Loading...
790 NE 96 St (4)/` Building Infector 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.. .42- . _..._.� _..._. _ sass... ,19.._._ Owner's Name and Address ........... ./r r .La . fre Registered Architect and /or Engineer . C,... .:, ••..,..« ... !,_ <. .. i G j Name and address of licensed contrlctor. ✓ A � .i T!h► . ••9 1570 •• . Xd "'S( - -- �•�7 Location and legal description of lot to be built on: Lot Block Subdivis ./K• Street and Number where work is to be done 716 G -•• 4- l — - - •• - •• -- - -- - -•• - -- State work to be done and urpose of building (by doors) �.._ ilD.iR.v!'.. N1_.�f. ' -... 4. ` t'!�yl ! 1 .1 .. L/C et. : D ,Se41..�, ? ",._.- A.p.,t liti l.. - QG�s_ and for no other purpose. New Building Remodeling v� Aidit:on Repairs No. of Stories..... To be constructed of Kind cf foundatiga.r f Covering Estimated Total cost of improvements $ �'t 3 Amount of Permit Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractcys, on work to be performed under this perrnit, as are licensed by Miami Shores Village. Remarks..._ (Signed).. STATE OF FLORIDA, COUNTY OF DADE. 9 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 state e,true. Permit No. .__.__ Date — 'Read, Sworn to end Subscribed before me. .1. 7 / Disapproveddte .7 (Signed) Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member _....._._._. _._sass._ Member — .- -. Council Approved ... _ .Cate Disapproved Date NOTE: A charge of $1.00 will be made for making ro.;- ections or changes to this application after approval has been obtained from the P,ennir.g Board. A re - inspection fee of $I.00 will be charged when s:•ch re- inspection is marls necessary by Improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of { Building 4. Architect Contractor or Builder Legal Description Lot Address of Building MIAMI SHORES VILLAGE, FLORIDA 1 CONTRACTOR OR BUILDER PERMIT N° 358 Work to be performed under this Permit , A Bl. Subdi- vision Value of Project DATE r A t Contractor's License No. wiINni C mss CmtahuPtMp msy e M violaiTitt7 e1 War Production Board General Limitations flute: ; 41 You are cautinnrd to consult ' war Produciion � baton starting do fit; authorized M Amt. of Permit BY ' AUTHORITY 194 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 4petihcations and . that he assumes responsibility for work done by his agents, servants or employees. Signed• By /, t INSPE In consideration of the issuance to me of this permit I agree to perform the work veyEd hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements oriflcations 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. BUILDING LECTRICAL I LUMBING Owner of Kuilding Architect Contractor lr Builder i .egal )escription Address of g ='• PERMIT N? 6586 orlc to be performed and this Permit r ((7(/ Lot fl BL MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Pro BY INSPECTOR DATE Contractor's License No. pm t. of Permit This pe is "'�° the contractor or • • er nam • above to construct the to install the equipment or „ bed ,. the `appli= ation herefor in strict ' � with all ordinances thereto and with the understanding that the work will be performed in compliance with any Mans, drawings, sta is cations that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked t any time if the w • is not in compliance with such ordinances or if the plans are : • with authorization. A further condition upon which. this .emit is granted is the and :Minding that the contractor or builder named above es . ty for a thorou ��gh! knowledge of the ordinances and egulations pertaining to the/work covered hereby whether shown on the plant or is Ott• tements or specifications and that ha assumes respon- =Ability for work done by his agents, servants or employees. By ;' . In consideration of the issuance to me of this permit I agree to • .. orm the work covered hereunder in compliance with all ordinances and regulations .ertaining thereto and in strict' conformity with the plans, dra • tements or specifications submitted to the proper authorities of Miami Shores Village. ! n accepti�r g this permit I assume. • • • •bility for all work done • either myself, my agent, servant or employee. ■9 158 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Owner, Agent or Tenant of Building Lot / Block l Street Address' Miami Shores Village, Fla , rte. !:f r . . Subdivision �a Approved use by occupancy Remarks: This Certificate of Occupancy is issued to the above name' � f 1 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,6r structures. 