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558 NE 96 St (2)03/17/2003 23:16 9544352711 17 :06 IAN e3, 2002 ID: PGT INDUSTRIES M I li M 1pAl]E PRODUCT CONTRQJ NOTICE OF ACCEPTANCE PGT Industries 1070 Technology Drive Nokomis ,FL 34275 This application for Product A Code and Prod forth above. APPROVED:_ 11 `-r .yY f) a 1110 /51100! 1pe20001%ten piahslnodco acceptance cover passim Internet mai! address: postmaster@bundingcodeonline.com ROBERT MONTEAGUDO PAGE 02 TEL NO (941) 480 -1900 *119E99 PAGE; 2/8 MIA MI -DADE. COUNTY, FLORIDA METRO -DADE FLAGLI?R BUILDING 01111.01NC CObK COAMI'LIANCF. OFFICE Mt reo.uAt)ti 11.Arr,.1:R nUt1,1)1NN ; 140 WI :ST 11.AO1.LK S'FRI T, SUITE 160) MIAMI. 1:1.(5R 33130 4%3 (305) 375 -2nn1 1'Ax (305)375 -29m CONTRACTOR t.ic :ENNi tc: Xf :c (31)5) 375.2527 PAX (3 CONTRA CIT) l Erg robe', ■ IEN1' o1%'H1rr (.105)375-20m !AX 005) 375.29as 1'1(01711(7r c:O (I'RO(. n1%'I!11(lx (3053 375 - 2702 PAX 005) 372.6339 Your application for Notice of Acceptance (NOA) of Series SWD -101 Outswing Aluminum French Door under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. F3CCO reserves the right to secure this product or material at any time from a jobsitc or manufacturer's plant for quality control testing. 1t this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE. NO.: ,014417,04 EXPIRES: 11/22/2006 Raul Rodriguez Chia' Product Control Division 'rm. is THE V) RSHF S )DITIONAI. P ..S O R SPECIFIC AND G1 CONDITIONS 8t1141)1C07 CODE & PRODUCT REVIEW COMMITTEE provul has been reviewed by the BCCO and approved by the Building itt, usod in Miami -Dade County, Florida under the conditions set Vraltcisco J. Quintana, K A. Director Miami -Dade County Building Cock Compliance Office • Horncpagt: http : / /www.buitdinecodcontinc.com 03/17/2003 23:16 9544352711 1 &i( Jf4`t e4, euere 1D; FGT INDUSTRIES • Vinyl Tcclb /Progressive Ctas& Tcchnnlosv. ROBERT MONTEAGUDO PAGE 03 TEL. NO: (941) 480 -1900 0119898 PR(Z 3/8 NO'1'iCE or ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE 1.1 This revises and renews the Notice of Acceptance No. 99- 0128.01, which was issued on February 18, 1999. k approves an outswing aluminum French floor, as described in Section 2 of this Notice of Acceptance, designed to comply with thc South f'loricla Building Code (SF!3C). 1994 Edition for Miami -Dade County, for the locations whore the pressure requirements, as tktemaincd by SPf3C Chapter 23, do not exceed the Design Pressure Rating values indicated in the npproved drawings. 2. PRODUCT D1:SCRI 2.1 The Series SWD -101 Outswing Aluminum French Doors - impact Resistant and 115 components steal/ be constructed in strict compliance with the following documents: Drawing No 971, titled ''french Door XX, X" Sleets 1 through 4 or 4, prepared by manufacturer, dated 02/16/98, with revision C dated 1 -22 -99 and last revised on 04 -13 -01, signed and sealed by Robert L. Clark, P.l.., bearing the Miami - Dade County Product Control approval stamp with the Notice of Acceptance number and approval date by the Miami - Dade County Product Control Division. These documents shell hereinafter be referred to as the approved drawings. 3. LIMITATIONS 3,1 This approval applies to single unit application of pair ot' doors and single door only, as shown in approved drawings. Single door unit shall include described in the active leaf of this approval. 4. I NSTA 1.LATION 4.1 The outswing aluminum French doors and its components shall be installed in strict compliance with thc approved drawings. 4.2 Hurricane protection system (shutters): the installation of this unit will not require n hurricane • protection system. 5. LABELING 5.1 Each unit shall hear a permanent label with the manufacturer's name or logo. city, state and following statement: "Miami -Dade County Product Control Approved ". 6. 13UILDING 1'I;RMiT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1,1 This Notice of Acceptance 6.1.2 Duplicate copies oldie approved drawings. as identified in Section 2 of this Notice of Acceptance. clearly marked to show the components selected for the proposed installation. 6.1.3 Any other documents required by the Building Official or thc South Florida Building Code (SF13C) iti order to properly evaluate the installation of this system. 14141 I . G 1,4 i.f el.4 • !shag 1. Chanda, P.E, Product Control [Examiner Product Control Division 2 ACCEPTANCE No.: 01- 0417.04 APPROVED : .onto bcr 0C,, 2001 EXPIRES November 22, 2006 03/17/2003 23:16 9544352711 17:08 JAN 23, 21312 ID' PGT INDUSTRIES TEL NO; (941) 480 -1yt00 ROBERT MONTEAGUDO PAGE 04 WilVeS*1 /444t. V�'ny_1 Tcph/Prottressivc Glass Technolotrv ACCEPTANCE No.: 01- 0417.04 APPROVED : Senlcrtrtbcrj)6.2001 EXPIRES : November 22. 2006 Nano?, OF ACCF,PTA CIS:: STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered utter a renewal application hat been fcictl and the original submitted documentation, including test supporting data, engineering documented, are no older than eight (R) years. 2. Any and all approved products shall bc permanently labeled with thc manufacturer's name. city, stale, and the following statement: "Miatni•Dade County Product Control Approved ", or as specifically stated in floc specific conditions or this Acceptance. 3. Renewals of Acceptance will not be considered In a) There has been a change ill the South Florida Building Code affecting the evaluation of this product and the product is not in complinncc with the code changes; b) The product is no longer the same product (identical) as the one originally approved; e) If the Acceptance holder has not complied with all the requirements of this acceptance, including the . correct installation of the product; d) The engineer who originally prepared. signed and sealed the required documentation initially submitted is no longer practicing the engineering profession. 4. Any revision or change In the materials. use. and /or manufacture critic product or process shall automatically bc cause for termination of this Acccptnncc, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. S. Any oldie following s also be grounds for removal of this Acceptance: n) Unsntisfactory performance of this product or process. h) fvlisusc of this Acceptance as an endorsement of nny product, for sales. advertising or nny other purpose. 6. The Notice of Acceptance number preceded by the words Miami-Dade County, Florida. and followed by thc expiration date luny be displayed in advertising literature. If tiny portion of thc Notice of Acceptnncc is displayed, then it shall bc dote in Its entirety. 7. A copy of this Acceptance ns well as approved drawings and other documents, where h applies. shall be provided to the user by the nutnufoeturer or its distributors and shall bc available for inspection at the job site at all time, The engineer need not reseal the copies, A. Failure to comply with any section of this Acceptance shall bc cause fur termination anti removal or Acceptance. 9. This Notice of Acceptance consists of pages 1.2 and this last page 3. 1 44.41 . Lc,,,., „IA Ishnq 1. Clrtnda, P.C. Product Control Examiner Product Control Division END OF TI I IS ACCEPTANCE 3 15.730 XX 7r.750 7 1A -- l/ w 1 3. OWL ON CtNRR 7)?. 1.40 & 50.E Ro6atL Out E.E. PL re712, Sawing N 0) 7pt rod ;tiro 'own* * S3A1A 0 ON MSC CORNERS • AW L COMMIS ti N N W LARGE MISS1 IMPACT d Od R • 41 r aAZ r+� .ar .� mown, w/Mteuiwx pr wswrro Ca a,moar) 2 oDr�racIAILMO s: x, ;Or 3 DEVON 1 �RE'SSLOW RAMO 3o IN WO X76 PIT. - 75 P.S.R. 3b) .401 L L: 460 PAT. - 40 P.S.r. .. /MI COWERS OW • 53R) RAE 5 1/2" MOM CORNERS (AS) AT. EPROM AT WAD a SILL: 17000 Wt 31°4CNrC AT Ale !7300 S) ND S10U1Tt*S REONRO d,) RE$E'O c TEST REPORT!. Ft. - 2241 7.) WDR LCCXMC ASSEialtr OP? - SEE MIKST 3 Of W 1070 Teehnobgy Or. ORM Nokomis, f2 Isper ° 34275 r.av+rwe $119 -10 d..y�.n French Door — X, XX t R� 1X 1 .'4t 971 PRODUCT RENLWED murrerQ>k. 'oh a 4%7.aq iNn RAto4DAf[ Na+uNr< 1.2 oureabitillsi. Draw Dilsurr. oar xoorisNrlrltam% INDUSTR1 rim°, 4i> 71.750 .250 AUX. SABA SPACE ROUGH OPENING SEE SHEET S fOR ANCHORS ROUGH – OPEND1C 3.000 MU. StAM .250 E glicE 95.750 93.625 EXTERIOR 1.272 4.000 84 3/4 l 1.479 VERTICAL SECTION INTERIOR 1.489 r .250 i L 3.000 – 4\ 1 –• Ro mum 75' acv 'at P.E 49712 Stresural HORIZONTAL SECJfON INTERIOR 0) added .2 pt. ;e a ilo D.8. 2/16/98 4.�rr •.•00 — 4 4 4 1070 Technology Dr. Nokomis, FT. .34275 smonot anoMr.. _- reach Door •- Elevations _. .250 I 1, 400 ROUGH OPDN1NC PRODUCT RENEWED wccoriwa K. o' 001• oy mum out, t+is7+4n ri 1 41 �V "1t vurunvfotievab t owns owss 4 97 I� 0 INDUSTRIES D 03/17/2003 23:16 9544352711 _..17 :12 JAN 23. 2002 ID: PGT INDUSTRIES ROBERT MONTEAGUDO TEL NO (941) 480 -1980 PAGE 07 0119898 PAGE: 7i8 03/17/2003 23:16 9544352711 17;13 JAN ea. um ID: PT INDUSTRIES • 11: 4. z. 18 _ -r 11 4 1 1M - e • ROBERT MONTEAGUDO TEL. NO (941) 480-1900 7 I :•:•d •1•• J.t...:;% 1 ••• • '. • • .": PAGE 08 *119890 PAGE: WO 07/14/03 11:00 FAX 3053729795 ZUCK RMAN SPAEDER LLP • MIAMIOADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Pittsburgh Corning Corporation 800 Presque Isle Drive • - Pittsburgh ,PA 15239 The expense of such testing will be incurred by the manufacturer. ACCEPTANCE O.:01- 0306.02 >rXPI1t (Y e 09 • Z0 39tld Internet mail address: postmnster @huildingcodconline.com ItegintAl S 21.3>iNIti ZISJ a 002 MIAMI-DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE MI -DAnE FLAGLER BUILDING 140 WEST 1:LACILEtt s SUFrf; 1603 MIAMI, (FLORIDA 3313c) -1563 (305) 375 -2901 FAX (305) 375 -2908 CONTRACmR LICENSING SECTION (305) 375.2527 FAX (30S) 375 -2551 coNTRA(TOR 1 NiY)RCF.MII?NT DIVISION 005) 375-290 FAX (305) 375 -2908 PRODLI(.'r CONTItoi. DIVISION (305) 375 -2'102 FAX (305) 372 -6339 This NOA shall not be valid after the expiration date stated below. BCCO reserves thc right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. Raul Rodriguez Chief Product Control Division THIS iS THE CQVERSHE> T, SEE ADDiTiONAI. PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set. forth above. Francisco J. Quintana. R.A. Director Miami -Dade County uilding Code Compliance Office Homep;Ige: hitp J /www.buildingcodcontinc.com 9L50699SBC 8S :0't ENIZ /0T /L0 :L. Yo for Notice of Acceptance (NOA) of: Class Unit Masonr3' I>rsta a With - oxta under Chapter 8 of the Code of Miami-Da thc use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami-Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. 