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