822 NE 96 St (2)NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. P --/ FED
STATE OF FLORIDA
COUNTY OF DADE
THE UNDERSIGNED hereby gives notice that improvements will be made to
certain real property, and in accordance with Chapter 713, Florida Statutes,
the following information is provided in this Notice of Commencement:
1. Legal description of property and street address: yr. q L
2. 'Description of improvement:
3. ' Owner (s) name and address: 7140.1
AJt
Interest is property:
Name an address of fee simple titleholder.
4. Contractor' ame and address:
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond: $
6. Lender's name and address:
red)
Q evr �( Sit -bit 7z , 33) ore X1a,n� /%PAW �M
q G s ,
Signaturelof Swner
Print Owner's Name �`�� +' L. 4„,E7---
col-VOA
6G;; ; V :'73: () °, :y ;2
ort2 :f < l 5::63 C'2i o ( : :: _ , Coy c2
v .
l.J
acs: csF c;
,viz s'7'
,i4
T 1 111111 11111 11111 1 11111 11111 11111 1111 1111
rayreES' ?/ ? S-
�h a N 11C. I
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13 (1) (a) 7., Florida Statutes:
Name and address: 4 A ,..
8. In addition to himself, Owner designates the following person (s) to receive a copy of the Lienor's Notice as
provided in Section 713. 13 (1) (b) ., Florida Statutes.
Name and address: .✓
9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a
different date in s
Sworn to and subscribed b: or: me this SL day of b , 20 O5
Notary Public
Print Notary's Name
My Commission Exp r
4e °°
JOEL COHEN
MY COMMISSION # DD 037035
l l' pr TO* � EXPIRES: June 25.2005
1. 800-3- NOTARY FL Notary SaMoa & Bonding, Inc.
Prepared by:
Address:
FN 2003R0906832
R Bk 21882 P9 0386; (1Ps)
RECORDED 12/08/2003 14 :34 :13
HARVEY RUVIN, CLERK OF COURT
MIAMI —DADE COUNTYr FLORIDA
LAST PAGE
MIAMI SHORES VILLAGE
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
THIS CERTIFIES THAT the wiring and apparatus installed at
/
/ -
PERMIT
No. /
by !
Y r Address
/
' ' f i r
fo,�d � _ - � ,�. owner, and occupied as
a
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Size of Service Number of Lighting Circuits
tea
Range watts. Water Heater watts
Power: Connected load H P. Space Heaters watts
Other Apparatus
"ELECTRICAL INSPECTOR.
Owner's Name and Address
Location and legal description of lot to bbuilt on:
Lot Block
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIA MI 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 :aerewith 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.
Registered Architect and/ gineer =� Fv fs. �s'�`�`
7 Name and address of lice r ed contractor
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 Ad ion 1 Repairs No. of S ries
To be constructed of_ eelis...e.....- Kind, foundati n a' f ' Roof Covering__ CP1411 _GL'11.0
Estimated Total cost of improvements $ di D' 0 Amount of Permit $
Zone cubage required _Plan Cubage
Distance to next nearest building MO _______________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 accep:s 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 p notice
or notices as are required by the Act. The undersigned agrees to employ only such su con ors, on worklo be performe /tinder this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)-
Building Inspector My Commission Expires
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personal ap-
peared
to me well }clown,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
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 :-aulty
materials and /or workmanship.
Peep. e
cor-77 -0 r �
•
O
'r
tgetdL'
N° 118
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla.,
Owner, Agent or Tenant of Building
Lot Block Subdivision
Street Address 1
Approved use by occupancy
Remarks:
This Certificate of Occupancy is issued to the above named
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the
erection, construction, alteration or remodeling of buildings or structures.
BUILDING DIVISION
MIAMI SHORES VILLAGE, FLORIDA
BUILDING [ DATE t ` e :". 195
ELECTRICAL ❑ PERMIT N? 14097
PLUMBING ❑
ROOFING ❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal Lot 131.
Description
Address of
Building
Signed:"" 1 -a.-',.. _ BY /k.."`a% c_...
e INSPECTOR
In consideration of the issuance to me of this permit I agree to 'Pei 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 1 assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
Subdi-
vision
Value of I1 567 I)
Project $
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.
BY
Contractor's
License No.
Amt. of ,
Permit $
AUTHORITY
LOCATION S22 E. 96th Street
GARBAGE TAX RECORD
PAID BY
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID - -%
DATE PAID
RECEIPT
NUMBER
1940
1Q 0 d
®•
L ///
l - '� -lam
/-` 3
A7. / Z
'E
IL �/
1941
w.
