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216 NE 98 St (3)ELECTRICAL TyPI,, Minimum Fee QTY .LVpE Dryer Q.LN. . Outlet, Appliance Q . I . V . . I . 1 pi.: Service Repair QL A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New AIECHANICAL TYPE Minimum Fee QTY. "I'' PE Condensate Drain QTY. TYPI', Generator QT1". TvPI; Refrigeration, Tons Q 1 1. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY TYI Drains, Roof QTY. , Miscellaneous Fixture Q . L . . Soakage Pit QT\ Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 . ••• ••• � • • • • • • � • • • • •• • • • •• •. • • • • • • •.• • • • • INSTRUCTIONS: Please indicate the type of work being pe rformed and quantitifies) in the space provided below. • ▪ •• • ▪ • • • PERMIT APPLICATION RECEIVED AND REVIEWED BY: DATE: SECTION BY D ' TE Zonin: ,17_ ,.- -- i a 0/ 3 Electrical Mechanical Plumbing Fire Public Works Structural Building Official "IA& 3- / - Page 4 OFFICE USE ONLY (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review Notary • . • .• • ••. �. • • • • . . . • • . ..••. •• • . ❑ IMPACT FEE (New Construction) s_CL2 $ • • CHECKLIST ❑ � OWNER - BUILDER FORM : � • PROb1 OF OWN tSHIP ••. ; . •• ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ OTHER (Specify & Attach) PERMIT FEES Metropolitan Dade County (C.C.F.) $ , j 0 (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) Cl CONTRACTOR REGISTRATION (On File) TOTAL $ h d e 6 ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com CONTRACTOR _ 1 C�h /,.ki New Construction Name � Y ,IZ l`�fU4)7 `i i czs ; l 5;4Ar -to :A �0 -,. License No. WI.5 . O i Z. C I 2. c 3 L Address Alteration Interior Fax 1 4 i ,TS - cD`3 ( P Telephone Fax Relocation of Structure Qualifier Name 3 v) 3 ei ,— C / '°3 / PROPERTY OWNER New Construction Name - 7 80Q : 4 t 1,-'T 9 Enclosure Address C/ i ez ffe k i _ gti, 19 ` 4. ci S ( � ,..., Ft- /, to-6 Home Telephone f. ,..,,,-4„.1 / 3 L Business Telephone a Alteration Interior Fax 1 4 i ,TS - cD`3 ( P Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other • INSTRUCTIONS - The following steps must be taken to obtain a hermit frcm the Minmi Shores Village: Step 1. . � • • • • • • Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your'Jpplication. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: 2.1 Address Ne ci 6 s Apt. Folio Number Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax City Description of Work ••: . • • PERMIT APPLICATION 4y1-1 S in ' c_ State • • . • • ••: • ••. • Neuter Permit No •••• Subsidiary Permit.No. •• . Zip Zoning Linear Feet Square Feet Units Floors /Value of Work' 3 00 , Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax • • • � • • '• • • • • • Page 2 ••• • • • • • • • • • • • • • • • • • • • •. • • • • • • PERMIT APPLICATION INIPORTANT NOTICES • 1. DO NOT BEGIN ANY WORK WITHOUT H .'#INti 1yED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OFrONSTROC?ION arelimije dto: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on i eeterlds or Iplidayt • • •• 2. All construction of demolition areas MUST BE MAf11TFIINtD1N 'A CU: 4N, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT I•REI [ OM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STAT F FLORIDA, CQUNT OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE ignature of Owner X Signature of Contractor / Qualifier c-OLLA zv Print Name Print Name Sworn to and subscribed before me this 01 day of �lJ LQii¢ivv0.41 et- Sworn to and subscribed before me this Signature of Notary Public - State of Florida Signature of Notary Public - State of Florida SEAL: SEAL: day of Personally known n OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: OFFICIAL NOTARY SFAL WU.HELMENA CODY NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. DD174079 MY COMMISSION EXP. DEC. 262006 Type of Identification Produced: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/7/2003 Applicant: AMERITRUST Owner: JOB ADDRESS: 9600 Contractor Local Phone: Parcel # 1132060132510 C C. r Permit Status: Approved Permit Expiration: Work: BUSINESS SIGNAGE If there is no permit package accessible on the job -site for inspectors to verify, there will fee is $50.00, which must be paid in advance before callina f nr An- - • �enhancr d_ d_r_ =men1. S_� This Permit is granted to the contra ordinances pertaining thereto and witl and approved by the proper municipal authorization. A further condition upoi ordinances and regulations pertaining by his agents, servants rl.loyees. AO Signed: In consideration of the issuance to me with the plans, d wings, statements or: myself, my agenJsg{vants or employes. Signed ". /Lil1— TWS CNEa 15 DELIVERED FOR PAWE imirimosas o gee _ � . 