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915 NE 96 St (6)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / 9 Job Address 9/5 ,(iE 9G V4 Tax Folio /f 3 2D Q / 1/3 // 9cZ ez7450 .414) Legal ion 3 Palp .-37 4 '9 0c P11 Historically Designated: Yes No / TenantP�,t W(S 661._ / 77 Master Permit Owner's Address 9/S JJ ? Phone Contracting Co. EeZIo7' — elte.i, JE,2 Qualifier SS# / Phone (05) 7_SZ —Fce'C 5 3`f- egga,coi( State # Municipal # Competency # Ins. Co. 14 g [, - d, cc Architect/Engineer Address Bonding Company Address Mortgagor STA ,DA 4D F A DE A- a/W 4" Address 6/ IV. 8h4- ab'i(IQE 12 2, 7 V, ,* /fc m-/6-09-A-) i Permit Type (circle one):(BUILDIN( ELECTRICAL PLUMBING MECHANICAL ROOFING PAV FENCE SIGN WORK DESCRIPTION ! 424A el 1.1/44-1 K -1 Q. Ki � -� .04, a v-- 1kk 1-L7 , eh U waif �� b y-Fu�v pivt . .1A-A rc c+M v1- ifkl � vto bs1 � 114 r t7i Pi os.4� 2 os Q lL (Sep ( ,L , o) Square Ft. 7' I Estimated Cost (value) 1:77: 600, 60 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 laws regulating construction and zoning. Furthermore, I authorize the above -named Signature of owner and/or Condo President Date Si Notary as to Owner and/or Condo President Date My Commission Expires: My Commission Expires: 0 fir_ 9 —7 Official Seal SAMMY B. CARROLL Notary Public, State of Florida My comm. expires Feb. 9, 1997 Comm. No. CC 258051 FEES: PERMIT 7 7/ . RADON 7.9 C.C.F. 4' . NOTARY ---" APPROVED: Zoning Building Mechanical Plumbing Address '5 /(jam 9G S7' actor or Owner- Builder 1 work will be done in compliance with all applicable tor to � - ork stated. otary as to Con : ctor or Owner - Builder Date Electrical ff65 - 600 wo 06 7Sg - EGV' 11n...e. BOND I 3 CJ O . TOTAL DUE 1 1,3 4 i I/3 /) Engineering All of Lots 8 and 9, and a portion of Lot 7, described as follows: Begin 18.89 feet southwesterly of the northwesterly corner of said Lot 7, thence continue southwesterly 31.11 feet; thence southeasterly 130 feet; thence northeasterly 26.17 feet; thence northwesterly 129.91 feet to the point of beginning, Block 77, MIAMI SHORES SECTION 3, Plat Book 10, Page 37, of the Public Records of Dade County, Florida. • JOB SITE: 9/5 /f'--"5 TYPE OF RE VIEW: , -iLae -7221 L. CODE SECTION PAGE LOCATION MIAMI SHORES VILLAGE BUILDING DEPARTMENT PLANS EXAMINATION SHEET COMMENTS DATE: BY :/ eli4;;L:) ITEMS SUB CONTRACTORS & SUPPLIJRS NAME & ADDRESS 1. Ar.h:hitectural Fee lans Ge_cr; ch P. '.'otr:cn 2. Aspha2i drives etc. ✓ Gordon D. Lragg 3. Cabinets - Bath Vanit. Controctor 4. Cabinets m Kitchen Contractor 5. Cabinets ® Medicine Contractor 6. Cabinets m Unit Closet Contractor 7. Cleanir-g_ Lon-tractor 8. Clearing Site ..on a ctor 9. Concrete m Foundation Slabs Beams Lontri-,ctur 10. Concrete ® Walks ,drives .etc. Contractor 11. Contractors Fee Contractor 12. Electric Fixtures Con :ra:.•tcr 13. Electric hiring 'andy Llcctric . nc, 14. Eg 4pment Rental. M i a m i no 1.5, Excavation Contractor 16. Fill for S1 __ __ Cnnt-,actnr 17. Floors - Finish wood & kitchen Lontr.,v Iec_, 18. Floors ® Terrazzo one 19. G a Doors as, 20. Glass Sliding Iyoors rcU:i o_u . ono 21. Hardware m Finish Contractor 22. Hardware Rouh Ccnt.ractor 23. Heating__ Miami Shores AC 24. Insurance ® Liabilit . come. on Carr Inc. /\go 25. Labor ® Payroll Contractor 26. Labor ® Contract Contractor _ 27. Labor ® Contract Contractor 28. Landsc ng Fill Gradin: - ont:c� c con 29. Lath, Plaster Stucco '� John A. f itnik 30. Lumber TA11) • 0 • 31. Masonry -y on rac or £ Labor -_ 32. hasonaterials Block rj M o. ; e 33. Millwork ' • : 34. Miscellaneous 35. Ornamental Iron Nork 1- Ritu-Ornamental.- Trnn Controctor 36. Oven & Plate - Built -in 37. Overhead 38. Painting o . co - z 39 Permits Temporary Power 40, Pilin Foundation) x 41. �Lumbin Com fete I iami Tndustri l Plumh:� nn 42. PoOi m Swimmi.n _ 43. Roofing_& Sheet Metal York Stevens Roo 44. Roof Trusses ® Pre -fab. Miami Pre r O 45. Screen Enclosure 46. Sepia s Tank or _ • - lose or Tub ynclurSewerage 47. Shower u Eoses .on rac - ac or - _ _..