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70 NE 100 St (12)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address 9() /V Tax Folio Date Legal Description / Lessee / Tenant e z .07fr/ k7 r Owner's Address 7 / 1/ /vim �' e� 'o Sf rcS Phone Si - T 7U / Q - Contracting Co. / Address Qualifier SS# - - Phone State# Competency # Ins. Co. Architect /Engineer Bonding Company Mortgagor , 11/.0 Master Permit # 3 L 2 '7 3 Address Address Address A/C u= e Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION p , s- .// /v 6 -/0� ;.,q � �/ l,- S/6 ner zr-c c 4 S Gl 6 r C r . Square Ft. � 7() Si, Estimated Cost' s /7 7() 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 President Signature of Contractor or Owner- Builder Date: Date: Notary as to Owner and /or Condo President Notary as to Contractor or Owner- Builder My Commission Expires: My Commission Expires: * . * . * * * * PERMIT FEE: APPROVED: Fire Other Wi 4 1) Zoning Building 5 Electrical Mechanical Plumbing Engineering E +40.4 \ " / p�— I6.) �C op�� l f .iv 1 THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT VARIANCE(S) LISTED IN "REMARKS" MIAMI SORES BUILDING AA!D ZONING UNLESS SPECIFICALLY LISTED BELOW. AND cow ay LAWS MUST BE COMPLIED Aut`~ori'ed Sgnature Date • WITH NO VARIANCES ❑ WITH NO OTHER DEVIATION :S FROM THE ORDINANCES WILL BE PERMITTED, ALL OTHER APPLICABLE STATE WOEH BY ALL PARTIES. FIRE .DEPARTMENT PUBLIC WORKS POLICE DEPARTMENT BUILDING DIRECTOR PLANNING & ZONE:G GOP : ; VILLAGE COUNCIL APPROVAL PRELIMINARY: FINAL: REMARKS: COMPLIANCE WITH THE SOUTH FLORIDA BUIL DI: :G CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQU::',_J.. ,, yE ARCI+ITE•"T, BUILDER & SUB CONTRACTORS ARE ro , ..':s ,. , :: • •: 0 " r nc 9?ir'_. ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. 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. Owner's Name and Address._ 7./�4f'T2aror. liae..`Yf e,S Registered Architect and /or Engineer J - Name and address of licensed contractor e� CC_!'' 4 ° l.`__ . _..._.___ -/ 1 y eQ • At C t - .ael7 � 6p/° Location and legal description of lot to be built on: l Lot Block Subdivision !, Street and Number where work is to be done ! 0 //6 /G � � , P e I State work to be oneapd purpose of building (by floors) --- __ -_!(. � C- f. y ' ' tZ ;4.../. d /) z �/c , e2 C /far . Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building. Maximum live load to be borne by each floor STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved (Signed) " Building Inspec r Date No 7' 44- street 0 .__.l Amount of Permit $ .Plan Cubage Size of Building Lot ,19.-< and for no other purpose. New Building Remodeling C Addition Repairs I'v No. of Stories / To be constructed of Kind of foundation Roof Covering /.0G2 °—° 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 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 permit, 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 tru Permit No � ` ✓ Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires LANNING BOARD DATE Chairman 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 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. • JOB: BUILDING • • • • Inspector's Report: L-� • • • ELECTRICAL : WORK PLUMBING : DONE BY: r r l‘ ' .. i' • • : REQUESTED • • • • The following is ready for Inspection: AD : -4 >1 WILL BE READY JOB: BUILDING : ELECTRICAL : PLUMBING : Inspector's Report : • • • • AD: WORK DONE BY: :REQUESTED • • The following is ready for Inspection: - if r X E / d o 4 WILL BE READY �o'� Z 3 e aye/ e, FHA Form No. 2005 • • No. (To be Inserted by FHA) £robiteott d Job DESCRIPTION OF MATERIALS _ ____ FEDERAL HOUSING ADMINISTRATION Property address LOSS 4 & oY 8 .1 dock 9 Cit t ah•ros State lorita R.]�e3�1 Village Mortgagor or Sponsor This exhibit will be accepted in lieu of specifications with Title I, Class 3 "Application for Property Approval," or with "Mortgagee's Application for Insurance" or "Application for Conditional Commitment" under Title II, Section 203. The use of this exhibit, executed in a clear and complete manner, enables the insuring office to give full credit for the material used, and facilitates processing of the application. Suggestions. —Fill out completely all spaces in the outline description below. Draw a line through all state- ments which do not apply. Place an "X" in the square opposite the description of the material to be used. If the space provided is insufficient, write "See Misc." therein and insert complete description under 27. MISCELLANEOUS. If existing construction, leave all spaces blank and describe repairs or alterations under 27. MISCELLANEOUS. Foundation walls: Piers or columns: Waterproofing: Basement floor slab: Areaway walls: 3. CHIMNEYS: Flues: No., Miami Shores 5. EXTERIOR WALLS: Solid masonry: Facing, Waterproofing: 0 Wood frame construction: 6. FLOOR FRAMING: emeeele [I Proposed construction. [] Under construction. 0 Alterations or repairs. General. —All construction shall equal or exceed the FHA Minimum Construction Requirements, local building codes, zoning ordinances, and restrictive covenants. The materials described herein shall be new and the best of the grade or quality stated. Erection, application, or installation shall be in accordance with the manufacturer's direc- tions or the best standard practice and shall be done in a workmanlike manner. For final approval, all buildings must be complete and ready for occupancy, connections with utilities completed, and with all equipment installed in operating condition. 1. EXCAVATION: Minimum depth below finished grade, 4" Type of bearing soil, rook and caul 2. FOUNDATIONS: Concrete: Mix -1 part cement, 2 ____ parts sand, - -__ 4 parts gravel or stone. ❑ Transit mixed. E �Ma Machine mixed. , ed. ❑ Hand mi y� n. "b en lads Wall footings: Width, ; thickness, (� reinforcing, Pier or column footings: Size, " ""'=' ®YIOrO " X "; thickness, ; thickness, ""' "; veneer, woos. •iw.b• ;size, a X it Drainage: ; thickness, 4111.1111111111. ; thickness, Vents: + task oast ailment screened ;size, " X Studs: ; size, Sheathing: ; thickness, Building paper: ❑ Veneer: • bond, ❑ Wood siding: ; thickness, ❑ Shingle siding. ; size, ❑ Stucco: • lath, ❑ Other: Finish: ❑ Paint; ❑ stain. Coats, 1, ; size, " X " X "; lining, 4. FIREPLACE: ❑ Wood burning. ❑ Gas burning. ❑ Circulating heater. ❑ Imitation. Size opening, " X ". Size damper, " X " Size flues, " X n Fireplace lining: ; thickness, " Mantel: Facing: Hearth: Other: • it 04 ; backing, Furring: " (If wood): ❑ Hor.; ❑ Diag. ,• weight, # ; paint, "; width, "; weather, " X - -, "; weather, ; weight, #. n I Mfr. or formula, (1) 16 -14598 J • GIRDERS JOISTS BRIDGING Material Size Material Size Spacing Material Size '' F e i l rst floor Third floor +.... 