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904 NE 96 St (9)MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT ing or other sanctum herein described. This application is made in compliance and conformity with the lommee el Muni Application le hereby made for the approyal of the detailed statement of the plans and specifications hs=t hii _ p al for the buil& Shores Village. and all provisions of the Laws of the State of Fkirida, all ord of inances Mimi Shares a V and all roles and regulations of the Bsslldlng Division of Miami Shores Village shall be complied with, whether Ionia opeoilled or not. A copy of approved plans and specificadons must be kept at building during progress of the work. Owner's Name and Addreu (2 4'.. "'I Registered Architect and/or Engineer ie Name and addreu of licensed contractor—Lid_ . Location and legal description of lot to be budt on: Lot. Block Street and Number where work is to be done— State work to be *p and purpose= tit 41 -E—tr.-.41atel peered Date mg) No 5- 7 - 26 tbssLza44e c.e. en NA- I se e re& (by ^ and for no New Building Remodeling Addition Repairs. No. of Stories To be constructed of. Kind of foundstion Roof °wowing Estimated Total cost of improvements $..crtg.67.4 Amount of 1Pennit 0 6. Zone cubage .... ...... Gibage Distance to neat maned ........... ___----Size of Building Lot Maximum live load to be bons. by each Boor I hereby submit ali the plans and specification for said budding. All notices with reference to the building and its construction may be sent to-- The u for this building pennit does hereby certify that he understands and accepts Ills obliptions as an employer of labor us I Compensation Act, being Section 590S, Compiled General Laws arida, ftnnassent Su snot. and has complied with the provhiosu thereof, and will require similar compliance from all contractors t entractou empluyed by hint in the work to be perforated under this permit; and will post or cause to be posted for oss cif the work ascii puhlic notice or notices as are required by the Act. The undersigned *51555 10 employ only such su to be pert perfned under this permit, as are licensed by Miami Shores Village. Remarks •••••••■•••••••• ..... ••••■••.•••••••••■•••■• STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aelmowledgments. personally ap. to am well known, and who, beim by me first duly sworn. upon oath deposes and says that he is the. of the above construction, tbat he has carehdly read the foregoing application, and that he did sign, the same. and that all facts therein by hint stated are true. Permit Na. Date. Read, Sworn to and Subscribed below non (Slimed) ' • Building Inspector 1 PLANNING BOARD---- ....... ..... ...----DATE Chairman Member Member Member Member Member Council Approved--- Date Disapproved Notary Public, State of Mick My Commission Expires Date NOTE: A charge of $1.00 will be made for making corrections or champ* to this application after approval bas been obtained front the Planning Board. A -lnsp.cUo. for of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials warkmanship. '6:r p,1 i o t , F N c A ca G It n. 4 Kt�bi• " Ti • (pa 0-0 4T Ido..4E 104:- -ba La r i•sa . Ale 5 0 Q_AJ •0 � • E�($ Y 4 (- A0 6 / 0 I 0o oa 3Y om° 1-- Bbr La+T , fr p� .