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389 NE 99 St (9)DATE: 7 - Miami Shores Village Building Department PLEASE PRINT NAME OF PERSON REQUESTING FILE: 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 TIME: PHONE #: /7(( YOUR ADDRESS: ADDRESS OF FILE REQUESTED: 3 ( yVE gel INFORMATION REQUESTED: 1 I understand that all documents in this file are property of Miami Shores Village and that NO documents may be removed from this file. You may get 4 complementary copies (8x11) size, additional copies will be furnished at 0.15 cents per page, not including any blue prints. If blue prints are order please be aware that we are not responsible for the quality of the printed documents. Acknowledged by: FILE RETURNED TO: INITIAL (kcE4k. Aviv c 31r7 BUILDING ELECTRICAL PLUMBING Owner of Building Lot MIAMI SHORES VILLAGE, FLORIDA DA PERMIT N° 3501 f ork to be performed under this Permit w■Vl<iCI INS Co oetnlr$On may by in ylola ial of 6aner?i ;:,,tint oa ; ;3ai 1-41 Producsltr:� bard atzli pin War P.o��iotl co Ott Cs�i +y1•c� t0' DTA oitic.e Wlir! Starting um *OA aginoezed Architect Contractor or Builder Legal Descriptio Address o Building This pe application lte with any plans, drawings, statements or speci cations be revoked at any time if the work is not done in co .,-Fr9 )1k" ?r)2:? d to the contractor or builder name ai B1. Subdi- vision BY tkis Permit. �--- By INSPECTOR AUTHORITY 194 Contractor's License No. Value of Amt. of ef! Project Permit �.. to construct the building or to install the equipment or device described in the ng thereto and with the understanding that the work will be performed in compliance y have been submitted to and approved by the proper municipal authorities. This Permit may with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that rho contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and reguilations ertaining to the work covered hereby whether shown on the plans or drawings or in the statements o specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. In consideration of the issuance to me of this permit 1 agree to perform the . ve red hereunder in compliance with all ordinances and regula- tions 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 responsibility for all work done by either my self, my agent, servant or employee. Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building BUILDING ELECfRICAL PLUMBING This permit is granted to the con application herefor in strict compliance with any plane, drawings, statements or be revoked at any time if the work is n upon which this permit is granted is the the ordinances and regulations pertaining t that he assumes responsibility for work done 2 3 PERMIT N? 3951 Work to be performed under this Permit MIAMI SHORES VILLAGE, FLORIDA DATE // 3 4. ci 4 .1 194_ Contractor's License No. Bl. nwng work co his agent er named above aces pertaining hat may h be ce WARNING: This Construction may be in violation a* War Prritiurtinn Road floral Limitations Order i .41 You are cautioned to consult your War Produc.ion L in Sub vision Value of Project this permit. 11 In consideration of the issuance to me of this verinit1 agree to per ered hereunder in compliance with tions pertaining di o and in strict conformity w h the plaits, drawings, statements or specifioutions submitted to the proper Village. In ac this p assu c responsibility for alt work done by either myself, my agent, servant or employee. Amt. of Permit / • o ruct the building or to install the equipment or device described in the and with the understanding that the work will be performed in compliance brnitted to and approved by the proper municipal authorities. This Permit may rdinances or if the plans are changed without authorization. A further condition or or builder named above assumes the responsibility for a thiorough knowledge of y !lecher shown on the plans or drawings or in the statements or specifications and or employees. Signed the work - Io s By IN OR BY AUTHOIUTY 1 Name Address Type Insp'n Permit No. Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPAR1 MENT 305- 795 -2204 Building Inspection Request \ \ 6 P Date 3e q \o 041,rtz n+1, Company �V Phone # 3 o 5 — ' 3S- 3 7 5 Q N3 Date Rev. 10 /02/03) Applicant Name Signature Sign: Print: (_. i-' My Commission Expires: Building Officials Approval: Miami Shores Village Building Department ..„.- # % cr , .__ ir vr,-. 4thZ ' ,5 RE- OCCUPANCY APPLICATION r - _..-- Loc ID rI.. tal X111 3C- 33S -3 -150 Contact Name s LatOCINI Phone # , — 111 Buyer Seller Realtor ✓� Company Name a' 1 ra . Property Address E --t'I 5 !1 tt City Miami Shores State Fl OWNER'S AFFIDAVIT: I c - rtify that all the foregoing information is accurate. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 W O-3 Permit No. r Zip •\38 I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on the property. The foregoing instrument was acknowledged before me this day of , 20 , by , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Re -Occ. $60.00 Co Notary $5.00 11/4 CCF $0.60 • Co e Total ,O • ` STATE OF FLORIDA DEPARTMFUT OF STATE FLORIDA MASTER SITE FILE D"rismn ulArchivns, FitsloTY Re and Records Management Site Inventory Form FDAHRM 802= = DS-HSP.3AAA Rov.3.79 1009 = _ Site No. Site Name 830= = Survey Date 8506 820= = Address of Site: 389 NE 99 St.. Miami Shores. FL 905= = Instruction for locating on NW corner of NE 99 St. $ NE 4 Ave. 813= = Location �,tt' ami Shies Sec_ 1 And. 40 F1/22'; all 74 868= = subdivision name block no. ' lot no. County Dade 808= = Owner of Site: Name: Bassett, Russell D. Address: 389 NE 99 St. Miami Shores , FL 902= = • Type of Ownership private • 848 = = Recording Date • 832= = Recorder: • Name & Title: Stofik, Marty $ Newton, Margo (Chair) Address: MSHPB Condition of Site: 818= = Integrity of Site: Original UsEprivate residence 838= = Check One Check One or More ❑ Excellent 863 = = EX Altered 858 = = II Good 863= = ❑ Unallnred 858= = ❑ Fair 863 = = lX Original Site 858 = = ❑ Deteriorated 863= _ ❑ Restored( )(Date: )( )858== ❑ Moved( )(Date: )( )858.= NR Classification Category: Building Threats to Site: • None Check One or More ❑ Zoning ( )( )( ) 878 = = ❑ Transportation( )( ❑ Development ( )( )( )878 = = ❑ Fill( )( ❑ Deterioration ( )( )( ) 878 = = ❑ Dredge ( )( ❑ Borrowing( )( }( )878 = = ❑ Other (See Remarks Below): 878 = = Present Useprivate residence 850= = Dates: Beginning +1926 844 = = Culture /Phase American 840= = Period 70th Century 845= = Areas of Significance Architecture 910= = Significance: Original owner of the residence was J.A. Sydow, whose construction firm, Godard F Sydow, built many of Miami Shores' original and more important homes and buildings. Structure was built during the first phase of Miami Shores' development under. the Shoreland Company and reflects the Mediterranean Revival theme of the community. Noteworthy features include three French doors on S facade separated by twisted columns of Corinthian influence. Structure is in scale and character with the surrounding neighborhood. It is across the street from the Old Pump House which originally was the fire station and waterworks serving Miami Shores, the buildings surrounded by a small park. Property now is used by Miami Shores Community Church. 