_14/
1942
" � 4'
1943
-9;41-.1
1944
/e. De
12 ! Xi
Joe
f0 7(
A -e
1945
JO • . (.!`
/ /2- }S
1946
/ n
!'- "
kc
i/
1947 -
/2° J7- ci -:
/� 3/" 7
- ;20, V t
f; - . 1 ;1- 97
/ 3Q.' "ii"
/ -3- 5
??7,,,,1
/o feb
, , ,4ra76,
/3S'640
/1 . .7 t
� ®
ei
, c
'
,i` -!
�_
o _ : ^ ✓G ��a .. _, _ -- _ - ma_ . .__,I_!-
!�- q�,- ^ / '� �
� f 1948
7
1949
/7.00
et
r.
••• �D%
1950
"
LOCATION S22 E. 96th Street
GARBAGE TAX RECORD
by -
822 N. E. 96th St..
4 )-
Margaret Henseidk /7_ 0- • s /- /
year annual tax IDericd used amount_paid date paid' receipt
/a. 0.
■
15.5_ /ca. �0 // • (•
•
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of I
Building •
MIAMI SHORES VILLAGE, FLORIDA /
DATE
St
El
CI
El PERMIT Nponed
1
111 Work to be performed under this ermi
Architect
Contractor
or Builder
Legal Lot
Description
OONTRACTOR OR BUILDER
Bl.
Subdi-
.. )
- .
Signed. • PECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance wth 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 ac-
cepling this permit I assume responsibility for all work done by either, myself, my agent, servcmt or employee.
• L-"C • L 11
vision
Address of .- Value of 1 . Amount of
Building r / , Project $ 1 ,
- , - 1 . I
11 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 applica-
tion 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 respon-
sibility for work done by his agents, servants or employees.
Contractor's
ense N
BY AUTHORITY
19 (
ABBOT
r'
a
( 1 (
•••
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Permit No ( Date __ /,
Disapproved Date
(Signed)
ij if
rL i ng inspector
PLANNING BOARD
Chairman
Member
Member
Council Approved 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 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 n (t ,
Owner's Name and Address . 1 No. k)-„2- Street - -N. . 96 5
Registered Architect and /or Engineer.
Name and address of licensed contractor
Location and legal o t
descr' - i
description n o f lot t D o b e built
ui on:
Lot 7 Block Subdivision
Street and Number where work is to be done__. 4 7,/
State work to be done and purpose ofose of�(by floo
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of_.!//Ld<Kind of foundation
Estimated Total cost of improvements $ d_ - Oaa 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 : d spec'ficatii ns for said building. All notices withreWence to the building and its cc struction may
be sent to y � o 0 7 �.�_c
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 ;on o. site .f the work such public notice
ork bey performed under this
Roof Cov_r
or notices as are required by the Act. The undersigned agrees to employ onl
permit, as are licensed by Miami Shores Village. !,
Remarks (Sign1
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and—t+ - e acknowledgments, personally ap-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him sta�ej1 a trge
3
to me well known,
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
DATE
Member
Member
Member
Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
j Contractor
° or Builder
Legal Lot
Description
ddress of
uilding
,/
CONTRACTOR OR BUILDER
aE • ,.
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N? 1300
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project
-
Aer
Contractor's
License No.
Amt. of
Permit
194 ( - 2
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
plication herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance
'th any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
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
n which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of
ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or spccifications and
he assumes responsibility for work done by his agents, servants or employees.
Signed _' ' By
INSPECTOR
n consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
AUTHORITY
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 regulations of the Building Division of Miami Shores Village shall be complied with. whether
herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work.
Owner's Name and Address I/7 1- /k/". " /"d / F2 /V' ` - 47 6
,C/,,vry -4-.
Registered Architect and/or Engineer ,q
Name and address of licensed contractor / S' t / '�rH 75 , e / %./ l el /'/ 2 7 -7 '/ � ' • /�,, / 3,3A/
Location and legal 9' description 7 on of lot to be built on: j � )
Lot / Block Subdivision ./ l / 0 Zee / Cg 9/0 1
Street and Number where work is to be done O f /7 AA- cr ` QG/ 1:b S / . �� � // / //
State ork to be done and purpose of building (by floors), state exterior colors (submit samples) Y ie4'41 LU Pr _ • I 'e`/ le4-1 / - - ,<? pf /
/f// v� e eiG/Aze -s
and for no other purpose.