11111111 NE 2 Building Permit Permit Number: BP2003 -388 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 3-4 -5 BLK 19 LOT SIZE 19000 SQUARE 0 d D 9/1/2003 TITTLE AVE Contractor's Address: Construction Value: «+n ; °� AMERITRUST TrfLE LLC 12865 W. DIXIE HWY. NORTH MIt, FL 33161 305 - 79 - 6096 P AY TO THF, OBOE. OF_ $300.00 LOMI 7;. 16 Avenue, North !Maud, Florida ,122b5 { North Mhuni (Bice 000 10 2E1111 "i:0/16010 3 ? 71: 904 10 Page 1 of 1 Total Fees: Total Receipts: DATE SA(1/ (,a1 404i $0.00 u $ 6o.G� DOLLARS RCM. BANK OF FLORIDA 3ca:e: 1 ' I I i 1 I: r. ' . l i 1;3. "r'68 in it 060C ?1cy\ 216 GUARDIAN PROTECTION PRODUCTS , \:MER b 7� Scale: 1 ' 1 !1:3 IHIE:i! ,r.l: r. ,; : 1110.768 in 0Ooc 5t9 216 GUARDIAN PROTECTION PRODUCTS PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305 - 756 -8972 Date ' � ` " Job Address Tax Folio I Legal Description '�� Historically Designated: Owner /Lessee /Tenet `(' Master Permit # Owner's Address Contracting Co. Address Qualifier SS# State # Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 550.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION: Square Ft. Estimated Cost (value) 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 ANY 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 all disciplines. OWNERS AFFIDAVIT: 1 certify that all the foreguing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. Sig Ndtary My Co FEES: PERMIT APPROVED: Zoning af Mechanical ner and/or ndo President 0 RADON • Pt-& 9,rova( &H 3 -/ v �c w..2.9 7d 3 Date rtm ENA CODY NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. DD174079 MY COMM ION EXP. DEC. 26.2006 Yes No P Zoo —/ 1'), Phone 3 OS- 7s4' I� °1' ' 7C Phone - b 0 PLUMBING MECHANICAL ROOFING otary as to r ate My Commiss on Ex p ir WILHELMENA CODY NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. DD174079 C.C.F t) MY COMMISSION EXP. DEC. 26,2006 O NOTARY BOND TOTAL DUE D fj Building Electrical Plumbing Structural Engineer ��GL r✓� FtA l SOU cd� r lcOJC /JI 11 R VI IY J - Name of Owner' 7 600 /Vie Z ' 4 ti' 4 r` G -� v K� j4.._, °iuAler 6 Z.- Mailin Address C7 City, State, Zip f (<,- V..a..,+r6 C_ 3 ,,, l Z Telephone ,.i c; ,' - `5-.l(r •- C; c G/ —1 GZ� 7—1 vc"" ,1/- Ai() Name of Applicant, agent ortenant ( with owners affidavit) 453:1(./7?-1 ,-/Z ? - MeE 414-.7C, <- ,106 c . A -)./!- Mailing ddress 9 - i5 A Sao ?Z�� / , City, State, Zip /4 1 ' .S :d, 7 .S 5/.5 Telephone , i , 73 Z Z 2 7 *- Sign approval • Site plan O Appeal of Administrative Decision O Conditional or Special Use iuvni SIlorQ� 10050 N.E. SECOND AVE. MIAMI SHORES, FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (305) 756 -8972 PLANNING AND ZONING BOARD APPLICATION This application, with all supplemental data and information, must be completed in accordance with the specific instructions in this application. Applications and all supplemental information must be filed no later than 18. days prior to the regular meeting date of the Plannino and Zoning Board. Applicants will be notified by mail of the date scheduled for Village Council review when applicable. Please indicate which type of application you are submitting by checking one category below: Folio Number Address 2. ( 6 O Variance: Setback(side, front, rear) O Fence O Other IMPORTANT: THE APPLICANT, OR REPRESENTATIVE, MUST BE PRESENT AT THE HEARING TO PRESENT THE PROPOSAL. A. LEGAL DESCRIPTION. (If subdivided — lot, block, complete name of subdivision, plat book and page numbers). If metes and bounds description — Complete description, including section, township and range). J( Lot(s) Block Subdivision ' 1 • ZONING APPLICATION B. ADDRESS (If number has been assigned) C. SIZE OF PROPERTY ft. X ft. = sq. ft.; acre(s) Width Depth D. Provide legal description or address of any property . held by the owner which is contiguous to that which is the subject matter of this application. E. J /c, & & ,k Ac ('s::' < G 2/ vI / a`9 DATE SUBJECT PROPERTY WAS ACQUIRED APPLICANT'S PROPOSAL Specify in full the request. Use a separate sheet of paper if necessary. c') -L/ /'J-/ '2 (C'iJ� J Intl Page 2 INTENT Explain purpose of application, benefit (s) in the change and reasons why this application should be approved. Specify the exact nature of the use or operation applied for, together with any pertinent technical data, which will clarify the proposal. (Use a separate sheet of paper if necessary). v►r is"- Is this application the result of a Notice of Violation or deviation from approved plans? ❑ Yes (No Are there any existing structures on the property? 'Yes ❑ No If so, what type? (CBS, Frame, Frame - Stucco, Wood, Other) C 3 J Any applications (except plat applications) which involve new building construction or exterior improvements to an existing building must submit the plans with this application. Plans that are not filed with this application will not be considered by the Planning and Zoning Board. ZONING APPLICATION Page 3 All data and exhibits submitted in connection with this application become a PERMANENT PART OF THE PUBLIC RECORDS OF THE VILLAGE The following enclosures where applicable MUST BE ATTACHED to complete the application: A. SURVEY OF PROPERTY: For vacant or improved property. Must be no more than five years old and sealed by a registered land surveyor. The Building/Planning and Zoning Department may require a more recent survey if a site visit indicates any discrepancies. Survey must include, where applicable, lot lines, all structures, walls, fences, landscaping, and all physical improvements. B. SITE DEVELOPMENT PLAN: Where applicable, plans shall show location and elevations of existing and proposed buildings, proposed additions, alterations and use of each; all dimensions of buildings and space between buildings; setbacks from property lines; proposed and existing off - street parking showing Tined spaces, driveways, handicap spaces, compact spaces; a landscape plan that complies with Chapter 18A of the Miami -Dade County Code of ordinances showing location of existing and proposed vegetation, landscaping (i.e. trees and hedges), number, height and species type. The plan shall also show wall and fence height, location and material. C. ELEVATIONS: Building elevations are required for all four (4) elevations. New and existing conditions should be clearly shown and clouded. Signs should be dimensioned and located on the site plan. D. OWNER'S AFFIDAVIT: Owner's affidavit allowing the filing of an application is required on all applications NOTE: SURVEYS, SITE DEVELOPMENT PLANS, LANDSCAPE PLANS MUST BE SUBMITTED AT STANDARD PLAN SIZE. AN APPLICATION WILL NOT BE CONSIDERED COMPLETE UNLESS 10 COPIES OF THE APPROPRIATE PLAN DRAWINGS ARE SUBMITTED WITH PROPERTY SURVEYS. In support of this request. I submit the following items, which are attached hereto and made a part of this application (J 0 sets of each) : ❑ Plans (Standard Size) I ' Letter of Intent ❑ ,Survey Owner's Affidavit I/We understand that additional public hearings may be required and any interested person may discuss the application with Village staff to the same extent that the applicant is entitled to. The application may change during the hearing process and ad • ional public notices may affect the schedule of the hearings. If my /our appeal is denied, I /we must fi . . appeal to the Village Council within 10 days of the meeting. /tip.. f //.f / - a/Z, f/0 '3 Date Ap•, re►. re Print Name t Date Applicant's Signature (if more than one) ❑ 35 MM Photo(s) (Mounted 8 Y2 X 11) 0 O Other Print Name I /We 72 4 C� ,y. c j t o Block Section Plat Book & Page (the Subject Property) located at Z.J> '" _� �Y ,? Planning and Zoning Board and !Ave understand and agree with the following: 1. The application for a variance will not be heard unless the applicant is present at the heating. 2. Requirements of the zoning code. Miami -Dade County, the South Florida Building Code, and other government agencies may affect the scheduling and ability to obtainfissue a permit for the proposal 3. The only exceptions to the zoning code are those that have been specified in the written application, and any other code or plan issues will be corrected by modifying the plans to amply with the respective codes and ordinances of the Village. 4. The applicant will be responsible for complying with all of the conditions and restictions imposed by the Planning and Zoning Board in connection with the request and will take the necessary steps to make the request effective if approved by the Board. 5 . That it is the responsibility of the applicant to submit a complete application with all of the documents necessary for the Planning and Zoning Board to hear the applicant's request. 