Lot Bl. Subdi- vision of Value of Project $ Amt. of Permit $ BUILDING ELECTRICAL PLUMBING ROOFING Owner Buildin Archite Contra or Buil Legal Descrip Addres Buildin CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 13817 Work to be performed under this Permit DATF. 195 Contractor's License No BY AUTHORITY This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in curnpliance 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 responsibility for work done by his agents, servants or employees. Signed • BY 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 responsibility for all work done by either, myself, my agent, servant or employee. OWNER'S NAME .. _ / PRESENTADORESS ' ..-•••: : ....... ' ' ...■: " ...; -... LICENSE NO. PHONE N';'). JOB LOCATION (ST. OR AVE.) LOT BLOCK SUBDIVISION GENERAL CONTRACTOR 0 ADDRESS PHONE NO. LICENSE NO. ""'•'-` BUILDING PERMIT NO. • -**".." ^ 0 r• r''' ,-...*--- DATE - ......74'.''' PERMIT FEE $ BUILDER'S BOND 7 ' e I .,, . . . NO. DATE ..7:.) ZONE P E Q U I R E M E N T S CU. FT. '' D ' 0 PLAN CUBE CU. FT. ■ -., ; r0 EST COST S • DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY DATE NEW CONSTRUCTION TYPE STORIES I ROOF CONSTRUCTION I '-•! INTERIOR CONSTRUCTION '-' ..- 7. -2 • ' '.... . r. ,, ,. .: - : - .:- -- 2 - ', , - , . - ) :".7.:: , 77.- '..: REPAIRS DESCRIPTION _ ' 1 ALTERATION ADDITION SUBMITTED TO PLANNING BOARD RE-SUBMITTED TO PLANNING BOARD F TO VILLAGE COUNCIL APPROVED REJECTED DESCRIPTION REFERRED TO COUNCIL REMARKS ERTFCATE OF OCCUPANCY NO. ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD SHORES VILLAGE REASONS INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION /p-- �-6'.,` -) `.�.` FEE TEMPORARY SERVICE ' !� i„ ‘ i , : BEAMS & LINTELS SEPTIC TANK f� $ f ". SEWER FRAMING`! $ SOLAR HEATER $ $ GAS $ $ $ $ FINAL DATE BY RE- INSPECT BY RE- INSPECT BY CLEAN -UP ROUGHING CONTRACTOR �� �i f� i .. - . PHONE PERMIT NO. l a: . , DATE I 0 . - FEES ,J - � � NEW BLDG. I ALTERATION I ADDITION /f REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ' !� i„ ‘ i , : $ SEPTIC TANK f� $ f ". SEWER $ $ SOLAR HEATER $ $ GAS $ $ $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING ROUGHING GAS W ! H. W. HEATER CONN SEWER RANGE CONN. SEPTIC TANK e �,° o .c� - . ,` -. . _. SOLAR HEATER FIXTURES & FINAL FIXTURES quo ))' . � / �`�;'� CONTRACTOR : PHONE PERMIT NO. I : ? • ,-� DATE FEE $ NEW BLDG. I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE f` �� - ec% o ' !� i„ ‘ i , : H. W. HEATER CONN. $. RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE I O ) ( ROUGHING /W -f - : W ! H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTION ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE � tol N9 1710 Owner, Agent or Tenant of Building Lot Block Subdivision Street Address Approved use by occupancy Remarks: This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known z;s the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings cr structures. "f a CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla., BUILDING DIVISION N9 1710 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Owner, Agent or Tenant of Building Lot Block Street Address Miami Shores Village, Fla , Subdivision F c, —,. Approved use by occupancy Remarks. This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known ss the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUILDING DIVISION 4 p Registered Architect and /or Engineer ... v Name and address of licensed contractor �'� ►• Location and legal description of lot to be built on: Lot 1, Block 7 Street and Number where work is to be done MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby uinde for the approval of the detailed statement tae one plans and specifications herewith submitted for the build ine or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. anti 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. ate..._ ».�. ..�...__......._ M o' Owner's Name and Address 1 � .........: - &,E .l.'l l..s.d.._. No.... »» » . Street___ »». » ...._ State work to be done and purpose of building (by floors) Member . . Member Subdivision.. � Jozd 7 PLE, PLANNING BOARD ....... ............ . ............. » »..._.._......DATE Chairman Member Member ._ Member and for no other purpose. New Building Remodeling Addition Repairs No. of Stories.. 1 _ To be constructed of Kind of foundation R oof Covering 0 t\tl .��la Estimated Total cost of improvements $ V, b ;.. WL. Amount of Permit S. Zone cubage required plan Cubage Distance .to next newest building Size of Building Lot Maximum he load to be borne by each floor I hereby s mit the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. . . zc /N.. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Lehur under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, anti has complied %title 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 postetl 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 suc subcontractors, on work to be performed under this permit. as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally ap- peared and who. being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the sane, and that all facts therein by him stated are true.. 1.. � / Permit No.. / 7 a — Date. .. ». ,Zeffl1 »._._ Rea worn and scri e Disapproved p DAt�.._.. _ I I 1 �� ' ✓ 1��i » �� ((� Q���1�1� otary Public, State (Signed) \Z .. v.''Y" Lam' [lQTARY PUBLIC STATE C17 FLORIDA Building Inspector My Commiuion Expires 7r'CGttttr5Sl9tt tvr 3'F','3'99er rormmm MU GEL ? ?A XIII. Rio _....to me well known, 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 frran the I'I.ennir.;; Ilu.erd. A re-mspe ction fee of $1.00 will be charged when such re•Inspection is made necessary by Improper notice for inspection of faulty materials anti /or workmanship.