07/14/03 11:01 FAX 3053729795 Pittsburgh Corning Corporation ACCEPTANCE NO: 01- 0306.02 1. SCOPE 1.1 This revises the Notice of Acceptance No. 99- 0803.01, which was issued on 09/16/99. It approves Pittsburgh Corning Glass Blocks as described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County, (SFBC) for the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the design pressure rating values indicated in the approved drawings, 2. PRODUCT DESCRIPTION 2.1 The Pittsburgh Corning Glass Blocks shall bc fabricated and uscd in strict compliance with the following documents: Drawing #A, titled "Regular Thickness Glass Block Panels ", prepared by Pittsburgh Corning Corporation, dated 03/01/95 & 03/03/95, with latest revision on 07/08/99 sheet I of 1. They bear the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product Control Division. These documents shall hereinafter be referred to as approved drawings. 3. IMITATIONS 3.1 The Glass Blocks are for use as non -load bearing walls. 4. INSTALLATION 4.1 The Pittsburgh Corning Glass Blocks shall be installed in strict compliance with the approval drawings. 4.2 The installation of this product up to 30 feet above grade will require a hurricane Protection System. but for installations over 30 feet above grade it will not require a Hurricane Protection System. 5. LABELING 5.1 Each block shalt be permanently labeled with the manufacturer's name or logo and the Miami =Dade County Logo. 6. BUXLDING PERMIT REQUIREMENTS 6.1 Application for Building Permit shalt bc accompanied by copies of the following: 6.1.1 This Notice of Acceptance 6.1.2 Duplicate copies of the approved drawings, as identified to show the components selected for the proposed installation. 6.13 Any other documents required by the Building Official or the SFBC in order to properly evaluate the installation of this product. E0 P. Vd ZUCKERMAN SPAEDER LLP EXPIRES: 08/06/2006 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS -2- APPROVED: APR 1 . 9 2001 Z003 andido Font, P13, Sr; Product Control Examiner Product Control Division IWVIW S S -3>NIH 650 9L90699S?E 8S :0T C06z /0T /L0 07/14/03 11:01 FAX 3053729795 • • Pittsburgh Corning Corporation Wit 39Vd ZUCKERMAN SPAEDER LLP Z 004 END Or THIS ACCEPTANCE -3- ACCEPTANCE NO: 01- 0306.02 APPROVED: APR 1 9 2001 EXPIRES: 08/06/2006 NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including; test supporting data, engineering documents, are no older than eight (t3) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 1 Renewals of Acceptance will not bc considered if a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved: c) if the Acceptance holder has not complied with all the requirements of this acceptance, including the correct • installation of the product; d) The engineer who originally prepared. signed and scaled the required documentation' initially submitted is no longer prncticing the engineering profession. 4. Any revision or change in the materials, use, and /or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the rilin ofn revision application with appropriate fec) and &ranted by this office. 5. Any of the following shall also bc grounds for removal of this Acceptance: n) Unsatisfactory performance of this product or process. b) Misuse of this Acccptancc as an endorsement of any product, for sales, advertising or any other purpose. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date niay be displayed in advertising Literature. !fatty portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents. where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acccptancc shall be causc for termmination and removal of Acceptance. • 9. This Notice of Acceptance consists of pages 1, 2 and his last page 3. Candido Font, PE., Sr. Product Control Examiner Product Control Division III S E3NNI 1 650 9L9069950E 89:01 E00Z/01/LO Solis Palm Nominal Olin enSlans Face Thickness Regular ARGUS' 6•1 6•xr .157' reared' .IB7' 12' a 12' x 5• 370' Rapier O ECORA• 6•x6 It 0 .18r Wares` .tar 1r It Iv 31.4" .i73• eery 4' .101 r la•x4' .teT Regular ESSEX' AA 8'x5s4' .18T Regute' SseStapaa` 8•x8•:4' .187' Replay SPYRA' S'erxr .tsr Reg,., WE. 6':6'x4 .1 BT --i 5 .IBr irk 12 .375 rxe' x4' .187• . 6xe'xr .107- 71CICI(SE7' OECORA' 6• 6'x 4' r x5 x4 .75• 71OCICSE7• Ee10URA` r xB•x 4 • .75' THIG(SET' WE' 6xe•ed' .7S' 6' x8':4' ,75' ,..., Till 11 1 - 1 ___I _ i L y --i i.IIuuf 1111111111111M uniumim .111111■© Minor lunirom wmp_rani tioninnom Channel Restraint Detail B -B TITLE REGU9 THICKNESS GLASS BLOCK PANELS DESIGN N.T.L.. DRAW GHEEk BC-ALG N.S.S. GATE 9.1.95 OATS 3.3.95 w I P 1 P/TTSDUAOH CORNING CORP. t .. NU. IOa .oxs4VC.ne oe.TS rr ,IT7404aCw..• 114T3 ...e 7$991 D1...... A 1 515.141 •J..l• 1laale.:e•sl SCAM Type I Layout 4 D• Y..•...1 /.c.. S_Dea'ft . em• • Mass Block lift: 12' a 1Ts 4• (s•DMaal sae) LECORA• pawn card. • Uwtsr:Typo S• per ASTYC)70. • 1Mhblpm ac Ladd8r19 Blow r .dla vita RII4.*Nad arn•ywaa 51 16' as_ hoc -0L7pedg trestred. • PanelarlcMCC2D gP5p4slpsI,d 514.1 .Ds. 24' s 19:. hmdl0ed pahanl1ad. 110ols }Vr0 p,6 head rood ces ardc.d vdd. a l0 s 1l. hag par.Dead foams .t5 440 Teuhes pa panel aoltaga11)4M'x 1T: HM10.te0W1 • Eipansbn Wallrul:4►' eta r4Nelhllase type. • Seabee Sheds• me. Deign Pressure Rating 51.75 PSF : M n• n..•s. • ,r..r • rMw.. i 311 449 Pal Lin6 T 1.5444 s L l.+e+ (21 LP'SSaaw 6 a IO Lvast..: tx 7•; x 17: N'TI X.o80ot 8 orate.. & 1' Ease. Pecua2 Moffat Crennd 2's 47 ; . Y. 6053.7S2ALH. b a alara Pittsburgh Corning Glass Block I21 •1) e 1 7C LPN Svcs a .104140 , or 9; aI7. Iril BA 8to- ...& I'E.b. Stair. 47: • sit CIeuQ PC' Espana on S:.b L' 115. PC Oelseloc'' Urtt Panel Anchor Restraint Detail A -A PO' Demean SUi7 PC' Panel Moor PC 01at13)sale LM issuer . .l Saar. J.vI L»a.0 PRODUCT .E.'se•hEW IJ 1mr,r_:'C• 01. o3oG..Q2 1';.L °. +•t �• �x � G.. 1 4.242: Typell Layout s•m....r.ran AFiterlD N taming X1711 DI • 01 MOM CDR L Design Pressure paling 4 7.60 PSF BT - C �- p1AdA ram cosy C84'Wllaa mot (CC4OAC1 R0. 9i' 69 1/.,. r..nar I aYW IT•.r• I' IV...5n �• Q.L D•aYe. 11.811 • 1 4 aw ..e..ray...' • '--. SS lair• Tafufitaxanl; • Glass Claek Unto 17' x sr a 4'0=1.0 da W CECCRA' einem used. • , 0lrtarsTl9eS' par1.ST1 CT7q • RaW0.:e.nec ladder Type.egaupa 2' sees •eT tnrmseVed 0011a.ei at IV as. 551E4351e g wilco& • Panel anchor,; 20 PAX Daarrad x15:1 srps. Or. 1 0.'. hxdeped p5ranIrei mhos", pm) OW lit sa locators exhorts Istn Dies I7.' rang p.J1at6 serasss`n •t0 easden (7 per D5•l1ncno. err l l) 91 117/ Hr) ICs1e SW EL • ETpamnn nb W W: ')P lhcl paryaurll•no lWe. • St1I5?. (css, Nee 1174') FE Y. :WI' I' Caen. a u'w..PE 1- m rn re (a) ID 01 m C1 Lo m 01 v 0 In » H H IEJ en Describe Work: Submittal Fee $ Notary $ Scanning $ 4 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING p PERMIT APPLICATI N r 1 6 211"35 FBC 2001 ° - ..... Permit Type (circle): Owner's Name (Fee Simple Titleholder) Owner's Address 5 s © � City A State Tenant/Lessee Name Job Address (where the work is being done) �� G City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name D J ` ER Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ['Addition ❑Alteration New Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Miami Shores Village Building Department Permit Fee $ Electrical Plumbing Mechanical Roofing °Ica Sr r�- CCF $ Training /Education Fee $ Technology Fee $ Radon $ Structural Plan Review. $ d V Zoning Zip Permit No. Master Permit No. 403 Phone # PC 7 -- - 0 t L (_36 ?IS 5?) lc/ 6 33► Phone # Phone # Phone # Square Footage Of Work: Zip ❑ Repair /Replace ❑ Demolition Bons $ `b *5-49 1) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, 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 be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument 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 me 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 Plans Examiner Engineer Cf " � Zoning BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing / j i//2 /<//�,/GNc� Phone # L C 2 — 7C-3- J�Oi( Owner's Name (Fee Sim le Titleholder) C _ Owner's Address ...S E 56:7 c� / City N' 1 &1/ , /Z` 3 State ��- Zip .S_/ 36 Tenant/Lessee Name Phone # (Continued on opposite side) 0 Total Fee Now Due $ a Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 * * * * * * * * * * * * * * * * * * * * * *° * Job Address (where the work is being done) Cif` Miami Shores Village County Miami -Dade iAilding Historically Designated YES NO Oc Permit No. Master Permit No. POS- 7 Zip / 5 Contractor's Company Name Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Square Footage Of Work: Type of Work: ['Addition ❑Alteration ['New ❑ Repair/Replace ❑ Demolition Describe Work: n Submittal Fee $ Permit Fee $ 3_5" CCF $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $.SO.va Pmt, tss - 1R66. 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 mu► 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 be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 _, by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: My Commission Expires: State Certificate or Registration No. Certificate of Competency No. ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 10/14/03 Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: (Certificate of Competency Holder) ************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** DEC 00 2003 ?2 , v /9/o3 $h Plans Examiner Engineer Zoning Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, 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 be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 _ , by day of 20 b ' � � Y who is personally known to me or who has produced who is personally known to me 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: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. *************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: `. / t/1 4\ 03 Plans Examiner Chc 10/02/03 Engineer Zoning BUILDING u �` Permit No. 03 7� PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type (circl .: Building 'Electrical Plumbing Mechanical Roofing `o JCS 1frL) 4 /NCifa Phone # 3,°- 7 — 5 0 1k Owner's Name (Fee Simple Title ' o • er) c Owner's Address f r �'l /�1 (4"t r ►T`" 1 State Zip u City Phone # Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name Architect/Engineer's Name (if applicable) Architect/Engineer's Address *Miami Shores Village Building Department Sr8 9 sr County Miami-Dade N0_ Phone # Contractor's Address City State Zip Qualifier Zip - Phone # 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 $ Value of Work For this Permit Square Footage Of Work: Baths Stories Families Bedrooms Number of: Bays 0 Repair/Replace r - 0 Demolition Type of Work: ['Addition ['Alteration ['New / � �,./ f C i Ff Z° ( .e9 'L..P 1 Describe Work: . - „ION * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** County Escrow Fee $ Permit Fee $ 3 Notary $ Radon $ Education/Training Fee $ Tech $ Scanning $ B ond $ Struct. $ Code Enforcement $ 3 5 OCT 1 6 (Continued on opposite side) Minus Plans Check Fee $ Total Fee Now Due $ P AID Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, 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 be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before nee this day of , 20 , by , day of , 20 _ , by who is personally known to me or who has produced who is personally known to me 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 Engineer Zoning ��� 144/164.- ,611 .t-i" , Plans Examiner 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING � Permit No. BP o - PERMIT APPLICATION CL;w 2 J 1.0T4 FBC2001 ....� , ,_�, Permit Type (circle): Owner's Name (Fee Simple Titleholder) JV 1' 1k}C v Owner's Addresses ,�-�+ S?) `�� �� City '�1 �Z..5 State - Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name owne ¥ Phone # Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Phone # Square Footage Of Work: Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: Describe Work: Submittal Fee $ Notary $ Scanning $ Radon $ Code Enforcement $ Total Fee Now Due $ ddition ❑Alteration ['New ❑ Repair/Replace ❑ Demolition Miami Shores Village Building Department * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * ** * * * * * * * * * * * * * * * * * * * ** Permit Fee $ Training/Education Fee $ Electrical Plumbing Mechanical Roofing Phone #S- ? 'S C )4( 3S Structural Plan Review. $ (Continued on opposite side) )40 CC aster Permit No. Zip JJ 1 CCF$ Technology Fee $ Zoning Bond $ 350 Zip CO /CC PERMIT APPLICATION FOR MIAMI SHORE - f r Date =' 3- • Job Address o �`J R Ak 9� J/ Tax Folio Legal Description Loo .S 1 W %e- tor 7 A6Lock .Si Historically Designated: SAC z . Owner /Lessee/Tenet 7A-V/ b 6. %C //t(C ft, Master Permit # Owner's Address ` 5 .c8 /Vt 4 7C, .SI Contracting Co. Qk AI WORK DESCRIPTION: Square Ft. Z 15 5F Estimated Cost (value) Signature of owner and/or Condo President 1. KS �s- �fl Notary .s o Ow 1 7'81 17 ;e nt My- 'ommission g es; My Commission DD150048 o , o f Expires November 15, 2006 FEES: PERM APPROVE Zoning Mechanical 6-‘ ft-ae RADON 0/03 Date 4 t ng -" Plumbing Date C.C.F' Address d- •CPDD Pd £00 a3 £00/ 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -221' . 39NZ9q'2 JUL 1 - Flo ' }? 2003 -- / 00 Phone 2JU ' SO4(0 � S. S Yes Qualifier SS# Phone State # Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST,BP PAT IN, ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION.'' ' � Permit Type (circle one): CIWILDIND ELECTRICAL PLUMBING MECHANICAL ROOFING 1 > `4DD/ oij X4 el)000 Nt 77 /M'C LL ka.)1}7) 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 ANY 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). 1 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 all disciplines. OWNERS AFFIDAVIT: 1 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. t543 Signature of Contractor or Owner Builder L Ks 4s -- 6a_t \1_ o s 1o� Notary as to Contractor or 0 er Bu My Commission xpires Angela M Becker a4 Neq`e; M Commission D0150048 ++��,� ovember 15, 2006 NOTARY+o B • ND Structural Engineer Ir Number of: Bays Type of Work: ,ddition Describe Work: 'I \\ BUILDING PERMIT APPLICATION FBC 2001 ' Miami Shores Village Building Department Permit Type (circle): ( BuildingJElectrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Phone # Owner's Address City State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) . Phone # Architect/Engineer's Address City State Zip $ Value of Work For this Permit / /J 00 0 Stories teration Permit No. Master Permit No. j3p 03-700 Zip Square Footage Of Work: a 9. 5 Families Bedrooms Baths 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 :New ❑ Repair/Replace ❑ Demolition Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** County Escrow Fee $ / LL t7 Permit Fee $ 3 f , co Notary $ Education/Training Fee $ ri Q5 Tech $ Scanning $ 7 o '"— Radon $ Code Enforcement $ Bond $ 3 CCU Struct. $ Minus Plans Check Fee $ Total Fee Now Due $ 6 53 c (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City Signature Signature chc7l7 /03 State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, - CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, 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 be approved and a reinspection fee will be charged. Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20 day of - ,20by who is personally known to me or who has roduced ' P who is personally known to me 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: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. APPLICATION APPROVED BY: OCT - 3 2003 Plans Examiner Engineer Zoning RECEIVED FROM 1�1 1 R T CO ► \ '�' N O CASH CHECK O ORDER DATE J ' 03 ACCOUNT PAYMEN BAL. DUE 1) 1 B No. 197716 S a. Oa ar 1182 Miami Shores Village Building Department Permit No Job Name BUILDING CRITIQUE SHEET tri I e 6 4- (4 oir( 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 0 -700 BUILDING CRITIQUE SHEET Miami Shores Village Building Department Permit No. Job Name 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 700 JOB ADDRESS: 5 J q4 APPLICANT: K\ iJc 7J APPLICATION: Guoat ZONING CRITIQUE SHEET PERMIT # T0_ I S7 i(A)15f S "Cjeri DATE , COMMENTS $ /lib SI 'r "(19 .- 5VoLAJ CO C9- - r( o /LJ ,;U A2il-T( v a'& r e ur j I e rc/ 2) 5� (kTcatt E 445 (Zed t - - CA4 toc eon IF 7o iJ aT c � /moo S S0. T P Pru y� PM7C s4- C ( R &W 0 56/794v, Aid INITIALS DAVID S. KINCHEN SUSANA KINCHEN (305) 758 -5046 55 8 NE 96 St. Miami Shores, FL 33138 -2736 ORDER OF ✓ ' Y" `` ^ "^ ���� i 1_ 1 HMO() FORM Ret�fn to: (enclose sell-addressed stamped ei e) • Nu e Address: Address: _TRV' RELS WILL CALL � TMs Instrument Prepared by: second party: STATE OF FLORIDA, COUNTY, OF Dade ti Jack H. Eakle, Esq. 100 N.W. 37 Ave. 1st Floor Miami, FL 33125 (305) 642 -9414 SPACE ABOVE THIS LINE FOR PROCESSING DATA Docum ntary Stamps Collected $ - S‘ $ SURTAX Doc. Stamps Collect CI ss "C" Intangible Tux Collected $ Clerk, Dade County, Fla. 1 —� 6' Y. 9/ DC By . RI1 5039PC 1628 1991 HAY 24 AM 9: 33 91 R174246 SPACE ftBOVE THIS LINE FOR RECORDING DATA 3his Quit -claim iced, Executed this 13 day of May KATHI MOYER, joined by her husband DEMAS MOYER first party, to DAVID S. KINCHEN whose postoffice address is 558 NE 96 Street, Miami, Florida, 33138 officer duly authorized in the State aforesaid and in the Count (Wherever used herein the terms "first party" and "second party" shall include singular and plural, heirs, legal representatives, and assigns of individuals, and the successors and assigns of corporations, wherever the context so admits or requires.) itnesseth, That the said first party, for and in consideration of the sum of $ 10.0 0 in hand paid by the said second party, the receipt whereof is hereby acknowledged, does hereby remise, re- lease and quit -claim unto the said second party forever, all the right, title, interest, claim and demand which the said first party has in and to the following described lot, piece or parcel of land, situate, lying and being in the County of Dade State of Florida , to -wit: KATHI MOYER. joined by her husband to me known to be the persorS described in and who executed before me that they executed the same. WITNESS my hand and official seal in the County r May A. D. 19 91 . fi17TARY PUCLIC STA1* CF riOPTDA F1Y CU'UTS rLif. (:Y:'. rc 1", ?' Lot 5, and the West 1/2 of Lot 4, Block 54, MIAMI SHORES SECTION 2, a subdivision according to the Plat thereof recorded in Plat Book 10, Page 37 of the Public Records of Dade County, Fla Aforedescribed property does not constitute the Homestead of the Grantors, the Grantors are legal residents of the State of Pennsylvania RECORDED IN OFf 'CIA RECORDS toot Of DADE COUhTy, FLORIDA. RECORD VERIFIED Clerk of Circuit & County Co . T o Haut and to Itlotd the same together with all and singular the appurtenances thereunto belonging or in anywise appertaining, and all the estate, right, title, interest, lien, equity and claim what- soever of the said first party, either in law or equity, to the only proper use, benefit and behoof of the said second party forever. I n ii !i fitness Vlhereof, The said first party has signed and sealed these presents the day and year first above written. Signe. s• •d and delivered i, nce of: . 