New Building Remodeling v Addition Repairs No. of Stories
To be constructed of Kind of foundation Ro Covering
� bb Estimated Total cost of improvements $ � a 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 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 obligatons 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 't: 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 .loy •nly such subcontracto on work to be performed • under this permit. as are licensed by Miami Shores Village. 7 2
Remarks (Signed)
l u - 7- 7 - ,/
MIAMI SHORES VILLAGE f7--
BUILDING INSPECTION DEPARTMENT
Date
Date !�d , y /' 19 6)
No Street
STATE OF FLORIDA
COUNTY OF DADE. ss.
Before me, the undersigned authority a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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.
Disapproved L M)11,
1 NAI
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of 625.00 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 825.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship.
Ac-
9.:ra_,A
i:z
r r
•
alaharlits
"y t r
12:1° .i
0
:a
f.
Plumb In 11 ed _
. \
■00 Pk
\ : ,
}
7
!loved Aother
is
a;
4
''}.
OWNER'S NAME
IT•9dVOA R., ', NI. . T€ / /
PRESENT ADDRESS
d, tL). � � 54 .
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
LOT
BLOCK
SUBDIVISION
GENERAL CONTRACTOR /
Q C..
ADDRESS
`a`z.�d iu......9, Imo,„. 4 ' .
PHONE NO.
LICENSE NO.
�� E
,I
BUILDING PERMIT NO. W "f'=
DATE Cm °`
0
PERMIT FEE $ ' 1
BUILDER'S BOND
NO. ti DATE
ZONE REQUIREMENTS CU. FT.
PLAN CUBE Iq. I 6 2. CU. FT.
EST. COSTS � " "`'' o�
DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: . • 4 . a.�-- .c°'._ :� Ch
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
DAT=
�-
•‘..•
NEW CONSTRUCTION TYPE
e:-. ` .',
STORIES
® ri a
ROOF CONSTRUCTION
T:
u l+ ,,,Q.:.)
I 1 INTERIOR CONSTRUCTION
pt9A r et, n Bch Y .c• -=TCCf-, f®f'ee
REPAIRS
g •
IU DESCRIPTION
' L �.ka v'- 52.. ►'lz e: ,',,r (- s�s(.)C.it
A.c.(.• ∎ i' ►r7 q.kaC (-s'. •n As 4^,, 6
ALTERATION
r DESCRIPT4ON
' C -' " -
6, .rcti9n % C% - k -,,, ».. f ...1 . '-'- i� -,..5 A'' « ^
ADDITI
v f
SUBMITTED TO PLANNING BOARD
APPROVED
5t�, .'c o✓ .nrA n irw
REJECTED
i c:. � 6
R FERRED TO COUNCIL
� ` ` , '-C% ; J
i j . .. �
REASONS
� t.�:» T
d/ -� L'' {{' +:
��:r� ; � �>c� ... U • T — r� ", -;:.. ' fie,:_
RE- SUBMITTED TO PLANNING BOARD It �.ca_Co
..,,___
iZ-� C-le.L..„Cz, oi'ia.P ` 0 � O `J 1 '� '� 4 3-.- 4-1:::.
SURMITTFD TO VILLAGE COUNCIL
REMARKS
ar
CERTIFICATE OF OCCUPANCY NO. �/
I ISSUED ��� •�
BY •
/ I/ •
TO ° � ` ?c `' X.)F r 6-4.
DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: . • 4 . a.�-- .c°'._ :� Ch
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
DAT=
�-
•‘..•
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
PERMIT NO.
DATE
ROOF
TEMPORARY SERVICE
_
BEAMS & LINTELS
1- '+- 3
u - V - S" I
POOL
SEWER
I
FRAMING
$
I
AIR COND.
$
FINAL
I
I
CLEAN UP
SEPTIC TANK
I
SLAB
- 7"° -b f
(,--Ivu 4 I
p „r....QC,
I
SOLAR HEATER
SLAB
I
_
S
CONTRACTOR - ) Q.b/-,'4"2 I • s -i.-I �'
K
DATE
PERMIT NO. 4 I DATE ` l i..` ' -
FEE $ /C='
NEW BLDG. I ALTERATION L." 1 ADDITION
REPAIRS
SPECIALS PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
_
.i ._(
$
,/�
$ . i
SEPTIC TANK //
Ate-4 . , (
./ "7 '�
�..�
SEWER
I
_
$
SOLAR HEATER
I
$
GAS
I
S
S
SEPTIC TANK
I
1L
$
INSPECTIONS
DATE
BY
RE INSP
BY
RE- INSPECT
BY
ROUGHING
- J -r (..
