270 NE 100 St (2)Owner's Address
Contracting Co.
Signa
Da
'PROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date /// 99 Job Address 2 7e /`J6 lea S' Tax Folio
Legal Description
Owner / Lessee / Tenant 3)4 - Aite L gex)e
270 tie, ( O
/4 ,c oc / c
Qualifier
State # Municipal # Competency # /9 t Ins.Co. d -e -DP
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Re - '1'4' ' Ler /7e
Square Pt. Estimated Cost(value)
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. . I
a e the above -named contractor to do the work stated.
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nd /or Condo President
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My Commission Expires; ,,.; ;,, L'laralnF>;Eckardt >
Notary Public, Stake of Florida
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Mechanical Plumbing,
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TOTAL DUE
Other
Electrical
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NOTARY
Master Permit #
4Soo.00
37.2g4
—_ - -'
CLOSETS
BATH
TUBS
6NOW[R[
LAVA•
TORIES
SINKS
SLOP
•INKS
LAUNDRY
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URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N[
TOTAL
FIXTURE[
—..
COHTw.
L IST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
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SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
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1
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No / 2 0 2 . —.__.—
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 work.
Owner's Name and Address '(?n �'C C �R � . — No 5 —54.44 Street_ Z • 1 S.1 ,
Registered Architect and /or Engineer
Employing Plumber's Name T)tnt ± Pt-A.)
Blob
Subdivision.________. -.
Location and Legal Description Lot.
Street and Number where work is to be performed —No • Street.LZ.° . ):E.s. 1 O O .51_
State work to be performed and purpose of building (By Floors ) _ ____
New Building -- _........ - -•_ -- Remodeling —__ ._ -_ __ Addition
Size Septic Tank._ Type of T ■�� _ ----- - -_ - --
Feet of Drain Tile Dirt- Feet of Tank or Drain Field from Well
Nature of Water Supply: City —Well. Size of Soakage Pit.
Amount of Pemnit =
(Signed)__1 :4_,L o'
(Signed)
Repairs No. of Stories
Capacity Gals. - ° __ - .
Plum . Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o tions u an employer of labor
under the Florida Workmen's Compensation Act, being Section 8988, Compiled General Laws of Florida Pe , anent Supplement, and has com-
plied 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shares Village.
STATE OF FLORIDA, t w.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared
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 be has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
M Commission Espy Notary Public, State of Florida
NOTE: A re- inspection fee of 81.00 will be mods whoa gook rolasp•otfaa 1s u ds•n•eessery by bupu y er nonce for inspection, as faulty
materials and /or workmanship.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Permit No.._... 7 7 Date
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re inspection fee of 51.00 will be charged
materials and /or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby uinde 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.
nn Date.. �.� -•- _. _ ._._....._ . ..._._ _..._.... ,19.75
Owner's Name and Address .PORTLIZ...... No Street
Registered Architect and /or Engineer. . LU. :.G ..Qt .0)4
Name and address of licensed contractor CAM LI.t11.1i eax.s .6 1•- ••S- Ld-1•••••.21 -• ILZ.6
Location and legal description of lot to be built on:
Lot.. 3f Block 33 Subdivision... EcT �-
Street and Number where work is to be done.270 _ • _L0DI1I ST
State work to be done and purpose of building (by floors) r _
CO N-r 1 UcT SithAl mi &. P.�aos�_ _ /S y..3
Disapproved Date .._..__ _ r
(Signed)
Building Inspector
Chairman
Member
Member ...... _ - - - ...._.......
Council Approved Date
2
0 0
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
Crlt?.t TI
and or no
other purpose.
T
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation.. Roof Covering ry Q
Estimated Total cost of improvements $.. 7,..iP Amount of Permit S ... t� ` `�
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot. /00 Q.
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...CR1 L) fl PO ()LC kg/ S W I / rag
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 performed under this
pennit, 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. 70
PLANING BOARD DATE
Member
Member
Member
Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, Florida
Gentlemen:
Sincerely,
?7 1 x .
Raymond M. Hooper
6821 S.W. 81st TERRACE
POOLS, INC.
TRUSTED NAME IN SWIMMING POOL CONSTRUCTION SINCE 1961
May 14, 1975
This letter will authorize Mr. Richard G. Jones to apply for and
pick up permits for the Fearson's residence, 270 N.E. 100 Street.
MIAMI FLORIDA 33143
Date AV 1 4 1 / G /7
Metropolitan Dade County
Building and Zoning Department
Attention: Building Official
SWIMMING POOL OWNERS CERTIFICATION
I certify that I am the legal owner of the property described as t 3 v-
Otk 4 /E0TEo /Ur /i�N// � 1y0/LCj` >�� / , located at Z24 416 /4
f,//MI 51/17/
In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I
understand and agree that the swimming pool to be constructed at the above address cannot be
used or filled with water until a separate permit has been obtained for an approved safety bar-
rier, and such barrier erected, inspected and approved.
I further understand that this certification, however, does not eliminate the need for ob-
taining a permit and erecting an approved barrier prior to final inspection and use of the pool.
Note: This certification is to be submitted with a swimming pool permit application in duplicate.
123.03-92
Legal Owner
Date "ft 1-/ d 75
Metropolitan Dade County
Building and Zoning Department
Attention: Building Official
SWIMMING POOL OWNER'S CERTIFICATION
I certify that I am the legal owner of the property described as Lo r5 3 1
/4/7611;ep /Mr IMO Maej 5E6 / , located at 2 X7 0 N /aa 5 1 7
ii/ A/1/ J /fo,6e S
In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I
understand and agree that the swimming pool to be constructed at the above address cannot be
used or filled with water until a separate permit has been obtained for an approved safety bar-
rier, and such barrier erected, inspected and approved.
I further understand that this certification, however, does not eliminate the need for ob-
taining a permit and erecting an approved barrier prior to final inspection and use of the pool.
Note: This certification is to be submitted with a swimming pool permit application in duplicate.
123.03-92
Legal Owner
Permit No 1 75-5
STATE OF FLORIDA,
u.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
Date Si 22,17
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 work.
Owner's Name and Address_..- a TeZ Oeig-S . . No.?, 0 Street_ Z1/ 09° 7. _.577
Registered Architect and /or W
n gi n - -- AI ' Go,f.'/V4 1
� 7 L /4/4 /I P GS -1 /V' N o, l ?g ..e...,,...a,.,,..,.: BtteeL.W. $ ,1...1-45- t .
"
Employing Plumber's Name �j '"
Location and Legal Description Lot. q 7 `t Block `3 SubdivWon. /d4Z/ � ,
Street and Number where work is to be performed —No -I-7 O Street_ N� / 00 7 /f �. - -
State work to be performed and purpose of building (By Floors)_.__ ___— A5
New Building - Remodeling_____ _ ._ Addition...____ -_ Repairs No. of Stories
Capacity Gab.
Size Septic Tank .--------- - - - - -- — - - -- - T ype of Tank_
Feet of Drain Tile._ _ -- -- -Dist. Feet of Tank or Drain Field from Well. .._---- ... - - -- --_
Nature of Water Supply: City — Well• __— _------------- - - - - -- --Size of Soakage Pit
Amount of Permit $ ✓� (Signed)_ (- i l
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli + hone as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perinan Supplement, and has com-
plied 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Plumbin
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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 fads
therein by hire stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of *1.00 will be made wheel ouch re- hurpeetfoo is made'nsoessary by hnproper notice for inspection, or faulty
materials and /or workmanship.
CLosrT [
BATH
Tues
SHOWERS
LAVA•
TORIES
SINK•
SLOP
SINKS
LAUNDRY
'rues
URINAL[
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT'N•
TOTAL
FIJ<TURIS
CONTR.
LIST
CHICK
SEPTIC
TANK
SLWLR
CONN.
DRAIN
FIELD
SOAKAOL
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WILL
SPRKLR.
S
SWIM'O
POOL
Co. arrR
LIST
<6'67c)
CHICK
Permit No 1 75-5
STATE OF FLORIDA,
u.
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)
Date Si 22,17
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 work.
Owner's Name and Address_..- a TeZ Oeig-S . . No.?, 0 Street_ Z1/ 09° 7. _.577
Registered Architect and /or W
n gi n - -- AI ' Go,f.'/V4 1
� 7 L /4/4 /I P GS -1 /V' N o, l ?g ..e...,,...a,.,,..,.: BtteeL.W. $ ,1...1-45- t .
"
Employing Plumber's Name �j '"
Location and Legal Description Lot. q 7 `t Block `3 SubdivWon. /d4Z/ � ,
Street and Number where work is to be performed —No -I-7 O Street_ N� / 00 7 /f �. - -
State work to be performed and purpose of building (By Floors)_.__ ___— A5
New Building - Remodeling_____ _ ._ Addition...____ -_ Repairs No. of Stories
Capacity Gab.
Size Septic Tank .--------- - - - - -- — - - -- - T ype of Tank_
Feet of Drain Tile._ _ -- -- -Dist. Feet of Tank or Drain Field from Well. .._---- ... - - -- --_
Nature of Water Supply: City — Well• __— _------------- - - - - -- --Size of Soakage Pit
Amount of Permit $ ✓� (Signed)_ (- i l
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli + hone as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perinan Supplement, and has com-
plied 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Plumbin
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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 fads
therein by hire stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of *1.00 will be made wheel ouch re- hurpeetfoo is made'nsoessary by hnproper notice for inspection, or faulty
materials and /or workmanship.
7
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date..ISr . - 7 a
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oi other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flu:ida,
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 plane and specifications must be kept at
building during progress of work. �/
Owner's Name and Address //�� ✓SP k No 0 Street .. XLC.,......(.. 2D 5 .
Registered Architect and /or Engineer / ��J
Employing Electrician's Name Il V�1 I
e- � h1 G j l y, �,.N p�D I Street S "" , Tevr '
Location and Legal Description Lot J Block Subdivision
Street and Number where work is to be performed —No.. Street_ /V l O9
State work to be performed and purpose of building (By Floors)L I " 0 Cce' 1 ..4.° ..f..'.°.'.`.'.:' ..... cF / etvigo 44
Repairs No. of Stories 1
Amount of Permit $
New Building
Remodeling
MIAMI SHORES VILLAGE
Addition
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit y,,l" Tubing B.X.L .Metal Moulding
r
(Signed)
(Signed) . A
7El ectrical In . ctor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obtions u an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida ermanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contra ors 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.
Master Electrician.
STATE OP FLORIDA,
COUNTY OP DADE. 1 88.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUO
RECE'P'T'S
FIXTURES
NO. LAM•R
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
i
/
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
LIST
CHECK
7
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date..ISr . - 7 a
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oi other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flu:ida,
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 plane and specifications must be kept at
building during progress of work. �/
Owner's Name and Address //�� ✓SP k No 0 Street .. XLC.,......(.. 2D 5 .
Registered Architect and /or Engineer / ��J
Employing Electrician's Name Il V�1 I
e- � h1 G j l y, �,.N p�D I Street S "" , Tevr '
Location and Legal Description Lot J Block Subdivision
Street and Number where work is to be performed —No.. Street_ /V l O9
State work to be performed and purpose of building (By Floors)L I " 0 Cce' 1 ..4.° ..f..'.°.'.`.'.:' ..... cF / etvigo 44
Repairs No. of Stories 1
Amount of Permit $
New Building
Remodeling
MIAMI SHORES VILLAGE
Addition
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit y,,l" Tubing B.X.L .Metal Moulding
r
(Signed)
(Signed) . A
7El ectrical In . ctor.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obtions u an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida ermanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contra ors 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.
Master Electrician.
STATE OP FLORIDA,
COUNTY OP DADE. 1 88.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.