1,_ /,i 4 �i ' I�ATHI MOY ‹::;;;7. .4.... DEMAS MOYE } y I HEREBY CERTIFY that this day, before me, an aforesaid to take acknowlgdgMOt 'ripe ;sonally appeared DEMAS MOYER . - •. the foregoing initruPtttt..3nd- `'. Q tpow �rw and Sta last aforesaid; • this � ► day of , A. D. 19 91 , by v• E'J ..0 NC l� _ y ,� � : 5 cb� CC=s N. _ - , -= 1., ?� ' . 3 TZ.Dfl FERWT/MMACIOPS RMISTRATICN .^_ r-:ST Copy COM/r c LICENSE. _ - C�t1s'ICN (DPP,q) _ REGIS N E sms .AT? Copy of c ✓rent CCrUPATIONAL LICENSE " business is located. --^.C� county a;. :3!!":_c:_ a? _ / where Certificate of Insurance for i.t IL /TY _ �' (�.:�rs ° =' tC F=7* JC'.C:_s C=."ti =icte of Insr for CEK 'S C (addressed to `*ed , S'.:or°sVil lage) or if exempt. State of Florida Lc S. Form SCf -204, Construction Inds` Notice of Election to be Exempt PLEASE SUBMIT EVEEXTMG CcMC:D OF %E i t Application (signed b contractor and the property by person performing the work, licensed property owner, both signatures notarized). 3kv sets of p1aas /dra.rings signed an d Cl } J5/ engine • Oc�..c�anc'es T sewn �y_�7i5te_" arC'a.�e or ce it application c. i Grc assification crest be on plans and . ia.®3 All plans m st incioa folio number and property `? `�'� address.. Amended plans, in addition to the a^.o',a, Gust also include the P�xm number. • Sthictural Calc�1lations sig;:ed and sewed by ✓cite e_ engineer when applicable. :-.:rent survey of the property. Certificate of Elevation signed and sealer by S u r veyor. Stbstantlal Improvements Checklist (contractor c: owner) . "" Four sets of energy calculations, signed and sealed p sets of signed a sealed Truss Plans (Engineer). . DADS County or State of Florida Protects Approvals for Lc f materials sheds, windec.s, exterior /garage doors, aluminum carports, screen enclosures, shutters awnings, skylights, french doors and etc. Approvals from SRS, DUDE Comity Ir=act Fee Section, Fire Departrent Eealth Department (when applic^_e) . Dm( Warranty Deed or Other Proof of CG.n°- hip if necessary. o tral. Re view fee 4 5°. ° ° P c1 3) 81 k Notice of Commencement .6"9.1•7ZKA.5" tit'/2'Q7.? 420 /'/C/.1, c21 ‘9.4'0A3A.e.Y17,P Vota jig/AM. .1400 L3 ..F0dv0 rnPirnry 34. 4 fig/it:'9.?i,104if:*0707:tirP1:4/:+i oh* ly,p034;10.,;5yrO _Vow iage7 A34a17,9'.117.7.Ya192 *V Ph9SaYe1..3.4 :474Y77P JO h.1 Plif• AVI1.1 TY.Y/f0P11,Y•lr■rlkitiq,* AP2 3M • , „ , • • ;•• e : fe/..in.og,67.9.•*!4:•-• • . „,,....?;,:**.,...:, . .:... : ,., .. ::-..ft. •,.,..::, ..4:::, - ... . __:..._ ..'4,., ' : '''...:"'" ': .:- • .. - .' •'': ,.."...: 4.st:g:....! . : . - • : • ' '`• . •••• • 06 z6Y# 5 1f 04a 1 • 1 . - !•i • • • .•••• , Erg • 1 u . • • • • • , 6z1//7s. fi-opi.in4 gyta. , • 'C/4'Q7.1 CA-101/20.2 • • - 7 rife7 Se.74)10.7.a' %7/,g7/2thf 31/.1 1 4 2 IS 3PV4 CV .4P7P 4177d rri 67 - 7 .Y042 3 eY ••; C21 2TY/C727r tlaiVAKI.E1/76 (Ye2/..1295 S..4d)(2/1.9 / rt frss `17 - 107 —10 g// aS31)1 3tt.i . C7Nt> -A27 ••• :70 :" ,OE•=1:/ • • • . • .• • • I / • ; • • . LT .• ' ' I 14 • • • • - . - - CinV i 047:44 1, dia./ 7.■ 19 "P 3 fli "$9:2 4+01,4.5:‘' scdo OW:CY • • • , • • 4 -4 -- 1 45 ,42r1 , . . 1 ;kr 1` • . ;/ t'4-;'=;=• • . • ••••- ... - • : STATE OF FLORIDA COUNTY OF DADE attached survey, performed by /aP �a�4� Structures on the property as of this date. performed on Further, Affiant sayeth naught. Wit ess sign an print) •- /c/ ' ..1 Miami Shores Village 10050 Northeast Second Avenue Miami Shores, Florida 33138 -2382 Telephone: (305) 795 -2207 Fax: (305) 756 -8972 www.miamishoresvillage.com AFFIDAVIT The undersigned Affiant, 21//7) 6 C , does here by attest that the .JAMEs iP s . /9230 , is an accurate representation of the existing conditions and locations of all The purpose of the 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 may now 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 effect final inspections as applicable to this or other permits. A' an r • roperty Wi (sign and pant FAt$10—J SWORN TO AND S - : " ' : = -fore me this 30 day of Affiant is •ersonally known to me, — produced / a3�identification. r O s? . "'" DAWN MARIE WASHAM Notary Public - State of Florida My Cortnrssion Expires May 28, 2006 S Commission # DD 110700 4E. Bonded By National Notary Assn. PRIOR TO INSTALLATION OF ROUGH ELECTRIC WIRING CHECK NAMEPLATE DATA OF A/C EQUIPMENT, HOT WATER HEATERS AND OTHER EQUIPMENT TO OBTAIN CORRECT W'RE SIZES AND OVERCURRENT PROTECTION. ADEQUATE SERVICE CAPACITY MUST In PROVIDED. SUB.:ECT TO ELEC I iiiCAL INSPECTION. PLUMB. ;G MECHANICti BY SUORFS VI AGE "7. I — • y APPROVED ZONING STRUCTURAL ELECTRICAL DATE 4wYc o&q / #- 4/0 dC5/ Dalt - R/�? c".4.: y 4 PERMIT NO. ADDRESS: . MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT• SECTION BY DATE ZONING ELECTRICAL MECHANICAL PLUMBING FIRE PUBUC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subject to compliance with aft Federal, State Comtty,Viltage rules t!td regutatfons. Village assuate no responstbttlty for newer: 43M( results frog these pans. 2. This copy of plans must be ayalltbts oc building site or no Inspection 'WI be conducted /. • CRITIQUE SHEET JOB ADDRESS 5 M S% APPLICANT L J OC- f E7v PHONE # APPUCATION l Tf' 4 / 7/ SHEET _.OF MISCELLANEOUS DATE MAIM COMMENTS - 7,1/43 a) oifucieic A9ve "FQui`21 573 t 1)5ck rkiso - iv Se s k ees , ,a(c (/) / 1/ F Cc O S F - T n 14 7 1i411 CCOSE7 1 lb --- (3) Coto , i Ss.pe g 'M -eo t7 INITIALS j 7 . • v J • iO3 in ear ` ✓ 57 AIL 96 5 • . o_ R:y: J . CO D= SECLION /Zu i d e b Dh f /oorP waalsz 57p0 hoer °!iitet 11 " ..2 show hor /6h 8od- 5 1, 0 . E ,�vr s Dh �sy. .4n jam- P Supper h I ever S-04 4/1 ,4 - 4, 10 , does ExIs yee0C prod•/l'f'v'1 �rG /Qss 24 t 744//4 , • D1 —• 5A/e..3 `" ij-Z r: 1 S refuire- • 4 eta • dolt f f-GISe the same, /jet(' 2 b1v4 w4) $ 'to ,n4 5_ t!. 'Reid 6 i- P r l Gv hie ii / d li G�� s offY" Say 6 , � Pik �rz- y are ih _Za4e eea 1~i ✓L pvess u v, - Zye . W dee VI e Corner ? 'eyise, 46 prop, u i e s /l {iie berms 12014 uc 1" • Gruen KeLu''L Me Plah ? be r /QCe:61 - � oa ,7 PrAdaf App l ' 6loGkr Miami Shores Village Building Department Permit No. Job Name BUILDING CRITIQUE SHEET 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 0 - 76 } • JOE E S . 72 • • COD- „ 'CrIOli PAGE T =IIC: :77112? • r : AO Du11U1119 LJelpdtLIIICIR VWlllllIG1II0 Including Final shutters OK. 8/28/06 CG. Inspector Comments Passed 0610/ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 inspection Number: INSP -25588 Permit Number: BP2003 -700 Inspection Date: 08/28/2006 Inspector: Grande, Claudio Owner: KINCHEN, DAVID SEAN Job Address: 558 96 Street NE Project: <NONE> Contractor: Monday, August 28, 2006 Miami Shores Village, FL 33138- Permit Type: Imported Permit Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060140680 Lot: Page 1 of 2 Permit Number: PL2003 -267 Invoice Number: imp -4 -06 -24494 Applicant: DAVID SEAN KINCHEN Company Name: Date 04/21/2006 Permit Receipt Payment Type CheckNum Check 4077 Amount $75.00 Total Payment: $75.00 Friday, April 21, 2006 Page 1 of 1 Type Insp'n Permit No. Name Address Company O Phone # Inspection Datgs / 2 JV1J MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Type Insp'n Permit No. ? () 3 — ( V D r r Name „ i1. , (I�c1.../•\ Address 5 S • CompanyyJ) ,L Phone # Inspection Dat e Sl Approved / Correction Re- Insp'n Fee ❑ Q .G1 MIAMI SHORES VILLAGE �� BUILDING DEPARTMENT \I\ 305- 795 -2204 Building Inspection Request Permit No P 0 Name Address �� O f ,� c. l Gbt �II Company / ) Phone # O gs- 04P---, Inspection Date L/ )27 / V Approved Correction ❑ Re- Insp'n Fee ❑ - wQ, A v �- Date' Correction Re- Insp'n Fee MIAMI SHORES VILLAGE 45\ BUILDING DEPARTMENT \� 305- 795 -2204 Building Inspection Request Q if Type I sp'n.�(L.�(,h /� y? o o Permit No. � - 3 P �� • Name 'fi■ f■ 9 Address S_S 4 r)(\, , l . () Compan # Inspection Date 1 1 )2-7 Approved .. .1. • _ } 2 � p t ti� Da Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildin: Inspection Request Inspection Date L Approved Correction Re- Insp'n Fee itt.aizA. 1 )1 , 6 1 L‘PA-1 '°11)",;( . o MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildin: Inspection Request Dat Type Insp'n 1 A d T Permit No. ` i? -p () 0 Name ; ( )_)4,1 �S Address J i . ( • 9 U j ), . �1 / Company ( � ( A d _ Phone# v (� E__-_. • U l (1 .}�— Inspection Date L) //( Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 0 305 - 795 -2204 P. Building Inspection Request ((�� Date ‘ VA Type Insp'n WW1 Permit No. ®`3 ° 7( O Name Address % Company V Phone # Inspection Date L v "S . Approved Correction Re- Insp'n Fee ❑ s MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 �r Building Inspection Request ` Date '\ 3\ Type Insp'n Will ® •7 90 l .. Permit No. �� . Name ,4' ,WA, Address / � p _ Q � p �� Company C.3 ko , t—e s k— Phone # Inspection Date Q� or Approved Correction Re- Insp'n Fee Date Type Insp'n Permit N Name Address SS P - 1 - \ (i); - Company v Phone # h S - Inspection Date C 1 ! 0 J ° 1 Correction Re- Insp'n Fee a-3to� 0 : o0 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Re- d r R E F wV E{ Miami Shores Village SEr 7 6 UM Building Department BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): : uildin Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleho dl e) /,b J NC r N Phone # Owner's Address / v g ca, �T Cit r' I,t State rot__ Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village County Miami -Da Zip x '31 ` e5 Is Building Historically Designated YES NO Y Contractor's Company Name O 4)1 C.o rte. Phone # Contractor's Address City State Zip Qualifier $ Value of Work For this Permit Minus Plans Check Fee $ Architect/Engineer's Name (if applicable) - Phone # Architect/Engineer's Address City .