PERMIT NO. I
I
_
FEE
TEMPORARY SERVICE
TUB & TOP OUT
$
I
_
I
I
SEWER
RANGE CONN.
I
_�
S
SEPTIC TANK
I
1L
1
I
FIXTURES
I
SOLAR HEATER
S
I
_
S
FIXTURES
Y L3
c.Jii;S
I
GAS
CONTRACTOR /1..41,... 4 EC-EC-7/(,,(G -
PHONE
BY
PERMIT NO. LI 3r7 I DATE 7- I / G-G
`
n
FEE S /Z ---
NEW BLDG. I ALTFRATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO. I
DATE
ROUGHING
FEE
TEMPORARY SERVICE
I
$
H. W. HEATER CONN
H. W. HEATER CONN.
I
I
$
RANGE CONN.
I
S
MOTORS
I
1
I
FIXTURES
I
FIXTURES & FINAL
S
II
S
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT BY
TFMP. SERVICE
I
ROUGHING
I
H. W. HEATER CONN
I
RANGE CONN.
I
I
I
FIXTURES & FINAL
O
BUILDING
INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
,6)e- -0016-
PEoNE 1451=8=aidiff
EDWIN W. SCHRAMM
BUILDER
LICENSED AND INSURED
2300 N. W. 101sr STREET MIAMI 47, FLORIDA
7 /4„;4*,144 , 64,€4
: g/,a- ofiS14 4C 701-1 cfrI7e,
e
C ,
4S/U
3-
44
-44
c5 k0,14,6xty-WTY g130,7 (71
, 6 .
- 444: .46( lOW* 13
1 / 1..: , . • "
( I t
(.91-4 Oen-e
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done._ 2--)/ /v 9'G S.
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building Remodeling Addition Repairs No, of Stories
To be constructed of Kind of foundation Roof Covering_..,
Estimated Total cost of improvements $ Amount of Permit $
Zone cubage required _Plan Cubage
Distance to next nearest building Size of Building Lot m -
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. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PE != MIT
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 nqt. A copy of approved
plans and specifications must be kept at building during progress of the work. /'
Owner's Name and Address
Name and address of licensed contractor
MIAMI SHORES VILLAGE
c32 /V57
Registered Architect and /or Engineer /4 ."? 1 ' 77
,19
Street`
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.
MIAMI SHORES VILLAGE pERMIT
No.
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
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. Water Heater... watts
Power: Connected load H P. Space Hers'" • watts
Other Apparatus
ELECTRICAL INSPECTOR.
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__
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Permit No.
Disapproved ________— ___—_____ ____ Date
(Signed)
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.
Subdivision_
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
Council Approved - -___ —_Date Disapproved
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 $____ 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 understantlfto,,4 accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled- General Lags of- Florida, Permanent Suplilemant,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared _____
and who, being by me first duly sworn, upon oath deposes and says that be 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 Read, Sworn to and Subscribed before me.
Notary Public, State cf Florida
Building Inspector — — My Commission Expires
PLANNING BOARD —__________— __—_DATE
Chairman _______ Member
Member -- – -- – – -- — Member
Member — — — – – – — - -- Member
_Date
(over)
to me well known,
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.
LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC.
REQUIRING OCCUPATIONAL LICENSES
MIAMI SHORES VILLAGE
1. General Building Contractor.
2: Plumbing, Heating, Ventilating; Air Conditioning and Gas Fitting.
3. Electrical.
4. Architects, Engineer, Surveyors, Landscape Architects and Inter or Decorators.
5. Excavating, grading, filling and Landscaping.
6. Moving or wrecking.
7. Septic Tank and Drjain Field.
8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum.
9. Carpentry, Millwork, Awning and Shutters.
10.
11.
12..
Cement, Lime, Plastuing, Stucco, Lathing and Cast Stone.
Decorating (interior', and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging.
Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise
specified. ..
Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors.l
Roofing; Sheetmetal ;ind Skylights.
13.
14.
15. Solar Water Systems :,
16. Well drillers.
17.
18. Structural and Reinfcrcing Iron and Steel.
Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc.
19.. Tile, Terrazzo, Marble, ,Granite, and Cut Stone.
20. Electric Fixtures..
21. Illuminated Signs.
22. Bridge, Bulk-heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga-
tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work.
23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus-
iness of supplying, furnishing or delivering building materials for any construction project within the
Village Limits and n ot having a regularly established and licensed place of business in the Village.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application i- hereb q made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other struct a ein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Flon..,'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 a' building during progress of the work.
Date e ,,,,) , 19 .. S
Owner's Name and Address .. ecAca„ Street _& _Z._._��
Registered Architect and /or Engineer � / /4 1 .'
Name and address of licensed contractor 5 -4 6= t='V- / /Ye,.
Permit No
Disapproved
(Signed)
Member .
Location and legal description of lot to be built on:
Lot . 7 Block Subdivision . r
Street and Number where work is to be done _ a_a. /,Y 5 T
State work to be done and purpose of building (by floors)
c as
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering._
CO 00
Estimated Total cost of improvements $ __Amount of Permit $ IC
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 perinit 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 o e rk such public novice
or notices as are required by the Act. The undersigned agrees to employ only such subcon ors, on wor to be erformed under this
permit, as are licensed by Miami Shores Village.
Remarks ( Sign = : L r f i ."7
STATE OF FLORIDA,
COUNTY OF DADE. j Ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are e.
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Insp " tor My Commission Expires
PLANNING BOARD DATE
Chairman 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.
MIAMI SHORES VILLAGE, FLA. N9 5336
JOB
ADDRESS irAg 17
INSPECTION
TIME READY
REMARKS :
INSPECTOR
DATE
r
HOWARD J. ROSENSTEEL, Agency Manager
Auto - Life - Fire and Casualty
P. 0. Box 261 Miami Shores 53, Florida
Phone: 754 -3682
U Wim✓,
Lif 2/ 0 ci,
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 L f; 1 ` , 19..
12 U s 1-/Y�.l l g c. ill 2 - Street C r 6 ..../2 S _ w.', ._
Registered Architect and /or Engineer G ra 6 R 0 Jul TT
Name and address of licensed contractor .) R/ / / y
Owner's Name and Address l U W I L1) J 1
Estimated Total cost of improvements $
MIAMI SHORES VILLAGE
Location and legal description of lot to be builLon:
Lot.._ g Block 7
Street and Number where work is to be done Z 2 ._ PLE
Subdivision A «-
1�I Gi/ i2iy
C /IR /f-
6
1 x.1) ,f J c M 13rt c
IliEV✓ 1 IV Do 14/
State work to be done and purpose of building (by floors)
Ca EEA! 1 2E 1 n)EL 1 <I Te ti i r( )
..._J? Ep1 D pE 1 - /1J* 4 L 1= 6 ARA 6 t: 111 TO /J t"--11 r and for no other
f purpose.
New Building Remodeling Addition 1� Repairs i-^ No. of Stories /�
To be constructed of C P--S . Kind of foundation C V i V C a L 7 !r Roof Covering G.Z A- t1 "L.:" f .
Cl Q ZUU: U u
Amount of Permit $
Zone cubage required plan Cubage 2 G ( ' ' 6 . tl (
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 specificati ns for said building. All notices with reference to the building and .c o t '
J c ns rue t
ion may
be sent to cl2.e4.' l/t/. ' ‘A. - (4.4.4 .2- • 0 0 i NI __W J e- 11 s. - r
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such s bcgntractors, on work to be - performed under this
permit, as are licensed by Miami Shores Village. - - (_
Remarks (Signed)- (.63 -W-uh vfir " .6. :/zi. 9211._
" •
COUNTY OF DADE. 1 ss.
�S G.M. G.��� ��_� � -'; � �
STATE OF FLORIDA, <' �
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, g personally ap-
peared
to me well known,
Notary Public, State of Florida
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 a true.
Permit No Date ____t_ / ` / _ Read, Sworn to and Subscribed before me.
Disapproved _____ �_ Date _____- ______.
(Signed) �.,� -�G' N � -` `� ,--- C---_.
Building Inspector / My Commission Expires
PLANN1NN 3OARD 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.
e-
Al,;,
. . ,
1
- .
•
°,\
/Z •
•••-- t
•
1 , A1442. ei.i0'‘
n CAN.01
1.
ctv. t rf
. c,
/1
/
BUILDING INSPECTION D ARTMENT
APPLICATION FOR BUILDING PEI MIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address f AAtt .
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
Name and address of licensed contractor c�
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 purpo of building (by floors)
2
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 $ /.9 ,7 ) 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 spec k �;cations for said builds All notic with r #erence to � uildin and its constr coon may
be sent to _ _ ��' / �L°i _ . z���' (/' e - 5' ub�
The undersigned applic� this building permit does hereby certify that he understands and accepts his obligatns 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 subcontracto , on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) � y , ' .� 14 f'
Date 1 ,19
No.