=5 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. :k Date (� 4 � � // , 19 Kam i No - Street Owner's Name and Address ____._ Registered Architect and /or Engineer Disappro %_______ Date__ ( Signed Chairman Member APPLICATION FOR BUILDING PERMIT Bu' . ing Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Name and address of licensed contractor — Location and legal description of lot to be built n• Lot________ /f Block f 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_____ C— deling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering ;__ p --- � e � Estimated Total cost of improv ents $__ ` Amount of Permit $ Zone cubage required_ e E2 �y� r r ____Plan Cubage_ Distance to next nearest building — ___ _ Size of Building Lot Maximum live load to be borne by each floor 1 hereby submit all the plans and spec 'cations for said buildin All notices with reference to the building and its construction may be sent to_ ____ I LLY - 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_orjvb- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted .r in c 10. . n the s' a of works public notice or notices as are required by the Act. The undersigned agrees to employ only such ontr ' rs o oylC e pe ormefl under this permit, as are licensed by Miami Shores Village. Remarks--------- - - - --- - — (Signed . ..a - Z �! %f� i 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 ' v Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires NING BOARD DATE 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 i ',ii 'e for inspection or faulty materials and /or workmanship. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or oth structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vi'ilage, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulaticyhhs of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans amid specifications must be kept at building during progress of the work. APPLICATION FOR BUILDING PERMIT Owner's Name and Address itegistered Architect and /or Engineer > jj C , _4, • "�,� ' Name and address of licensed contractor Location and legal description of lot to be built n: Lot_ 1 / Block Chairman Member Member MIAMI SHORES VIL.h 3E BUILDING INSPECTION DEPARTMEN Subdivision Date (Signed) No trrcrsC y ' Street and Number where work is to be done 9 M , k-� . q(alk" i 1� State work to be done and purpose of building (by floor , P _ and for no other purpose. New Building Remodeling Addition Repairs No. , S ries To be constructed of e•A _ Kind of foundation ��- Estimated Total cost of improvements $ / � � ' Amount of Permit $ 2." Zone cubage required__ , Distance to next nearest building D 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 - ontractors 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 thy work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work fib be p -d under this permit, as are licensed by Miami Shores Village. Remarks Roof Covering; C -- • - - - - -- -__flan Cubage -2 3 _ Size of Building Lot STATE OF FLORIDA, COUNTY OF DADE. j 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 7. 7-37 Date � Read, Sworn to and Subscribed before me. Disapproved R ��,�_ D Date 31 - -- (Signed) °� . Notary Public, State of Florida Building Inspector /1 My Commission Expires PL NING BOARD DATE 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 improi .'r ; ii: e for inspection or faulty materials and /or workmanship. MIAMI S S VILLAGE BUILDING iti<:_ :31 DEPARTMENT APPLICATION ilii,ALDING PERMIT Application is hereby made for the approval of the de ;aile : - iatan:cnt o, the plans and specifications herewith submitted for the build - ing or other strue .:re herein described. This application is rZtc.e in compJianc. and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of : lo:;ida alI ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village sh2l be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progre:.. c2 th;: vror,r. Dc. i , icici.‘„ .._ , Owner's Name and Address- Y) ° _?... __ _ t 4 _l_ d __b .. __ .__ *o. _ - - --- _ . Street!t) E /4 Registered Architect and /or Engineer _ - Name and address of licensed contractor 4 cJ /1 _ Location and legal description of lot to be built on: ��jj Lo //. Block ./_ . _ / , .