118 NE 102 St (10)7/0
FEB 1 2 200y
Passed
Inspector Comments
between 11-12
Emilio Vega 305-694-3818
Failed
Correction
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled
re-inspection fee is paid .
until
Contractor:
•
Inspe ctian
Inspection Date: 02/12/2007
Inspector: Grande, Claudio
Owner: LANIO, PEDRO
Job Address: 118 102 Street NE
Project: <NONE>
Miami Shores Village, FL
Building Department Comments
Thursday, February 8, 2007
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 Fax: (305)756
Block:
Permit Type: Residential Construction
Inspection Type: Re Occupancy
Work Classification: Re-Occupancy
Phone Number
Parcel Number 1132060131890
Lot:
Page 1 of 1
Rev. 10/02/03)
RE- OCCUPANCY
APPLICATION
Date 2 .1
Contact Name ' 11) 0
Buyer Seller Itealtor
Property Address 11 g Q 1 p2 s
Cit Miami Shores State Fl
n7 -0(.9 WO •
I hereby certify that I understand that the zoning of the property is for single - family residential use and
that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re-
Occupancy that may be issued by Miami Shores Village certifies only that the referenced property is
being used for single - family purposes and that such Certificate does not constitute any representation,
warranty or certification as to the condition of the dwelling or other structures on the property.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate.
•
Applicant N
or •
na
The foregoing instrument was acknowledged before me this
by 614D Vtpt , who
produced as identificati. - nd who did take an oath.
Sign:
Print:
NOTARY PUBLIC:
My Commission Expires:
Miami Shores Village
Building Department
s personally known to
day of fh
me or who has
Building Officials Approval:
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
Permit No. RL RCP ' 1ZZ-
Loc ID
Phone # ( .01q 38 ) g
Company Name OCT W 1t\ 104VIs
Zip 33(3k
,20Qi
Re -Occ. $60.00
Notary $5.00
CCF $0.60
Total
Bill To
PEDRO LANIO
118 N. E. 102 ST.
Return to:
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Date Fee Name
02/08/2007 Re- Occupancy Fee
02/08/2007 Notary Fee
02/08/2007 CCF
Thursday, February 8, 2007
Invoice
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Invoice Number: RC -2 -07 -27447
Invoice Date: February 08, 2007
Permit Number: RC -2 -07 -222
Fee Type
Fixed
Fixed
Calculated
Total Fees Due:
Fee Amount
$60.00
$5.00
$0.60
$65.60
Payments
Date Pay Type Check Number Amount Paid Change
02/08/2007 Check 2804 $65.60 $0.00
Total Paid:
$65.60
Total Due: $0.00 II
- Qt 2.065 _3g •
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Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 9/3/2002
Applicant: DEBORAH ELIZABETH ROBINSON
Owner: ROBINSON , DEBORAH ELIZABETH
JOB ADDRESS: 118 NW 102 ST
Contractor
Local Phone:
Parcel # 1131010220120
Fees: Description Amount
FEE2002 - 4941 Building Permit Application Fee $60.00
FEE2002 -4942 CCF $0.60
Total Fees: $60.60
Total Fees: $60.60
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 3/2/2003
Work: RE TILE FRONT PORCH
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
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, sery s . employees.
Signe• _ .. (INSPECTOR) BY:
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 responisibility for all work done by either
myself, my agent, servants or employes.
Signed: Ve.h24-%
Building Permit
Permit Number: BP2002 -1534
Contractor's Address:
Page 1 of 1
Construction Value: $1,370.00
Legal Description: GOLD CREST A SUB PB 21-56 LOT 4 AND BLK 2 W1/2 OF LOT 5 LOT
(2 4-----..._.• (Contractor or Builder) BY:
'DEBORAH ELIZABETH .ROBINSON
118 NW 102 ST
MIAMI, FL 33150 -1232
ORDER OF / / /1 Mai • I //ac I $ /`�1 /. 070
v4 h u n c( ft‘
GOVERMENT MIE CREDIT UNION
EINPLOYEESOJOF FLORIDA
Miami,Florida 33169 /f _ ' n ' e/
FOR fJ /f, �2 / i /VdO 6
1: 2 6 30 7 9 L 41:00000 L0080 30811' 2 78 4
RUND 2001
= =0
2784
j5 /a BRANCH 00
DATG
Further, Affiant sayeth naught.
SWORN TO AND SUBSCRIBED before me this 7 day of
Affiant is personally known to me, ✓produced
AFFIDAVIT
STATE OF FLORIDA)
COUNTY OF DADE)
J
The undersigned Affiant, Debora i- Rohl i JS6 oes hereby attest that the
(property owner)
attached survey, performed by Ltt1 neS a rcl ii -{C4 �h� G
(name of surveyor's compa
performed on 3 -d 5 49 , is an accurate representation of the existing conditions and
(date of survey)
ka.t.