1111,4•A �. s s ► aY. • n X© " X II n d n _n 1 .1 . • 1 n X ,. n X n e, FHA Form No. 2005 • • No. (To be Inserted by FHA) £robiteott d Job DESCRIPTION OF MATERIALS _ ____ FEDERAL HOUSING ADMINISTRATION Property address LOSS 4 & oY 8 .1 dock 9 Cit t ah•ros State lorita R.]�e3�1 Village Mortgagor or Sponsor This exhibit will be accepted in lieu of specifications with Title I, Class 3 "Application for Property Approval," or with "Mortgagee's Application for Insurance" or "Application for Conditional Commitment" under Title II, Section 203. The use of this exhibit, executed in a clear and complete manner, enables the insuring office to give full credit for the material used, and facilitates processing of the application. Suggestions. —Fill out completely all spaces in the outline description below. Draw a line through all state- ments which do not apply. Place an "X" in the square opposite the description of the material to be used. If the space provided is insufficient, write "See Misc." therein and insert complete description under 27. MISCELLANEOUS. If existing construction, leave all spaces blank and describe repairs or alterations under 27. MISCELLANEOUS. Foundation walls: Piers or columns: Waterproofing: Basement floor slab: Areaway walls: 3. CHIMNEYS: Flues: No., Miami Shores 5. EXTERIOR WALLS: Solid masonry: Facing, Waterproofing: 0 Wood frame construction: 6. FLOOR FRAMING: emeeele [I Proposed construction. [] Under construction. 0 Alterations or repairs. General. —All construction shall equal or exceed the FHA Minimum Construction Requirements, local building codes, zoning ordinances, and restrictive covenants. The materials described herein shall be new and the best of the grade or quality stated. Erection, application, or installation shall be in accordance with the manufacturer's direc- tions or the best standard practice and shall be done in a workmanlike manner. For final approval, all buildings must be complete and ready for occupancy, connections with utilities completed, and with all equipment installed in operating condition. 1. EXCAVATION: Minimum depth below finished grade, 4" Type of bearing soil, rook and caul 2. FOUNDATIONS: Concrete: Mix -1 part cement, 2 ____ parts sand, - -__ 4 parts gravel or stone. ❑ Transit mixed. E �Ma Machine mixed. , ed. ❑ Hand mi y� n. "b en lads Wall footings: Width, ; thickness, (� reinforcing, Pier or column footings: Size, " ""'=' ®YIOrO " X "; thickness, ; thickness, ""' "; veneer, woos. •iw.b• ;size, a X it Drainage: ; thickness, 4111.1111111111. ; thickness, Vents: + task oast ailment screened ;size, " X Studs: ; size, Sheathing: ; thickness, Building paper: ❑ Veneer: • bond, ❑ Wood siding: ; thickness, ❑ Shingle siding. ; size, ❑ Stucco: • lath, ❑ Other: Finish: ❑ Paint; ❑ stain. Coats, 1, ; size, " X " X "; lining, 4. FIREPLACE: ❑ Wood burning. ❑ Gas burning. ❑ Circulating heater. ❑ Imitation. Size opening, " X ". Size damper, " X " Size flues, " X n Fireplace lining: ; thickness, " Mantel: Facing: Hearth: Other: • it 04 ; backing, Furring: " (If wood): ❑ Hor.; ❑ Diag. ,• weight, # ; paint, "; width, "; weather, " X - -, "; weather, ; weight, #. n I Mfr. or formula, (1) 16 -14598 J • 7. SUBFLOORING: Material: r er 8. FINISH FLOORING: 9. PARTITION FRAMING: Studs: r'oce• 10. CEILING FRAMING: A Joists: 1.a4a�, ; size, " X "; to c., Bridging: j;® ; size, " X " spacing, 11. ROOF FRAMING: Rafters: _• •' •` ) • ; size s ° � " X 6 "' c. to c., rafters 4 Valley ������h -s ;siz " X Sheathing: V- !