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815 NE 99 St (13)INSPECTION BETWEEN 10:00 AM AND 12:00 PM IF ANY QUESTION PLEASE CALL MR. HAYNES AT 305 - 759 -9019 K [[)-17T31 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Contractor: Owner: Job Address: spection Number 1 Inspection Date: 05/03/2006 Inspector: Grande, Claudio 815 99 Street NE Project: <NONE> Building Department Comments Tuesday, May 2, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Pho e: (305)795 -2204 Fax: (305)756 -8972 Miami Shores Village, FL 33138- Block: Pe mber = =. RG 5= 06-114r Permit Type: Residential Construction Inspection Type: Final Work Classification: Re- Occupancy Phone Number Parcel Number 1132060340100 Lot: Page 2 of 2 (Rev. 10/02/03) RE- OCCUPANCY APPLICATION Date /— 2 - 0 Contact Name Buyer Property Address City Miami Shores I hereby certify that I understand that the zoning of the property is for single- family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village certifies only that the referenced property is being used for single- family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on the property. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate. Applicant Name ire Signature The foregoing instrument was acknowledged before me this A. day of by C produced Sign: Print: Miami Shores Village Building Department 0 NOTARY PUBLIC: My Commission Expires: Seller Realtor State Fl Permit No. Loc ID Phone # 9 a /9 Company Name Zip 3 3/3sV , who is personally known to me or who has Building Officials Approval: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -897 . %/, II ., • r 1, , 20 '2.63 - 2.P - 42 b as identification and who did take an oath. eNK$Z MAY 02 PAID Re -Occ. $60.00 Notary $5.00 CCF $0.60 ,20 , Total 61, 6 v Date 05/02/2006 Permit Receipt Permit Number: RC -5 -06 -1147 Invoice Number: RC -5 -06 -24683 Applicant: Company Name: EZRA C HAYNES &W EMILY P & JANICE H Payment Type CheckNum Check 8211 Amount $65.60 Total Payment: $65.60 Tuesday, May 2, 2006 Page 1 of 1 APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement ur the plans and specifications herewith submitted for the build • inc 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 prggreu of the work. Owner's Name and Address ....4N6/n er Str Registered Architect and/or Engineer . Oread .1../ech Name and address of licensed contractor _.._... STATE OF FLORIDA, COUNTY OF DADE. ss. Permit No. '71 Disapproved (Signed) MIAMI SHORES VILLAGE Date Building Inspector BUILDING INSPECTION DEPARTMENT Read, Sworn to and Subscribed before me. Location and legal description of lot to be built on: Lot Block Subdivision _ .._......_..._ »_ Street and Number where work is to be done — � ` 1 ... ». ».. 1 .._......_.._ ».� State work to be done and purpose of building (by floors)...__ _../�d7 £' R7it L?c!O.......... ». __ ».........__.... _..__.» .._.._ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation La . Roof Covering Estimated Total cost of improvements $ 2D' ( Amount of Permit L ! s D Q 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 unricrsigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida \Vorkincn's Compensation Act, being Section 5966, Compiled General Laws of Florida, Prrnanent Supplement, an has complied ssith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe by him in the work to be performe tinder this permit; and will post or cause to be posted for inspection on t e site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s bcontra ors work to be performed under this permit, as are licensed by Miami Shores Village. Remuks __._._ (Signed Before me, the undersigned authority, a notary public, duly authorizcd 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.. /Ohl Date — Notary Public, State of Florida to me well known, My Commission Expires _ »....... ».._ . �.... _.. PLANNING BOARD DATE Chairman Member _ ....... _.. .... ..._..._ MIerr,bcr 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 Plannir.;; Board. A re.in.pection 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. BUILDING ❑ MIAMI SHORES VILLAGE FLORIDA ELECTRICAL ❑ Date—. 2 £ PLUMBING ❑ PERMIT N° 9919 ROpFINp ❑ - - , J- `„ Owner of ' //I: dd �� Building / Architect / C ' /'' ontractor or Builder !`' % % t F Legal Lot'' II Description 11 I31 Address of `; - t; -- Building ?, CONTRACTOR or BUILDER Work to be performed under this Permit r / �-syr..s• f Subdi- vision Sq. Ft. Value of Project Contractor's License No. BY AUTHORITY Amount of II Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed • C : e a r + fi f'" e' (INSPECTOR) BY In consideration of the issuance to me of this permit Is'4gree to perform the work covered hereunder in compliance with all ordinances and regulations 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, myself, toy agent, servant or employee. BUILDIN INSPECTION DEPARTMEN APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the det.. fled statenien• of the plans and specifications herewith submitted for the build- ing or o h. :ructure her i described. This rt-licatic is made in compliance and con ty w.th the Building Ordinance of Mia ti Shores Village, or.da, and all pro. isions of the Laws o f the State of F krid. all o d nances of Mi i i Shores Village and all rules and regu.a ion, of the Building Div.. i of .tam Sho. iilage 1- '1 ,e , o. iphed with, whether herein specified or not. A copy of approved plans and specificati • s must be key at building Burin, progress of the wcrk. Remarks__ STATE OF FLORIDA, COUNTY OF DADE. Permit No.____ Disap,}o. ( Signed ) ss. MIAMI SHORES VILLAGE .< Owner' Name and Address Registered Architect and /or Engineer... Name nd address of licensed contractor. Location and 1 gal description of lot to e ilt Lot Block__. _. Street and Number where work is to be done Bu 1 mg Inspector Subdision State work to be done and purpose of building (by floors) New Building _ _ Rernodeling__ ____ _ ._. Addition____ ____ ___ _____ __ _ Repairs_ _ To be constructed of_ C. ().S _ Kirid of •undation __. ___. (t . R Estimated'1 ,tal cost of improvements $_ / -ce§? Amount o` Permit $__ Zone ^ubage required_ __. _ Plan Cuba e_ -__- < J) Distance to next nearest building__ .. _ ___Size of Building Lot Maximum live load to be borne by each floor_ _ . ..... ___ hereby submit all the plans and speciii,c'ations for said building. All notices with reference to the building and its construction may be sent to The unde signed appli ant for th's budding permit does hereby certify i ?tat he understands and accepts his .•bligat of 1 bor under he Florida Workmen's Compensation Act be•ng S—tion 5966 Col p led Gen al Laws of Florida P r and h s compl ed wth he prov'aons thereof, and will require smiilar comp lance from all contractors or sub - contract in the wo k to be p ri • med under th s pern it and ill post or cause to be posted for inspectoo s on the site of the w or •otites as are requir d by the Act. The u. d. r ign.d agrees to employ only such abe• •rs, on work to be permit as are licensed by M ant. Shores \ i1 : ge. r (Signed) '3.. Date ' No Street_ . and for no other purpose. Before me, the undersigned authority, a notary public, duly authorized to adn:_nister oaths and take acknowledgments, personally ap- peared ._. ii and wh - -• by me first d. ly sworn, upon o th deposes and says that he is the of th f ov. c e,c .ed • istru •lion. t. : h has /areially read tl foregoing application, and that he did sign the same, and that all facts therein D, him state•`+ e 3 Read, Sworn to and Subscribed before me. Notary Public State of Florida No. of r' s_ ions as an employer anon. Sapplc cent, emplo •ed by him u :h public notr e brn. . der this to me well known, My Com :nission Expires_ ,19 PLANNING BOARD DATE Chairni 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 !ft.•r approval his been obtained from the Plain' rig Board A re- inspection fee of $1.00 will be charged when such re- inspection is mu ..le necessary by improper notice fer inspe:•t•:m or fa• ity materials and /or workmanship.