� State 45 Number of: Bays Stories Families Bedrooms Baths Type of Work: ddition fak<ration :New ❑ Repair/Replace � molition Describe Work: / a sT416. wo Z cz As %�72 , _ JS * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** pod J✓ w County Escrow Fee $ Permit Fee $ 60 Notary $ C k 1(3 Education/Training Fee $ Tech $ Scanning $ Radon $ OCT 0 6 PPD Code Enforcement $ Bond $ Struct. $ i Total Fee Now Due $ (Continued on opposite side) Permit No. t2O CB — 15 (00 Master Permit No. 1 03-730 3 Zip 33133 Phone # 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 -73 o Zip Square Footage Of Work: . � Z Bonding Company's Name (if applicable) Bonding Company's Address City State Signature Signature Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, 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 be approved and a reinspection fee will be charged' Owner or Agent Contractor The foregoing instrument 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 me 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: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. *************'*********************** * * * * * * * * * * * * * * * * * * * * * * * * ** * * * *, '* I,***** * * * *s * *s * *•s * * * *s * *** * ** * * * *s ** APPLICATION APPROVED BY: chc7/7 /03 O N A 6, • Plans Examiner Engineer Zoning Located at: SS8 �(,(4) 0 er Owner VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE STATEMENT 'iD gINx-- being the legal property owner, for the property 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),,Ind I have read and understand the following disclosure Statement, which entitles me td *brk as my own contractor, I further understand that I as the owner must appear in person to complete all applications. DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two - family residence or a farm out - building. ' You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) 2,(0 initial of reviewing clerk.�The foregoing instrument Was acknowledged before me this day of , 20f21 - B who is personally known to me or who has Produced as identification and who did take an oath. Mabel Vargas Commission #DD23I984 Expires: Jul 13, 2007 Qpo?P` Bonded Tiro , Atlantic Bonding Inc. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 7 / Type Insp'n - F r1c 1 012 G� Permit No. &P3 — 700 Name V I 3C.O Y7 Address S58 k/E Company Phone # ( 5 5 0 Inspection Date Approved Correction Re- Insp'n Fee Inspection Date Approved Correction Re- Insp'n Fee . .Z7 /l °� MIAMI SHORES VILLAGE 47--4 BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date CaNAO5 Type Insp'n 1/40lWlkv1,y dcd \S\VkiNi. Permit No. \ 100 Name V{ . S 1T 11A Q Address r1 0 1v ` `b 31 Company N (A Phone # '05 f 6l5 — 5014 o Type Insp'n MIAMI SHORES VILLAGE BUILDING DEPARTMENT r ,' 305- 795 -2204 ` Building . ' - : - - t Date 5/��/dr- Permit No. 690 Name Address Company Phone # Inspection Date Correction Re- Insp'n Fee E-aa 4-p CC5 s 572 -- So r y llg la� L CEUVE( ) SEP 2 9 2003 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. e L 2403' ZQZ • PERMIT APPLICATION Master Permit No. &'a 03' 7C FBC 2001 Permit Type (circle): BuildinCElectricar)Plumbing Mechanical Roofing Owner's Name (Fee Simple Title It KiACJ4 Phone # .♦" 26 Owner's Address J .6 NE qu, J " es csr- City /0 State Zip g3/ 3/3 City Tenant/Lessee Name Phone # Job Address (where the work is being done) _ <s A16 96p 7 City Miami Shores Village County Miat7de Is Building Historically Designated YES NO Contractor's Company Name ar 1 Al Uai COM -b Cite/ Contractor's Address 30 t1+ ©■ 1L I City A rn n u ' 1 State Qualifier i 31, i'I fi n..11)1 11 Phone # Zip Zip s3ise g, °78 6 Soot 33q(, Architect/Engineer's Name (if applicable) - Phone # Architect/Engineer's Address State Zip $ Value of Work For this Permit A Pix Square Footage Of Work: g 01) Number of: Bays Stories Families Bedrooms / Baths Type of Work: ❑Addition Alteration lJivew ❑ Repaaiir eplace \ 0 Demolition Describe Work: 44✓G�t 7' JO 4 / d � � /70d► 'b " , � cc.k 11 N t lJ O -k ,t * * * * * * ** * * * * * * * * * * * * * * * * * * ** F ees * * * * ** * * * * * * * * * * * * * * * * * ** * * * ** County Escrow Fee $ 2. 14 v Permit Fee $ ,? (V n '6' ° n Notary $ Education/ Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite side) 3 ci 11 0 - Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, 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 be approved and a reinspection fee will be charged. Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this .' The foregoing ' tniment was acknowledged before me thi .2Y day of 20, by ' day of 20 43 by who is personally known to me or who has produced P who is personally known to me or who has produced as identification and who did take an oath. chc7/7/03 As ide'tification NOTARY PUBLIC:/ Sign: ��,, AP Print: d who did take an oath. My Commission ius';` st4otary Public) State of Florida * * * * * * * * * * * ** t *=`.* *k* ic ,., oi. *�t'or** • nr a `,d. Ronde �, -,inn (t ertii w e.. , .. yr .... , ,...v..{.. ..,�r. .,....r., , . . State Certificate or Registration No. C C ,000 LI ) e My * * * * * * * * * * * * * * * * ** ate of Competency Hol NOTARY PUBLIC: Sign: Print: Certificate of Competency No. 1,4 'o ary 'u rokpies: , Fxnirps n,nny 4 2007 Rrn n led By N, horlai Mk); y Assr .per.- ....■... **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** t APPLICATION APPROVED BY: Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES 64 �� A/C (WIN)) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS aDp 4\ DUCT WORK FLOOR DRAIN SERVICE REPAIRAETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN / ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 If STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS . DRAINFIELO, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK - REINSPECTION SOAKAGE PIT CU. FT. , CATCH BASIN OISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET 4 SOLAR WATER HEATER :IRE STANDPIPE '001 PIPING . _AWN SPRINKLER SYSTEM 1AS RANGE 1ETER SET (GAS) ,AS PIPING - ADDENDUM TO BUILDING PERMIT APPLICATION or (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ACCOUNT �SipO PAYMENT BAL. DUE (`( D 0 DATE RECEIVED FRO ` u OR R RENT�� 4,0,6tAo No. 197796 1��--- 9�,,,► 4�SSg rrs , b :P O CASH FROM O CHECK O MONEY BY ORDER 1182 Thomas J. Asta, Jr. 2436 Hayes Street Hollywood, FL 33020 -3416 Dear Mr. Asta, re: Your check number #1109 You are hereby notified that a check, numbered 1109 in the face amount of $30.00 issued by you on September 29, 2003 drawn upon Bank of America and made payable to Miami Shores Village, has been dishonored. Pursuant to Florida law, you have 7 days from receipt of this notice to tender payment of the full amount of such check plus a service charge of $25, if the face value does not exceed $50, $30 if the face value exceeds $50 but does not exceed $300, $40, if the face value exceeds $300, or an amount of up to 5 percent of the face amount of the check whichever is greater, the amount due being fifty -five dollars and zero cents ($55.00). This amount must be paid via certified funds (Le. cash, money order, cashiers check or credit card.) At this time, your permits are not valid for any work performed. We have instructed our building officials and public safety officers to stop any work performed by you until such time payment is received. Unless this amount is paid in full within the time specified above, the holder of such check may turn over the dishonored check and all other available information relating to this incident to the state attorney for criminal prosecution. You may be additionally liable in a civil action for triple the amount of the check, but in no case less than $50, together with the amount of the check, a service charge, court costs, reasonable attorney fees, and incurred bank fees, as provided in State Statute 68.065. PLEASE GOVERN YOURSELF ACCORDINGLY! Sincerely, MIAMI SHORES VILLAGE Lisa Keeley Accountant - Receivables LK: Enclosure Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 Finance Department (305) 795 -2209 November 26, 2003 cc: Miami Shores Village Building Department Miami Shores Village Code Enforcement Department Via Certified Mail # 7002 3150 0004 2861 1149 THOMAS J. ASTA, JR. 2436 HAYES ST. HOLLYWOOD, FL 33020 -3416 Pay to the order of .55 1 1 1 08-98 t cn 9°4 aid, low For, e..2G 1/_Z_ x:06:3 1,00 2771: 0034308.57.94311 . L -LO q, o 0 — c - ro6AA A (3 17 0 1109 63 -27/831 Fl. 794 Dollars . • • 00000 3000 AA21 nv r..c • • r••• 4 y • THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACt. A Penalty is imposed for failure to keep this license exhibited at your establishment or place of business .1f �.y. ..... 1. _ af. tf.��y��f,. if.��ry�tf.•_8�i1•��y�11• af.• if.• 1f.• if••"'•• tf •• "'••lf•• "'••afr•"'••�f•• "'•]! ies iQJi %GO f ief W� {j t QiiWWf V iks; Vi1 ifitRai 'QWiU i J:WW WiQ�1� TRIPLICATE VILLAGE LICENSE This License Expires 6 aaat fa s Mt* subject to the Provisions of all ordinances. (SEAL) • •s Date Issued magmas 4+ 1 95 4 By VILLAGE MANAGER THIS LICENSE NOT TRANSFERABLE WITHOUT APPROVAL OF THE VILLAGE MANAGER f r' No. ,70 In consideration of the sum of • *.'~19Pt Y FIVE AND NO/I00 ** Dollars $ 2 5 ,0 0 Paid to Miami Shores Village, Dade County, State of Florida, i;p .E,1ZT 0. =MOM Address 1fL 1, 11, With Strom, is hereby licensed to engage in or operate the business of QI■IVe.iBId3drlc For the period beginningT 4. 1� and ending d ■mtba lres• dates MIAMI SHORES VILLAGE, FLORIDA iii°•'iii°•'iii°•'i`r .°••'nMr`•°ii `•° °.•'iii°•'i i°•'i Mi °••'ii 'ir•.t° ..•yid•'i'r i `•°e•'ir•.. cr •1'r•'' ...•y raj: STATE OF FLORIDA) SS COUNTY OF DADE ) A F F I D A V I T Robert C. Claiborne of the Village of Miami Shores, County of Dade and State of Florida, being duly sworn, doth depose and say, that under the provisions of Ordinance No. 185, dated June 15, 1948, amend- ing paragraph (d) of Section B -368 of Ordinance No. 97 of the Building Code of Miami Shores Village, he desires to build a single fly reaidennP on Lot _5_4 wi 4 Block sh of w_ q, sect_ !2 Subdivision, that he is the owner of said property, and will be the owner of said residence , that he will do the work personally, and that he will, at such times as are required by the Zoning and Building Director: - 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. 3. Pay the required fees. 4. Execute the work in accordance with the provisions of this Code. 5. Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certi- ficates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing other than properly licensed contractors by L'iiami Shores Village for any part or portion of the work. 9. Mot set himself up as a "contractor ". 10. Sign an affidavit before commencing work to the effect that he :ias read this Article and will do the work personally and observe all of the requirements of the Building, Electrical, Plumbing and Zoning Codes of Miami Shores Village. Such affidavit to be properly notarized upon blanks to be supplied by the Building Inspector. 11. In order to prevent abuses and subterfuge the right of such owner- builder as herein provided, is limited to but one owner- builder per,ait each 2 years, and where an owner-builder has once exercised the privilege herein conferred no second application for owner- builder permit shall be granted in less than 2 years, unless the applicant is qualified as a licensee General Contractor under the applicable Ordinances of said Village. And Further this Deponent says not; • r`e - OWNER SUBSCRIBED AND SWORN TO BEFORZ IIJtE this _ day of 19 NOTARY PUBLIC A. D•, 771e . e / , • . / ,f/ ,7 ..# e . .' i, 6, i i , ‘f t ' ...; % ,/: • 72e) r 1 .S71 7 6 ;(:)! 4;(!, 7, LOCATION ROOM SPECIES GRADE SIZE t FINISH First Floor Second Floor___ ,' , 4 M4 FHA Form No. 2005 (Revised January 1950) Mortgagor or Sponsor No. (To be inserted by FHA) Property address State Contractor or Builder • 1. EXCAVATION: Bearing soil, type: (describe) • ❑ Siding, ❑ shingles, material or species ; grade ❑ Stucco: Material ; thickness ❑ Masonry veneer on frame: Material ❑ Masonry: ❑oolid, ❑ cavity. Facing material: ____!':4 . ❑ Painted,l] stuccoed. Backup material macs_ lot Lintels: Material _ Parapet coping (describe) Interior surfaces: ❑ Dampproofing coats of Flashing: ❑ Foundation sill, Anaterial ,„�,� Exterior painting: No. coats _ `•' ; material _tint* Gable wall construction: ❑ Same as main walls; ❑ other (describe) L • FEDERAL HOUSING ADMINISTRATION DESCRIPTION OF MATERIALS City Proposed Construction ❑ Under Construction INSTRUCTIONS — Describe all materials and equipment to be used, whether or not shown on the drawings, by marking an X in each appropriate check -box and entering the information called for in each space. If space is inadequate, enter, "See Misc." and describe under item 27 or on attached sheet. Include no alternates or contradictory items. Work not fully described or shown will not be considered unless required by FHA, when the minimum acceptable will be assumed. Adherence to these instructions in the execution of this form will facilitate the processing of the related application. GENERA —The construction shall be completed in compliance with the related drawings and specifications, as amended by FHA. The speci, ications include this Description of Materials, the applicable FHA Minimum Construction Require- ments, and any applicable FHA Engineering Bulletin. Jaya rtiek-A-Aralli Minimum depth below finish grade ____1 e Basement excavations: Below natural grade ; ❑ soil hauled away; [soil used on site. 2. FOUNDATIONS: Footing: Concrete mix 1.tr iil i_ . ; wall footing size _ " x l a "; col. or pier footing size " x ", thickness ___.___° 4F'ootings: Reinforced (describe) _._._..24 rc ..Iti: ❑ Pier reinforcing (describe) • Ext. found. wall material: Below grade - , thickness __ "; above grade Int. foundation wall material ooknotrata Party foundation wall material Columns: Material and size Piers: Material and size Girders: Material and sizes Sills: Material and size ; ❑ sills grouted. Anchor bolts; size ; spacing ft. o. c. Waterproofing (describe) ; ❑ parged below grade; Cistucco above grade. Piles: Material ; size _; length Termite protection: Material "R fn.. rayk.. __ t,i' __ Foundation vents: Material and size __1? .2. ` r .:rLt Window areaway walls: Material ❑ Gratings: Material Stair areaway walls: Material Railing (describe) Footing drains (describe) - ; ❑ outside ; ❑ inside ❑ Coal bin: Material ❑ Storage bin: Material ❑ Toilet encl.: Material 3. CHIMNEYS: Material Facing Chimney -cap material Flashing material Incinerator (describe) Gas or oil heater vents (describe) Budget Bureau No. 83- R055.0. Approval expires 1241 - 61. , thickness O.__" ❑ T. C. flue lining: Sizes ❑ Clean -out doors Water heater vent (describe) 4. FIREPLACES: ❑ Solid fuel; ❑ gas- burning; ❑ circulator type; ❑ imitation type. Size of fireplace opening Fireplace: Lining ; facing ; hearth Damper: ❑ Cast iron; ❑ sheet- steel; make and model ❑ Ash dump. ❑ Ash pit clean -out. 5. EXTERIOR WALLS: ❑ Frame: Material or species ; grade ; stud size ❑ Sheathing (describe) ; thickness ❑ horizontal; ❑ corner bracing; ❑ horiz. bridging; rafter plate size ; mantel ; spacing " o. c. "; width "; ❑ solid; ❑ spaced " o. c.; ❑ diagonal, ; bldg. paper (describe) ; size ; exposure ; weight lb. per ; thickness ; type " ❑ Lath: Material ; cost $ brick ® $ /M. Other (describe) thickness, " Cavity wall ties Party walls: Material ; furred with __2,10 ❑ Window and door flashing, material ; mfgr. and brand " W I 6. FLOOR FRAMING: Joist framing: Mate I ' ; grade '' ; first flr ize Bridging: Size X ; nails each, end .. Ribbon -board size 2 1 Sti rups leaders and joist (describe) ""� 3 •3 ; finish lie s* ze ; $reinforcin g tIO''' ' '� m a r roofing (describe) "- •' •JS ❑ Rafter plate bolts: Size Concrete slab on ground: Mix and thickness _. T r Fill under slab: Material and thickness Self- supporting slabs (describe) 7. SUBFLOORING1 First floor; size Second floor, size a _ Kitchen (describe) 8. FINISH FLOORING: (Wood only. " , spacecc.o " o. c. ; spacinXG__" o. c. second fir. size ; spacing ° o. c. ❑ Joist anchors. car' 6 -moo de beam (describe) Describe other finish flooring under item 51.) ; type _ ; grade ; species ; e3 diag.; ❑ right angles. • ype ; grade , �spegjks , ; ❑ diag.; ❑ right angles. ; bath rooms (describe) U.1. 2005— DESCRIPTION OF MATERIALS 07- 18-60767 -1 9. PARTITION FRAMING: Stud: Size 23 4 . E Sole plate size _ r, " x _ to 11. ROOF FRAMING: Rafters: Size2 "10 Roof: Slope ________" in Collar beams: Size, " 15. DECORATING: ROOMS vet ; spacin "; cap size 2005—DESCRIPTION OF MATERIALS " o. c.; material or species _ tam ; grade _ "; door lintels 411 "x � r " s[] Bridging in bearing partitions. 10. CEILING FRAMING: ;fin, Joist: Size ___" x _.6_!'; spacinglEt__" o. c.; material virv3 ; grade Bridging: Size 3 " 12. ROOFING: Sheathing: Size 4 .___" "• t ' type Shingles: Material ; grade 18. ENTRANCES AND EXTE!NC ` D TA s a Main entrance door: Type • Entrance frame and trim (desc Other entrance doors: Typ 1, "; spacing le__" o. c.; material ; grade r 12 "; valley rafter, size ___. __ -___" x _i_o ____ "; hip rafter, size __.c ____" x _ ___ "; ride, size " " lit x i__ "; spacin___!' o. c. Purlins: Size " x ___._____" Braces: Size __.___ " x ' "; spacing " o. c. ;IIP solid; ❑ spaced _______" o. c.; grade ❑ Underlay: Weight _______ lbs.; ❑ asphalt saturated felt; ❑ Built -up roofing (describe) ❑ Gravel stops. ❑ Snow guards. ❑ Skylights: ❑ Type ____ • size :0 'r. '�• M . y lS Y t^'4 i• �r •c Y S 13. GUTTERS AND DOWNSPOUTS: Gutters: Material Downspouts: Material Paint: Material and number of coats 14. LATH AND PLA TfR: Lath: Material ;"fit. or thickness Plaster on masonry: Number of coats...__. Dry wall: Material ; thickness ; wgt. or thickness ; size ; exposure "; ❑ stained. coated paper; ❑ other (describe) ; number of plies ; surfacing material Flashing material ; gauge or weight ; gauge or weight ; size ; shape ; gauge or weight ; size ____ ; shape ❑ Strainers ❑ Splash blocks (describe) ., �. t.,.," C : Plaster: Number of coats ; thickness ; finish ; thickness ; finish ; joint treatment (describe) WALLS (Describe materials and application) rig- t"3rytt't- n '; - 16. INTERIOR DOQIRSAND TRIM: , n ,1► ,� t e, Doors: Type : �` • thickness an j kness ; material material ' __ Door trim: Type ` '' ; side , erial Base: Type ; material Paint or stain: Doors (describe) ; trim (describe) 17. WINDOWS: Window frames: Type ; material Windows: Material __C1i ; make ; sash thickness _ Trim: Type ; size ; material Paint: Material Glass: Grade ; ❑ sash weights; ❑ Weat erstripping: Type ; material Screens: Full; ❑ half; frame Basement windows (describe) thickness _ _____ _ "; screen cloth material ; ❑ basement screens ; thickness "; material 4.___7:4,.'Head flashing: Material ; thickness .t*,. ; material ther door frames: Type _ ;, ► - #++ - )! •r, ; material � y ,�_ Head flashiz }terial. X.1 Weatherstripping mate *al 1 . -- L. ; a._; ❑ weatherstrip saddles (describe) Screen doors: Thickness "; screen cloth material ; ❑ mill -made; ❑ job -built ❑ Storm doors: Thickness ❑ Combination storm and screen doors: Thickness ❑ Shutter: ❑ Mill -made; ❑ job - built; ❑ panelled; ❑ louvered; ❑ solid; ❑ slat; ❑ hinged; ❑ fixed. Hoods or canopies (describe) - Cr __ "X%`t" 4 ❑ Louva (llesp�7bet_ett Exterior millwork: Species am ____ paint material m ; number of coats ____ Exterior metalwork: Material 0 paint material ; number of coats ❑ Railings: ❑ Wood; ❑ metal (describe) Other ext. detail (describe) • 19. CABINETS AND INTERIONAK15464, Kitchen cabinets: t 3t3 ; ❑ mill -made; refinished ❑ job -built (describe) ; Width of shelves ; lin. ft. of shelves ; ceiling furred down Counter top: Material ; back and Eltd $plash, material ; edging, material Cabinets under sink and counter top: Floo rea ---1-1-q:44;41,, P' '' tkr t+ ' Painting: Cabinets and sl cott * ;.,::`' ; (describe) ...-- �__- __ ---'7 =: Medicine cabinet: Make ; model Y f31* i.Ju: " ' mater a _� is ; flashing ; ❑ double hung; ❑ casement ; number of coats balances; type ❑ Storm sash (describe) ; ❑ mill -made; ❑ job -built ; ❑ mill -made; ❑ job -built • 4 " ; material or species __. Linen cabinet CEILINGS (Describe materials and application) (describe) i] Ironing board: Type ❑ Telephone cabinet. ❑ Broom closet ❑ Book shelves. ❑ : r%.�' 1 f � : ' 11" `] Ptteaugewervc.A Other cabinets (describe) o7- 18- 60767 -1 STAIR MILL-MADE • built TREAD RISERS STRINGS _ _ _ HANDRAIL BALUSTERS MA JA Material Thick. Material nit Ir. Material Size Material Size Material T Size Basement Main Attic Disappearing _ - • . FLOORS LOCATION MATERIALS COLOR, BORDER, SIZES, GAUGE, ETC. THRESHOLD BASE UNDERFLOOR 4 ‘4 _ egrearaft--tilll Ainti Intirl 04.1 _ ^ s 4 litIc conch 'Mine °ono. WAINSCOT LOCATION MATERIALSCOLOB., SIZES, GAUGE, ETC. • HEIGHT HOT. AT TUB RUT. AT LAV. CAP. .1.1• ` N ' 5011- _ rttn _ - FIXTURE NO. LOCATIO:Is' _ . __ MAKE . NAME AND PLATE NO. SPECIAL EQUIPMENT, ETC. Sink Lavatory Water closet Bath tub Stall shower Tub shower Laundry trays , • I I I 41 4 ell 1:-.."111.011.- ric.th 0 .4 • _s.,.' ' ..t *1) ,„ r 4:ftian ' , noortolol tr• * , .i • 0 it I ,-, t+f-Lis.„ a. r 0 Door GliCurtain diCurtain-rod 57 im 20. STAIRS: • (Mark X in columns to denote MA=Mill assembled: JA=Job assembled; T=Turned) 21. SPECIAL FLOORS AND WAINSCOT: Bathroom accessories: Recessed, number 22. PLUMBING: aterial Cif!lIfit. Attached, number ; material Water supply: Public or community.system. 0 Individual system for this property. * Sewage disposal: 0 Public or community system. i! Individual system for this property. * * Show and describe individual system in complete detail in separate drawings and specifications. House sewer: ItCtist iron; 0 tile; 0 other (describe) Water piping: 0 Galv. steel; 0 copper or brass; 03topper tubing; 0 other (describe) Water heater: Type olodnito ; make and model ; 0 mixing valve. Storage tank: Material _V4 2 "A ; insulated: Stor. capacity gals.; recovery g. p. h. 100° rise Gas piping: 0 Cooking; 0 house heating; 0 utility company service; liq. pet. gas; 0 other (describe) 0 Downspouts connected to: 0 Storm sewer; 0 sanitary sewer; 0 dry well; 0 splash blocks 0 Footing drains connected to: 0 Storm sewer; 0 sanitary sewer; 0 dry well fl Sump pump: (describe), Sill cocks, number 23. HEATING: o Hot water. 0 Steam; 0 pressure; 0 vapor. 0 One-pipe system. 0 Two-pipe system. o Radiators; 0 convectors; 0 baseboard. Make and model fl Radiant panel. Pipe: mat. ; nom. I. D. in.; total length ft. Panel area sq. ft. D Circulator. 0 Return pump. Make and model ; capacity Total output Btuh. @ °F. Radiation sq. ft. Baseboard 1. f.© Btuh./ft. 0 Warm air. 0 Gravity; 0 forced; 0 floor-furnace; 0 space heater; 0 wall heater; 0 radiant panel. Duct material: Supplies ; returns Number of outlets: Supplies returns Make and model of registers ; grilres Outside air intake. O Electric. Type (describe) Make and model Total output Btuh.© volts. Heating unit, make and model Output: Gross Btuh.; net rated Btuh. Calculated load: Total Btuh.; heating Btuh.; attached dom. h. w. Btuh. Fuel: 0 Coal, 0 oil, 0 gas, 0 liq. pet. gas, 0 elect., 0 other Storage capacity Firing Equipment: 0 Manual control, 0 automatic control. 0 Hand flred,.0 blower. O Stoker: 0 Part of heating unit; 0 bin feed, 0 hopper feed. Firing rate lbs./hr. o Oil burner: 0 Part of heating unit, 0 conversion; 0 mechanical draft, 0 natural draft; 0 vaporizing, 0 pressure, 0 rotary. Firing rate gallons/hr. O Gas burner: 0 Part of heating unit, 0 conversion. Firing rate cu. ft./hr. (4) pressure. Make and model Controls (describe) Method of balancing heat distribution (describe) Air cooling system (describe including capacity) Attic fan: Make and model • , capacity cfm. Kitchen exhaust fan: Make and model , capacity cfm. Built-in bath. heater: 0 gas, 0 elect. Make and model , net out. -. Specialties, other equipment: (describe) Note: Drawings shall show heat loss data, layout of distribution system, location and size of radiators, registers, grilles, etc., in accordance with Minanum Property Requirements, Appendix D. 2005—DESCRIPTION OF MATERIALS c7-18--60767-1 24. ELECTRIC WIRING: Service: Overhead; ❑ underground. Panel: ❑Fuse box; ❑ circuit - breaker Number circuits ___ in Interior: Conduit; ❑ armored cable; ❑ nonmetallic cable; ❑ knob and tube; ❑ other Special purpose outlets: ange; (water heater; ❑ other Total number of outlets Telephone conduit Other 25. LIGHTING FIXTURES: Total number of fixtures _ __ Number to be installed at: Front entrance _. * ; other entrances 1 ; porches vestibule ; living room ; dining space 1 ; kitchen a ; bath . ; hall bedrooms a ; basement ; attic ; exterior floodlights ; garage "I ; other i Door bell. ❑ Chimes. Total allowance for fixtures $___ } -- Other 26. INSULATION: SPECIAL EQUIPMENT: Venetian blinds (describe) __vir Kitchen range (describe) Other (describe) PORCHES: Foundation construction (describe) eanartal £? Floor construction (describe) _131,-1:1_4r __ ice, Columns (describe) 2005— DESCRIPTION OF MATERIALS 27. MISCELLANEOUS: (Describe any main dwelling materials, equipment, or construction items not completely described elsewhere herein or indicated on the drawings:) tile. . rt y t« '� 1 at .Y.l,� --�.- w t.,l4u _ Refrigerator (describe) Hardware (describe) ; finish _ ___!A_4 Ceiling and finish ___O`1C : ' ; roofing t_" Roof construction (describe) Other TERRACES: Foundation construction (describe) Floor construction (describe) Other GARAGES: Foundation construction (describe) Walla (describe) arrt Floor construction (describe) Ceiling construction (describe) Roof construction (describe) Other interior finish (describe) Garage doors (describe) WALKS AND DRIVEWAYS: Walks: Material ,r ; thickness 4 " Fill: Material ; thickness Driveways: Material ; thickness F " Fill: Material ; thickness " Reinforcing OTHER ON - SITE IMPROVEMENTS: (Specify all exterior on -site improvements not described elsewhere herein, including items such as special on -site drainage, retaining walls, steps and accessory buildings:) ; finish ; finish ; finish ; roofing Number of electric outlets LANDSCAPI Allowance, $ ___ for furnishin and installing all of the following items indicated: 4( Good topsoil, spread 47 "thick, over, front yard; ('side yards; ❑ rear yard to lot line; rear yard tor feet behind main bldg. ❑ Lawns: Front yard: ❑ Sodded; ❑ seeded; [spri Side yards: ❑ Sodded• ci seeded; Si sprigged. Rear yard: ❑ Sodded; ❑ seeded; [i sprigged for the full width of the lot and for `' feet from rear of building. ❑ Planting material as 0 apeiikig . • ><7 r4iF'',p listed on attached sheet. IDENTIFICATION. —This exhibit and all others submitted with the same application must be identified by the signature of the applicant mortgagor if firm commitment is applied for, or of the sponsor if conditional commitment is applied for. Date Signature Y. R. GOVLRNMINT PRINTING MISS al-M3-80707-1 w_J MATERIAL THICKNESS THERMAL SOUND SPECIFIC LOCATION Ceiling Roof Wall Floor 24. ELECTRIC WIRING: Service: Overhead; ❑ underground. Panel: ❑Fuse box; ❑ circuit - breaker Number circuits ___ in Interior: Conduit; ❑ armored cable; ❑ nonmetallic cable; ❑ knob and tube; ❑ other Special purpose outlets: ange; (water heater; ❑ other Total number of outlets Telephone conduit Other 25. LIGHTING FIXTURES: Total number of fixtures _ __ Number to be installed at: Front entrance _. * ; other entrances 1 ; porches vestibule ; living room ; dining space 1 ; kitchen a ; bath . ; hall bedrooms a ; basement ; attic ; exterior floodlights ; garage "I ; other i Door bell. ❑ Chimes. Total allowance for fixtures $___ } -- Other 26. INSULATION: SPECIAL EQUIPMENT: Venetian blinds (describe) __vir Kitchen range (describe) Other (describe) PORCHES: Foundation construction (describe) eanartal £? Floor construction (describe) _131,-1:1_4r __ ice, Columns (describe) 2005— DESCRIPTION OF MATERIALS 27. MISCELLANEOUS: (Describe any main dwelling materials, equipment, or construction items not completely described elsewhere herein or indicated on the drawings:) tile. . rt y t« '� 1 at .Y.l,� --�.- w t.,l4u _ Refrigerator (describe) Hardware (describe) ; finish _ ___!A_4 Ceiling and finish ___O`1C : ' ; roofing t_" Roof construction (describe) Other TERRACES: Foundation construction (describe) Floor construction (describe) Other GARAGES: Foundation construction (describe) Walla (describe) arrt Floor construction (describe) Ceiling construction (describe) Roof construction (describe) Other interior finish (describe) Garage doors (describe) WALKS AND DRIVEWAYS: Walks: Material ,r ; thickness 4 " Fill: Material ; thickness Driveways: Material ; thickness F " Fill: Material ; thickness " Reinforcing OTHER ON - SITE IMPROVEMENTS: (Specify all exterior on -site improvements not described elsewhere herein, including items such as special on -site drainage, retaining walls, steps and accessory buildings:) ; finish ; finish ; finish ; roofing Number of electric outlets LANDSCAPI Allowance, $ ___ for furnishin and installing all of the following items indicated: 4( Good topsoil, spread 47 "thick, over, front yard; ('side yards; ❑ rear yard to lot line; rear yard tor feet behind main bldg. ❑ Lawns: Front yard: ❑ Sodded; ❑ seeded; [spri Side yards: ❑ Sodded• ci seeded; Si sprigged. Rear yard: ❑ Sodded; ❑ seeded; [i sprigged for the full width of the lot and for `' feet from rear of building. ❑ Planting material as 0 apeiikig . • ><7 r4iF'',p listed on attached sheet. IDENTIFICATION. —This exhibit and all others submitted with the same application must be identified by the signature of the applicant mortgagor if firm commitment is applied for, or of the sponsor if conditional commitment is applied for. Date Signature Y. R. GOVLRNMINT PRINTING MISS al-M3-80707-1 w_J 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 Tor the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance cif 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 Auguat____ a __195Q , 19____ Owner's Name and Address ___F{D_hert G. Clathone No 558 Street_ N. E. 96th St. Registered Architect and /or Engineer Tyrua_ T...__ pp Name and address of licensed contractor __ r _ __ I�IiBmi y ____l'1QZ'1.de- ___ : ` Location and legal description of lot to be built on: Lot_5.__ Block 54 - Subdivision__ Miami Shores Section n 2 \ ---- - - - - -- Street and Number where work is to be done __________ -E_ : 96th Street State work to be done and purpose of building (by floors)_________ eoflatruction ___af___E.___hungaloM_i resi- &entla'l purposee-+ - — - -- - - - -- -- -- and for no other purpose. New Building X Remodeling Addition Repairs No. of Stories_____1 To be constructed of CBS Kind of foundation concrete )) Roof Covering90lh___rQQF___ana tile Estimated Total cost of improvements $____l4500_._QQ___________Amount of Permit $___ __ � — Zone cubage required 25000 __ Cubage___ L X = . 4 Distance to next nearest building 1,0-- € oo-t- - - - - -- Size of Building Lot 75___X__142 ..5 _____ 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 s : • tractors, on work tp 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 same, and that all facts therein by him stated are true. � //_ Date _ 1__ ' Read, Sworn to and Subscribed before me. Permit No l_f_ i Disapproved ,.Date , Notary Public, State of Florida (Signed) - 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. to me well known, MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date Angul't+ 'S-, -.1950 , 19_ Owner's Name and Address___.RO.} 1''_t Cafit .barn8 No 558 Street____' :_E•___ 96tti St • Registered Architect and /or Engineer 'T'yr>us___T Tripp Name and address of licensed contractor lial __$j+oa._,____ l ___ Floride______________ Location and legal description of lot to be built on: Lot_ __. __ ';. 4_ ___ -- Block 154 Subdivision i _ St_ Drt_ _ -- Section = t=--- 2 -- - - - - -- - - -- Street and Number where work is to be done 55a_ _ALE.____nth street State work to be done and purpose of building (by floors) - - — ' on_tial --purpo -- -► - - - _construction_ -ate a bungalow_ fo r ei and for no other purpose. New Building li____________ Remodeling Addition___ Repairs No. of Stories _1 ____ To be constructed of____cas Kind of foundation_ ___ onor$te Roof Covering901b__ro_o_f__BIIsiSi1S Estimated Total cost of improvements $___ 4.5Q0,C10______ _________Amount of Permit $ Zone cubage required 25000 _Plan Cubage_2 . Distance to next nearest building 1.0._ _ _f -0o} ___________________ of Building Lot 7x"2___`.• __ 142.. 52_ 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 s ntractors, on work to be .erformed 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. CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 1085 Miami Shores Village, Fla , ) r Owner, Agent or Tenant of Building ,,,1 ' " -- F ,G -i4 y � 1 Lot ''' A j *Block Subdivision - Street Address - ' 1 I 1 , if r ,,' + - Approved use by occupancy P Remarks. ."...` /; t : .1 j 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 as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. % BUILDING DIVISION BUILDING ELECTRICAL PLUMBING Owner o Building Architect Contractor or Builder Legal Description Address bf Building Lot `" Ilf /L t 1i CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9812 Work to be per ed under this Permit 131. nay DATF Subdi- vision Value of Project BY 1 611/ / 195 a Contractors ' , ense No j 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 described n the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in complian 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 wl*h this permit is granted is he 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 statemes or specifications and that he assumes respohability for work done by s agents, servants or employees. Signed t.. INSPECTOR In consideration of the issuance to me of this permit I agree to pectF'orm the work covered hereunder in compliance with all end ances and regulation pertaining thereto and in strict conformity with the,lans, drawings, statements or specifications submitted to the proper authorities o Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY 1 � PAID BY /�1°�q f�108 D �0 C0 7! +085 2- 3,3 -51 Y EAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER RCBT. C.. CLAIBORNE 1951 12.00 12 -31-51 / p _ v-J 3 .., 5) / y3/ 2_ /f - /d2 % /al 1 ,)- /4 2 /- /(. ;- x/27 ADDRESS 558 N. E. 96th St. LEGAL5 & i ilk 54 ACS # 2 RECORD GARBAGE TAX BUILDING ELECTRICAL PLUMBING ROOFING Owner of ,, Building Architect Contractor or Builder Legal Description Address of Building MIAMI SHORES VILLAGE. FLORIDA El DATF ❑ PERMIT t ° g Lot In consideration of the issuance to me pertaining thereto and in strict conformity with cepting this permit I assume responsibility for 1 t CONTRACTOR OR BUILDER B1 Work N? 4707 Contractor's License No / to be performed under this Permit !' a ." J S di- sion Value of Project $ t This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dra gs or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. BY t 5 ' Amount of Permit $ . 1954_ . BY IN ROTOR of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- all work done by either, myself, my agent, servant or employee. AUTHORITY 6 BUILDING ❑ ELECTRICAL ® PERMIT o PLUMBING ❑ N . 7542 ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of t , Building • `' Lot MIAMI SHORES VILLAGE. FLORIDA This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specificatfo`ns and that he assumes responsibility for work done by his agents, servants or employees. r, Sfgned • t` , .0%4". ..-r BY _. , .... ! may CONTRACTOR OR BUILDER Bl. Work to be performed under this Permit t Subdi- vision 1 f DATE Sq. Ft Value of Project $ 7 Contractor's License No Amt. of Permit BY AUTHORITY Do $ 195 -' INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered;4iereunder 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. 7 Ddr. Cheater Darling Guaranty Loan Division T•terana Administration 3300 N. E. 2nd Avenue Maul Florida Dear Sir s iarni Jhores9 llage F L O R 1 D A August 21. 1 95 0 This is to advie* that fountetiop inset ion of the *widens* under doestruOtiaa alt 558 N. g. 91'atrest for Mr. Robert C. Claiborne has been made and found to amply with all Code rrquirsments of Wend Shafts Village en Moot As. 1950, To i trul7 JDB/h J JOH D. HANS$LL Building and Zoning Direst C P Y INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 8 / 1 5/5 0 JDH TEMPORARY SERVICE $ Bj & LINTELS 9/1/50 POE '. ;:*, -:^ R FRAMING 9/25/50 JDH $ GAS $ $ INSPECTIONS FI`JAL 1 1 ' v( BY RE- INSPECT BY { 4 g CLEAN -UP o t5V e _ �� . a PG 9 � t' Sa ac4 CONTRACTOR Mc Guire Plumbing PHONE PERMIT NO. 9814 1 DATE 8 4/50 FEE $ 9.75 NEW BLDG. X I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK $ SEWER $ SOLAR HEATER $ GAS $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING GAS p _ 8/23/= PG 9 � t' Sa ac4 ROUGHING SEWER J H. W. HEATER CONN SEPTIC TANK 9/28/50 -�y�� JDH RANGE CONN. SOLAR HEATER, FIXTURES 11/3/50 JDH JDH FIXTURES & FINAL 11/3/50 �T J H CONTRACTOR Hosack Electric Co. PHONE FEE $ 12,0 PERMIT NO. 988 DATE 8 /17/50 NEW BLDG. X ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE 8/16/ 0 JDH ROUGHING 9/25/50 J H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL 11/3/50 �T J H BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE 11 /3/5 BY JDH OWNER'S NAME CLAN ,r ROBERT C. • PRESENT ADDRESS 166 N. W. 100th Street LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 558 N. E. 96th Street LOT 5 & Wa 4 BLOCK 54 SUBDIVISION M. S. Sect. #2 GENERAL CONTRACTOR Owner- Builder ADDRESS 166 N. W. 100th Street PHONE NO. LICENSE NO. 3870 0 -B 9812 BUILDING PERMIT NO. 7812 p DATE 8/4150 PERMIT FEE S 19.00 BUILDER•S BOND NO. 1078 DATE 81)1/50 ZONE REQUIREMENTS 25,000 CU. FT. PLAN CUBE 26.224 CU. FT. EST. COST S 14.500.00 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: � DATE 8/4/50 X NEW CONSTRUCTION TYPE CBS STORIES 1 ROOF CONSTRUCTION Tile INTERIOR CONSTRUCTION Oak Floors - Plaster Walls REPAIRS DESCRIPTION Liv Rm - Din Rm - Sun Rm - Kit - 3 Bed RIM - 2 Baths - 1 car att. gar. ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NOJea 'f ISSUE T (3 - 1 4. BY / -�/C�. TO /1 ei/ ' BUILdING PERMIT AND INSPECTIO RE RD -MIAMI SHORES VILLAG Company Phone # 50 MIAMI SHORES VILLAGE BUILDING DEPARTMENT \� 305 -795-2204 Building Inspection Request Date /`'f) se) J Type Insp'n No. 0 / 70'0 Name / 7 Address Inspection Date � \65- Approved Correction Re- Insp'n Fee Date / Type Insp'n a T 03 - 7o� Permit No. Name Address 4dei 91 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Company Phone # �® Inspection Date / \ 1 \63T Approved Correction Re-Insp'n Fee MIAMI SHORES VILLAG I BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1� Type Insp'n 1 - -OC s i Permit ( ( � Name Address . >(> N Company Phone # Inspection Date 1 3-7 Approved Correction Re- Insp'n Fee Cc - Ik j 4 7 o z- y MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date l Type Insp'n - O h m inc Permit No. P PO3 � Name ��> � ��" Address Compan (WitP V Phone # Inspection Date Approved Correction Re-Insp'n Fee z MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Datel Type Insp'n 1. U �1 Permit No. P03 Name 1 ( ' / Address 5SK 'v q G 3 Company T V Phone # Inspection Date Approved Correction Re-Insp'n Fee 5 tic Aittl MIAMI SHORES VILLAGE � BUILDING DEPARTMENT tek. 3 305-795-2204 uilding Inspection Request Date /c Type Insp' i r C-,1 1 Pi r1 ± Permit No. EPO — 1 12.6 Name U I d S--0 /7 K I itC.h'e/) Address 5S8 -1 - 9 ST Companyr Phone # ■ &=.5 758 - aL)4CO Inspection Date 812.4 /c Approved Correction Re- Insp'n Fee