•-•- ; 1I solid; ❑ strip. Size, 1 ' X Special: 12. ROOFING: Roofing felt: ❑ Wood shingles: ❑ Asphalt shingles: ; type, ❑ Asbestos shingles: ; type, ❑ Slate: ; length, • Other: -- t°t ` ilt- - le.t Fitt in oeblGfllt 16. INTERIOR DOORS Type door: Trim: Casings, Finish: Special: 13. SHEET METAL WORK: Gutters: '""""" Drain: ❑ Splash blocks; Roof flashing: Valley flashing: 17. WINDOWS: a teee Sash material: sump; ❑ sewer. 0_21) et AND TRIM: i nc 1,4 net Twlied e C r + ( r Balances: ;size,_. "X ; weight, s (2) ;-- type, lfylt, QA� ; thickness, "� size, 2 " • " Diagonal ❑ Straight. "; glass, Wrs ti •' . b • ; weight, ; length, ; weight, #. ; laid, "; weather, # Downspouts: ; weight, #. ; weight, _ #. ; weight, #. 14. LATH AND PLASTER: Lath: 1 ell _COL ; size grounds, __.. " Plaster: /NM ___.. ; coats, t Mire ; fii ish, Other: 15. DECORATING: Walls: al a ;g .: 9, ►$ Ceilings: r'.1,2 ta; ° ) tr Kitchen: - ek.) 00P, 0 ' e wt1 Bath: Other finish: material, ; thickness, / 1 ; other, Screens: Basement windows: Special: 18. ENTRANCE AND EXTERIOR DE� 2f ` , -, 4 a Main entrance door and trim: n b 5 6 r aut coo ; r ; thickness Service door: ,� � ; thickness, _ 'w / 8 " Other exterior doors: ; thickness, °S " Hoods or canopies: Shutters: Cornice: Ornamental iron: Special: 16 -14878 n kit // Paper Flooring Grade Sire FINISH First floor Second floor Third floor " " X " X n " " ailti ,l '' ` " ' s ,� :. �� t 7. SUBFLOORING: Material: r er 8. FINISH FLOORING: 9. PARTITION FRAMING: Studs: r'oce• 10. CEILING FRAMING: A Joists: 1.a4a�, ; size, " X "; to c., Bridging: j;® ; size, " X " spacing, 11. ROOF FRAMING: Rafters: _• •' •` ) • ; size s ° � " X 6 "' c. to c., rafters 4 Valley ������h -s ;siz " X Sheathing: V- !•-•- ; 1I solid; ❑ strip. Size, 1 ' X Special: 12. ROOFING: Roofing felt: ❑ Wood shingles: ❑ Asphalt shingles: ; type, ❑ Asbestos shingles: ; type, ❑ Slate: ; length, • Other: -- t°t ` ilt- - le.t Fitt in oeblGfllt 16. INTERIOR DOORS Type door: Trim: Casings, Finish: Special: 13. SHEET METAL WORK: Gutters: '""""" Drain: ❑ Splash blocks; Roof flashing: Valley flashing: 17. WINDOWS: a teee Sash material: sump; ❑ sewer. 0_21) et AND TRIM: i nc 1,4 net Twlied e C r + ( r Balances: ;size,_. "X ; weight, s (2) ;-- type, lfylt, QA� ; thickness, "� size, 2 " • " Diagonal ❑ Straight. "; glass, Wrs ti •' . b • ; weight, ; length, ; weight, #. ; laid, "; weather, # Downspouts: ; weight, #. ; weight, _ #. ; weight, #. 14. LATH AND PLASTER: Lath: 1 ell _COL ; size grounds, __.. " Plaster: /NM ___.. ; coats, t Mire ; fii ish, Other: 15. DECORATING: Walls: al a ;g .: 9, ►$ Ceilings: r'.1,2 ta; ° ) tr Kitchen: - ek.) 00P, 0 ' e wt1 Bath: Other finish: material, ; thickness, / 1 ; other, Screens: Basement windows: Special: 18. ENTRANCE AND EXTERIOR DE� 2f ` , -, 4 a Main entrance door and trim: n b 5 6 r aut coo ; r ; thickness Service door: ,� � ; thickness, _ 'w / 8 " Other exterior doors: ; thickness, °S " Hoods or canopies: Shutters: Cornice: Ornamental iron: Special: 16 -14878 n kit // FIXTURES MANUFACTURER PLATE NUMBER NAME Kitchen sink $ toniard, Z'! I <s4 2 - - 20 ff nat - - -Z,, Bath tub It 2- % Y. -M it - 004,11 -Peaty e Shower: ❑ Stall; pith__ Lavatory it 2•* 4$- zc- l liediptw4 r Water closet it 214100 t Laundry trays • • • 19. CABINETS AND INTERIOR DETAIL: Kitchen cabinets: ate r4 tee 4• China cabinets: a.