911 = _ 916= = )( ) 878 = = )( ) 878 = = )( )878= = ARCHITECT -- BUILDER Godard & Sydow (Miami, FL) STYLE AND /OR PERIOD Mediterranean Revival PLAN TYPE irregular /irregular EXTERIOR FABRIC(S) rough stucco STRUCTURAL SYSTEM(S) concrete block PORCHES W: 2nd story, deck over entry, access E FOUNDATION: concrete block 942 = = ROOF TYPE: flat with parapet 942 = = SECONDARY ROOF STRUCTURE(S): W: shed over front entry, barrel tile 942 = = CHIMNEY LOCATION: W: int. flat 942 = = WINDOW TYPE: DHS 1 /1; wood casement; jalousie 942 = = CHIMNEY: CBS barrel tile cap 882 = = ROOF SURFACING: tar & gravel 882 = = ORNAMENT EXTERIOR: cast masonry 882 = = NO. OF CHIMNEYS one 952 = = NO. OF STORIES two 950 = = NO. OF DORMERS none 954 = = Map Reference (incl. scale & date)Miami Shores Village Plat 1980 Latitude and Longitude: O Site Size (Approx. Acreage of Property): LT 1 LOCATION SKETCH OR MAP N Contact Print N6. T . 9 5 oo J 4 r QN E /1 ����aAva9ad . N•6.99 111111plit Q u , 38q N.6.99 r" sr• Township Photographic Records Numbers 85N110HG17 /85N110HG18 Range 53S . 42E UTM Coordinates: fne tsfFI — F1olfihng Section 6 872 = = 874 = = 964 = = 966 = = 854 = = 856= = 942 = = 809 = = 800 = = 833 = = 812 = = 890 = = 860 = = SIA1E OF FLORIDA •DEPARTMENT OF STATE C1vision of Archives, History and Records Management 9 -74 CONTINUATION SHEET Sit t No Site 'Name 389 NE 99 _ St. Miami Shores, FL Physical Description: Structure is a two -story Mediterranean Revival residence. The one -story entry on SW has shed roof, followed by flat sun deck accessed from interior only; deck has wood and wrought iron railing. Front (S) facade has three French doors separated by twisted columns of Corinthian influence and wrought iron balcony on decorat.consoles. Butresses on all structural corners. Single -story garage attached rear (N). Parapet reveals areas "blocked in ", probably originally set with barrel tile coping. Masonry shelves still existing below blocked in areas. MSHPB USE ONLY Replaced some windows 1983 IME FA la EN n 92 QJ EnTI NEM 0 mass 1011 A 2 I, It to IMMO ° ��mm ®mma emmmmmmm ®d ®mm ®mmm� 11111911111 am= EL 1 OH /tn n /.4 15 IT N `N e 7 4 5 4 J Is —N w N . 1106 IL um pm amm a ©m® 00o1a© ®0 181am11m11P aammmpoitm 111111 11111141111N 4P1111110 A �mzo mamma � . w yy 1 +rV e�'I� F j 0 3 5T ° T - nen � jag E GNE piing* Q imhar 0 1 11 1 1, -!I oamti Fa EIRE 0 ■,'i 97' dP • '2111 Ulu - frw - _95-. adoava_1'di I Moll l 1111110411111111 4 1011- /e�m1a . 1V w. 93 1000opa000a imam �a1mmma 7 c 9 9 r .' 1 0 7 8 4 2 S t �l L ., , 107 r ". 11 J 01111111111111 01111111111111 m —t0 J T..4•. -- 1 O 4r.". 'T MIME MOON 3 T. mmamcaaaa 9 T•l 5. e RD. MIL IA 3 T. me ltmme ma mmmm h m 9 5,T N. sup 5 T. 5 T. 9 4 T ` mmmmm vom mmaol 5 T. 3T. ro l, 7; 5 J 0 L mum go n 30 4. e' W 4 4 5 7.. 0 .51 YIe� !f N.E. MINIM 1 N. C N. 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N E v111la '1 101 • mug �mmml�am MLA Y EVE Fan il !!il Of ®EM 31EPII,JB WINE MEI • e pa El km vent ha P. mmo .1 111011 m.d� °ooa v °�mm °am MOW *kW MINN mmmumm4; aop4am 7 as msa mmrmommm 1oz 101 1 0 0 9 9 J,0 • ,. 98'" O 5 9 6'"' 9 5 7 ". r ' m e4Paar* 11h1 mQ ®� Mom® 1 mmemmm�amm 0 4 -' 5 T. 5-T. ill Milli .5 T. ;I 11611411 5 mpOI mammmI14ommm 9 7 5 T �meao��aoraa Orr 11" \� 9 3 5 s a 11 4 444 j Emil ip, 7 E01P111v11 5 T. 7 ;, 4 I .5 T fJ 7e TK ACT A • ob. 43 4e 5 Sr RCV£ Of 17144 .1C/f001 f CRURCN R ••• tt,r e 0 ' 4 1L 11 �mm000�mmmd� c link /1 eopla mmmmmmmmmm. mmmooaomoma 111111111111 mmaoovvamom� �1aalo�com� 11111111,1110 1,118111110 W > K•. 