0 6
�- Street...
'1-
Notary Public, State of Florida
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction. that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No Date Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member . _ _.. Member
Council Approved Date Disapproved
Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
ADD:
•
: WORK
BUILDING :
DONE
DONE BY:
. .
.— -1,
• REQUEST .
ELECTRICAL :
6 INSPECTION :I'
PLUMBING
The following is ready for Inspection: -
Inspector's Report: -
• • WAS MADE : WILL BE READY
•
•
•
•
•
•
•
•
•
•
•
•
011 4 ,
■O 4■
•
•
) Zre
/(
•
•
•
•
2 ,)
7
NOTE: REQUESTS FOR INSPECTIONS MUST BE MADE BY THE CONTRACTOR
PERFORMING THE WORK.
JOB:
ELECTRICAL:
•
•
P LUMBING :
•
•
BUILDING : : WORK
• DONE BY
Inspector's Report: -
•
•
•
: REQUESTED
•
•
•
The following is ready for Inspection:
: WILL BE REAM'
c)
MIAMI SHORES VILLAGE
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
THIS CERTIFIES THAT the wiring and apparatus installed at
for
by � Address
owner, and occupied as
PERMIT
No. '
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
ELECTRICAL INSPECTOR.
M IAM I S H O RES 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.
cTr "i h, t
Date -- - -- — 1 --
Owner's Name and Address _ ____a__ _�� ^� _ No.____' — • Street_-. ' L
Registered Architect and /or Engineer '
Name and address of licensed contractor
Location and legal description of lot to be bui on:
Lot a _ ' Block___ — -- Subdivision ' �__ -4 ` yj
Street and Number where work is to be done___ _� ° - ° A _2.- .-_ P • ,
State work to be done and ur ose of building p p g (by floors)
New Building 1,1 _= '___. —__ —__ 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 ____:f —. _`� _____- -__._
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to -- =' --- /_? — __J.,,.,__— i " . • ' r .
u —� — -
— —— `
— -- = '_�_� ' _— 1_
ned applicant for this building r '
g pp g permit does hereby certify that he understands and accepts his obligati
The undersigned is 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, t
COUNTY OF DADE. I ss.
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 Read, Sworn to and Subscribed before me.
Disapproved Date
(Signe 1 ; I
t Building Inspector
PANNING BOARD
Cffan { r te') . �.�°
1 rr
' - , '- Member
Member • - Mend
Member _____ l_,__ t _k__.._______'__ _ _ _ _— � Memb r '
Council Approved_ Date Disapproved
(over)
Notary Public, State of Florida
ytoptmission Expires
__ —__and for no other purpose.
DATE
tA Al( r.. V(s,4
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.
" 3. . . ' Electrical.; .
6.
5. Excavating, grading,: filling and Landscaping.
Moving or wrecking.
Septic Tank and Drain Field.
LIST iDF CONTRACTORS, :SUB CONTRACTORS,ET
! REQUIRING OCCUPATIONAL LICENSF
MIAMI SHORES': VILLAGE
General. Building- C<mtractor.
•
•
Phimbing'; 'Heating, "Ventilating, Air Conditioning ands as Fittint:
1
i
4. Architects, Engineer,. Surveyors, Landscape Architects and Interior Decorators
8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum., t
9: Carpentry, Millwork, Awning and Shutters.
10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. ,
i
11 Decorating (interior and exterior) , Painting, Waterproofing, Damp - Proofing and Paperhanging:
.1,2. ; Flooring,. sanding or' finishing: wood, , rubber, composition, linoleum _and pother , flooring not otherwise
t ,
16. Well drillers.
specified.
Ornamental Iron, Bronze and Steel, Steel S
Roofing, Sheetmetal and Skylights.
Solar Water Systemii.
Sprinkler Systems 'cif - all kinds; including those for Buildings,' Lawns; etc8
h
Structural and Reinforcing Iron and Steel.
Tile,; Terrazzo, :1Vktrble> Granite and„ Cut Stone ;',
Electric Fixtures.
21. Illuminated Signs.
•
22. Bridge, Bulk-heading, Drainage Sewer,: Water and Gas excavation and, Construction, Dredging, Irriga-
tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work.
23. Every.. person, firm, co- partnership, Corporation, Association•,or other- organization engaged in the bus-
iness of supplying, furnishing or.delivering: building .. materials for any construction project within the
Village Limits and not .having a regularly established and licensed place of business in the Village. `:
sh, Over -head Doors.
0-
•
MIAMI SHORES VILLAGE PERMIT
No.
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
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. Water Heater ,�*'"" watts
Power: Connected load H P. SpaceHWerf
Other Apparatus
ELECTRICAL INSPECTOR.
watts
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
p mi Shores Village
Owner, Agent or Tenant of Building .�DG7 , r-)"
Lot /s" J Block ,2 Subdi Sion
Street Address
' Approved use by occupancy
Remarks:
4'nis Certificate of Occupancy is issued to the above named
fbr''uilding at above named location only upon the express provision that the applicant will
Aide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the
erection, construction, alteration or remodeling of buildings or structures.
BUILDING DIVISION
-,
Lot '7 ► - ..--/i7 - . -
L Block. ,' Subdzv3 lion
{. _.
Owners° ' . 41-7 .--L-4 Name
Genera Con ractor Lic. No. Address or. Phone
Zone Req..Cu: -Ft; i6 ==.�. J Ct.b.Cont.a r';�)'3y _.e..0-17e0
Plat Restriction Chkd. By ;: <
_Jo Planning Board `%"/ D._. Approved ''° / ''" 4 y 0 Rejected
Rejected
Plan & Spec. Checked Date
.:Approved Rejected
Re- Submitted to P. . Approved
To Council
.Bld " ?ermit..No,,j ..4 .i - Date, °,;'-
4' Type �= �� . �U; Stories
:1eLr_,Construction • Alterations
Number Street
Lic. No. Addressor Phone
cost `�l
P.00f
Repairs
"YPlunthfiig arm" t No. Date Fee
. .....Septic Tank _ / it `t
S ewer,._--------.- it ir
.. tics cel ,r IT
New Const. Alteration Repairs
./
Electrical: Permit 'INo: /57&
Fixtures-
• Heater
. Motors
- -• ... Miscel.(F_N(P:2. /32_.
New Corfst,..° _
• .Bldg. Insp. hake • - . 13y
Foundation • / /,- fD , ael
Beams & L:inteTs - ;� 1 41ef
• Final-- �!
- Fa_ na :: C I.e n -_Up
P1 b.i.n Ingp., _ • Dat "6:
_Roughing ',L- .?3- « t,
P1xttires /— o
Sewer ;
Septic Tank 1/ - 2 d 4 o
„_ Solar Heater; /1,Ar -!
Final ..Cert - . /(_ -/ - 40 f
E1ectrical..I44._ Date.
Rough• _ _
F i xtur es,.,
Final ...
Service O. K: - to Power 'Co
Date //•/3-17(?) Fee &3.3
' 3-/- r, / .7
ft
„ !D•3 -Lt D
Alt er_ation Repairs
/ 0 6
F -
By.�.. • ..R�- lnsp,.
„
Re -insp. Ey H•eins,p. By
e -Insp. :y Reinsp. By
y Reinsp. By
Miami Shores Village
10050 NE 2nd Avenue
Building Permit
Phone: 305- 795 -2204 Permit Number: BP2003 -1883
Printed: 12 /3/2003
Applicant: THOMAS
Owner: HURST
JOB ADDRESS: 822 NE 96
Contractor ALL FLORIDA POOLS
Local Phone: 305 - 893 -4036
Parcel # 1132060142910
Signed: (INSPECTOR)
HURST
THOMAS
ST
Contractor's Address: 11720 BISCAYNE BLVD
Permit Status: APPROVED Permit Expiration: 5/31/2004 Construction Value: $3,450.00
Work: RE- MARSITE POOL & REPLACE EDGE TILE
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 7 & 8 BLK 75 LOT SIZE 100.000 X 142 OR
Fees: Description Amount
FEE2003 -7679 Building Fee $100.00
FEE2003 -7680 CCF $2.40
FEE2003 -7681 Notary Fee $5.00
FEE2003 -7682 Training and Education Fee $0.80
FEE2003 -7683 Technology Fee $2.50
Total Fees: $110.70
Total Fees: $110
Total Receipts: $nf0r
oo rioc
DEC 0 8 PAID
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.
Signed: (Contractor or Builder) BY:
lG r1S-
co I S
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
ilding Inspection Request
Dat L
Type Insp'n V S c1 9 Q •
Permit No. C9P O( 3 - g .
