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POOL. .. , , _ . O.WNER•S.BIAME °P .. • � anernaey Const. Co. no, PRESENT LOT a.... ADDRESS BLOCK LICENSE NO. SUBDIVISION "e'HONE NO. .. JOB LOCATION (ST. OI! AVE.) 1350 N.E. 101st St. GENERAL CONTRACTOR R.V. Guernsey ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. 1 4 6 3 1 n DATE 5 -7 -53 21.00 PERMIT FEE $ 21 BUILDER•S BOND NO. Limit DATE ZONE pEQUIREMENTS CU. FT. PLAN CUBE 30,E CU. FT. EST. COST S 16,500 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: DATE X NEW CONSTRUCTION TYPE /� CBS STORIES 1 ROOF CONSTRUCTION tile INTERIOR CONSTRUCTION and oak floors, pilaster DESCRIPTION a s and ceilings walls REPAIRS 12 bdrm -3 baths - living room - den - dining room-jttility or maid's room- kitchl DESCRIPTION garage ALTERATION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. /G) / q ISSUE • BY i� TOE �yo ' /' _ BUILDING PERMIT AND fNSPECTION RECORD -MIAMI SHORES VILLAGE n INSPECTIONS ' DATE BY RE- INSPECT BY RE -INSCT BY FOUNDATION 5 -//- 53 Q( DATE FEE TEMPORARY SERVICE I / � ✓�, BEAMS &LINTELS ' S"a'M -`- 1.1ryu(, dr - . . $ SEWER FRAMING l.,— /1 —c 4 - . 6 SOLAR HEATER S GAS S FINAL b'3 - ,- ('( • BY RE- INSPECT BY RE- INSPECT CLEAN -UP p ( (S . �; ^ v = � CONTRACTOR \c-) *\,� --, PHONE PERMIT NO. 14 Y1 � DATE S° / Q° . FEE S / d P 0- - • NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE I / � ✓�, +n - 1 - . $ SEPTIC TAN ,'" $ SEWER S SOLAR HEATER S GAS S $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING N' ro . . �; ^ v = � GAS C I - Ico'S � - SEWER / • - ) SEPTIC TANK SOLAR HEATER _. FIXTURES ',�"rd' „j"±,... pp t :,"'V ,o , „ A I ';?i,, %':',' .. / ; irk K' - a i c J( .: ,. r , CONTRACTOR i -!,, t - Eil =` '� A J PHONEQG \• -6-/ � �. � � � � d PERMIT NO. DATE FEES � � �� = - (T NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE I / � ✓�, +n - 1 - . H. W. HEATER CONN. $ RANGE CONN. S MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE N' ro . . �; ^ v = � ROUGHING C I - Ico'S � - H. W. HEATER CONN RANGE CONN FIXTURES & FINAL - _ , „ A I 6 r.'i DD BUILDING INSPfECTIONS PLUMBING PERMITS & INSPECTIONS ,ELECTRICAL PERMITS & INSPfECTIONS APPROVAL TO POWER CO FOR SERVICE DATE = 1 OWNER'S NAME Guernsey Const. Co. PRESENT ADDRESS LICENSE NO. 1 : , 4.10NE N(;). JOB LOCATION (ST. OR AVE.) Raymond Guernsey LOT 2 BLOCK 1 SUBDI SIGN MS .Bay Shore GENERAL CONTRACTOR 1350 N.E. 101st St* ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. 14693 DATE 5..20.63 [q .00 PERMIT FEES " BUILDER'S BOND NO. DATE ZONE P EQUIREMENTS CU. FT. 2000 TAX VALUE PLAN CUB CU. FT. EST. COST S DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: DATE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCR IPTION Swirmni.rig Pool ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED 'REFERRED TO COUNCIL REASONS RESUBMITTED TO PLANNING BOARD • SUBMITTED TO VILLAGE COUNCIL REMARKS //p \��� // CERTIFICATE OF OCCUPANCY NO. Q � /1 /may) i ISSUED / -� ,O k BY t f I X. �1, /; TO // �i ✓��JL�G —" • BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE • INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 'l DATE FEE TEMPORARY SERVICE $ BEAMS & LINTELS ( Z=' OG"� ;) $ $ SEWER FRAMING $ SOLAR HEATER $ $ GAS $ $ $ INSPECTIONS FINAL DATE BY RE- INSPECT BY RE- INSPECT BY CLEAN -UP • •i ROUGHING CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ $ SEPTIC TANK $ $ SEWER $ $ SOLAR HEATER $ $ GAS $ $ $ INSPECTIONS INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING ROUGHING GAS H. W. HEATER CONN SEWER RANGE CONN. SEPTIC TANK SOLAR HEATER. FIXTURES & FINAL, FIXTURES CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL, G1uD0'��':2C I ,:SPZCTLO;\∎S PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POW k'IR CO. FOR SERVICE DATE BY t RICAL ❑ PERMIT N? 14693 JMMBING ❑ JOFING Jwner of Building MIAMI SHORES VILLAGE, FLORIDA ❑ Work to be performed under this Permit Architect Contractor or Builder ['y • '� " Legal Lot II gf 1 Subdi- Description vision Address of Value of L Building ( + `� `�:; r , t Project $ ^.TOR OR BUILDER % DATE -5- r✓ ! f 195 Contractor's License No l Amt. of 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 application 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 responsibility for work done by his agents, servants or employees. Signed: "li,'Z__ BY - 4 1 ' :`•�+t 1 . INSP t TOR n considerate 'of the i an to crfe f this permit I agree to pe i'fet'm the work covered hereunder in compliance with all ordinances and regulations -ret9 i *UV onfoni)+y wjLtke plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. perm I assume responsibility for all work done by either, myself, my agent, servant or employee. / ff �t �,✓y Ft. BY AUTHORITY $ fJ Date 3/f3/� • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address /3J /yE !o/ Tax Folio No Legal Description Historically Designated: Yes / Tenant ✓a C o bs o.✓ Owner's Address /3522 Contracting C Qualifier Master Permit # 4/V3 /t Phone 757- 7.3,71, — Address 1 - _s'u/ / ��L� �•- SS# Phonc,R.r, evO State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company ///4 Address Mortgagor Address Permit Type (circle one): BUILD ELECTRICAL PLUMBING, MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION / QL ?G� V Square Ft. Estimated Cost (value) ac Z OD 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 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 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. OPCItIAL NOTAT' S — DAME • Notary as to O I f • It IMgdent i" a Notary My Commissi ISSION EXP. MAR 23,20,2 6.6 0111 A64,4;0,/ e of (}Ivner and/or Condo President Date Signa » f Contractor or Owner - Builder Date ®FeICIAL NOTARY SEAL DAVE A y> Not as to Contrac or orr6RitfiVAXIIMO. CC723 7n ate Y COMMISSION EXP. MAR. 2,92C:,%. ;l My Commission Ex r RADON C.C.F. NOTARY TOTAL DUE APPROVED: Zoning Building Mechanical Plumbing Engineering Electrical O 6S G N (35v n << /0/ Sr 6)4C CON ;2. /6 $ ' Pool h f 4-- L atcfi, o,v W �� tT 75( G9J/ ro eLsi110 7Z' 1-0 c,LT °, 67/s G*5 L o t o.TI arc - O 6SGN 13 n/< /d/ Sr . i2&zss X q 4 7 c ‘V or PooI h Ff '. R 1.6 c. c..fii o N Li 1 LIL' oto /1 Gp4K CoN PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / / 3O/ / Job Address / 50 / V e 10/ s! - Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant STEVE VV. . \/Iqca S 0 / v Master Permit # Owner's Address 050 / Y E G0/ `S`• Phone 30577 C o n t r a c t i n g Co.) 1 " , . k 1 2 ‘ . S v f - / _ G .__ Z / V c • A d d r e s s 8 /Y e a J ( / ( ` L 33/0 Qualifier SA L k ,r.o , 41 . 6_ ?` ' Phone SZ7' `� IM' C o m p e t e n c y i pip i ins. Co. /,reic G S' . & . State #bee ©d 0/ 42 Municipal # /G / 1 Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): UILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION i Sa/1G g./x.i6 If Pee9L Cd1/iWDNB Square Ft. ,g/ C .