777 6; BUILDING DIVISION I!T° 158 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla., !." f . 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. BUILDING DYVISION LOCATION �q � � • 6 GARBAGE TAX RECORD . PAID BY I �� - YEAR r ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER 1940 • 1941 Alllii . i . 1942 � a i fct / J 0 O ' /Fi 7— 5 , 4 / Y T —— 7 3 Si y / 5 f e s7/" _ ‘ M o 1943 /t/ • o / -. - 13 0 t t 1944 /Q i G 0 l --.2e-IA jQ dJ 'i e t /6.17-ti � i _ • /I /' - 3 _mss- ' / - ' 1 ‘ & * 7e 9 7 l `f r /, 1 , e , j,. _ !��1945 •�?/. -� 1946 L� r .,t ,, / � 4 _ J�-JC��i� ca 1947 / - - 0 6 / Y -2,3 - Y e , �� I ) .Cgd ,42.4% i / q9 f Y 1948 1949 ( e7-00 ,e 12-31--vg- 7.7- 3/ ' , /; 5-0 '- t • ii 1 /.r2- t0 - /7 / / - .. 3a- elf ."— s7'.y-e '' Y ` I/ ,, " 1950 " LOCATION �q � � • 6 GARBAGE TAX RECORD 790 N. E. 96th St. by, c eafs annual tax period,-used amount paid datepaid receipt # l( t ;`� f� /a- °`'`tea/ ?. 3 /. is [-G219-5 06 � JILDING LECTRICAL PLUMBING Architect Contractor or Builder Owner of Building Legal Lot BI. Subdi Description v181 Address of Building 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 specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula. tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In g this I assume respon jllility for all work done by either myself, my agent, servant or employee. CONTRACTOR OIL BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 194.- Contractor's r'1 License No. PERMIT N° 2059 Work to be performed under this Permit Value of Project Amt. of Permit BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Lot Address of " Building MIAMI SHORES VILLAGE, FLORIDA, DATE , � {"" 194Y. Contractor's License No PERMIT N9 3357 Work to be performed under this Permit BI. A WAR ^flt C: Th s Construction may be in vso'at: nfr War Production Board Generai !imitations 0 aar ti Y ou d iu your 4ha1 Board office before starting the work this permit. Subdi- vision Value of Project 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 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 qn the plan rawings or in the statements fications and that he assumes responsibility for work done by his agents, servants or employees. Signed. By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and _ regula. tions 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. NTRACTOR OR BUILDER BY AUTHORITY Registered Architect and /or Engineer Name and address of licensed contractor f Location and legal description of lot to be built on: and who, being by of the abovezdescrib therein by him sta Permit No ---'" Disapproved (Sig d) Bui MIAMI SHORES VILLAGE irst duly, sworn upon oath truyt'on, that he ng pector 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 , 19 -- - - Owner's Name and Address No. ,r Street Lot Block_____ _ Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) and for no other purpose. New Building.________ _ Remodeling Addition ___ ___. Repairs No. of Stories .- .______ _ To be constructed of Kind o fo ndat3'pn oil Covering Estimated Total cost of improvements $_/ 0__ Amount of Permit $_.- -- Zone cubage required .Plan Cubage re Distance to next nearest building _Size of Building Lot Maximum live load to be borne by each floor r de 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) 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'sa s that he is the ly read : foiegoir}g applin, and that he did sign the same, and that all facts l ead, 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 been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. • iLDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA DATE 19&L PERMIT N2 6586 Work to be performed undue' this Permit Legal Lot t Description Address of Value of t. of �/ iA� Building : ; Project i= I Permit ,/, , ar -- This pe ` is gr ed the contractor or b ' :er names above to construct the .uilding to install the equipment or . / ice Describes in the appli- cation herefor in strict •mp ':rice with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, state ents •r specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the w• k is not done in compliance with such ordinances or if the plans are ch • • ed witho authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above as mes e respo 'ty for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plan$ or &awing or in • ` atements or specifications akd that he,,assumes respon- INSPECTOR i Bl. sibility for work done by his agents, servants or employees. f1 r .0 a CAA/ CONTRACTOR OR BUILDER t BY Subdi- vision �C- Contractor's License No. l(— By In consideration of the issuance to me of this permit I agree to • rform the work covered hereunder in compliance with aJLordinances andi�eeg4ationsr't pertaining thereto and in strict conformity with the plans, drawings tatements or specifications submitted to the proper authorities of Miami ShdreS ilrage." In acceptir}g this permit I assuuse._{esponsibility for a work d ne either myself, my agent, servant or employee. AUTHORITY Owner's Name and Address Registered Architect and/or Engineer Name and address Of licensed contractor MIAMI SHOR 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 building 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 regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of apred plans and specifications must be kept at building during progress of the work. ..r• / 2 Date._ 19 , No. Stree --C-J Location and legal description of lot to be buil5pn: Lot_ 4- ' .Z"' C Z( Subdivision Street and Number where work is to be done_ t A State work to be done and purpose of building (by floors) ___and for no other purpose. New Building__________ Remodeling_______ Addition_ No. of Stories__ To be constructed of Kind of foundation Roof Covering 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, 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. C ' Remarks (Signed) /\ f STATE OF FLORIDA, ss. COUNTY OF DADE. Before rne, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Permit No Date Disapproved Date (Signed) Read, Sworn to and Subscribed before me. Building Inspector My Ccmmission Expires Notary Public, State of Florida PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved___________ Date Disapproved 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. 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 lanning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3587 Work to be performed under this Permit Contractor's License No. Iti(F -4(; TL;s ionstruchon may be is wola. , ;t 4'ar Pi oauctian Board Sr' Hera! t iliitafa.,c ,; • 41 Y N► .tom Iauu;,ued to COA3W1 y(,ur Board ofke berort starting tht work auL`oi•P1 H Architect Contractor �` %) { _ n -,------ _ .� or Builder CQ ' Legal Lot / — _Y, Bl. C y Description Address of .-7 N ; G Value of (. 0 J ---1 ) Building / >_ , I Pr oject / / 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 gpecjfications and that he assumes responsibility for work done by his agents, servants or employees. ` / Signed- / By ,-" i ' 1 ' IN PEC R In consideration of the issuance to me of this permit I agree to perform the work c ve d hereunder in compliance with alit ordinances and Legtlla- tions pertaining thereto and in strict conformity with the plans, drawings, statements or s ifications submitted to the proper autRitil� ties of Miami Maat0 Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER Subdi- vision BY DATE Amt. of Permit AUTHORITY 194 State work to be done and purpose of building (by floors) Distance to next nearest building STATE OF FLORIDA, COUNTY OF DADE. Disapproved Date (Signed) MIAMI SHED � VILLAGE BUILDING INSPECTI DEPARTMENT BUILDING INSPECTIO 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 building 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 regula- tions 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. ti Date 19_ _ —_ -- ry _ Street__t f s� Owner's Name and Address _ft� Registered Architect and /or Engineer_ —__ Name and address of licensed contractor Location and legal description of lot to be built bn: cr _ � C Lot_ --- Z Block U� p Subdivision ILL s _ � ?''