73 NE 99 St (5)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Job Address 73 NE 99 ST MIAMI SHORES Tax Folio // 3 /3 /3 /e KJ
Legal Description cg 0 cg 3 / !/,J Spieil Master Permit #
Owner / Lessee / Tenant
Owner's Address
Contracting Co. Guarantee Floridian P. Address 658 NW 99 ST, Miami, Fl. 33150
Qualifier Lawrence Weinberg
State# Florida
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION
Signature of Owner and
$25.00
Mechanical
Edward Green
73 NE 99 ST MIAMI SHORES phone 757 -3652
Competency #
SS# phone
1526
Address
Address
Address
Drywood termite fumigation 6 -26 -92
Ins. Co.
758 -1811
Zurich Ins.
t 46,000 CF Estimated Cost „ j"' D�
• 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. 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 in compliance with all applicable laws regulating construction and zoning.
Furthermore, I authorize the above -named contractor to do the work stated.
Da site :
Not - = s to Owner : dilitS , , . ` i% , i Notary as to Contractor or Owner- Builder
• My mmission Expire NDEB 7111.1 SE M,. IRS. U!SD. ' My Commission Expires:
* * * w...*' * * * * * * * * * *
PERMIT FEE: APPROVED: Fire' Other
Zoning #ding cp ^Z' (g/ Electrical
Plumbing
6/GU�it'.r�
gnatur of Contractor or Qlwner- Builder
Engineering
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
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.
Owner's Name and Address
APPLICATION FOR BUILDING PERMIT
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built ilt on: 41-6' 3 J
Lot 4 .2+) 8 Block 7 Subdivision »/L / 1/ 1/ .QZ G / ✓ /3'/ e (?
7 J t' - 7 7s4-.
Street and Number where work is to be done
C
State work to be done and purpose of building Ib y floors), state exterior colors (submit samples)
//
and for no other purpose.
New Building Remodeling Addition Repairs v No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated 1bta1 cost of improvements $ 16)O W mount 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 d s 'cat' ns for said building. All notices with reference to the building and its construction may be sent to
The undersigned ap. ' ant fo s building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's
Compensation Act..ein• ction 5966. Compiled General Laws of Florida. Permanent Supplement. and has complied with the provisions thereof. and will require similar
compliance from ontractors 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 are required by the Act. The undersigned agrees to em.loy . such subcontractors, on work to be performed
under this permit. as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA
COUNTY OF DADE.
1ss.
Before me, the undersigned authority a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared
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. -qq 8 r� Date -' � t � 7/�
L. Read, Sworn to and Subscribed before me.
Disapproved Date
�y Notary Public. State of Florida
(Signed)
Building Inspector
Date Y Z b1---- 19
No. Street
(RM
to me well known.
My Commission Expires
PLANNING BOARD 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.
BUILDING ❑
ELECTRICAL 0
PLUMBING
ROOFING ❑
Owner of
/VP
Building
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N. 229
Architect
Contractor
or Builder (1
Legal Lot
Description BI
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device descr
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in
plans, drawings, statements or specifications that may have been submitted to and approved by the proper maid authorities. This
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further co
permit is granted is the understanding that the contractor or builder corned above assumes the res :ot;sibility for a thorough know'c
regulations pertaining to the work covered hereby whether shown on the plaits or drawi r„ s or in ,. .' :'X r g or specifications and
sibility for work done by his agents, servants or employees.+
Signed:
Work to be perfumed under this Permit
f/1
Subdi-
vision
Value of
Project
DATE `
Amount of
Permit
Contractor's
License No.
BY
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder In compliance with all ordinances and regulytlluop;,
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. lsfk
cepting is permit I a de pons li for all ork done eithef, m servant or employee.
CONTRACTOR OILDL BY` f 4—
AUTHO
rr
p
i9
;(00
AS SOT ►IliPif
Application is hereby made for the approyal 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.
1 � Date 2 d 19 G G
Owner's Name and Address _...e� _ O_f � .. I l Q u�
No 7 Street < O ' Z—
Registered Architect and /or Engineer
Name and address of Licensed contractor
Location and legal description of lot to be built on:
Lot (22 _.2 3 Block G ! /
STATE OF FLORIDA,
COUNTY OF DADE.
}
MIAMI SHORES VILLAGE
SHIRES
INS TION DEPARTMENT
BUILDING INSP TION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
SS.
Street and Number where work is to be done
State work to be done and purpose of building (by floors) floG2'
Notary Public, State of Florida
Subdivision . ..1.l�f__� 5 ' e I
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ Amount of Permit $
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 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- 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 are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be per orrped under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
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 'Z4-1 Date Read, Sworn to and Subscribed before me.
Disapproved II'' ��yy Date
(Signed) e • g. twee 4c
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member ...._.. Y 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 notice for inspection or faulty
materials and /or workmanship.
CONTRACTOR OR Bid
•
WILDING
>�'CAL
the
1
vrner of
suxldinq
Architect
- 7ontractor
:)r Builder
loot as�res
)escrlptt4ri :.
Address of
This
berefar in s
$raw
time if
granted is
perdo by h
taining
In consideration
aieing thereto and,,
accepting this peiI
0
0
0
MIAMI SHORES VIIL1
x
Location and legal description of lot to be built on:
Disapproved ` f
( Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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.
Date De C . 5, , 19 .5
Owner's Name and Address.. D. • Stout N 73
Registered Architect and /or Engineer .... ................. VR{. ,- ...NQLEN.. NC. -- Termite- -Divis *
Name and address of licensed contractor fipp.N„_q/ ..f . Ave.
Mimi, Bod4a
Lot Block Subdivision
Street and Number where work is to be done 73 N. E. 99 St.
State work to be done and purpose of building (by floors)
Axywood termite fumigation - Acritet -
New Building Remodeling. EX ` ,1!ERMTNt4 Th QN
To be constructed of Kind of rounuation
Estimated Total cost of improvements $ 240.00
Zone cubage required
Distance to next nearest building 30 Plea t
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 - 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 ublic notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to performed, under
permit, as are licensed by Miami Shores Village.
Remarks (Signed) F —
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
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. v
Permit No ' to C`• Date ' – ' S Read, Sworn to and Subscribed before me.
atp
8 Hours Tent -
Building Inspector
,/ PLANNING BOARD DATE
Chairman Member
Member Member
Member .. Member
Council Approved Date Disapproved
Street N... E.. 99
and for no other purpose.
Repairs No. of Stories
Roof Covering
Amount of Permit $.. 5.0 0
_Plan Cubage 21 Cu. Pt •
Size of Building Lot
to me well known,
My Commission Expires
Notary Public, State of Florida
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice
materials and /or workmanship.
Date
has been obtained from
for inspection or faulty
Wage of Miami Shores
JOB
ADDRESS _
INSPECTION
TIME READY
REMARKS
7
INSPECTOR
QJ
N° 4128
DATE
(7.Y.. ..7.:, :.X X, ���.f C.c: 7,. .0 ieY =X 7- ._ �: i,: .. ., .. ^ 'c7
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1 J -..
`� l+RR�4�i i r
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01.c, a ,..;
';c: :Y
be sent to
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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.
Owner's Name and Address._ b > 5 7 - '0 t L
Date
( ,19
No ' 7' & [ treet 5`r
Registered Architect and /or Engineer ......._.. /J.Qiie —
Name and address of licensed contractor Ai.o. 1� „
Location and legal description of lot to be built on:
Lot 1 'y 4 .4 '' 3 Block 1 Subdivision • 't - 4 ( 5 ' R 0 5
Street and Number where work is to be done a sit;
State work to be done and purpose of building (by floors)
1 S - .
c.w. ,1/4)(r 1 N ' . _ 4 - 3. - DP° 1 1.
and for no other purpose.
New Building Remodeling ■■•• Addition Repairs No. of Stories
To be constructed of__ C., D • S • Kind of foundation e„ eA ETA Roof Covering � -
Estimated Total cost of improvements $.1.0 • Amount of Permit $ 2 �O
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 the plans and specifications for said building. All notices with reference to the building and its construction may
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 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.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. j 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 4. 4 Date / Read, Swom to and Subscribed before me.
Disapproved Date
(Signed) L__ Notary Public, State of Florida
Building Ins. tor My Commission Expires
PLANNING BOARD DATE
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 Board.
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 and /or workmanship.
l a;s ?�,-ti�z3 3���k
� �
7 z A) -c_ 1 54 .
3 S - 4 c 1 . . L.
'Pe-et -r
3Co L1c 1 ac e
`" L 2 I - G " x ? 4.
aLLo..� E 0 o ri Cr-)4,2 .2-c, c
$ 7
w 213
c Z 01 4,
o p ca
oc ?
A Personal Services
B Contractual. Services
C Material & Supplies
D Fixed Charges
E. Land
F Buildings
G Equipment
H Debt Retirement
TOTALS
WORK PROGRAMS AND DETAILS
1 Man at 64. 00 wk.
C Operating Supplies
Equipment Parts
Gas, Oil and Tires
LOT CLEANING Dept. #15
1954 -55 Budget 1955 -56 Budget
3,432.00 3,298.00
1,082.46
400. 00
625. 00
245,00
200.00 100.00
5,114.46 4,268.00
3,432.00
50. 00
400.00
632.46
1,082.46
3, 298.00
275.00
350.00
625. 00
ci -l0_
irwitavy--tsLA trua_k_
13 It. . 99 szT.
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ck. E c
TAW etOt de-
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Axli.SLC CiNte-43-ukt_
4
k.
H
1 LLC k4fL--4i
■
fk..1 •
<
=
Kind of Insurance
Policy No.
Expiration
Date
Limits of Liability
Bodily Injury
Property Damage
(a) Automobile Liability
$ each person
$ each accident
$ each accident
Manufacturers' &
(b) Contractors'
Public Liability
e 4580
4 -15 -54
� $ 10,000.00 each person
$ 20, 000.00 each accident
$ 1f 000• 00 each accident
$103000.00 aggregate
Contractors' Protective
(c) Public Liability
$ each person
$ each accident
$ each accident
$ aggregate
(d). Workmen's Compen-
sation
o9U 05650
14 -15 -54
States for which coverage is afforded:
Florida -
(e)
(f)
(g) -
.
Form G -13 -IF
C) a -fi c vEN
e�z��vuy, P
CERTIFICATE OF INSURANCE
(Insured)
By
Date 4 -15 -53
This is to certify that the below described policies of insurance issued by this Company are in force as
of the date hereof. In the event of cancellation, the Company will give to the principal named below
days written notice, prior to cancellation. If the number of days is not stated above, then the maximum period
of notice shall be five (5) days.
1. Certificate issued to Mi ami .Shores__ Village — R„i l ding_-1)epartmerit
Principal)
2. Address of Principal Miami Shores Village Hall — Miami. 38 Florida
3. Policy issued to DONALD P. S TOUT
4. Address of Insured 73 N. E. 99th Street, Miami Florida
5. Policies in Force:
AMERICAN CASUALTY COMPANY OF READING, PE SYLVANIA
(Authorized Re , esentative)
f:i