Name
Address q �� 967 S+
Company All ll 4 (G'/l dc 1
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE:
BUILDING DEPARTMENT,''
305-795-2204
Building Inspection Request
Date-'
•
Type Insp'n .
;;.
Permit No.
Name •
•
'‘'; Qc:
Address
Company . 4
Phone #
Inspection Date
Approved
Correction
Re-Insp'n Fee
t
,
.62
BUILDING
PERMIT APPLICATION
FBC 2001 — —�
Tenant/Lessee Name
$ Value of Work For this Permit
Type of Work: ❑Addition
Describe Work:
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type (circle): Buildin Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder)
% Phone # S C - ' f %
Owner's Address `2- - ld {r�
City 1 7 may! / -S VV.t. _ State FG _ Zip
Job Address (where the work is being done) 5 ic fr
City Miami Shores Village County Miami-Dade Zip
Is Building Historically Designated YES NO 1.--
Contractor's Company Name L L FtA Pe ()L Phone # 2 3 C.)
Contractor's Address // L' i) '' . 56 ,h/ all ,
City ,r ?i -!j State "" ` Zip 3 / S. ,
Qualifier
Architect/Engineer's Name (if applicable) Phone #
Phone #
Permit No. :)3 . CV
[Alteration ONew ❑ Repair/Replace ❑ Demolition
Master Permit No.
/
Square Footage Of Work: h' 5 c"
Submittal Fee $
* * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Fee $ /Z
i
Notary $ � Training/Education Fee $ e L
Radon $ Bond $
CCF $
Technology Fee $ a 5 CJ
Scanning $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ \ V " i t
(Continued on opposite side)
X 11 \VII IT 1
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Mortgage Lender's Name (if applicable
Mortgage Lender's Address
City
NOT
Sign:
Print:
lc 10/14/03
My Commission Expires:
State Certificate or Registration No.
•*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
State
Zip
State
Zip
Application is hereby made to obtain a iermit 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 under,tand that a separate permit must be secured for ELECTRICAL WORK PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILEF.S, HEATERS, TANKS and AIR CONDMONERS, ETC
OWNER'S AFFIDAVIT: I certify that T 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 FJ M
URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN 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 potice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. ( Also, a certified copy of the recorded notice of commencement must be • •s- ' .
for the first inspection which occurs seven (7) days after the building permit is issued In the abs , _ . t the job site
inspection will not be approved and a rein fee will be charged. elrld n• ice, the
4, ,ta
Owner or Agent
The foregoing instrument was acknowledg d before me
day of , 20 V� by ,! ,� i t CIS \
who is personally known to me or who has produced
As identification an i who did take an oath.
AR 1 I
VICOMAWN
IC
( Bon 7-
Atl 1tic B.1
11
Vargas
Thai •
ding Co., Inc
* * * * * * * * * * * * * * * * * * **
Con .,
The foreg ng instrument was acknowledged before me this
day of ),kc , 20 by 4v,0 Q0
who i
I1: V WINO DAWN 9d A iVI ON'et09 -t
soor k,
N3HOJ 130f SodAls#
NOTARY PUB
Sign:
e or who
did take an oath.
Expire
(Certificate of Competency Holder)
Certificate of Competency No.
**************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
DEC -3 2003 Plans Examiner
Engineer
Zoning
Approved
Correction
Re-Insp'n Fee
/-
a-•
Name
t • / •
, ,
,•` •
• • s ' '
•
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-75-2204:
Building Inspection Requqt
r
Date k
Type Insp'n C C r \
n. 2 _ 21,
Permit No. \-) -
Address
, , -
Company
Phone #
""'N "N
Inspection Date
MIAMI SHORES VILLAGE 52,5k:
BUILDING DEPARTMENT
305- 795 -2204
Build g In spection Request
Date Cc CD-- I 1
Type Insp' n `F-'ot eNclu, 1 kc-i� V (1
Permit No. SP 03-- Ict t-
Name - Trmary.
Address �Z IL
v l
Company
Phone #
Inspection Date
Approved
Correction
Re -Insp' n Fee
Pu S EESS deco tw chocks DO NOT USE �REORDERtM
L. 'Rack expenses.--
xpens Li T
❑ �Aortgage
p Ctotiim ❑ utilities ❑ r a ge
❑ i ❑i ❑
p Entertel
ham security. your name and account no do nbt appear on thus copy
For en .
185
esPosrr
CYROR
aauxaca
F•-'.PM ••' 1011'::
•
;� :►1 i5ti i It. O
tin NOTNEG T1ABLE