�" Street and Number where work is to be done____ —_ 7f _ _ .__ 7 . and for no other purpose. New Building — __ - -__ Remodeling_________ __ Addition___ -A1.- Repairs No. of Stories__________ ______ To be constructed of__L J __ Kind of foundation Roof Covering p .• Estimated Total cost of improvements $ ! e — Amount of Permit $ Zone cubage required__ Plan Cubage 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 be 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 Remarks (Signed) permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Notary Public, State of Florida 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. 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 pr faulty materials and/or workmanship. h 1 Date 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 building 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 regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block, Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) Date_ , No._ - - - -_ Street and for no other purpose. New Building_____________ _______ Remodeling_____ Addition Repairs No. of Stories To be constructed of_— __—'_______ Kind of foundation Roof Covering Estimated Total cost of improvements $ __Amount of Permit $ 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) STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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__ Disapproved — _______ —___ Date (Signed) - -- — — -- Building Inspector PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires to me well known, 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. JOB: • • BUILDING ELECTRICAL : PLUMBING • • • • • Inspector's Report: 010 • • • The following is ready for Inspection: : WORK : DONE BY: REQUESTED • ..6."‘Ati • • • • • • • • • 00.16##rn • I • • 1 • • • • • • • • • • • • • • • • 1 ,e • • . . el . • • . . • • • • • • • • • • • • WILL BE READY • • • sr / • JOB: 74?j9. M m: 79a 2 tG_ 96 '{x, 4U'" BUILDING PLUMBING • • • • • ELECTRICAL : • • • • • Inspector's Report: • • • • • : • : WORK : DONE BY: • : REQUESTED : WILL BE READY • • . `//i/ 'V/ • I . • • • The following is ready for Inspection: • • • Lfice l • APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. _ Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot_ _!____ –_- Block.- Subdivision Street and Number where work is to be done �� L..... l i— State work to be done and purpose of building (by floors) Remarks STATE OF FLORIDA, u . COUNTY OF DADE. Disapproved _ (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT __and for no other purpose. New Building %_ �__ Remodeling __ Addition —_ —__s Repairs No. of Stories___;' To be constructed of____:________ Kind of foundat�.on Roof Covering Estimated Total cost of improvements $_.L._ _ ' __—_�_____ Amount of Permit $___ __ ______________________ —_ Zone cubage required ;- .. _Plan Cubage 1 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 contracto 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 o the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, n work to be performed under this permit, as are licensed by Miami Shores Village. 1 r \! Date_ 1 Building Ins?ectar PLANNING BOARD Date – -- 1 — – — L – r= , No.___—_____ Street— (Signed) — Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 staled are true. • Permit No ��� Read, Sworn to and Subscribed before me. My Commission Expires_ DATE Notary Public, State of Florida Chairman Council Approved Date Disapproved _ ____ _ ____—_____Date NOTE: A char 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, 4 MIAMI SHORES VILLAGE PERMIT No. Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at r by Address for owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range watts. Water Heater watts Power: Connected load H. P. Space Heaters watts Other Apparatus f ELECTRICAL INSPECTOR. THIS CERTIFIES THAT the wiring and apparatus installed at by Address for owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range watts. Power: Connected H P. ,.Spate } 4 Other Apparatus MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION PERMIT No. Water Heater watts ELECTRICAL INSPECTOR. N° 158 Owner, Agent or Tenant of Buil Lot /— Block Street Address Approved use by occupancy Remarks: This Certificate of Occupancy is issued to the above name for b • ing at above named location only upon the express provision that the applicant will abi and comply with all conditions of Ordinanc os. 92, 93, 94 and 97, known as the Zonin Electrical, Plumbing and Building Ordinances of iami Shores Village pertaining to the erecti n, construction, alteration or remodeling of buildi stru ures. CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Mia ' Shores ,•'llage, .f BUILDING PAISION Plans & Spec, chocked by __ To Council Bldg.Permit No. 20 y I 4H T.Hun uf6E troe ? 3 6 auk Lic,No. Add enera -- Contractor Lic. Addr -one Req.Cu.Ft. Cub.Cont. 04 / - By Plat Restriction Chkd. By To Planning Board 5- 24 Re-Submitted to P.B. Approved- :A fRejected Approved Rejected Approved Date 3-29-ti Poo Type / 6 Roof New Construction_ Plumbing Permit No.2 / Se tic Tank Z./ 7 Sewer / Mize ' 1. of/a Altertions Date 4 i t it Rejected Rep Fee 31-41 E • NO ..2..j= • Date • If .9. .. .„.... ' • _ _ 11 Heater t., r c. . .„- II .. Motors Mi 17 • "Aa New Construction Alteration Building Insp..s...._ ......... - Fouridatii on Beams & Lintels Final F inal:t 1 ean•Up . • ;:, '1./..,,-, • 7 . -• • -2-1.umbirig In. — • • •-• • --.FA*tures S . _ . • ' .. S op ti6 Tank • _Solar Heater Final Certificate ;1 ectrical InSp. Roughing Fixtures Final 27 9 Date ervice O. K. to Power Co.,.7.) 0 / Cort.Of Fee c... • . , - t• Re-Insp. By . Re-Insp. By / 40 . 4 4‘4 0- ' 47 ..011P Occup . Issued — 7"/W RQ7.1.r1§1?„.“ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date N, ' / - 9-3 Job Address 790 E g a'L`Cgfax Folio // �2 IJ 14 g e Legal Description / q' 02 6 V .7,L /2` Owner / Lessee / Tenant HEN ,1.-y - ` "✓ GA 4i 1 asfer Permit # 3 V83 ' l Owner's Address 7 G l 4 Nk: c lCN S7714 Phone ' 757 - 5vfl Contracting Co. J- Otaywk/ Address Qualifier SS# - State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor C /772 /V \ 1 L' 414_ Address ' 1/21/)4 .:QO f r A / Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ( ` P4-77 ) Square Ft. ?e 4paea.nr WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signa Date: Notar+yJ as to Owner My Commission Expir APPROVED: o owner and /or Condo President fry Zoning Y'SF'HINE CHURCH • iotary Public Stile at Fiends Buildin Mechanical Plumbing_ Estimated Cost(valu Phone Signature of Contractor or Owner- Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: ** * * * * * * * * * * * * * * * * ** .rJ; FEES: PERMIT J ` RADON C.C.F. f NOTARY (1 X TOTAL DUE 9 Fire ° Other Electrical Engineering Pk PLAn OF SURVEY Scale: 1' - 20 5 . ' W GAmo. t. IL 0 61 2 . • \ ‘---■ , i t1/4` b p - /3 q� 3 ' 2 • 10 Va LSE 4 c 1/e/ % ,. d f c•4 x, .0 ) 5' 23.15' v LA •i 0' - f\ 2.5' QTY GEC. , O a � • t�•v' - 3.0 • • c 0 t(1 3 - 7 - 20 3'2- a, N iJ1 , t\ t` / �GO 4.-1G - N != ° ' S C.[� � .-, • , 3. 6 1 ° . . .A....,, . - } �, , m om - -- --� -r, . • =r - ; r 1 5 . 65' 12 o' cP t" 7� c � to L `� O. F WC; 1. so ti 0 � (11 O / /�:,. F ----- • 4.1 t'� 4 f 4 1 ' .7 si , I .. ).. I 1 'S 1/ 1 . „ . 1 �: . i 1 ; , I L1 - �I w• . /IAA. t• t • U r ?! /., , ., 14 i ;.I • . s tk Is ,t . • tT 1 .t I? �•Nr . ,; td I .. ,_517 59 i S F ----- • 4.1 ..: i ii 4 i :i. __. to 9 .. ).. I 1 'S 1/ 1 . ` • • S .i . i 1 s . i t• t • U i CF R•I TO: a a(y /' ` a9 ( rY . 0 cif 14 within Zone orirla Statutes. cnTton MAP Scale: 1 • _ 0 It; • • > t ' -'.. 4 � � � . . L . A . 0 't) oviEv,�Q L�itsT) v .� 4ltt.`'� : • .tit s \�N� N.. for 1 FE4a A7 9/e2 Fede,14 / PETER DE LA ROSA. P.L.S. 5432 South West 127th Court. )Miami F:ar:da 33 (305) 552 -8545 Peter De La Rosa, Professional Land Surveyor No. 3530, State of Florida NOTES: 1) This is a Boundary Survey. 2) Not valid unless sealed with an embossed Surveyor's Seal. 4 QO (15t" 's-r LEGAL DESCRIPTION Lot 1pklint of Block (e$ . `t�lD�k\ evtiO �Tr�t� lOL, t4 according to the Plat thereof as recorded in Plat Book t , at Page , of the Public Records of Dade County, Florida. GENERAL NOTES: 1) Ownership is subiect to opinion of title. 2) Examination of the abstract of title will have to be made to determine recorded instruments, if any, affecting this property. 3) Location and identification of utilities on and /or adjacent to the property were no: secured as st:ch information was not requested. 4) No search of public records has been made by this office for accuracy and /or omissions. 5) Bearing shown (if any) are based on an assumed Meridian. Elevations shown hereon (if any) are relative to National Geodetic Vertical Datum. 6) Note: This certification is only for the lands as described. It is not a certification nc Title, Zoning, Easements, or Freedom from Encumbr ces. ABSTRACT NOT REVIEWED 7 The Fla. Flood Insurance Rate Map, Dated '% 4 19 i5 published by the Unite,l States Dept. of Housing and Urban Development, delineates the herein desc ibed lend to be situated /O3 7e2 3. Sew Fi/ti° _. /2- L• /7" S::o.vn I HEREBY CERTIFY: That the survey of the above captioned property' was completed under lay sui.ervisicb and /or direction. To the best of my knowledge and belief; this survey meets or exceeds the liinimu Technical Standards set forth by the Florida Board of Land Surveyors, pursuant Sec '•n 472.027 It I J r P: er'- . ' a ` P . essional Land Surveyor tJo \3530 5 - Ite of Florida r Atio,,,olansparoastotemizat....., 790NE 96St MIAMI SHORE• itaigagaralrnmit4: FIRE DEPARTMENT PU:i I ;: WORKS . 1: l 'E DEPAiMit ` =T 0:. PLAN. IC COU. :.'i ;. PRELIMINARY APPROVAL FlNAL, REMARKS: I I I I I I I I r THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT 0 WITH NO VARIANCES 0 WITH VARIANCE(S) LISTED IN "REMARKS" NO OTHER DEVIATIVS FROM THE MIAMI SHORES BUILDING AND ZONING ORDINANCES WILL BE PERMITTED, UNLESS SPECIFICALLY LISTED BELOW. ALL OTHER APPI ICAB! E STATE AND COUNTY LAWS MUST BE COMPLIED WITH BY ALL PARTIES. Auth•Ori?ed Signature Date COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & SUB CONTRACTORS ARE CHI RGED WITH THr KNOWLEDGE OF ALL BUILD- ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. �.- .. . 1r' .bbl. I I _'l r . tl v .. . 1 f4 J.7 ' '' ' i. d1 ....,- CERTIFY TO: within zone LJCATIOfl mn Scale: 1 . _ - 4 /�+ - J9. . "•ti �- 91 � ��t�O'QE.LL�c!YO •'�OG�L- TG�/.�.TL L� (' �L : • .4Cvt K • 'St' sit i bo LEGAL DESCRIPTION Lot ttitkpz, of Block to$ , t4 according to the Plat thereof as recorded in Plat Book (p , at Page , of the Public Records of Dade County, Florida. for ffEN,Q y Fe tierz7Z PETER DE LA ROSA. P.L.S. 5432 So::zh West 127th Cour;. Miami. Fior:L'a 33 (305) 552 -8545 1) Ownership is subject to opinion of title. 2) Examination of the abstract of title will affecting this property. 3) Location and identification of utilities on information was not requested. 4) No search of public records has been made by this office 5) Bearing shown (if any) are based on an assumed Meridian.. _ Elevations shown hereon (if any) are relative to National Geodetic Vertical Datufi.,� � v 6) Note: This certification is only for the lands as described. It is not a certz Zoning, Easements, or Freedom from Encumbr pees ABSTRACT NOT REVIENED - .. ^± .71 The Fla l Flood Insurance Rate Map Dated �1 19 publr$h y t e have to be made and /or adjacent recorded instrh: i , ashy, • >>r� , to property were no:L.. s,9 ;9c) -s' 4 ...- fi ,, '� ! < Y •� _y accuracy and /or omis � ' =�` i. �,� - ° - _ to determine for the - ikGr ST ..= /o3 7d' See .. `s States Dept. of Housing and Urban Development, delineates the herein desc ibcd 1An jt.. be' h = • • HEREBY CERTIPY: That the survey of the above captioned property completed und65,. and /or direction. To the best of my knowledge and belief; this survey meets or exceed f , Technical Standards set forth by the Florida Board of Land Surveyors, pursuant .Sec '• rro Florida Statutes. P er Peter De La Rosa, Professional Land Surveyor No. 3530, State of Florida ,l NOTES: 1) This is a Boundary Survey. 2) Not valid unless sealed with an embossed Surveyor's Seal. 0 5 lle of Florida. a 4 Lm essional Lana Surveyor No 3530 0 >n Fuo. F 2.5 1 PLAAn. OF SURVEY - Scale: 1 ' = 20 fl 0 0 N ti s3 •o' asFN-k ?v T` � 04 �, R "s'� 3 �' n �' v .o VbL.LE 4 6U'C`T c, e ) r f '7- 0 G zAS 3 �T�- G 40' 17 -o' - 3.0 3 d o 0.79 ce a.c€ - * 5 ■■■whmitaiMMIONNEME► ∎■•■•■■•■ O+ 0 N m , b , o =.=, S•6R•7 11 rn l5 12o' •0' Pov c..z S• o G zt .S 'Zi - Pok-E o' 3• 2)•30 • D. 0. 0 M 0 1 N CERTIFY TO: •v; 1 a - .�. ..rely • J..rr. • • r; • • 0• : • 141: f1.. • Records of Dade County, Florida. l O C A T 1 O it ill A P Scale: 1' _ - 4 j y 1 -'3 1 ;$c ,z t i?94 ", i , .. r7 ,i1 .... • .., have .1. 1.5.01 to,. ) , 1 I t I r t T a I S .1 . 1 3.I. • ci '�) r ! N for h J.2 y F7Gq /e2 / 2 # 47/ r s u ci tH LEGAL DESCRIPTION Lot Ot\VZ1 of Block 4,420, 4.Mlb v.l\ t according to the Plat thereof as recorded in Plat Book (Q , at Page , of the Public PETER D. La ROSA. P.L.S. 5432 South West 127th Court. t�7iam) Fierda 33:75 (305) 552.8545 GENERAL NOTES: 1) Ownership is subject to opinion of title. 2) Examination of the abstract of title will affecting this property. 3) Location and identification of utilities on information was not requested. 4) No search of public records has been made by this office 5) Bearing shown (if any) are based on an' assumed Meridian. - • e � Elevations shown hereon (if any) are relative to National Geodetic Vertical Daturb. o_ v z- 6) Note: This certification is only for the lands as described. It is not a certili)a T ry Zoning, Easements, or Freedom from Encumbr flees. ABSTRACT NOT REVIEWED-•.•• 1 %_ .._- Ni - • 71 The Fla. Flood Insurance Rate Map, Dated 1 - 19 T) publiih .�y:the`y States Dept. of Housing and Urban Development, delineates the herein desc ibed 11n4ti,•be'_ 4t , . ' • Y within zone /� • ! L ply i r� ` 1 HEREBY CERTIFY: That the survey of the above captioned property' was completed undn5 io ;1t1" t411e4 r' and /or direction. To the best of my knowledge y /) knowled a and belief; this survey meets or exceed 11 • �'� Technical Standards set forth by the Florida Board of Land Surveyors, pursuant • Sec 'ri `' : i 4�Z\j`', Florida da Statutes. 'l l j �1l\ to be made and /or adjacent to determine recorded for to the property were accuracy Peter De La Rosa, Professional Land Surveyor No. 3530, State of Florida NOTES: 1) This is a Boundary Survey. 2) Not valid unless sealed with an embossed Surveyor's Seal. :•: �t91Q 11 112i1� � . ' , ♦ - , 4"" and /or mix cl S \Graz LTA /03 7d2 See ■/ /e• e /2 e- /987 z s Si'owr' i n s t r t.ryh\rt s �'l 3 y /, ,,, nc, EA . " F P= er ' -o a essional lad Surveyor tlo\ 3530 5 'rte of Portia. � C KN Z•i PlAfl OF SURVEY - Scale: 1 ' = 20t D•o ds P \.,, , P v t- 7-4 . o Vb l.l.E 4 6 U T - rE 2� (j ,1s 0.635' 23. 7•o G1Zd5� S - o 4IDEWdI-IC_ \ • 0 2b� 4.40 • 9 0' ID r._42 b , 4 % UN , , .. r r- / �.c,::=)4--IC _ I o IS 5 r4 4.,4.0- ),1 3.4 V; 1'1 t_ _, .d (5.65' 12 0' i t 0.7) c„.....,!--- FU0 J ! — e. o' t t pov.tE2, S . o GQo ‘ Oo - POt.E. V d � Q AQ� 1 • t?. 61. 0 4 nn -,5e7 04. 1 'e. 4 ,m • 1 .. coo ' 30 m 2 (2' .o' - 3.6 32 -So` 2.1.30 -- 9 pot). i Q. -4. anti - )f a- 1f) 4 a Q 90\4E12 • Miami Shores Village BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle) Building Owner's Name (Fee Sim Owner's Address City�f` Tenant/Lessee Name Job Address (where the work is being done) Is Building Historically Designated YES Architect/Engineer's Name (if applicable) S Value of Work For this Permit Submittal Fee $ Notary $ Scanning $ Code Enforcement $ �— Total Fee Now Due $ ')G L I - 0 (Continued on opposite side) Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 3 4 ,fai: {3.05).756.8972 Mechanical Roofing - 7 (5 SState "'?-1 le Titleholder U SS City Miami Shores Village County Miami -Dade Zip 3 i Contractor's Company Name AS L Phone # (IRO 326 .-734 -r Contractor's Address t 10 ( S■V\ City T ' ic-3L State rt 1-- Zip ` Qualifier OG 0, ` - 1 N CM - State Certificate or Registration No(--j 0 DSO R52 . Certificate of Competency No. , 700 Type of Work: ❑Addition ❑Alteration 1KiNew ❑ Repair/Replace ❑ Demolition Describe Work: Electrical 10 Permit Fee $ v Training/Education Fee $ Ut l 11 NO * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF S it pZ V CO /CC �^ Technology Fee $ t, 5 Radon $ Zoning ■' Bond $ 300 Structural Plan Review. $ — Plumbing Phone # Square Footage Of Work: Permit No. Q J `/ 15 Master Permit No. Phone # Zip 33/3Y Phone # cy,0 51-0 3 S ) 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commen�'ment must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. n th:�.bsence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. C ' Sign F /L by ersonally known to me or io has produced entification and who did take ' oath. who is personally kno 4 11 'P wn 41094 Amor tng D 0 own t• or who has produced as identification and who did take an oath The foregoing instrument w s ac I • ledged be _ _ / day of who i NOTAR P APPLICATION APPROVED BY: Chc 05/13/03 Owner or Agent Contractor ore me this The foregoing instrument was acknowle ed before me this by i f Eyj,$ '., OF AtBon My Commission Expires: �� My Commission Expires: * * * * * * * * * * * * * * * * * * * * * ** '* l25F * Ginn ` x We 1* * * * * * * * * * * * ** * * * * ** * * * *** lssion # DD323870 a Y, , 2008 A r ��OF FlOP,O� Expireon d I it1111 l' **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *�k 44sgety. *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** )-/iloc FEB 08 * O� Plans Examiner Engineer Zoning 3 Miami Shores Village BUILDING PERMIT APPLICATION FBC 2001 Job Address (where the work is being done) Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Submittal Fee $ Permit Fee $ Qs Notary S Scanning $ Total Fee Now Due $ (Continued on opposite side) Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 , (1 00 [, f Permit Type (circle): Building Electrical Plumbing Permit No. aster Permit No. %.� kcjs Mechanical Roofing Owner's Name (Fee Simple Titleholder) /� V , O i Phone # 3� s a r 0 Z. Owner's Address 7q0 N G % SA • City UM/ 314) State 114 Zip Tenant/Lessee Name Phone # JuE es(f. 3 31 City Miami Shores Village County Miami -Dade Zip 3 3/.3 7 Is Building Historically Designated YES NO f Contractor's Company Name S 9451 4 -A C.S' Phone it 7 g• 481e 371f 3 Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Phone # 4- Square Footage Of Work: o s� Type of Work: ❑Addiitionn ❑Alteration E 1Qew [11 Repair/Replace ❑ Demolition Describe Work: .f-+ C o i crel-e 4 _9S `2- Z4(4 lf*l 1, 4 at Li- "Li;) 0ttpth C..11 u 1 Irk owed ,5z) 774.141 4# e g -lam ' 11 -s�c4 0S f ays * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Training/Education Fee $ Radon $ Code Enforcement $ Structural Plan Review. $ as Zoning CCF $ Technology Fee $ Bond $ CO /CC MON 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 attachinent 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 NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 As identification and who did take an oath. as identification and who did take an oath. kybi thc Plans Examiner Engineer Zoning Building Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2005 -175 Printed: 2/23/2005 Applicant: ANN RUSSOLI Owner: RUSSOLI ANN JOB ADDRESS: 790 NE 96 ST Contractor RELIABLE CONCRETE CORP. Contractor's Address: 1101 SW 18 CT Local Phone: 305/229 -4945 Parcel # 1132060142060 Signed: Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 1 & 2 BLK 68 LOT SIZE SITE VALUE Fees: Description Amount FEE2005 -2376 Building Fee $100.00 FEE2005 -2377 CCF $1.20 FEE2005 -2378 Notary Fee $5.00 FEE2005 -2379 Technology Fee $2.50 FEE2005 -2380 Scanning Fee $6.00 FEE2005 -2381 Builders Bond $300.00 FEE2005 -2382 Submittal Fee ($50.00) Total Fees: $364.70 Total Fees: $364.70 Total Receipts: $0.00 4 .711n Permit Status: APPROVED Permit Expiration: 8/3/2005 Construction Value: $1,700.00 Work: STAMPED CONCRETE DRIVEWAY- EXISTING APRON AND SLAB IN BACK FOR SHED Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. • (Contractor or Builder) BY: C Further, Affiant sayeth naught. Sl iore� VtL1a 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, � , does hereby attest that the (property owner) attached survey, performed by (name of surveyor's company) performed on , is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant f understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me this day of Affiant/Property owner Affiant is personally known to me, produced as identification. Notary PERMIT NO. " • ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' SECTION BY DATE ZONING' ELE TRICAL ~ M CHANICAL UMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL t. Subject to comptlance with alt Federal, State. Ca nty,Ydlage rules Ind regvtatlans. Village mums no responstblltty for accuracy of/or mutts (rasa these plans. 2. This copy of plans mutt ba available ca building site or no Inspection will be conducted. k,rtl I iVtut i HEET JOB ADDRESS � J r) APPLICANT i�" �� PHONE f# APPUCATION SHEET OF MISCELLANEOUS cdted c INITIALS 1