�llbdIV1S ?Cn_ _." . I ► r�lt_� � _, h _ e L. _._ _ ���..t.._ft L- — Street and Number where work is to be done__ - _11,'. _ - 6 . . - ' - PA ' - , i . 51l d r ` J State work to be done and purpose of building (by floors) 1"(k,.- e .1,) ? 6- f c _ h g f c�. Dat oy ./ _3 "S S . �'_ c/ 1 cPik, . and for no other purpose. ._ New Building ______ .__ __ ___ Ao ;scion Remodeling -- _ d X - - - . Re _. _ . _ . -- ��// airs.. p ..._ -. _ -- .No. of Stories. ...l To be constructed of __ ___ ___________ ______ Kind of four,datio_- . . . . . . R o o f Covering Estimated Total cost of improvements $_a_ , . Amount of Permit $ � _ : — .__ _ Zone cubage required _Plan Cubage__._ _ 314, �+2_ - _ Tch.tf C" • ter Distance to next nearest building Maximum live load to be borne by each floor_ I: hereby submit all the plans and specifications for said building. All not=.ces with reference to the building and its construction may b e . sent t o . . _ 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, bran ; Section 5968, Compiled General Laws of Florida, Pennanent Supplement and has complied with the provisions thereof, and will rccutre similar compliance from . 1 contractors or sub - contractors employed by him in the work to be performed under this permit; and will uosi: o: cruse to be posted fpr i. pection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to : :rnploy only such •contractors, on work ,;o be performed under this permit, as are licensed by Miami Shores Village. �{ — Remarks (S -gne +I _ �Ct vi 1l�r — Permit No �? Disapproved (Signed) _ e �. _ Chairman _ Member _ Member _ Council Approved z , Date___.. _ -f Building Inspector Date_ PLA TNG BOARD Date __S:za of Building Lot__ Member Disapproved AAA r 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 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires__ - - - -- DATE Member _ Ibrember _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 maki'g co -rec.' or changes :o this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when si ;i ae- ,n,pection is made necessary by improper not ce for inspection or faulty materials and /or workmanship. F .,4 VI a ti F / 3 L.Z gy r o 7( D '7 v3. 3 37`1.47- ' OWNER'S NAME A ti + Et . S`►rn„ 07 • ---t PRESENT ADDRESS 4'1 7 r c.L1,'+S Ai LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) ''r►S' A 6 . U- f'F. LOT /1 BLOCK '7 ` SUBDIVISION A•l.a,rr, t Sw"I.eS SEcr 3 GENERAL CONTRACTOR -- g.. 0 2 , �E ADDRESS 793( M.(.). 3` ' Sr.. PHONE NO. LICENSE NO. I Yy �} BUILDING PERMIT NO. 775 / /� DATE 7-11- 4 `.. y� PERMIT FEE $ I =+ BUILDER'S BOND Z` C / NO. , DATE 7 w , 1 -1 . ZONE 12.• 1 4O REQUIREMENTS 240, Oo0 CU. FT. PLAN CUBE 2 3, O 4.5 CU. FT. EST. COST $ 1 Z, OOC DRAW NGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: L" ' �'• 3r..1 �� 4. , BUILDING PERMIT AND INSPECTION RECORD — MIAMI SHORES VILLAGE DAT= 7 - I'-6c. NEW CONSTRUCTION TYPE C.% S STORIES 004 E. ROOF CONSTRUCTION T e �. G INTERIOR CONSTRUCTION 3 T3 I_ 2 i3a-T I A REPAIRS DESCRIPTION Tc' it. n A Z.'La FL.... is- S p A. TErt.E� c.Jalc. % «/ 4.1"a Ir1 C. ALTERATION , k DESCRIPTION L- DQ � A k • lE 1 a1• - ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD r 3 2. SG Iz. 4 €N �..et.G I 4 //'' A PO I TI co NI - en (011 r = :: s SUBMITTFr) TO VILLAGE COUNCIL ,`� 1 !P REMARKS I e- 31 &Z 4 CERTIFICATE OF OCCUPANCY NO. , Q ISSUED �% �' � ig � j J y ''''BY < - i J TO a d-z<1, - , ' � ‘,4"-. l Z aj' Y DRAW NGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: L" ' �'• 3r..1 �� 4. , BUILDING PERMIT AND INSPECTION RECORD — MIAMI SHORES VILLAGE DAT= 7 - I'-6c. INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION ROOF W. 040E ( L. . .I�To c. Ilk . BEAMS & LINTELS I I POOL $ 2. re FRAMING I $ AIR COND. $ RANGE CONN. FI NiAL I $ CLEAN UP 17b'I. .. s> -12- SLAB I s SEPTIC TANK SLAB FIXTURES & FINAL S SPECIALS PERMITS PERMIT NO. I DATE FEE TEMPORARY SERVICE BY RE- INSPECT $ SEPTIC TANK W. 040E ( L. . .I�To c. Ilk . $ 7i 0 T SEWER $ 2. re 1 $ SOLAR HEATER $ RANGE CONN. 1 $ GAS Pet .jO IB S Crs..