( 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 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 ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and < 1 work will be done in compliance with all applicable laws regulating .Qlstruction and zoning. Furthermore, I authorize the above -named ctor to do the .. ' stated. as to • - and/or Condo ' -:'dent My Commission Expires: FEES: PERMIT ` RADON Signature of o er d/or Condo President Date ate : Amory Lee Mason +� MY COMMISSION N CC546794 EXPIRES ' July 5, 2000 %fi nF is' BOflDED T RU TROY FAIN INSURANCE, INC. APPROVED: Zoning Building Mechanical Plumbing C.C.F. j ' NOTARY Address Address Address Estimated Cost (value) Signatur o r Contrac,r or n g Electrical 422 P iil.ler N9iary as to Con or or Owner - Builder Date My Commission Expires: OFRIYALMOTARY SEAL & p'% R AaOAlMTA MONIIEL 1 0 CommisSION NUMBER uan`r , Q CC797277 7:4 F1 jis MY DEC. � 200 3. BOND TOTAL DUE 1 "/ - ¢a Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date , / Job Address /3 S ° it C. /a/ St Tax Folio Legal Description Historically Designated: Yes No to / Tenant S' %TgGo /3$ 4rvt/ Master Permit # 0 /6 3 Owner's Address / 3 S D / e. / G/ C j Phone 25 ` 1 2 Contracting Co. (T M - Address Qualifier 3 / • r7-C /J State # Architect/Engineer Address Bonding Company Address Municipal # Mortgagor Address Permit Type (circle one): BUILDING � .L C LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /9 f 1 - .1 -c 't /°o A", /C'Gi, c R. SS# Phone IS 9 2 ' l — WO if Competency # f- g Ins. Co. Square Ft. Estimated Cost (value) I/ S • G a 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 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 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. Signature of owner and/or Condo Presiden Date Si a of ontractor or Owner- Builder D. to Notary as to Owner an. . Condo President Date Notary as to Contrtor or Owner- Builder • . My Commission E es: My Commisvi . eg,, ;, I o�R r. i ON y l FO F �� DEC. � s 17N FEES: PERMIT e'ORADON C.C.F. Do3asr NOTARY APPROVED: BOND %Date - TOTAL DUE Zoning Building Electrical '�% � j /Ftl?i) Mechanical Plumbing Structural Engineer ITEM BATH T1.E UNIT FEE ITEM SWITCH OUTLETS s a �• .M r UNIT FEE BICET LIGrfT fS /Poet 1.,6'' ' Ms DI,RASHER RECEPTACLES DISPOSAL SERVICE TEMPORARY Ms •• DRINKING FOUNTAIN SERVICE SIZE IN ALPS 1 �' FLOCK DRAIN SERVICE REPAIR/METER CHACE •s rs 1 GREASE TRAP APPLIANCE OUTLETS • •u r \ 1 .. \ . INTERCEPTOR RANGE TOP ns• !' 1 I 1 1. LAVATORY OVEN :1 .,1I1 • LAUNDRY TRAY WATER HEATER •• \� • \,s CLOTHES WASHER MOTORS 0- 1 H :� s• SHOWER MOTORS OVER 1- 3 FP SINK, POT/3 COMP. MOTORS OVER 3- 5 FP 7 n SINK. RESIDENCE MOTORS OVER 5- 8 FP • . o• 1 • \7a..: SINK. SLOP MDTCRS OVER 8- 10 1P TEMPORARY WATER CLOSET MOTORS OVER 10- 25 If •.. I r s . URINAL _ MOTORS OVER 25-100 FP WATER CLOSET MOTORS OVER 100 FP , 1 INDIRECT WASTES A/C WINDOW ►�• 1 WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PU POSE SWIMMING POOL • OUTLETS COU+IERCIAL WATER SERVICE • � - SIGN TUBES SEWER CONNECTIONS SIGN TRAFSF • UTILITY-SEWER SIGN TIME 1L0CX UTILITY -HATER FIXTI,.RES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS ORAINFIELO. '4' TILE/RES. VIOLATION' PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN ~� DISCH ARGE WELL DOMESTIC WELL AREA CHAIN ROOF INLET SOLAR WATER HEATER FIRE STANLWIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RA` METER SET (GAS) GAS PIPING • ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. Ir A MASTER PERMIT HAS B. 03TAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL