967 NE 99 St (8)(Rev. 5/8/03)
City Miami Shores
Building Officials Approval:
Miami Shores Village
Building Department
Certificate of Completion
The following address is issued a Certificate of Completion
State
Florida
Zip 33 13 3
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
Permit No.503 r i
Date I - ) - 0_3
This Certificate of Completion is issued for the above address and permit. This certificate verifies
that the building or structure has met the requirements of Florida Building Code 106.2. However,
t 'his certificate does not constitute any representation or warranty.
•
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date June 8, 1992 Job Address 967 NE 99 Street
Legal Description _ / fr
/ Lessee / Tenant Mr. and Mrs. Geor LeVasser Master Permit # '���/
Owner's Address 967 NE 99 Street Miami Shores Phone 756 -6395
Contracting Co. Turner - Horodowich, Inc.
Qualifier Richard E. Turner
State # CGC016504 Municipal # Competency # A/l/ Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGt
WORK DESCRIPTION 1. Install approx 67 LF of continuous screen vent in existing soffit.
APPROVED:
Ms'ie/
SS#E Phone 884 -0909
2. Replace approx 32 SF of concrete walk.
Signature of owner and /or Condo President
Date: 7uNvi 3. /9'12
Mechanical Plumbing
Tax Folio 11- 3206 - 034 -0270 /
Address P.O. Box 111478, Hialeah, FL
Square Ft. Estimated Cost(value) $1,184.00
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUI
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, an
on the attached addendum (if applicable). I certify that all work will be performed to meet th
standards of all laws regulating construction in this jurisdiction. I understand that separat,
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 wil .
be done in compliance with all applicable laws regulating construction and zoning. Furthermore,
authorize the above -named contractor to do the work stated.
Signature of Contractor or Owner-Builder
Da . G 9 -`P y.
Notary as to er and /or Condo President - Not -ry as to C
My Commi s s i oA Expires : NOTARY PUHLIC STATE OA FLORIDA My Commission
MY COMMISSION EXP.00T. 2,1485
OONDED THRU GENERAL INS. UND.
** * * * * * * * * * *
FEES: PERMIT 7' RADON C.C.F. 1' NOTARY
Fire
it' Oral 11
Tonle• ;y ervicelns
OF F- No. CC190619
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Zoning Building /1/ �- Electrical
Caron M. Goff
* * * * * **
TOTAL DUE " iW
Other
Engineering
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July 2,1980
Miami Shores Village
Planning and Zoning Board
1CO50 N.E. Second Ave.
Miami Shores, Florida
To whom it may concern:
I respectfully request a variance to constuct a flat roof addition
in excess of the maximum allowed at 967 N.E.99th Street, Miami Shores, Fla.
Respectfully,
E -
Mr. and Mrs. George LeVasser
967 N.E. 99th Street
Miami Shores, Fla.
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BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby wade 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 approved
rules and
d
plans and specifications mu st �ations of the Building be
Division
kept build building ng the wo with, whether herein specified or not. A copy of
Owner's Name and Address ..6 &2 f e /e , - No..... ......... Street_....
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Block
Lot
Street and Number where work is to be done.....
State work to be done and purpose of building (by floors)
New Building Remodeling.
Kind of foundation
Estimated Total cost of improvements $... -. G - '••0
Zone cubage required
Distance to next nearest building -
To be constructed of
MIAMI SHORES VILLAGE
. /.3 • '. _ f!S..QN
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 theFlorida ‘Vorkmen'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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks...
STATE OF FLORIDA,
COUNTY OF DADE. ss.
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,
therein by him scat d are true.
Permit No.
Disapproved �....
(Signed)
Chairman
Buildin Inspecto
Mfcrr.bcr
Member ......
A re inspection fee of 31.00 will be
materials and /or workmanship.
(.V1'r Nit, 1 Vn vr' vvn.vr..z
P NNINC BOARD
Council Approved
Subdivision
and for no other purpose.
Addition Repairs No. of Stories
Roof Covering
Amount of Permit S.
plan Cubage
Size of Building Lot
Date
( Signed )L�`
Read, Sworn to
and that he did sign the same, and that all facts
and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
DATE
Member
Member
Member .._._ _
Disapproved
-"Lg. 5_• e tc , I
to me well known,
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.
charged when such re- inspection is made necessary by improper notice for inspection or faulty
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
PERMIT Na
V. c roc: JCL.D'�
1Lp ,s tt t k .
Contractor
or Builder • Co <
Legal
Description at A.A. Z =' II Bl . 110
MIAMI SHORES VILLAGE, FLORIDA jpr -4.4` 1,(e)
DATE 19
Signed.
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complian
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper
cepting thisFitt I assume responsibili for cork done by either, myself, my agent, servant or employee.
ss
L
CONTRACTOR OR BUILDER / BY
Contractor's
License No.
Ca S 7 d4 .J C 3 /5 r1
Work to be performed under this Permit
Subdi- if •
vision • ‘--1 i.i
Address of �} ' Value of /f � Amount of4 Building L= ' �" r Project $ / �r�•'� 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 responsibili for a thorough knowledge . he ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the stateQ ents or specificitions and • : t he assumes respon-
sibility for work done by his agents, servants or employees.
INSPECTOR
with all ordinances and regulations
rities of Miami Shores Village. In as
AUTHORITY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING
ELECTRICAL ❑
Date — ' ~ 19 -:.'�
PLUMBING ❑ PERMIT i\Q 9811 Contractor's e ,•,
ROOFING ❑ License No.
Owner of
Building
Address of
Building
❑ Work to be performed under this Permit
Architect
Contractor
or Builder ► - c-- `' •
Legal Lox
1
Description � Bi
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 ha assumes respon-
sibility for work done by his agents, servants or employees. ■
J ' /
Signed ' G
. � " 4LIIS1ECTOR) BY
In consideration of the issuance to me of this permit I agr o perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawin /statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume res�pnsibility for all work do by either, myself, my agent, servant or employee.
//+ f it
r i
CONTRACTOR or BUILDER
1
Subdi-
vision
Sg Ft.
Value of 11 Amount of
Project $ -� 11 Permit $
BY AUTHORITY