% Ssi-t....._ 17b'I. .. s> -12- I s INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE {40r„ EC. ?4 $ 2. re TUB & TOP OUT H. W. HEATER CONN $ RANGE CONN. RANGE CONN. SEWER MOTORS $ FIXTURES SEPTIC TANK $ FIXTURES & FINAL S SOLAR HEATER FIXTURES GAS CONTRACTOR PHONE PERMIT NO. 1 DATE FEE $ NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE {40r„ EC. ?4 $ 2. re H. W. HEATER CONN H. W. HEATER CONN $ RANGE CONN. RANGE CONN. $ MOTORS $ FIXTURES $ FIXTURES & FINAL S INSPECTIONS DATE BY RE- INSPECTI BY RE- INSPECTI BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL 0 Z CONTRACTOR NOLTM �L. PERMIT NO. 7 O 0 1 DATE ' I- L'. NEW BLDG. +� APPROVAL TO POWER CO. FOR SERVICE DATE BUILDING INSPECTIONS S /�" + rr 7f20 PLUMBING PERMITS I ALTERATION I ADDITION & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS PHONE FEE $ ZS/ REPAIRS BY - Prior to a final inspec n this appi :.cation must he f iilea ou•;E - n T sub contractors have failed to take out perriiis the general contractor shall be responsible for the permit and fee. A final inspection nust be made prior to the release to Florda Power and Light Co. and 'the i ssueance of a certificate of occupancy. �i OWNER t'/ e JOB ADI]ItESS10 ° SUB. ??, 5 • . 1' / LOT // BLOCK 7 6 BUILDER �' Y ;_ ITEMS Architectural Fee (plans 2 Asphalt :raiks drives , etc. 3. Cabinets Bath Vanity 4. Cabinets ® ICitchen 5. Cabinets .m Medicine 6. Cabinets o Unit Closet 7. Cleaning 8. Clea 'ing Site 9. Concrete ® Foundation Slabs Beams I.C. ConcS cte iJalks a cs°ives , etc. 11. Contractors Fee 12. Electric Fixtures 23. Electric Hiring 14. Eq i men L Rental 15. Excavation ton 16© F1.1'; for SlAiL 1.1. Floors - Finish good & k i8 Floors ® Terra _ 20. 5lid1n�s Doors 2!.. Hardware ® F ° 1sh 22 Hardware - 11212L11 23. Heatin 4 24. Insurance m Liability 25. Labor Payroll 26. Labor m Contract 27. Labor - Contract 28. Landscaping Fil1 Grad, in_ 29. Lath Plaster Stucco .30. L umber TAU. 31. Masonry Labor 32. Masonry Materials Block 33. Millwork 34. Miscellaneous 35. Ornamental Iron ?Jork 36. Oven & Plate ® Built -in 37. Overhead 38. Painting 390Permitl Te mporary Pot"rer 40. Pilau Foundatio n) 41. Plumbing Corruete 42. Pool- Swimming_ 43. I'.00fing & Sheet Metal IJork 440 Roof Trusses _Pre-fab. 45. Screen Enclosure . =_ 46.Septic, 'lank or Sewerage 47. Shower or Tub Enclosures 48. Steel Reeinforcinp & strl. Zs. Super•v�_.sior. 50, StaTV. ys - 51. Tile & Marble _ 52. irate:° - Public 53. iater iJe1 L & Pw p SIGNED aI ° 1/c 54.irindotas Glazing & Screens 55. iJinciow Frames ° goner c to DAY LABOR CO CUl 1AA TOR aiIAii1 ShOki VILLAGE APPLICATION FOR FINAL INSPECTION r.. SUB CONTRACTORS & SUPPLIERS NAME & ADDRESS DATE . 1/ 19 TOTAL �^ �,�C �.,;f BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building I Lot 1 o CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 7' t ` 19'p PERMIT N9 : t Se . J Work to be performed uncler i t Bl l fir''' Subdi- vision this Permit P. r ,z •., c 7 5 `'E c f , value of Amount of l i `Project $ �"�` c- ll Permit $ L 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 be assumes respon- sibility for work done by his agents, servants or employees. Signed. 1. ®s�..� _• II)gPSCTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with. ordinances and raWlatlons pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities oYMiami Shores Village. In ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servcmt or employee. BY AUTHORITY s .w. 3_ A•IO7