® 48. S ©1Zeinforci & strl. - - -s .�. .., . � ___. 49. Su�ervi non Lontrac con . -- _..�.._.� ��- .,v.,�_a _ 50, Surveys - Carr 5ni.th Acc, 51. Tile & i-Iarble anz 52. ( Dater :n Public J. y C i' , ' ,. em 1 53. :ate :n__�Te1i & Pump 54. Windows ® Glazi g & Screens DE r"i Tnc;n;tri ^n T c 55. dindou Frames - Concrete 0 NIM P;r Harold Kw art LOT B&,9 1; -; -i. 7 BLOCK BUILDER John F. Costello L.UiI Si -iO1u S VILLAGE APPLICATION FOR FINAL INSPECTION • Prior to a final inspect n this application must be filled out; if sub contractors have failed to take out pernits the general contractor shall be responsible for the permit and fee. A final inspection must be made prior to the release to Florida Power and Light Co. and the issueance of a certificate of occupancy. 77 DAY LABOR JOB ADDRESS 915 N.E. ;oth 5trect SUB. P.B. 10 Pq. 37 Miami 5ho_;:s CONTRACT x DATE July 6 19 73 TOTAL NAME II a RA, rcId kww. T 990 OWNER'S PRESENT ADDRESS 9 wee. 2 ' Awe LICENSE NO. I PHONE NO. JOB LOCATION (ST. OR AVE.) 915 N. �2' E . 9(0- Sr_ LOT P' -4 * ?ALT 7 BLOCK 7 7 SUBDIVISION M I A. o.. * NmS. FS _ GENERAL CONTRACTOR ADDRESS PHONE NO. J 14 14 F. cO TELL CON SZl; I. . 105 14.c...,. 20 8 Ir., LICENSE NO. Dow ` p' BUILDING PERMIT NO. 1411. /� _` DATE ' . 2,- 7Z PERMIT FEE $ 71. Zr BUILDER'S BOND NO. 2 p or DATE / 2.- 27- 7 ZONE R- Zd REQUIREMENTS ?mo od Feu. FT. PLAN CUBE �> r='` • 1 U. FT. ~ EST. COST $ 70, di O d DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: BUILDING PERMIT AND INSPECTION RECORD - MIAMI SHORES VILLAGE DATE NEW CONSTRUCTION TYPE c.4s STORIES a e ROOF CONSTRUCTION Tile INTER: OR CONSTRUCTION 3 eaLrocz , :: 3 130. -1-4 REPAIRS jj��. DESCRIPTION - _ � _ 1G $ - C /� OA 1 G re TC "Les idi,i / re ` �/` S • CO/ dab?, - DESCRIPTION ALTERATION ltdhelloY / ADDITION i S i� 4 A - SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTEn TO VILLAGE. COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. ISSUED BY I TO DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: BUILDING PERMIT AND INSPECTION RECORD - MIAMI SHORES VILLAGE DATE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION $ SEPTIC TANK ROOF 1 $ BEAMS & LINTELS I POOL $ SOLAR HEATER FRAMING ( 1 AIR COND. GAS SEWER FINAL 3 CLEAN UP Is SLAB SEPTIC TANK SLAB SOLAR HEATER SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE RE- INSPECT BY $ SEPTIC TANK 1 $ SEWER TUB & TOP OUT $ SOLAR HEATER H. W. HEATER CONNI 1 $ GAS SEWER 1 3 Is 3 INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING H. W. HEATER CONN. 1 3 RANGE CONN. TUB & TOP OUT $ MOTORS H. W. HEATER CONNI 1 $ FIXTURES SEWER 1 $ Is SEPTIC TANK SOLAR HEATER FIXTURES GAS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE TFMP. SERVICE 1 $ H. W. HEATER CONN. 1 3 RANGE CONN. 1 $ MOTORS H. W. HEATER CONNI 1 $ FIXTURES 1 $ Is INSPECTIONS I DATE BY RE- INSPECT BY RE- INSPECT' BY TFMP. SERVICE ROUGHING H. W. HEATER CONNI RANGE CONN. FIXTURES & FINAL CONTRACTOR PERMIT NO. NEW BLDG. CONTRACTOR PERMIT NO. NEW BLDG. BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS I DATE I ALTERATION ELECTRICAL PERMITS & INSPECTIONS I DATE I ALTERATION APPROVAL TO POWER CO. FOR SERVICE DATE I ADDITION I ADDITION PHONE FEE S REPAIRS PHONE FEE $ REPAIRS BY PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date -- J ob Address 7/3 - //1;;;/ -- ' 1 ;/ / Tax Fol io ,fir '&1 / q 5,4/ 6 �,�� Legal Description 4- 0 ¢' 9 7 G � � Master Permit # ,_,..5;::.;-- ge Owner / Lessee / Tenant / , ,,,4)1 A-% Owner's Address Contracting Co. Qualifier 7 7 ,, - ,Af /X/ c =���� State# 2 - g 5 / Competency # / , , % `� 4 Ins . Co . f I C/I - Architect /Engineer / Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION / 6/ — it/iA 1/, Square Ft. Estimated Cost /// :IV 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 i mplianc e with all applicable laws regulating construction and zoning. Furthermore, I -• r • e above -named contractor to do the work stated. • .e..20 \I Si re of 0 Date: er and /or Condo President Nottry as to Owner_andlor Con My Commission Expires: * . * . * * N \!- )gt'+II PERMIT FEE: APPROVED: Zoning President f"LORIt:y 09rrr Ex"jq +,' E3q^IDE: Phone / ) / ; / -�- � _ � `� _ �� �.� � Phone �; `i -�� �)•�'�t Address Building Mechanical Plumbing Sig ature of Contractor or Owner-Builder Date: ja ( d Notary a(s)to /oJ Owner - wilder My Commission Expires: * * * * -z-"f Other `k Electrical Engineering Location and legal description of lot to be built on: LotgDt` . .'P .. Block 77 Street and Number where work is to be done State work to be done and purpose of building (by floors) Disapproved '�/j (Signed) C �/ ° \ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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..._. ..... 1 / . , .. , � Owner's Name and Address .../ 4ex.", / 4 t2,ed , — No lCi.e , r Street._.,96 S.# • Registered Architect and /or ......�r Name and address of licensed contractor Pr4 P4 913-4 ez, sass ... ........ .. •- •• -• - -- New Building [. Remodeling. Addition To be constructed of Kind of.--foundatioy - Estimated Total cost of improvements $ G b `� Zone cubage required 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 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 o:E 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 performcd under this permit; and will post or cause to be posted for inspect on the site of he work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontr , •rs, on , Or r - - pennit, 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 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.._.. 2 Date. ate Building pector Subdivision... /4)) 464 4 S4424'42.4.. PLANN1dilC BOARD Read, Sworn to and Subscribed before me. DATE 1 , C01 0 -4/ - , G and for no other purpose. Repairs No. of Stories 1 Roof Covering Amount of Permit & plan Cubage Size of Building Lot to me well known, Notary Public, State of Florida My Commission Expires Chairman Member Member Member Member sass.. _- --•-- -___ -_ --_ -_ 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 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. 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 bc kept at building during progress of the work. Owner's Name and Address therein by him stated are true. Permit No.__.____. r G r Date i t MIAMI' SHORES VILLAGE 44 '2- BUILDING INSPECTION DEPARTMENT �rw " /) - -9 APPLICATION FOR BUILDING PERMIT Mr. Harold Kwart Chairman Member Member .. ... _. Membcr Member Member Date. December 20 ... No 9999 Watson & G e r b e r j c h Read, Sworn to and Subscribed before me. Notary Public, State of Florida _ . _...._ _..._... ,19.. 72 S _N,.E.,_ 2nd Ave Registered Architect and /or Engineer Name and address of licensed contactor John F. Costello Const, Inc,_ 1 05 N,W, 208th Street Location and legal description of lot to be built on: Lot 8 -9 portion 7 Block 77 Subdivision Miami Shores a B isc ne Blvd and N E 6ttree 9i, TSrf1�.�-` ?C Street and Number where work is to be done y �.. x_..A...�. h S . -� ...- —sass State work to be done and purpose of building (byefloors) New residence for Mr, 8 Mrs, Harald K w a r t and for no other purpose. New Building X Remodeling i Addition Repairs No. of Stories x To be constructed of CBS Kind of foundation Spread footing Roof Covering Tile Estimated Total cost of improvements $ 7 0 .9 0 0 0. 0 0 ^mount of Permit $ Zone cuba required _Plan Cubage ` Size of Building Lot 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 notices with reference to the building and its construction may be sent to • • ••• - The undersigned applicant for this building pennit 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 ins ecti on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su• tra ors, o work to performed under this pennit, as are licensed by Miami Shores Village. Remarks. ___ (Sign STATE OF FLORIDA, ` COUNTY OF DADE. J SS. Before me, the undersigned authority, a notary public, duly authori . . 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 Disapproved - . %.--.... Date ' K. / !c (Signed) ' L. Building/Inspector My Commission Expires v PLANNING BOARD DATE 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 hoard. 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 anti /or workmanship. • fir ` (1 . • a • , z -ti z. �Qe i ; et: '1 a f. 6 ,g.?1 2 y (, 27 A N_ • 7 j � / ' J! r. dy e , 33, / J� r �� / �� ,t) i . 9' 7 :19 r ,f c,„ 0 f � , 6! y WITNESSES: • UNITY OF TITLE AGREEMENT WHEREAS, the undersigned is the owner of that property described: ALL OF LOTS 8 and 9 and a Portion of Lot 7 described as follows: BEGIN 18.89 ft. Southwesterly of the of the Northwesterly corner of said Lot 7, thence continue Southwesterly 31.11 ft.; thence Southwesterly 130 ft.; thence Northeasterly 26.17 ft.; thence Northwesterly 129.91 ft. to the Point of Beginning, Block 77, MIAMI SHORES SECTION 3, Plat Book 10, Page 37, of the Public Records of Dade County. In consideration of a permit to con- ;trucf a single family residence upon the above described property and for other good and valuable considerations, the undersigned hereby agree to restrict the use of the subject property in the following manner: 1. That said property shall be considered as one plat and parcel of land and that no portion of said plat and parcel of land shall be sold, transferred, devised or assigned separately, except in its entirety as one plat or parcel of land. 2. The undersigned further agree that this condition, restriction and limitation shall be deemed a covenant running with the land and shall remain in full force and effect and be binding upon the undersigned, their heirs and assigns until such time as the same may be released in writing by the Director of the Dade County Building and Zoning Department or the executive officer of the successor of such department or, in the absence of such director or executive officer, by his assistant in charge of the office in his absence, provided, however, that a release will be executed when the premises are made to conform with applicable zoning regulations and there is no further reason to maintain the Unity of Title on the public records. SIGNED, EA EXECUTED and ACKNOWLEDGED on this -day of ' , 1972. • PHILIP R. NOLL 1 . SALLY G . ' NOLL ��7 ,_r UNITY OF TITLE Paste T!io STATE OF OHIO ss: COUNTY OF CUYAHOGA ) _ 4h I HEREBY CERTIFY that on this /✓� day of September A.D, 19 72 before me personally appeared PHILIP R. NOLL and SALLY G. NOLL his wife, known to me to be the persons described in and who executed the foregoing instrument, and they acknowledged to me the execution thereof to be their free act and deed for the uses and purposes therein mentioned. And the said SALLY G. NOLL , the wife of the sa id PHILIP R. NOLL , on a private and se- parate examination taken and made by and before me and separately and apart from :e :: said husband, did acknowledge that a3ae executed the said deed for the purposes therein set forth freely and volun- tarily and without any fear, constraint, apprehension or compulsion of or from.her said husband. WITNESS my signature and official seal at ( id the County and State aforesaid, the day and year last aforesaid. Rev. 4/17/67 vd `,/yfr_....opm_g-4 vc-,L4,_Q4e Notary Public MARGARET O. PATRICK trofary Public for Cuyahoga Cou Sy Corn mission Expires Sept. 28,1t1 —� •