6. The applicant is responsible for the timely submissicn and accuracy of all items requested on the application. NOTE: SURVEYS, SITE DEVELOPMENT PLANS, LANDSCAPE PLANS MUST BE SUBMITTED AT STANDARD PLAN SIZE. AN APPLICATION WILL NOT BE CONSIDERED' COMPLETE UNLESS 10 COPIES OF THE APPROPRIATE PLAN DRAWINGS ARE SUBMITTED WITH PROPERTY SURVEYS. I / We as the owners of the subject property. (Please check one) Do hereby authorize /7 /(C/911c=L 7 L- (/'ice( flY to act on my /our behalf as the applicant 0 Will on my /our own behalf act as applicant(s), and make application in connection with this request for a public hearing before the Planning and Zoning Board. I / We understand that if my /our appeal is denied, 1/we may appeal the derision of the P -nning and Zoning Board within (10) days to the Village Council. STATE 0 FLORIDA, COUNLY OF 4ADE i ature of Owner(s) C c c- (4 O Print Name(s) Sworn to and subscribed before me this Z- 1 day of r• _ /l gnature of Notary Public - State of Florida SEAL: Le Personally known %c OR, Produced Identification Type of Identification Produced: OFFICIAL NOTARY SFAL WILHELMENA CODY NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. DD174079 MY COMMISSION EXP. DEC. 26,2006 PLANNING AND ZONING BOARD OWNER AFFIDAVIT v r• 1 . / as Owner(s) of Lot(s) desire to file an application for a public heating before the (if different from Owner) A. COUNTY OFOADi Prin ame g S • to and subscribed before me this 2 C day of rv.% LLIZ.-.2.,--,,, ( ignature of Notary Public - Sate of Florida SEAL: Type of Idcuifieation ...'used: OFFICIAL NOTARY SFAL WILHELMENA CODY NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. DD174079 MY COMMISSION EXP. DEC. 262006 Personally kaown/\.. OR. Produced Identification iMERTRUST.plt 2/22/03 3:35:50 PM Scale: 1:7.52 Height: 36.300 Length: 72.336 ir L- /5 sF S G 11 lcd ri f;- / 0 . Y: MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date q IR Time Type lnsp' n Final / TU•4 � 6 i n h a � Permit No. B Pab03 1 I b1 Name rr l,..ld I I p Address alto N E Q$1 % Company Phone # 305' 7 aaa-7 For Inspector: q )ct Approved Correction Re- Insp'n Fee Name & Date s5 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date q 1 Time Type Insp'n r 0 G'1;) r f (i; i Phone # 3C:5 • r 5 For Inspector: G; Approved Correction Re- Insp'n Fee Permit No. 3 ? aC D.. 3' Name ' i f ' c A C . Id " p P Address alto NF q Company Name & Date t ./ 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. Date Owner's Name and Address No. Street Registered Architect and /or Engineer Name and address of licensed contractor F-i Tom" S 3 ki C ,s-e .CE L N C_ - 3 yr N E 9S Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done ,41 1p State work to be done and purpose of building (by floors). state exterior colors (submit samples) and for no other purpose. New Building To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ S Amount of Permit S 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 obli Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Supplement, and h compliance from all contractors or sub - contractors employed by him in the work to be performed and on the site of the work such public notice or notices as are required by the Act. The undersigned a under this permit, as are licensed by Miami Shores Village. Remarks (Sign 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 IRA KN(G and who, being by me first duly sworn, upon oath deposes and says that he is the Co NtR rR 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. Disapproved (Signed) APPLICATION FOR BUILDING PERMIT Remodeling Addition Repairs No. of Stories Building Inspector Date Date � Chairman Member Member Member Member Member Council Approved 1 ate Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Read. Sworn to and Subscribed before me. My Commission Expires PLANNING BOARD DATE 3- /9 191D nder the Florida Workmen's of, and will require similar to be posted for inspection ontractors. o. ..e performed Notary Public, t '- of .rida VOTARY PUBLIC STATE OF FLORID to me well known, BONDED THRU GENERAL INS. UND,, OFFICE OF DOWNTOWN REVITALIZATION To: Building and Zoning Dept. Date: March 30, 1990 MIAMI SHORES VILLAGE 10050 N.E. 2 AVENUE MIAMI SHORES, FLORIDA 33138 -2382 (305) 754-7660 MEMORANDUM • ?A: M PcP t. From: Barbara Witte Subj: Sign permit This is to authorize the transfer of sign permit fees for the Jolly Mutt $37.50 Bobbi's $37.50 from my account #001 -0301- 512 -63 to the appropriate B & Z account. MIAMI SHORES MAIN STREET PROGRAM. BUREAU OF HISTORIC PRESRVATION. DMSION OF HISTORICAL RESOURCES, FLORIDA DEPARTMENT OF STATE