432 NE 100 St (14)RESURFACE EXISTING POOL
Passed
( ( / ° <sPector
Comments
V
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
nspection Number: INSP -8 921 Permit Number: BPP -2-06 -307
Inspection Date: 04/18/2006
Inspector: Grande, Claudio
Owner: STRUSE, CHARLES AND SORAYA
Job Address: 432 100 Street N
Miami Shores Village, FL
Project: <NONE>
Contractor: ALL FLORIDA POOLS AND SPA CENTER
Building Department Comments
Monday, April 17, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Type: Pools/Whirlpools /Hot Tubs
Inspection Type: Final
Work Classification: Repair
Block:
Phone Number (305)756 -1030
Parcel Number 1132060170370
Lot:
Phone: 305- 893 -4036
Page 2 of 2
Issue Date: 2/8/2006
Owner's Name: CHARLES AND SORAYA STRUSE
Permit Type: Pools/Whirlpools /Hot Tubs
Work Classification: Repair
Job Address: 432 100 Street
Comments:
RESURFACE EXISTING POOL
Additional Information
Miami Shores Village, FL
Building Department File Copy
Applicant Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 02/06/2007
Contractor(s)
ALL FLORIDA POOLS
Phone
(305)893 -4036
Primary Contractor
Yes
Type of Work: Swimming Pool
Additional Info: RESURFACE
Classification: Residential
Occupancy: Private
Bond Return :
In consideration of the issuance to me of this permit, I agree 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, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work
stated.
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: BPP -2 -06 -307
Phone: (305)756 -1030
1132060170370
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 4,000.00
Required Inspections
Final
Fees Due
CCF
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$2.40
$0.80
$120.00
$3.00
$3.00
$129.20
Invoice Number
BPP - 2 - 06 - 23783
Total:
Amt Due
$129.20
Amt Paid
S "`
FEB 1 s pm) � `b U ` dv
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
,Miami Shores Village
,0 : ED At I q 1 Building Department
_ Q`1 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax : 6.8972
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical
Contractor's Address \ <1 ao I�
City State
Qualifier T q �N�r✓
Architect/Engineer's Name (if applicable)
Total Fee Now Due $
(Continued on opposite side)
Ft COVE
Q Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) So a S�-oL1 e Phone # 3o J5 7S(o / 080
Owner's Address 4 31 I O B f S .f-reef
City t 1 Q I')'1( 3) 6 reS State c` Zip 33/3?
Tenant/Lessee Name Phone #
Job Address (where the work is being done) L..\3_ 1,q3
City Miami Shores Village County Miami -Dade Zip ;b68
Is Building Historically Designated YES NO V
--- ( -726 )4-12- — ill- 4.
Contractor's Company Name ( 4 _ VVOrk.A0 p PC Phone # 585 — 40M.
Zip .55cA/
Phone #
$ Value of Work For this Permit 9O0'0 Square Footage Of Work:
Type of Work: ❑ dition . ❑Alteration ❑New [ ' Re air/Re lace
p p ❑Demolition
Describe Work: 5dt.(a e Q CY , IJIN CLL., U.A4 ' 4
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ /20 ' - CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Permit No. &P -7:) ° (° 3 c 5 1
ster Permit No.
Bonding Company's Name (if applicable) •�
Bonding Company's Address
City State Zip
,
Mortgage Lender's Name (if applicable) A/ 7 - "s
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is .issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
NOTARY PUB
Sign:
Print:
My Commiss
APPLICATION APPROVED BY:
Chc 12/15/03
or Agent
me or who has produced
s identific •.:_:.:,: who did take an oath.
ar4 TE of
Signature
, PUBLIC:
PUB(�� � G d 5•�� Sign:
4 4'., e,.
%5 Print'
Q .
Contractor
The fore oing instrument was acknowledged before me this a The foregoing instrument was acknowledged before me this 3
day of Ve6 20 dc. , by Jot pt tG SA'a+52 , day of }e..S , 200. , by — DA,no Q.0 %)c,...
V who i personally known to a or who has produced
as identificatio
Co o s res:
'd take an oath.
0 00 1 0 1
a r47 E OF
***************************************************************************** * * * * * * * * * * * * * ** * * * * * * * * * * * ** * **
(Certificate of Competency Holder)
State Certificate or Registration No. 0)'`A-k Certificate of Competency No.
************************************************* * * * * * * * * * * ** * * * * * * * * * * * * * * * * * ** * * * * * ** * * * * * ** * * * * ** * * * * * **
6
6
Plans Examiner
Engineer
Zoning
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
TAX FOLIO NO.
PERMIT NO.
STATE OF FLORIDA
COUNTY OF DADE
THE UNDERSIGNED hereby gives notice that improvements will be made to
certain real property, and in accordance with Chapter 713, Florida Statutes,
the following information is provided in this Notice of Commencement:
Description of improvement:
Interest in property:
Name and address of fee simple titleholder:
4. Co' S cto a address:
5. Surety: (Payment bond required by owner from contractgrot, arlx ,., tr � e ,;,
Name and address:
Amount of bond: $
6. Lender's name and address:
Sign ure of
Print Owner's Na
Sworn to and s
Notary Publ
Print Nota
My Corn
description -of property And street address:
r cite cJ
6\C- eaUup
.v; NES ' m h.e. ^;ti ?rid vi':.
c. R v
date in spec fed)t�jp
..vue � Jam
1
t,
me his a- day of PD, 20 oSo
CFN r2OO6R� - E y. _u t'
_' 24244 P1544; U R 9)
RECORDED 02/16/2006 10:36:05
HARVEY RUVIN' CLERK. OF COURT
MIAMI -DADE COUNTY? FLORID
LAST PAGE
y of
gat.
dui! ane County Cori: is
r n
11111111111 ,111111911111111 y
s
7. Persons within the State of Florida designated by Owner upon whom notices or er documents may be served as
provided by Section 713.13 (1) (a) 7., Florida Statutes:
Name and address: _ _
Nil--
8. In addition to himself, Owner designates the following person (s) to receive a copy of the Lienor's Notice as
provided in Section 713. 13 (1) (b) 7., Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a
differe
Prepared by: � 1)144v
Address: 11 ao e» b
Awl
NOV. -05 11:44AM FROM- GUARANTY TRUST &TITLE
Conc.
8,1Q
TIe Pont Deck
�.. �
.. .
• • •
• ... ,
IS11 -035
We o-as
INC.
Land Surveying Services
Fait CMJCK STROUSE AND SCR"; STROUSE
Pm ADR 432 NE 100 STREEMIAMI. F1�33138 _
B
FN0.1.P.1R'
(NO 109 1 MOO'
CD
735'
0
Q 13.15'
5200 NWT/ /MET, 3017E 11111,
1111111 Ft 33122
pupa; (305) 512 -4225
FAX (305) 517 -1914
Wit 7 AND 8
natioO _ 15 _per
NE 100 S7 `T
75.00' To RIW
32.60
37' A2p1aIt
14' POTkwray
100.00'
ONE STORY CBS
RESIDENCE # 432
20.94'
13715
�• 1 pU
--.1[I' Asphalt-- \ 15' ALLEY
7MTSPRO W7Yre 9.13E TAN Mai wAYFRoKTifE i4waaa RRr.A.
SURVEYOR'S NOTES:
1.184 MK) OF THE PROPERTY 2,KNVN reREON S IN ACOORDANG THE
(P1icN FURNf5F+1To BY maw,
1 U74.ESS A COMPARs ON IS 9r1O1M . Ni. REARING, ANGLES Ak0 DOATA},CES SWAN
ARE THE SAME AS PLAT VA ,L1E3
x1 THE LANDS SkOft HEREON MAE NDT ABSTPACTCD FOR EA8EMENTs oR OTHER
RECORDED ehr UMBERANCE NoTs∎aV OkTTte NAT P TgE
NOT BE &NOM ON THE $KETCrt
a! INCERGRAMO PORTIONS OF FOOTIN3S, FUTNATIDNS OR DTrIER IMFROW.MEN"
LOT 7
15.90'
+9549209759
15.90'
.. . .1 ...O....* ..1111
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16,90'
•
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T - 662 P.01 /01 F -547
_ 1210'
12.10'
•
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2
I CO
m
0.35'0
GERM= TQ
CHuGC STROUSE APID SORAYA STROME.
WELLS FARGO BANK, NA ITS SUCCESSORS AND/OR
ASSlc3NS AS THEIR INTEREST MAY APPEAR.
GUARANTY TRUST a TITLE, INC .
ATTcRNEI'S 11TLE INSURANCE FUND, INC.
ABAREWATIONSr
W. Smfmaac Caste r..�11 xnt car' cu,.. Id* Pent,
®6
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STATE OF FLORIDA L 1 ODONT4
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• ••
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OWNER'S NAME
L,,eoe.c.t L. M ate*
PRESENTiADDRESS
4 32 N.E • l
LICENSE NO.
PHONE NO,
JOB LOCATION IST. OR AVE.)
43Z IJ - i. • l 41 .
LOT
1 * s
BLOCK
$q
SUBDIVISION
H. t�.,.... . 9.0,-es J. 4
GENERAL CONTRACTOR
ADDRESS
/ra H r .
LICENSE NO.
BUILDING PERMIT NO. /C:Fd
DATE 6 1/ - `7
PERMIT FEE $ . 41, ` ` '
BUILDER'S BOND
NO. v DATE
ZONE REQUIREMENTS CU. FT.
<SC.>..7% I ..,,T p.....--(
PLAN CUBE CU. FT.
Z cb
EST. COSTS 3
n
DRAW NGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: ' .� ` i . 6'L
•. DATE
e- 1- G?
NEW CONSTRUCTION
TYPE
1 STORIES
ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
REPAIRS
DESCRIPTION
��33 1 - �
7 t. n • T� c.c� �rr� rrs t rcy fae7c� ` -
ALTERATION
d J I DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTFD TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. i1"" /7,L� ISSUED
BY
I TO 4 e ,or 9 6 L . Iy &a-c _
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
•' DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
I
$
ROOF
TEMPORARY SERVICE
$
BEAMS & LINTELS
$
$
POOL
c
$
FRAMING
H. W. HEATER CONN
AIR COND.
MOTORS
FINAL
$
FIXTURES
CLEAN UP
SEPTIC TANK
$
SLAB
S
SOLAR HEATER
SLAB
FIXTURES & FINAL
TEMPORARY SERVICE
I
$
SEPTIC TANK
$
SEWER
I
$
SOLAR HEATER
TEMPORARY SERVICE
$
GAS
$
$
I Pow,/ p /`+err Fi tnG - 1
c
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
DATE
FEE
TEMPORARY SERVICE
$
TUB & TOP OUT
$
RANGE CONN.
H. W. HEATER CONN
SEWER
MOTORS
$
FIXTURES
SEPTIC TANK
$
S
SOLAR HEATER
FIXTURES & FINAL
FIXTURES
GAS
CONTRACTOR ./ • 1-1 _ Gr Q_& . H A r,.& 4 t• -
PHONE
p
PERMIT NO. 1 1 1 DATE
FEE $ Z' -
T _H_(... 7
NEW BLDG. I ALTERATION ADDITION ✓
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
H. W. HEATER CONN
$
MOTORS
$
FIXTURES
$
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGH ING
H. W. HEATER CONN
RANGE CONN
FIXTURES & FINAL
BUILDING INSPECTIONS
CONTRACTOR t, t PRn e
P .r�r� �/' rr r -
ql Z� I DATE 9 -a.-
NEW BLDG. 1 ALTERATION 1 ADDITION
PERMIT NO.
PLUMBING PERMITS & INSPECTIONS
SPECIALS PERMITS I PERMIT NO.
APPROVAL TO POWER CO. FOR SERVICE DATE
DATE
ELECTRICAL PERMITS & INSPECTIONS
PHONE
(-cam $
REPAIRS
BY
FEE
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 1755
Lot7 Rz 8 Block R9
Street Address 432 N. F 100 St
Approved use by occupancy
Remarks. 9048
Cost - 3,000
Miami Shores Village, Florida, 1 1 -17 -6 7
Owner, Agent or Tenant of Building George L. May
Subdivision
Swimming Ponl
This Certificate of Occupancy is issued to the above named Owner
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
Miami Shores Sect. #4
ILDING DIVISION
Date 2- // 7
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.
Permit No
Owner's Name and Address .Ma.y 1 .s _Residence No 432 Street....N...E......100-th—St...-
Registered Architect and/or Engineer
Employing Electrician's Name J.. .H.. .GRE.SliA.M, ..INC.. No 3523 Street. N...lit... 7th
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No
State work to be performed and purpose of building (By Floors) Swimming. Rao'. installat.i.on..
New Building Remodeling Addition Repairs No. of Stories
Oer
Service vhead d Site Feeders Conduit Main Sw Amps Main Fuses
Undergroun
Type of Installation—Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
ELECTRICAL INSPECTION DEPARTMENT
9 /5-.2 APPLICATION FOR ELECTRICAL PERMIT
65.
MIAMI SHORES VILLAGE
Before me, the undersigned authority, a notary public, duly authori
appeared
432 Street 1.0.0.t.h..S.t..
(Signed)
(Signed)
Electrical Inspector.
The undersigad applicant for this building permit does hereby certify that he understands and acc s his obligations as an employer of
labor under the Florida Workmen's Compensation A0, 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 subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for i ection 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.co rac ors, on work to be perforn d un r this permit, as are
licensed by Miami Shores Village.
Master Electrician.
to administer oaths and take acknowledgments, personally
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 yvdrkmanship.
0
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE•P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTA) 4
.5
1
CONTR.
LIST
/
/
/
t
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1-5 HP
NEON
TRANS.
\ -
RADIO
0
TOTAL
CONTR.
LIST
CHECK
Date 2- // 7
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.
Permit No
Owner's Name and Address .Ma.y 1 .s _Residence No 432 Street....N...E......100-th—St...-
Registered Architect and/or Engineer
Employing Electrician's Name J.. .H.. .GRE.SliA.M, ..INC.. No 3523 Street. N...lit... 7th
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No
State work to be performed and purpose of building (By Floors) Swimming. Rao'. installat.i.on..
New Building Remodeling Addition Repairs No. of Stories
Oer
Service vhead d Site Feeders Conduit Main Sw Amps Main Fuses
Undergroun
Type of Installation—Conduit Tubing B.X.L Metal Moulding
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
ELECTRICAL INSPECTION DEPARTMENT
9 /5-.2 APPLICATION FOR ELECTRICAL PERMIT
65.
MIAMI SHORES VILLAGE
Before me, the undersigned authority, a notary public, duly authori
appeared
432 Street 1.0.0.t.h..S.t..
(Signed)
(Signed)
Electrical Inspector.
The undersigad applicant for this building permit does hereby certify that he understands and acc s his obligations as an employer of
labor under the Florida Workmen's Compensation A0, 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 subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for i ection 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.co rac ors, on work to be perforn d un r this permit, as are
licensed by Miami Shores Village.
Master Electrician.
to administer oaths and take acknowledgments, personally
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 yvdrkmanship.
0
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 1755
Cost - 3,000
Miami Shores Village, Florida, 11
Owner, Agent or Tenant of Building George L. May
Lot? & 8 Block 8 9 Subdivision Miami Shores Sect. #4
Street Address 432 N. E. 100 St
Approved use by occupancy Swimming Pool
Remarks. 9048
This Certificate of Occupcmcy is issued to the above named Owne r
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
Permit No.
Application iE hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Div`sion
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.
cf-3z _ iv- c . ioo ' r l
Owner's Name and Address_ - - -_ 21i+'C. Q, _
Registered Architect and /or Engineer _ _W L K.
Employing Plumber's Name _.__ -- CO r I _ . No.. _ -_ � O N I `+ S l ' .
K`��i QQ - - -- � I __ - _ - - -- street. -- - - -- -- - - -- -- - -- -
Location and Legal Description Lot____ _ . 0 . i 1 _ d ._ __ - - - -._ B l o c h - - _ _ _ _ _ _ Subdivision-._ .____ ... _.____ _ _ - -__
Street and Number where work is to be performed —No 4 - Ai - E---___(ZQ - _ Qtreet_
- -- - -- - -- -- State work to be performedi and purpose of building (By Floors). _ _ 5 w ! -!vN_ re..i ,evc. _ _OC) 1 . ..5?,.. y> I
New Building Remodeling_-__ ___ -_.._ __ -_ -. Addition_--_ - - - - - - - - - - - - - -R e p a i r s . __. _.. _ _ . -. No. of Stories _ _. . __
Size Septic Tank__ _ _ --
Feet of Drain Tile _ -_ --
Nature of Water Supply: City—Well.
Amount of Permit $
S
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_Mist. Feet of Tank or Drain Field from Well_
_ __ _ Size of Soakage Pit
(Signed)- •_
Date - - - 7
. Capacity Gals.
Ph:mbing In:pecto.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o' : dons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Peri I nt Supplement, 'nd 1 a, :vm-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin: 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 no•ices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo: -, ed under this per nit, as are
licensed by Miami Shores Village.
(Signed)-- -. 7 ) V CM
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledguents, personall 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 , acts
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 by improper notice for inspection, or faulty
materials and /or workmanship.
CLOB6TS
BATH
TUBS
SHOWERS
LAVA-
TORIES
INK
SINKS
SLOP
SINKS
LAUNDRY
TUBS
RINALS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
F %TURES
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL.
SPRKLR.
SYSTEM
SWIM'G
POOL
CONTR.
LIST
CHECK
--
-
-
-
Permit No.
Application iE hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng 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 th Building Div`sion
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.
cf-3z _ iv- c . ioo ' r l
Owner's Name and Address_ - - -_ 21i+'C. Q, _
Registered Architect and /or Engineer _ _W L K.
Employing Plumber's Name _.__ -- CO r I _ . No.. _ -_ � O N I `+ S l ' .
K`��i QQ - - -- � I __ - _ - - -- street. -- - - -- -- - - -- -- - -- -
Location and Legal Description Lot____ _ . 0 . i 1 _ d ._ __ - - - -._ B l o c h - - _ _ _ _ _ _ Subdivision-._ .____ ... _.____ _ _ - -__
Street and Number where work is to be performed —No 4 - Ai - E---___(ZQ - _ Qtreet_
- -- - -- - -- -- State work to be performedi and purpose of building (By Floors). _ _ 5 w ! -!vN_ re..i ,evc. _ _OC) 1 . ..5?,.. y> I
New Building Remodeling_-__ ___ -_.._ __ -_ -. Addition_--_ - - - - - - - - - - - - - -R e p a i r s . __. _.. _ _ . -. No. of Stories _ _. . __
Size Septic Tank__ _ _ --
Feet of Drain Tile _ -_ --
Nature of Water Supply: City—Well.
Amount of Permit $
S
STATE OF FLORIDA,
COUNTY OF DADE.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
_Mist. Feet of Tank or Drain Field from Well_
_ __ _ Size of Soakage Pit
(Signed)- •_
Date - - - 7
. Capacity Gals.
Ph:mbing In:pecto.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his o' : dons as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Peri I nt Supplement, 'nd 1 a, :vm-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin: 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 no•ices as are
required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be perfo: -, ed under this per nit, as are
licensed by Miami Shores Village.
(Signed)-- -. 7 ) V CM
Master Plumber.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledguents, personall 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 , acts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made by improper notice for inspection, or faulty
materials and /or workmanship.
PI O
-fa T`
Disapproved
(Signed)
Council Approved
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date ).' ,19
Owngr's Name and Address eo '+,'.2 L' No .__ 2 Street_:I1�L- -_.1
�^
Regi �7� eyed Architect and /or Engineer..__ _ __. '4jL} w
Name and address of licensed contractor 7:40. w. ___1N. S!.-C• 7 76 f 1 4/ ' 2 p'' fled
Location oa + n�d legal description of lot to be built on: �y � /. � (`
Lot .[ 2 g Block gr Subdivision. __ ./!2.e 1 j �l ..], ! Q &P•$ , Jac-
,3
Street and Number where work is to be done -4 '
A � / ! I 597-_-_-,. /
State work to be done and purpose of building (by floors)____ — . __C14ru__L__ e, c.5:6.1_/"1•4 -22z,2,t 12 L..
_. ._ and for no other purpose.
New Building /It Q Remodeling____ _0 Addition 1 d 0 Repairs !-.T.-0 No. of Stories.. No
To be constructed of ' 0/1/./" . & Kind Kind of foundation___.._�S�__C.t_! [_t_ Roof Covering a
Estimated Total cost of improvements $___s. 00 ®, Amount of Permit $ 2 to. ao
Zone cubage required _Plan Cubage_ _.
Distance to next nearest building__..___ � _4 , Building r
_. _. _ Size of Buildin Lot 0 8 X i _. t e t ° . 4 = 5 .
Maximum live load to be borne by each floor___ ....----
I hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may
be sent to _____ _
The undersigned applicant for this building permit doe•, 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, Pennanent 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 wor to be " rformed under this
permit, as are licensed by Miami Shores Village.
-- -- - - - -- (Signed) h t Q / . �'-
Remarks - - - -- ---- - - - - -- - - , f . g ed) _. � � - -- —�-- -- !ALA. ,
STATE OF FLORIDA, A ' � �
COUNTY OF DADE. i ss' 1 $ -� ' t f-01,
Before me, the undersigned authority, 9nbtar4 : 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.
Permit No ________ A Date____. $ ' 7/ -i ' Read, Sworn to and Subscribed before me.
Date_
Building spector
p enci( biv,
Pd =
Poo l, `coz. rniT ^I2
to me well known,
Notary Public, State of Florida
My Commission Expires_ _.__..___
PLANNING BOARD__ __ . _______
Chairman Member
Member Member
Member __._ . Member
_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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship. .
me oc7P;
m ��
BUILDING MIAMI SHORES VILLAGE, FLORIDA
Date
ELECTRICAL ❑
PLUMBING ❑ PERMIT N° 9048
ROOFING ❑
Owner of
Building
Address of
Building
CONTRACTOR or BUILDER
Architect
Contractor
or Builder
Legal Lat 7 11
Description 11 BI $ 9
Work to be performed under this Permit
f
Subdi-
vision ..e" 7
Sq Ft
Value of 3 p 0 0 J
Project $
Contractor's
License No.
BY AUTHORITY
// 196.;
L. 35 2.61
11 Amount of
Perniit $
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 •
In consideration of the issuance to me of this permit /I agree to perform the work covered ereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawi , ateme is or specifications +emitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all workdone by it m gagent, rvant or employee.
(INSPECTOR) BY
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL ❑
PLUMBING PERMIT N° 9129
ROOFING ❑
Owner of °7
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
•
CONTRACTOR or ALDER
41:f-
l I' r
11 Bi
Subdi-
vision
Sq. Ft.
Value of
Project
Date -1
Contractor's
License No.
r
BY AUTHORITY
19_2./
R 4r' f
Work to be performed under this Permit
II 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.
.,„.A 6 s� 1
4 _ ." ' d „ c.
Signed 1 J" , 4 �� s 4" . t a. r = (INSPECTOR) BY �* �' '
In consideration of the issuance to nle of `t ih s permiti agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plawf 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, my agent, servant or employee.
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL
PLUMBING o PERMIT N° 9152
ROOFING ❑
Owner of
Building
Address of
Building
.4'.
Architect
Contractor
or Builder ..:
Legal
Description B1
Contractor's
License No.
Work to be performed under this Permit
Subdi-
vision
Sq Ft.
Value of 11 Amount of �,...+.
Project $ 11 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.
� r
Signed — � (INSPECTOR) BY
In consideration of the issuance to me of this permit 1 ree to perform the work covered hereunder in compliance with all ordinances and regulation,
pertaining thereto and in strict conformity with the plans, dra ings, 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, my agent, servant or employee.
CONTRACTOR or BUILDER
BY AUTHORITY