1122 NE 98 StOWNER'S NAME
M' �._ 4 rzs µvc.c_
PRESENT ADDRESS
•
t t22- rs -� - cl8 ? ‘ T.
LICENSE NO.
PHONE NO,
JOB LOCATION (4 OR AVE.)
ii72 r cf .C. ci 8` �Z
LOT
20 `
BLOCK
i80
,z�, pS UBDIVI t , r.�� .
t�tor �`S S�c�z. 8
GENERAL CONTRACTOR
50 i Vt c 62.01 1,o $ -5 v 7
ADDRESS f. PHONE NO,
4 2 o Loo iV -c` . 1. -
LICENSE NO.
L9 7)2_ 1 -]
BUILDING PERMIT NO. (11....84"L)
,U �_�7c-
DATE
E�>
PERMIT FEES SD
BUIL _
NO. ge� ! DATE /O (sr r
A •0 0 i z ° LJ
ZONE REQUIREMENTS
DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE
CU. FT.
PLAN CU'BE e� CU. FT.
CHECKED BY: L' 4 biz,hdt - CAL_
EST. COST S
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
T bocce
DAT=
1 1v -IS 7 (.
NEW CONSTRUCTION
TYPE _
Uvy e1-
STORIES
ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
REPAIRS
DESCRIPTION
/ Ca /U- �C (1_
' •" / �� _I '
ALTERATION DESCRIPTION 4
/
I/
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTFD TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO.
ISSUED
BY
TO
A •0 0 i z ° LJ
ZONE REQUIREMENTS
DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE
CU. FT.
PLAN CU'BE e� CU. FT.
CHECKED BY: L' 4 biz,hdt - CAL_
EST. COST S
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
T bocce
DAT=
1 1v -IS 7 (.
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
SPECIALS PERMITS
PERMIT NO.
ROOF
FEE
TEMPORARY SERVICE
BEAMS & LINTELS
$
POOL
FRAMING
SEWER
H. W. HEATER CONN
AIR COND.
$
SOLAR HEATER
FINAL
$
CLEAN UP
SLAB
$
INSPECTIONS
DATE
SLAB
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
CONTRACTOR ^ )',4 &
,T 4 44 2
PHONE
PERMIT NO. /(fin I
ATE
FEE $ 5 1 ( 9—i ' D
NEW BLDG. 1 ALTERATION 1 ADDITION 1 '
REPAIRS
SPECIALS PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
SEPTIC TANK
$
SEWER
H. W. HEATER CONN
$
SOLAR HEATER
$
GAS
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
TUB & TOP OUT
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES
GAS
ELECTRICAL PERMITS & INSPECTIONS
PHONE c-
FEE $ 8-v0
CONTRACTOR /cx
/-(� PXA-Cr
DATE / /�/
PERMIT NO. /O a ,O j// I
NEW BLDG. 1 ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
4
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE INSPECT
BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL ,
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
Permit No
Amount of Permit $
STATE OF FLORIDA,
COUNTY OP DADE. I °'
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oc other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu;ida,
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 work. / QQ
Owner's Name and Address f 1 ' efe(,!T/L -^- No../ / ` 2 -NE ? Street
State work to be performed and purpose of building (By Floors) 4 CC 71
New Building Remodeling Addition Repairs
(Signed) vv /Z
Date
1/ -/ 0 -7t
Registered Architect and /or Engineer / �, �'
Employing Electrician's Name...�� ?^ �, / J "��tL (.���' -,V No /• U Street.
Location and Legal Description Lot Block 1 Subdivision.
Street and Number where work is to be performed —No l / Z �` Ai e / j Street
.�L..
No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses . Amps
Underground
Type of Installation— Conduit Tubing..._ ... B.X.L Metal Moulding
0
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
�c�o(
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his Aligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Floridi Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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.
7
(Signed) a
/ Master Electrician.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. HEAT.
CONN.
SPACE
H
STRIP
HEATER
TOTAL
CONTR.
UST
/
Z Z
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS
RADIO
TOTAL
CONTR.
LIST
/ 3
I r 7
�
/• Z S
CHECK
Permit No
Amount of Permit $
STATE OF FLORIDA,
COUNTY OP DADE. I °'
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oc other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu;ida,
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 work. / QQ
Owner's Name and Address f 1 ' efe(,!T/L -^- No../ / ` 2 -NE ? Street
State work to be performed and purpose of building (By Floors) 4 CC 71
New Building Remodeling Addition Repairs
(Signed) vv /Z
Date
1/ -/ 0 -7t
Registered Architect and /or Engineer / �, �'
Employing Electrician's Name...�� ?^ �, / J "��tL (.���' -,V No /• U Street.
Location and Legal Description Lot Block 1 Subdivision.
Street and Number where work is to be performed —No l / Z �` Ai e / j Street
.�L..
No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses . Amps
Underground
Type of Installation— Conduit Tubing..._ ... B.X.L Metal Moulding
0
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
�c�o(
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his Aligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Floridi Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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.
7
(Signed) a
/ Master Electrician.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
7szr 7 11/4(
Permit No l ; r u Date...J. J_' 2 - 1 .-•- 7 6 - -• .-- - - - - —
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida.
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. p � p
Owner's Name and Address v 0 L f 040-L, No I I *JEjf Street_.__ ! ¢
Registered Architect and /or Engineer b IllN I i C el V s 1
E mploying Plumber's Nun.. -._ ,a9_... �.. .�....,... ItrNt_..�..._. ::.....r..... p �� • -
■ Location and Legal Description Lot. 213 •••
l - 0 SubdivI on..R P B r S
Street and Number where work is to be performed —No 11 L L 1� f� _1 g street. _- .--- � s�'�.:-.$i___ -_
State work to be performed and purpose of building (By Floors)___ __ _.._� wL! ."'t t' n '._ ( QTL _.
New Building_._ ._ _ ---- •---- ......_.. Remodeling —__ __ Addition_.__ - -_ . -.__ Repairs No. of Stories.
__Capacity Gals.
Size Septic Tank___ Type of Tank
Feet of Drain Tile Dlst. Feet of Tank or Drain Field from Well .__.__._ —___.._.._.___--._
Nature of Water Supply: City —Well. Size of Soakage Pit.
Amount of Permit $ (Signed)_
spector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o gations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Per ent Supplement, and has com-
plied 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 an the rite of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires
(Mimed)
Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA, ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac personally appeared
to me well known, and who, being by me first duly sworn, upon oath dep oses and says that he is the .._.._
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will bs mods whoa wti Maapsotiaa fa asds by Improper notice for inpsction, or faulty
materials and /or won moanship.
CLOSE T.
BATH
TUBS
SNOW[Ra
LAVA.
TORI
S INKS
SLOP
SINKS
LAUNDRY
Tuve
U RINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FISTUN'S
CO writ.
LIST
CHICK
SEPTIC
TANK
SEWIR
CONN.
DRAIN
F IELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HGTIR
DEEP
WILL
$PRKLR.
SYSTEM
SW IM'O
POOL
-
CL
ST A.
LIFT
CHECK
.--
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
7szr 7 11/4(
Permit No l ; r u Date...J. J_' 2 - 1 .-•- 7 6 - -• .-- - - - - —
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida.
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. p � p
Owner's Name and Address v 0 L f 040-L, No I I *JEjf Street_.__ ! ¢
Registered Architect and /or Engineer b IllN I i C el V s 1
E mploying Plumber's Nun.. -._ ,a9_... �.. .�....,... ItrNt_..�..._. ::.....r..... p �� • -
■ Location and Legal Description Lot. 213 •••
l - 0 SubdivI on..R P B r S
Street and Number where work is to be performed —No 11 L L 1� f� _1 g street. _- .--- � s�'�.:-.$i___ -_
State work to be performed and purpose of building (By Floors)___ __ _.._� wL! ."'t t' n '._ ( QTL _.
New Building_._ ._ _ ---- •---- ......_.. Remodeling —__ __ Addition_.__ - -_ . -.__ Repairs No. of Stories.
__Capacity Gals.
Size Septic Tank___ Type of Tank
Feet of Drain Tile Dlst. Feet of Tank or Drain Field from Well .__.__._ —___.._.._.___--._
Nature of Water Supply: City —Well. Size of Soakage Pit.
Amount of Permit $ (Signed)_
spector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o gations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Per ent Supplement, and has com-
plied 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 an the rite of the work such public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
My Commission Expires
(Mimed)
Notary Public, State of Florida
Master Plumber.
STATE OF FLORIDA, ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac personally appeared
to me well known, and who, being by me first duly sworn, upon oath dep oses and says that he is the .._.._
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will bs mods whoa wti Maapsotiaa fa asds by Improper notice for inpsction, or faulty
materials and /or won moanship.
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 Villar 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.
Owners Name and Address .
Registered Architect and /or Engineer
Name and address of licensed contractor /eic
Location and legal description of lot to be built on:
Lot 1 ' Block 1{. Subdivision
Street and Number where work is to be done ././a..2
State work to be done and purpose of building (b
erA
. floors)
STATE OF FLORIDA,
COUNTY OF DADE.
Before
peared
Disapproved
(Signed)
}ss.
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
New Building Remodeling Addition
To be constructed of lief".. e.e iZr} ind of foundation Roof Covering
eo
Estimated Total cost of improvements $.
Zone cubage required
Amount of Permit .
plan Cubage
Distance to next nearest building Size of Building Lot _!o fX /1i2 -
t-Maximum live load to be borne by each floor
I hereby submi all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to.. ezv re", CT'
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted fo ion on the site of t work su public notice
or notices as are required by the Act. The undersigned agrees to employ only such su• antra • s, on work t. 1. perfo d under this
permit, as are licensed by Miami Shores Village.
Remarks
me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
to me well known,
e, and that all facts
t ft- Date.
Building Insp or
BUILDING INSPECTION DEPARTMENT
=d
and who, being by me first duly sworn, upon oath deposes and says that he is the...., !t.Z$Z 2t4/T 7
of the above described construction, that he has carefully read the foregoing application, and that he did sign the
therein by him stated are true.
/ C,
Permit No ,
Date /)-
,t%SCY`/.P_.l A . C. .... ._ /T
s3 v G ,, may% Jr. �� .
(Signed )-
Date..
_. No _.. Street_
and for no other purpose.
Repairs No. of Stories
M Commission
PLANNING BOARD • D TE GENERAL INS, UNDERWRITERS,
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 hoard.
A re- inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
' •
are
get
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.
A u L L Date..._.... .L.._._.._. .._...._......__..........
Owner's Name and Address r ... No .. Street._...
Registered Architect and /or Engineer....... 'V • E L 1 ✓ S T-- Name and address of licensed contractor aov-rdleit iv r v 0 t S ( j.
T/f7EiC4 Lv't 00 NG/ IN AN
Location and legal description of lot to be built on:
Lot 2 ° Block WO Subdivision ?Fos E D vC �� 0 Ts Al I 5 tZ 4r -s $IC g
Street and Number where work is to be done 11 Z Z JOE- qfi. .._. _.SL#! v ..,.., tVirces
State work to be done and purpose of building (by floors _ .. ..__..._........_.._...._.._.._ _ _
7 At I 4. i..' IA,Inei 2:00.L. pe,cf,_ and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of V <V •rind of foundation Roof Covering
• - 2-0 - 2-0., .)
Estimated Total cost of improvements $ 4000 Amount of Permit
Zone cubage required plan Cubage
Distance to next nearest building. Size of Building Lot 8.4. !'i' • .C ..!
Maximum live load to be borne by each floor
I hereby mit a the pl nd specifications for said building. All notices with reference to the building and its construction may
be sent to... 0 i L S 3.." S 61 7"iE''v
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 Sup element,
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 arc required by the Act. The undersigned agrees to employ only such subcontractors, orrork to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed)
Permit No.._
Disapproved
(Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss.
‘.,17y1
Building Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date
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�tated e.
Chairman
Member
Member ...... Member
Read, Sworn to and Subscribed before me.
PLANNIN • BOARD DATE
-- 2S1
Notary Public, State of Florida
My Commission Expires
to me well known,
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 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection ot faulty
materials and /or workmanship.
Date
123.03-92
7/4
Metropolitan Dade County
Building and Zoning Department
Attention: Building Official
I certify that I am the legal owner of the property described as 07 - go
L (�
oc /� (Fb / t1 /s 447 , 1 c ted et/4-47, S --
Azer 1�
'- Z ✓� �. � s7- /
In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I
understand and agree that the swimming pool to be constructed at the above address cannot be
used or filled with water until a separate permit has been obtained for an approved safety bar-
rier, and such barrier erected, inspected and approved.
I further understand that this certification, however, does not eliminate the need for ob-
taining a permit and erecting an approved barrier prior to final inspection and use of the pool.
Note: This certification is to be submitted with a swimming pool permit application in duplicate.
SWIMMING POOL OWNER'S CERTIFICATION
Legal Owner / "
1