�••- Bookcases: er.0,r.1. Medicine cabinet: -Steel ; closet equipment, Ahe1„ f+ __‘__r _ w__. {,..p4)._ eok__ Special: 20. STAIRS: Basement: ❑ Open; ❑ closed; treads, ; rail, lst to 2d: ❑ Open; ❑ closed; treads, ; trim, ; rail, 2d to 3d: ❑ Open; ❑ closed; treads, ; trim, ; rail, Special: 21. SPECIAL FLOORS AND 'WAINSCOT: Bathroom: Floor, __MU ; wainscot, Kitchen: Floor, ____11 1$ __ a._ s ; wainscot, a , height,Amtrs Other: na-e-tiounterit--anik bask In kitchen 22. PLUMBING: ' Sewage disposal: ❑ Sewer; [peptic tank; ❑ cesspool. (Indicate private well, sewage disposal system on plot plan.) Water supply: ❑ Public main; ❑ private water system, Supply piping: ❑ Brass or copper pipe; ❑ copper tubing; ❑ steel; ❑ wrought iron. Waste piping: Soil pipe, ___ a -.- .__; waste pipe, �____; vents, _ _ .___ Domestic hot water: Storage, UN__ _ gals.; fuel, __*o r__t y'____; ❑ automatic; ❑ manual. " Special: 23. HEATING: ▪ Steam. ❑ Vapor. ❑ Hot water: ❑ 1 pipe; ❑ 2 pipe; ❑ gravity; ❑ forced. Boiler; make, model: ; capacity, Radiation: _ ; sq. ft. ❑ Hot air: ❑ Floor furnace; ❑ Wall furnace; ❑ pipeless; ❑ gravity; ❑ forced. Furnace; make and model: ; capacity, Fuel: ❑ Gas (burner, ); ❑ coal: ❑ manual, ❑ stoker ( ); ❑ wood; ❑ oil (burner, ) Control: ❑ Manual; ❑ automatic, ___ Fuel storage: ❑ Bin; ❑ tank (capacity, ) Built -in gas or electric heaters: Special: 24. ELECTRIC WIRING: [Conduit. ❑ B. X. ❑ Nonmetallic cable. ❑ Knob and tube. Switches: DoSpara __1-1 Outlets: double _r_eala "isle Power outlets: a Oil burner;' [range; ❑ water heater; ❑ 25. LIGHTING FIXTURES: Allowance, $ Special: 26. INSULATION: Walls: __saw ; thickness, ". Roof or ceiling: ; thickness, f/ Weather stripping: Doors, r`miii ; windows, ❑ Storm doors, +!•.a. ; ❑ Storm windows, 116 w011 ; rigCaulking, Special: 1 (3) 1e -14578 • • 27. MISCELLANEOUS (Describe any materials or features of construction not adequately covered in the drawings or elsewhere in this exhibit): `;, - s ykot ik - li-- 41 U 7411- 142 „ett, 28. PORCHES AND TERRACES: Porch: Foundation, ac;44(044* ; flooring, roof, -; railing, i7t Terrace: Foundation, Other: 29. GARAGE: Foundation: Walls: Doors: ; steps, ; surface, Akonovetfa- 14cl Drainage: ....._aritsega. Plumbing: 1...M. 30. WALKS AND DRIVES: Walks: tlet--aent ; thickness, 41. ADDENDA Date, (Contractor or Builder) U. 5. GOVERNMENT PRINTING OFFICE 10 • (4) Floor: 4j,tai 444144 ; thickness, z it Roof: c Finished rooms: 111/411Ailellit Heating: oru•sigew Electricity: 'A h Drives: thickness, 4 31. LANDSCAPING: Lawn: fl Sodded; seeded; D sprigged. Planting: Allowance, 4.1- (If extensive, include planting plan.) Walls: Fences: Date, (Mortgagor or Sponsor) • Village of Miami Shores JOB ADDRESS TO z' INSPECTION I C., /1 /4- TIME READY REMARKS G6440 )4, c ✓%I C� fG� .Z INSPECTOR N? 3908 DATE .iami Shores • 3649 • ?Al- e as /6)-c) ION - a'/ /`6� =LvIE READY REMARKS INSPECTOR DATE Village of Miami Shores JOB ► ra 5 ADDRESS 20 Ai• 67, /or, N° 3841 INSPECTION te,IC 77 4 TIME READY REMARKS INSPECTOR DATE 3 - O- .(-6" MIAMI SHORES VILLAGE. FLORIDA BUILDING DATE _¢ 195�-- ELECTRICAL ❑ PERMIT RM IT PLUMBING ❑ N? 8524 Contractor s License No ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Lot CONTRACTOR OR BUILDER Bl. Address of Building Subdi- vision Sq. Ft _ Value of Project $ c Amt. of Permit $ ih 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. BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances a regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shore, Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY