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65 NE 96 St (9)Registered Architect and /or Engineer Owner's Name and Address . .......11 Disapproved .. (Signed) Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or we plans and specifications herewith submitted for the build in 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. Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done ‘- _. n� � _.2.6 - State work to be done and purpose of building (by floors) z... Date. 844Z)t-/ Date 19 — No . s Streets._ CI _. and for no other pu New Building Remodeling Addition J R . To be constructed of Kind of foundation Roof Covering...... -. t Estimated Total cost of improvements $ n. 9G' L Amount of Permit 5.....1 Zone cubage required • plan Cubage Distance to next nearest building „ Size of Building Lot Mfaxirnum 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 csith the rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performe 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 arc required by the Act, The undersigned agrees to employ only such subcontr . on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks _ (Signed) ®p STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, end that all facts therein by him stated are e. Permit No `– Date 1 . � .. Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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 hern obtained From the Plannir,;; 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 anu /or workmanship. 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. Owner's Name and Address._. :_ > %; /7' td /I Registered Architect and /or Engineer..._ . .......... .... Name and address of licensed c o n t r a c t o r // Date Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done " h` 7i1) No State work to be done and purpose of building (by floors) _ J:% :_ ____. _ ',-. � .. „4=w.- K- \ ! // 2 ° = t'r and for no other purpose. New Building Remodeling Addition Repairs No. of Stories. To be constructed of Kind of foundation R9pf Estimated Total cost of improvements $ �� Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed)._ Disapproved __ Date (Signed) (f Street Notary Public, State of Florida ,19 - STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally a 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 = 5 Date -' - Read, Sworn to and Subscribed before me. Building Inspecte`r My Commission Expires ,PLANNING BOARD DATE Chairman Member Member Member Member ._ ._. _ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. OWNER'S NAME i . PRESENT AD ,5RES$ LICENSE NO. PHONE NO. JOBLOCATION (ST. OR AVE.) p LOT • 2,,1 - lJ V2_ 2 - 7 - BLOCK SUBDIVISION GENER L CONTRACTOR ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. � DATE ® 'C C PERMIT FEE $ I� BUILDER'S BOND NO. DATE ZONE REQUIREMENTS CU. FT. 7= 0.- c " - _ -i 1 8,ds PLAN CUBE g. CU. FT. EST. COST $ & � 8 DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: o 0 .li --- _ I DAT- NEW CONSTRUCTION TYPE STORIES I ROOF CONSTRUCTION I INTERIOR CONSTRUCTION REPAIRS DESCRIPTION �-tf' b'A, t",9, o= cr'• — . $ a ati ALTERATION !(�; DESCRIPTION / ADDITION J'''" - SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD ` SUSMITTFr') TO VILLAGE COUNCIL REMARKS CERTi , 'ICATE OF OCCUPANCY NO. c1� 1 ISSUED ��L��BY 1'p�/�` � U . \ in ^tlJL TO J � Pt, tq e BUILDING PEAMIT AND INSPECTION RECORD —MIAMI SHQ VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY Four 71.1110N I ROOF SEPTIC TANK TEMPORARY SERVICE BEAMS & LINTELS I POOL H. W. HEATER CONN. TUB & TOP OUT FRAMING SOLAR HEATER RANGE CONN. AIR COND. $ GAS FINAL $ CLEAN UP FIXTURES SLAB SEPTIC TANK it SLAB SOLAR HEATER FIXTURES & FINAL SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE RE- INSPECT BY $ SEPTIC TANK TEMPORARY SERVICE $ SEWER H. W. HEATER CONN. TUB & TOP OUT $ SOLAR HEATER RANGE CONN. H. W. HEATER CONN $ GAS SEWER $ $ FIXTURES at INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGH ING FEE TEMPORARY SERVICE $ H. W. HEATER CONN. TUB & TOP OUT $ RANGE CONN. H. W. HEATER CONN $ SEWER $ FIXTURES SEPTIC TANK it SOLAR HEATER FIXTURES & FINAL FIXTURES GAS CONTRACTOR PHONE PERMIT NO. 1 DATE FEE $ NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. H. W. HEATER CONN $ MOTORS $ FIXTURES $ it INSPECTIONS DATE BY RE - INSPECT BY RE- INSPECT BY TFMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS CONTRACTOR PERMIT NO. NEW BLDG. PLUMBING PERMITS & INSPECTIONS DATE 1 ALTERATION 1 ADDITION PHONE FEE $ REPAI RS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY . CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 1329 Owner, Agent or Tenant of Building Lot 21 t: 22 Block 6 Subdivision %.ii - rd Shores ;r 1 Street Address 65 i. A m e i;h. Street Approved use by occupancy SG Remarks '..ds vJa.Lu.3 1.25 Miami Shores Village, Florida, YO[J11 RG 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 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. Owner's Name and Address._.. k, ,d 6 (fl 6- Registered Architect and /or Engineer Name and address of licensed contractor STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved D (Signed) MIAMI SHORES VILLAGE mg ector d t' pf d q S 6^I t yr 4- L `�L/�J Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 4r ALE • N.- S • State work to be done and purpose of building (by floors)-Sc -e po .11 o @e 0.19). -e Q .. e?.1 •;1 PA.4- 1 and for no other purpose. i New Building Remodeling Addition Repairs No. of Stories To be constructed --' n 1:-a, Kind of foundation.. - z. - o Roof Covering Ge Estimated Total cost of A d"° — t.....4., ,‘›i — �provements $._._ � Ol `"- Amount of Permit $_._. j'a eis- Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live Load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) � c. -�._ " �, D c� ... s_ ) ' /_ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No �7 Date___ � / v Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chainnan Member Member Member Member ..... _ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Date :- / s 19�" L No (>5" Street 11 i J ' to me well known, Q ,. 74. BUILDING PERMIT NO. ZONE Jean C1aussen OWNER•S NAME JOB LOCATION (ST. OR AVE.) 65 N.3. 96th St. GENERAL CONTRACTOR Dean C1aussen _ NEW CONSTRUCTION 1269 REQUIREMENTS 20,000 SUEIIITTED TO PLANNING BOARD ALTERATION ADDITION DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: RE- SUBMITTED TO PLANNING BOARD URMITTED TO VILLAGE COUNCIL DATE 1 - ■2 APPROVED CU. FT. LOT 21 -Vi 22 REJECTED PRESENT A DDRESS ADDRESS PLAN CUBE 20,170 BLOCK 6 PERMIT FEE $ 19.00 TYPE STORIES ROOF CONSTRUCTION REFERRED TO COUNCIL CU. FT. REMARKS Sect. 1 CERTIFICATE OF OCCUPANCY NO. / ISSUED t BY k ,I ' • i TO BUILDING PERMIT AND INSPECTION RECORD — MIAMI SHORES VILLAGE LICENSE NO. SUBDIVISION PHONE NO. EST. COST $ INTERIOR CONSTRUCTION REASONS PHONE NO. LICENSE NO. BUILDER'S BOND Ist rd �'-- Ng. 138S g - DATE 15,000 DATE CF 1 ti to terTna77o floors, plester walls DESCRIPTION and ceilings REPAIRS 2_.hdrm.2 ne rncminun P i n_kitchen..alnine roam- `Arage Dr ±CRIPTION INSPECTIONS DANE NEW BLDG. 1 ALTERATION I ADDITION BY RE- INSPECT BY - RE- INSPECT BY FOUNDATION /' v . SEPTIC TANK � _ . .7 _ � :�. �< _ $ BEAMS & LINTELS - $ SOLAR HEATER $ FRAMING S $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING FINAL GAS CLEAN -UP SEWER PERMIT NO. � ^ DATE - FEE $ / I NEW BLDG. 1 ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK � _ . .7 _ � :�. �< _ $ SEWER $ SOLAR HEATER $ GAS S $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING a GAS SEWER SEPTIC TANK SOLAR HEATER _ FIXTURES h .)' PERMIT NO. h ' � 1 DATE — FEE $ ' NEW BLDG. I 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 ) ROUGHING H. W. HEATER CONN. RANGE CONN. FIXTURES & FINAL ' ., '� ,'' CONTRACTOR CONTRACTOR UILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS PHONE APPROVAL TO POWER CO. FOR SERVICE DATE N? 1419 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla , Owner, Agent or Tenant of Building ^ ■ �. Lot Block Subdivision Street Address �� ' �^ Approved use by occupancy Remarks: This Certificate of Occupancy is issued to the above named () ' ` . for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. BU ILDING DIVISION ADDRESS 64 1._''-, I1 t. LEGAL 21•,1122 bi. 6 See. 1 RECORD GARBAGE TAX PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER 'Lean C1atse72 2,...13.52 ADDRESS 64 1._''-, I1 t. LEGAL 21•,1122 bi. 6 See. 1 RECORD GARBAGE TAX N9 1419 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla , Owner, Agent or Tenant of Building Lot BIock Subdivision Street Address Approved use by occupancy Remarks: This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known 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 ROOFING Owner of Building VI. Architect Contractor or Builder Legal Description Address Building --�•• ,, ' J e` Lot ,z a This permit is granted to the contractor or CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT IT? 12634 Work to be performed under this Permit Value of Project $ DATE Contractor's License No Amt. of Permit $ ildec named above t construct the building or to in' ta11 the equipment or device described to the applicati herefor in strict compliance with all ordinances p aining thereto and ith the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assures r ponsibility for work done by his agents, servants or employees. �� .....,-, ,,....,,,, „�� Signed: r . INSP BY 1 In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 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 , 19 Owner's Name and Address No Street Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be on: Lot and Number Block Subdivis•on__ -- Street p er where work is to be done '___________ __________– ___________________� State work to be done and purpose of building (by floors ) _ ___�_ — __________ ---------------- - - - - -- --------------- - — __ -- and for no other purpose. New Building____ Remodeling Addition Repairs No. of Stories To be constructed of Kind of fouidation Roof Co4ering.' Estimated Total cost of improvements $ _____ Amount of Permit $ Zone cubage required _Plan Cubage STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI S Hb RES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Distance to next nearest building t" °^ ,- g__________..._..____, –Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may, be sent to_______ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks __ (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared - - - - -- – -- - -- - - -- – — — – r -- — – - -_ _ to me well known, and who, being by me first duly sworn, upon qath deposes and s that he is the of the above described construction, that he ha0 carefully read Ole foregoing application, and that he did sign the same, and that all facts therein by him stated are true_ Permit No.____, _ ' ;____ __ Date__ 1.'‘,.Y,, ( Read, Sworn to and Subscribed before me. Disapproved __ ______--_______ _____.__ \ Dit i (Signed) I. Building Inspector / . A Notary Public, State of Florida My Commission Expires PLANNIh■.`G BOARD DATE Chairman _________ G Member Member Member Member Member Council A iroved 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.