10O 3 inaimmu arato �1991pa0�ar4 Mil AIM Sall pill NAME E 96 f' • �Op4001 mm 10Th 4000 . 111110`011 rf 7 Yn u Hamm jaa� z 1100' i1 QP� Ir 0 • 5 1 CZ 1 ¥1,1,4,1 SHORES SCHOOL ss So -ale/ 2 cF g 0 <70 4 „,077,1,-/-ef / 7 • - 4 Information regarding RESIDENCE of MR. & MRS. JOHN A. SThOV LOTS 23 & 24 BLOCK 40 MIAMI SHORE DAM COUNTY FLORIDA. ERECTED ID 1925. NOTE; Not modernised or remodeled *ince 1925. One Story Portion PbEreh Service Porch Entranee Hall Two Story Portion Bed Room Section Bath & Hall " Closet Stair & Stair Hall SIZE Ft.fIn. x11 /0 10 l�f �z 6/8 14/4zU/8 4/1/8 1x/10 =6 /9 TOTAL CUBAGE HOUSE Garage (Separate Bldg. )20 /x14 /0 280 x 9/0 TOTAL CUBAGE HOUSE & GARIG3 SQUARE FOOTAGE House One Story Portion Tiro " • (602 x 2) TOTAL SQ.FT.HOUSE 297 1 . 1 Garage 280 TOTAL SQ.1'T. HOUSE & GARAGE VIII1 . 174 x 11/6 7'2 x 1Z/0 51 x 12/0 473) 30 9 x 22/4 73 x 19/2 Attached hereto Sketch Plana and Elevation. &4e /)/ E` 99 $ 7 CU. IT. 2,001 $64 612 11,638 1,400 16,515 OAP t .fir ✓.cor /47/r ?382d AZ a /17 a/ . ,989' yy'-� ✓,� .�.eE'crEp in% /955 25=2 ✓.4 4 !Z8 —. ®`S "---- /4 --0-we 9'e / 4 L 4 , . 1'Vf g is ��ya .rope /ay. o';/ /6 1( '',37k/e ! (A copy of this Application, together with one copy of plans and specifications, must be kept at building during progress of the work) Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub- mitted for the building or other structure herein described. This application is madq in compliance and conformity with the Building Ordinance of the City of Miami, Florida which said Ordinanee was approved July 7th, 199.9. All provisions of the Laws of the State of Florida, all ordinances of the City of Miami, and all rules and regulations of the Building Department of the City of Miami, shall be complied with, whether herein specified or not Date / f. - 1,/7'6 , 192 Owner's Name and Address l�� ` Street No Architect Name and address of contractor or builder. Location and legal description of lot to be built on: Lot -1-- ` Block Street and Number where work is to be d or]R Purpose of building (by floors) �� and its construction may be sent to My commission expires New Building /J Remodeling OFFICE OF BUILDING INSPECTOR APPLICATION FOR BUILDING PERMIT .-/a A A er Estimated cost of. Improve ents of incl i g furnishings) $ Type of Construe • 0 Roof covering • ( 74:6 Foundation Footing Number of persons to be alEommodated (maximum) per floor Size of building lot Sa X 1/O Distance from next nearest adjoining bui l ing (from all sides except street) 74-4•1"--f Heating system, if any (kind) (yes or no) - Plumbing (yes Elevators: passenger freight manufacturer Maximum live load to be borne by each floor �--� I hereby submit all the plans and spec, ations for said building. All n tices with reference to the buildin; STATE OF FLORIDA, SS. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowl- edgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and s s that he is the of the above described building, that he has carefully read the foregoing app ' n, and that he did sign t he same, and that all facts therein by him stated are true. R d sworn to and subscr Notar ublic. CITY OF MIAMI FLORIDA y This space represents the lot; make outline of grind plan showing distance of building from all lot ines. Subdivision of Stories (Signed) (Signed) 4, Addition and for no other purpose. Repair 3 °-°/ BE FILLED IN BY BUjoING INSPEF OIi Permit No. 7 " "�Ist upon above Applicatio / 19 1 Classification Disapproved 192 Reasons: (Signed) Building Inspector.