:�
Witness(sign and print) Witness(sign and print)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
3 QIh Lt-Qh4J,
Affiant/Pro
perry owner
as identification.
OFFICIAL NOTARY SEAL
MIOSOTIS PABLUS
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. DD079197
MY COMMISSION EXP. DEC. 17,2005
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This property described as:
Lot 4 and the West 1 of Lot 5, Block 2,
GOLD CREST,
according to the plat
thereof, as recorded in
Plat Book 21, Page 56
of the Public Records of
Dade County, Florida.
Note: Underground encroachments
utilities, if any, not located.
. FLOOD ZONE: X
Certified To: Kingsley Mortgage
Norwalk Title Company, American
Company and Robinson, Deborah E..
and
Company,
Title Insurance
4 °'
't
, 22.: •10•yo
'Rof k4 TY OF:
lot unless embossed
'ith Surveyor's Seal.
-l o y vt
o
I,Ih ftEXPIP6140
9.lnoto
3e 16
A BOUNDARY SURVEY
I hereby certify that the survey repre-
sented hereon meets the minimum
technical standards set forth by the
Board of L nd Surveyors pursuant to
Sectio .027, Fla. Stat es. There are
no e • . oachments, ov aps, easements
a• •wring on the, t, other than as
wn hereto. /
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75 D
Robinson, Debroah E., 118 N.W. 102nd Street,
r�.- t' tY: rr% S.'3L*fSfs'':i:A'r. i °: �,:. }Grr..e -., .:.:r,'i`;T^YYa•�,r
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Miami Shores, F
LANNES and GARCIA, INC.
ENGINEERS - LAND SURVEYORS - LAND PLANNERS
Office address: 4080 S.W. 84th Avenue, Miami, Florida 33155
Mailing address: P.O. Box 561131, Miami, Florida 33156
DRWG, NO
189 -1762
PROPERTY OWNER
Name c `�-
Ad � 1\I l ;,..\ I 0 fir. aT
L 331 D
Home Telephone cts. o rl - 33 0-n
Business Telephone 305 39/ _' a
Fax( ) r --51
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'I Detachment
Other
Step 1.
Master Permit No.
Subsidiary Permit No.
PERMIT APPLICATION
INSTRUCTIONS - The following steps must he taken to obtain a permit from the Miami Shores Village:
Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted
along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
A PPLICATION
Job Address: 16;6 140 loan m; am t. PL
State Zip
Address Apt. City T
Folio Number ascription of Work ' ' L� PADi 4" 1
Lot £t and 'Act g Block corci (' i o.o+
Subdivision 1-'1('J PB E V PG 5'-(--) Zoning Linear Feet
Current Use of Property h ' b Tr" uare Feet )c)a 4 + 9 � Units Floors
Proposed Use of Property /due of Work . 'l/o 'C Bldg Value
Tenant Information ' V Pr Tax Assessed/Appraised Value
Flood Zone WO Base Floor Elev.
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
^ 3') IS
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
Name
License No.
Address
Telephone Fax
Qualifier Name
Page 2
1NIPORTANT NOTICES
I. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
ST F FLORIDA, �O Y TAMI -DADE
' , id,
Signature ature of Owner
D Or r+ i Rob. ��1,St
>K Print Name
Sworn to and subscribed before me this 7 day of
SEAL:
re of No
Pub lc - State of Florida
Signature of Contractor / Qualifier
Print Name
Sworn to and subscribed before me this day of
Signature of Notary Public - State of Florida
SEAL:
PERMIT APPLICATION
STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Personally known OR, Produced identification Personally known OR, Produced Identification
Type of Identification Produced: Type of Identification Produced:
OFFICIAL NOTARY SEAL
MIOSOTIS PABLUS
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION `.' DD079I97
MY COM,MIS:ICa'.'t'),;' . '..17,2005
ELECTRICAL
TYPE,
Minimum Fee
QTY.
TYPE
Dryer
QTY.
'I'Ypi;
Outlet, Appliance
QTY.
TYPE
Service Repair
QI'Y.
A/C Central 1 -3 Ton
Heating Strips, each
Fan
Outlet, Wall
Service, Temporary
- Paint Booth
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
- Piping, Flammable Liquid
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Process/Pressure Piping
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Pressure Vessel
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
MECHANICAL
TAT TATE
Minimum Fee
QTY.
TYPE
Condensate Drain
QTY. TYPE
Generator
QTY. TYPE
Refrigeration, Tons
QTY.
A/C Central, Tons
QI'1'
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
- Paint Booth
Ventilation, Cost
Air Handler, Tons
Ductwork, Cost of
- Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Pump and Abandon
Bath Fan - Vented, # '
Fireplaces, Number of
Pressure Vessel
Gas - Appliance
PLUl\IB1NG
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTY'
TI'PE
Soakage Pit
QI'1'
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.) $ t 6 0
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
❑ PROOF OF OWNERSHIP
(Attach)
❑ FIRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
$
(sq.ft. = x/1000
x0.60)
$ (¢.005 /sq.ft.)
$ (¢.01 /sq.ft.)
REVIEWED AND PREPARED BY:
SECTION
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
BY
DATE
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
PERNIIT FEES
TOTAL $
ISSUING OFFICIAL
DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
APPLICATION FOR CERTIFICATE OF RE-OCCUPANCY
1 . 1" e- av ■ilhi e— h ' , hereby apply fora certificate
to re- occupy the single family residence known as : (address)
/ / ill E. (.7),,,c/ SF , Miami Shores, Florida.
Legal Description:
Lot: /0 E `6- / 3 Block /5 PB & PG: Pe) / 0 -'2v
sp c Awr b
I hereby certify that I understand that the zoning of the property is for single - family residential use
and that it is unlawful for ::.ore than one family to reside therein. I also understand that any
Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the
referenced property is being used for single - family purposes and that such Certificate does not
constitute any representation, warranty or certification as to the condition of the dwelling or other
structures on such property.
Applicant 3 ,; e 1 i o ?Eh& licmw id Date ?// &// 5'
Print Name 4 .1, ''cam .
*_ * * * * * *: *** * * * * * *__ * * * * * * * * * * *' * * * * * * * * * ** * * * ** * *** * * * * ** * * * * * * ** * * * * *: * **
For purposes of conducting. the inspection required by Section 902 of the Mani Shores Land
Development and Zoning Code, please contact:
Contact Name: 1 4_v- c ( - - i L orb Telephone: ao 7.57- (0 7 3 3
Buyer (,/ Seller Realtor . Company Name
Application Fee (S50) paid: Cash Check No. 16e/
Inspected bv: F . LUBIEN '4 Approved X Denied
Comments:
PAGE 1 OF
Date 8/20/99
CER "1'lr 1CATE OF RE-OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies tha: the property
described in the above application has bee inspected for purposes of re-occupancy pursuant to
Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such
properry may be re- occupied by the above applicant for single- family residential purposes.
THIS CERTIFICATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES
VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY
COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
MIAMI SHORES LAND AND DEVELOPMENT CODE
PERTAINING SOLELY TO THE REQUIREMENT THAT EACH
ONE- FAIMIILY DWELLING IS USED AND INTENDED TO BE
USED FOR A ONE- FAMILY DWELLING PURPOSE ONLY;
HOWEVER, THIS CER'11hiCATE DOES NOT CONSTITUTE ANY -
REPRESENTATION OR WARRANTY AS TO THE CONDITION
OF THE DWELLING OR OTHER STRUCTURES ON THE
PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH
CONDITION, AND INTERESTED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN L SPECTION OF THE
PREMISES EN ORDER TO DETERMINE THE CONDITION,
THEREOF.
. E 2 OF 2
MIAMI SHORES VILLAGE, FLORIDA
B
Y
Date of Certification: 8 / 20 / 99
Registered Architect and /or Engineer.
Name and address of licensed contractor
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby mode for the approval of the detailed statement or tote 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 bc 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. 1 . � _ ,
_ . 19s/
Owner's Name and Address . / 1 are . No.., . !!!.W _... Street_d°?L�
t5DS"
Location and legal description of lot to bc built on:
Lot Block Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
_.._. .and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $•... QU Amount of Permit L
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot
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..
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 Sup ilcnrent,
anti has complied ssith the provisions thereof, and will require similar compliance from . 1 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 i s � tion • site of c work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such su•• . acto 9 war be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)/.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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.
Permit No Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Mcmbcr
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 PI, Board.
A re inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
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 regula-
tions 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 Mr _ ._� - hi chprt
Registered Architect and /or Engineer_
Name and address of licensed contractor LUd.man Corporation, 21 N W 21St StrFFt
Location and legal description of lot to be built on:
Lot_ & 1 Block Subdivision Miami. Shor P. q
Street and Number where work is to be done___ 118_N E lO2nd Street
State work to be done and purpose of but'Tdings.(by aoors). - s-zeen maf gten-anCe --
__and for no other purpose.
New Building_____ _____________ _____ Remodeling_____________ Addition Repairs x No. of Stories 1________
To be constructed of_ Kind of foundation Roof Covering
Estimated Total cost of improvements x _143. OO V _ _Amount of Permit $_l, AO L �'-
Zone cubage required____ Plan Cubage_____�____�_____, —_ —__�
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on worker be performed under this
permit, as are licensed by Miami Shores Village.
Maack
STATE OF FLORIDA,
COUNTY OF DADE.
Disapproved Date
(Signed)
- -0
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
(Signed)
Date — January 30 1945 19^
No. 11 a StreetJL__F+�02ucLJ$t
Building Inspector My Commission Expires
Office Manager
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 be is the
of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts
therein by him stated are true.
Permit No Date____ Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
PLANNING 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Work to be performed under this Permit
Owner of �
Building 2` IV/ • F. I` c 4 ",11
Architect
Contractor
or Builder
•
1Lega1
Description
•
Lot ,/
Bi.
'Address of mss.
Building ) I %.'
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 3546
�-t
fi
Subdi-
vision
Value of
Project
BY
DATE
Contractor's
License No.
r.:
{ t .
I' B.:;37 Ala .
J 3•.
SPECTOR
Amt. of
Permit
194_
AUTHORITY
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• °- f By
In consideration of the issuance to me of this permit I agree to perform the work covered. - hereunder in compliance with a 1 dinances and l�e pp
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper auies of Miami Shklak '.1
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
, J 4.1
ry , (�
Ii
Pitt _'MCI Tills
f ..
•
NA •
1
AIR
'ts A v. 4,-;
Farr Dotter Homes, Ise. Fag* Ono
aUIRAL commas
C9Wr 4 Cy ! ' $ - The Centraot Decussate for this ***treat shall
Bite st These aSpesitieations erchit•et +s Drawings, Sheets 1 to
D i eIesive„ "Theo Standard Form of agreomont between Contractor and
Owner for Ces►st action of Buildings ",, fourth edition, teg•th•r with
the "feral Cssditio*s of the Contract," standard torts issued by
the American Institute of Arehiteots. Where any conflict oaours -
tweE-a the aforesaid Goaeral Conditions and thee* speeitieations or
the Aarshitestes Drawings the the previsiadts of these apesifisatioas
mad drawings shall pprtevail. Copies of these standard doou nets ar•
on file at the £rehiteetss Oftio• for impaction by bidden**
402b• Cs*traotor will **sure and pay for all nooessary permits
f or building (from Yillage of Miami Shores Building Isspeotor )
and any accessary permits from various utility eompanies. He will
salve required deposits en gas, el•strio and water motors. Owner will
relmbarso saeatradter ter any sash deposits, ea motors only, whoa re-
ooipts ter sane are prseeated.
Ccitraeter shall obtaia from the Owner the exact
of i lot b•terb laying out his footings, Hs shall cloar
the site and epos **aviation of th• building shall leave the pr+aaises
trot tram all 1ett over materials, or rubbish of anykkind * All
terrasiag is to bs dose =dor tbs diroetion of the er and at his
exposes upon completion of thus work.
.►t,t1TI4H •► Zxoavat+s for all f oatia s as indicated by the plans mid
**pessary for tbs ereotioa of the building. Tamp the sand and dirt
at the bottom of teotisg treaohos to a firm s>a<rtaes before placing
t► oeedr•te.
11A4J,iALs - All comsat used on the job shall be an approved brand of
Perlman' Cement brought to the job in the original container and stank-
fully protested from dsapneas at all tuts. All sand to bo inaarperated
is %No building shall be elssn, sharp and fro* from drift wood or dirt
or other foreign latter that would in any way impair its strength
Stone shall bo pit rock of uniform size and shall pass through 1 *" ring.
" NC Oonsrots used in footings, beams, lintels and floor slabs
• of a mixture of one part Gwent, two parts sand and four parts
stone. All concrete shall be sashimi mixed, so as to make a thoroughly
bomegweous mixture, shall be well tamped around all rointoroing to
prevent honeyeombiag.
V iE R • All mortar used in laying brisk or c onere to block shall Imo of one part of cement to throe parts of sand to which mixture
1 hydrated limo has boon added.
All palls whore shown as masonry en the plans shall be °anent
b d 3.0 as cording to Mann !ae trey o ,, epoolfl anti one, exoep t whore don.
*POW `b#ans, ltnt.Ys or a 1u*as are illOwat'Or neeossar r in the construe-
ti en of 'tits work. All block wails will be furred with 1 by 2 furring
thr out. All blocks to have underwriters certificate.
LINTELS, amps ap cQ Around entire building over all openings
pimps rote srced coacr o lintels of size shown or of suffioient slap
and properly reinforced to support the weight coming en them,
iNED YE!T8 - Provide *crooned vents at base at house wader windows
an • sh oowa on plans.
C� � - Construct chimney of smut block and brisk laid in cement
ter . Flue to h've standard terra cotta lining as eallod for on
plans. Pirsplaoo floor to be lined with firebrick laid in eemont mor-
tar. Piro box to be lined with fire brick. On garage side Burnish
and at @loan eat door and provide ash dump on hearth.
YEW S AND W4 & - Concrete walks and driveway* as shown an plot
p an. n . • veway levels to be sash that in all eases same shall
grade away frost house and garage and all slope to sid' walk.
Provide conareto bass and ooment finish on walks
as Balled for on plans.
CARPENTRY
• CHOP Carpenters shall do all nutting and fitting required by the
rr craftsman on the bu ldiag and shall consult them at all times in
P.lard to 1 a proper constriction to take cars of their pipes, conduits,
ete. lhoy shall *root as .boon on the plans and speoifieations all
forms, tram, furring, finish work, in tact every part of the work
that comes er the head st carpentry,
Contractor shall be held responsible for all scaffolding
Poq all trades whether ha sub- sontraots any work requires a
scaffold er not.
Rai; Forms for eonorste work shall conform to the shape, lines and
ems of the member as sailed for on plans. They shall be snb-
stantial and sufficiently tight to provost leakage of mortar, and
shall be properly braced or tied togeth*r so as to maintain position
and slaps and insure saf•ty to worknen and pas sorsby,
PRgNS LUMBER • All framing lumber shall be square and sound mereban-
table stssk of sisss as she on the plans or called for in these
spreifisations,, well seasoned and free from all large knots or other
imporfo.tions shish night impair its strength or durability,
*44 Pl►TES • Wall _plates shall be by 6 laid flat anehorsd every
?air fest with b *ashore extending into the concrete lintel at
least 19'.
KIST& AND RAPIERS - Floor and ceiling joists and ratters shall be
sisal as *paned for on plans, leveled and brought to p.rfeet aliganont.
Cross bridga pith 1 by S bridging ono. /a *very $ feet of unsupported
joiste, Drab] '•cats vadimp,may partItiens mnimang,tho sure dirssttoa.
Aaeh*r 1oi1tg iii the wall sr belt , any gi'rdsrs where necossar7. Trost
the cads of all framing lumber oeai*g in contaet with masonry with
oPo.sots,
BEN.FLOOR a • Lay sub- flosor thragnt the building In all roams with
1 by •, 0 common pins boards lair" di, agonally sheath the roof with
1 by 6, T 6 0 sheathing and in both eases nail at every bearing,
'wpm AND GR S • Provide and erect 1 by 2 furring thruout the
building en the intorior of all masonry walls to receive lath and plan.
tor, Provide and er.st 12/16" grounds around all openings to reo.ivs
trim.
PAR 01 All titions are b formed wi
s cod 16 s • wall swims into piass,
sD a. Use en,i► N by 4 for sill and two 2 by
all partitions in their height*
MAN . Frame the roots on the building as shown so as to properly
dr a 1 parts. loath as sp.siti.d above and apply the roofing In.
di.at d en the plans aecordiag to manufaeturers speeifieations.
Farr Utter Hones, Inc,
Dom bls tuns argnd all
42 for plate, Bridge
Pax* Three*
INTERIOR TRIM
an • All iatrerior finish shall be thoroughly seasoned, free from
d ether s ilfaoe *perfections. No finish shall be brought to tho
bn,lldiag until all plas teriag is doss and dry. All finish to be r "
tblisk tats somber as detailed, all to be machine sanded and ready to
receive finish.
WI DOW FRAMES - Window frames and sash thruout the building shall be
ar � riEt weight steel sash as manufactured by Coco or equal fit.
ted with *rouse bushed hinges, brans* operators and locks, all set as-
cording to directions. All screens to be flush against sash with steel
frame and 18 mesh bronse wire cloth„ all frames to be primed before
Wing brought to the job.
Cf3 HOARDS . Furnish cupboards above and below kitchen sink all as do'
tailed or approved. All to be sanded and ready for finish.
88FLY!! • Provide all closets with shelves as shown and one and i
pipe for coat hangers. Provide necessary shelves in pantry and lines
ol.set,
P PISS FLOORING - Flooring thruout shall be S R clear red oak. All
f eortag to be tongs* and grooved of unifera thickness and width well
aatehed so that it will lay s*oothly and with close joints, Flooring
shall be drives up tight, blind nailed sad all nails set. All floors
shall be scraped and sanded to a smooth finish ready to receive finish
and no flooring shall be laid until all trim is in plane and ready for
thO last Boat of paint.
DOORS All doors to be of sixes and d sign shown on door schodule,
es .e for doors 1," thick and interior doers 1 3/8" thick,
•• All glass used in windows and doors shall be double strength "S
ce Amorioan glass and shall be set without springiag. All glass
in doers shall be bedded in putty sad seeured with wood steps. All
putty shall Do essposed of the best quality of bolted Spanish Whiting
and pure white loads
110 AI � �I „ When the job is substantially completed and the
e
Or s ne all necessary cutting and fitting for the other
o�t4s* and has *arefully iastalled all his own work, he shall go
ever the entire building again and perform any necessary patehing or
refitting to leave * perfect job.
MR18 • All exterior doors shall be provided with brans' screen, de»
sign as shown on plans. Frames shall be 1 1/t" thick. Soren porch
to be tiaished as shown.
FIS1 ARM - This oontractor shall sake an allowanoo of 05,00
for ih hardware.
Puri Sotto Horeb, Inn, Page
•
CAu C{Y@ — All doers and window trames thruout shall be caulked in as
approved miatner.
OLDS .. Main entrance door ar d other outside doors shall be equip -
nterlocking threshold to insure absolute protections from
driving rains*
MI CELLANIOU3 - knish any misoollanoous millwork as called for on
plans, sash as service yari gates •to.
Furnish built•in ironing board where directed by owner.
TILE wORB
Furnish all labor and material required to lay the floor and
Se porch; tile floor base and wainscot in Bathrooms; tilt, drain.
board, bask and ends in Xitohenf til• hearth In Living Room, and the
window stools oolirs and pattern to be selected. Bath Room acoos-
sorios as fellows to be furnished and installed under this heading is
•ash Bath Noon: two towel bars, one paper holder, one hook, one soap
41104 one combination soap dish and grab bar and one oonbination tooth
brush and glass holder.
CO IC ADS - The concrete fill under finish tile floors shall be
to levels as required by tile contractor under another heading
Thoroughly rush, °loan and wet top of concrete dust with pure Portland
Censat and apply convent mortar helping p mix stiff enough to hold weight
of mils. Tile to be laid according to basic specifications of
Associated Tile Msnntaoturers
SBEST METAL AND Room)
RUU • Entire roof areas shall be first covered with 30# felt and
slate surfaced roofing felt. Felt shall be applied to have at
;oast 6 horizontal and vertleal lap, with vertical joints staggsrod
and sailed with large head copper rooting sailds Felt on ridges shall
lap at least 18" both ways. Swab in all felt with pitch.
All roof areas as shown having the shall be covered with white
cement barrel tile. All tile to be set in cem•mt mortar and any
further calmer in common prac ties to insure a permanent roof* 14
badly brOten tilo will be asoepted and all roofs must be swept down
and oloased of any mortar or other debris and left in good condition*
Tea -- All flashings valleys, etc, to be in copper, copper
sg str pan on all sheathing*
YENXTpg BLINDS
S
Contractor will tarnish venetian blinds and guides. Contrastor will
sot sash guides in true aligaaent in window reveals before plastering
so that same will be flush with finish plaster.. Care shall be taken
to pretest guides tress damage*
l�EDXCZI O i3INE
Cdr juilibasta3.1 18" 4= 24 Yonttian, type msdfcine cabinets in
eata *as
4 y
410
PLASTERING
_ NG • All interior walls, moiling and partitions shall be lathed
perforated rock lath, Rake all corners solid before lathing.
Brook Joints over door and window openings, Put on grounds for all
doer and window openings whore oasings are to be used, two grounds
for' baseboards, and wherever wood construction and masonry moot cover
joint with metal lath,
*MIRING �IRRING 4. Plastering shall be two coat work. All interior walls and
ceilings except as otherwise specified shall be plastered using acme
Plaster or its equal, Manufacturers directions in regard to mixing
Shall be strictly complied with, all plastering to be brought out flush
with grounds, all angles are to be out thou to lath and finish coat in
angles is to be marked with a mitering tool.
PATCHING - All patohing of plaster work required after the other crafts-
7471117 tinishod their work smut be dose by the plasterer in a very
neat manner, leaving neither marks, crooks nor stains at any point.
STUCCO
M�''t►R�.TION - Clean all masonry walls before proceeding with the
5 QOO .4 Eztarior *taw shall be' OompsOed of approved quality of high
StAdelinei Portland .Cement and Blear .sharp fresh water sand. Stucco
to be mixed in tight clean boxes,
The stucco work shall be applied in two cows, the first coat
of mix shall be composed of one part Portland Cement to two parts sand
to which 10% hydrated line {has been added. This coat Shall be applied
dir*atly to the masonry and other wall surfaces filling out all hollow
plates, brought to a uniform plane and scratched to receive second coat.
The seemed or texture coat shall be without lime but having
an approved waterproofing compound mixed sacording to manufacturers di-
restioinso The first coat to be rough float tiuish, scratch Coat shall
be thoroughly sot before the second goat is applied and if necessary
shall be wet down to provost excessive absorption,
8tu3co the interior of tbm porch but leave the interior of
the garage unfinished.
ELECTRICAL
ma • All wiring is to be done in strict accordance with the rules
W National Board of Fir* Underwriters and shall be installed so as
to pontorm to Tillage of Miami Shores and Dade County Regulations,.
Basel plugs and switches shall havo Ivory Pao* Plates and wherever
bas, plugs are shown on the picas, sans shall be double outlets, install
cut eat box at rear door and run service fres nearest pole. Install
push buttons at frount and rear doors and chimes in Kitchen.
RES - Contraetor shall make anemone* of $40.00 for lighting
s and installation of sons.
Parr Better Hates, Inc.
Page Six
SCE' - The •ontrastor shall furnish all labor, materials, ladders
sbaf oltiag implements, •to. neeessary to complete the work included
in this section and in a manner to satisfy the requirements of the
City Department having jarisdietioa. All materials shall be new and
the best of their respective kinds and tree from all defeats. The
apporeval of any naterisls, however, will not be considered as scoop-
tam of the work where installed should such material. prove defec-
tive, Ail workmanship shall. be brat class thrueut regardless of kind
or vitality of materials. Plumber shall provide from tb , house to
sett: tank all oonneetioas required or necessary. Tank shall be lo•
is at a point approximately ten feet from the house. Plumber shall
provide hot and cold water sonneations to bath tubs, sis k lavatories
srd *laundry trays. r.'rovide two hose bibs on the exterior of the hours
as shown or as directed. All fixtures ba Cramp Compaq approved
as tbllswss pP equal
MASTER BATHROOM (IN COLOR)
BATH A11D SHOWER -
0 moo
C 3668 -B
0 53881.E
C 4962-8
LAVATORY
C. 171
C 32375
C 82581 -N
! 38-A.235
0 33071
C 35900
CLOSET
C 13004
0 12026
C S2149
C 4261
C 4928•B
YA
C 172
Farr Better Hoses, Inc.
5' Cerwi th Colored A. R. Bath
C.P. Bath and Shower Fixture
P. s
x 82 "C.P,�
1 Shower Rod
22 x Coroneva Compeer V. C. Lavatory
0 .?, Supply Fixture
C•P. waste Fixture
G.P. Snpplies
C.P. Legs
1 C.P. P Trap
Merit Y.C. Closet
White Seat and Cover
Flange Package
China Bolt Caps
I``THROOM MJMyrk ONE (IN COLOR)
C.P. Shower Fixture
CO. Midget Drain
1 :Z 38 0.l. Rod
82 x 111 compeer Vitreous China Lavatory
soloist*
Page
Savo*
NIETALAWILMI oontinued
,CLQ$4T
C 11004
SINE
C 19348 -z
0 327b1 -A3
C 19770
C 33980
LAURY TRAYS
Rough in hot and cold rater and waste manner ti oar .
SEPTIC TANK
A septic tank of proper design and capacity shall be furnished
and installed wheys shown.
SOLaR WATER HEATER
A one hundred gallon tank, well insulated and a 14 0 ", #12
solar heating unit shall be installed where directed.
G �f
Fast Better Erma, Ino,
Water Closet complete as shown
KITCHEN (IN COLOR)
20 z 30" A.R. Flat Rijn Sink
C.P. Faucet
C P . Waste
1* C .P. P Trap
Page light
•
Ail, '`weed ►k , that is to be painted shall. be praplr1y prepared
e msd, realks iskall be Rmeethlp: aaided b!.t eeding. „ heats sad
p i. ° st shall ' ba tks ly tilled th *llai! b.t wpsintiad, t ,
All. wss*vsrk that ie. to be palalted shalt is.i ivi oui email'
e lead aid linseed oil is siren it s erected..
sb peeePte One cost or r lava
put�r e4, ,. a3mi MIA
th t is to . be stained is is , seeioe da . * t o.
bb miser • T M woods; k b s $00141414 be t *t+i►bsd
le mop, as ea ed r ` !s fit *04` wait.
� Vin ..
•
l h+iaa , �aak 'sr etb.i' detests shall be
with "putty attire „the list *sat of pai t,
►,. Al
.±p; p at e
4 . . L4. .t
fart •t i.
t!e . b this rem whi sh
.11100e. R ' e stA►litid is nab
two 4`aits e+! ffi I+sy
*tenor rrowdaak,te
tblwil as s else tern,
1 ell *ball br pates . linseed'
ine : oil end shellac
shill out grade ejabhel.. Albers flat tiatih
'with pare prep i*,. • bprt SO. oradstoil
sea 1ban he se speej,tiedi alien he snowed
1te del. ♦etred” lair Mho tioastaditurers i 1*d
t iamiag leas herein specified. '
iatortic ;ii ait111: recede beride 'tltd
ski° emmtO ogi sb 3a °ba sh
1 a , eto�., are 'to be pd Vi o4
►1e *a s*4 °;ass dot all the `'. i
exciept Idiele ti sedan
e 4y wocid He r s except • Irltehen end Psat shill r 'tili
tl . treated wi t ,trw eei,td et white e11ae and see„Sset, et.
141 { •21st eft all s'
Y
`y ( ` 4
be, 'dint__ three, ` seats jai
•
All nu z etude* Zak iumar be painted two aa►a#re` ,
psi*t '
, *ceo 4is* tO lasus.tabtilrers . .
Al stoil. sash As bays We) coats metal print ler be seleetsd
ads, .•; ttpaa t left st job the patatat
t
end, o f fib a'fl 13.ass piseper ).a$rt.r Sr
*slimes&
v a seat
eara,,y,
be
refs
SOS.
/fork
•
FHA Form No. 2005
•
(To be inserted by FHA)
FEDERAL HOUSING ADMINISTRATION Architect's No.
41 -14
DESCRIPTION OF MATERIALS 15.
Property address _1,p_te__4__da_- _ -of - .5_,-- H1QOY__2 CityM1.1i1i__ State
Gold Croat SuWQivison Villagit
Mortgagor or Sponsor _i0$i9n- 40.notrue_ti -c_eapany
This exhibit will be accepted in lieu of specifications with Title I, Class 3 "Application for Property Approval,"
or with "Mortgagee's Application for Insurance" or "Application for Conditional Commitment" under Title II,
Section 203.
The use of this exhibit, executed in a clear and complete manner, enables the insuring office to give full credit for
the material used, and facilitates processing of the application.
Suggestions. — Fill out completely all spaces in the outline description below. Draw a line through all state-
ments which do not apply. Place an "X" in the square opposite the description of the material to be used. ` If the
space provided is insufficient, write "See Misc." therein and insert complete description under 27. MISCELLANEOUS.
If existing construction, leave all spaces blank and describe repairs or alterations under 27. MISCELLANEOUS.
® Proposed construction. ❑ Under construction. ❑ Alterations or repairs.
General. — All construction shall equal or exceed the FHA Minimum Construction Requirements, local building
codes, zoning ordinances, and restrictive covenants. The materials described herein shall be new and the best of the
grade or quality stated. Erection, application, or installation shall be in accordance with the manufacturer's direc-
tions or the best standard practice and shall be done in a workmanlike manner For final approval, all buildings
must be complete and ready for occupancy, connections with utilities completed, and with all equipment installed in
operating condition.
1. EXCAVATION:
Minimum depth below finished grade,
4
Type of bearing soil, ___Z'$Q�_$Yld_
2. FOUNDATIONS:
Concrete: Mix -1 part cement, __ parts sand, 4_ ____ parts grsvel or stone.
❑ Transit mixed. jt Machine mixed. ❑ Hand mixed.
Wall footings: Width, - 24 "; thickness, 10 "; reinforcing, Z_- -_bite r_ 11
• •••+w " -- -- " ; thickness II Pier or column footings: Size, X , ,
Foundation walls: $D2'lorate_ ; thickness, .2 "; veneer, ..-..
Piers or columns: w•muerem ; size, " X "
Waterproofing: Drainage:
Basement floor slab: ; thickness, ".
Areaway walls: mf�_wwwsuw ; thickness, I/
Vents: stook - -oa-a t-- awtent -- scree • d.- -vents ; size, ..16 " x 6 rr •
3. CHIMNEYS:
Flues: No., ; size, " X rr , " X ; lining,
4. FIREPLACE:
❑ Wood burning. ❑ Gas burning. ❑ Circulating heater. ❑ Imitation.
Size opening, 'j6.____" X ui - - - - "• Size damper, - __ _UOUS -" X " Size flues, ___ .!.__Z"OGUQ_- tE'lIIiitS
Fireplace lining: Bri -Qk ; thickness, 4_ "
Mantel: ;took _$s__ao2ooto4 Facing: Hearth: __briOk.
Other:
6. FLOOR FRAMING:
First floor
wEeker
Third floor
5. EXTERIOR WALLS:
lid Solid masonry: Facing, S .gO- ; backing,
Waterproofing: _ Furring:
EJ Wood frame construction:
Studs. . ; size, " X "; c. to c., ".
Sheathing: ; thickness, ". (If wood): ❑ Hor.; ❑ Diag.
Building paper: ; weight, #.
❑ Veneer: ; bond, ; paint,
❑ Wood siding: ; thickness, "; width, "; weather,
❑ Shingle siding: ; size, " X "; weather, rr
❑ Stucco: ; lath, ; weight, #.
❑ Other:
Finish: ❑ Paint; ❑ stain. Coats, Mfr. or formula,
Material
/11.411111480.0/1 AM/ft
GIRDERS
Size
s—•—.
Material
(
•
No.
JOISTS
Size
2 - - - " x - -10
2--- x
n X n
Spacing
16 - -"
16- -"
n
Material
- ���►r� rs -r
BRIDGING
Size
x--
1 a X - -4 - -
X n
1e -14578
7. SUBFLOORING:
Material: ; size, _ " X j Diagonal Li Straight.
8. FINISH FLOORING:
First floor
Second floor
Third floor
Paper
Flooring
— - -
Oak
Grade
&alas.
Size
FINISH
ta
ahellaaand_wax_
9. PARTITION FRAMING:
Studs: ; size, 2_ " x _ _4_ "; e. to c., 16 "
10. CEILING FRAMING:
Joists: • 0 .14 flirtZ0. ; size, " X _41 "; c. to c.,
Bridging: lions ; size, " X "; spacing, _
11. ROOF FRAMING:
Rafters: 5..4.1...Y.2a ; size .2 " x _6 "; c. to e.,
Valley rafters 3.114.1ra2 fa ; size, _ a " x . n
Sheathing: LP& ; kl solid; strip. Size, 1 " x & ".
Special:
12. ROOFING:
Roofing felt: Two-- layara -1 -ma-Lim-d 1--nappad- on ; weight, .304
II] Wood shingles: _; length, n
El Asphalt shingles: ; type, ; weight, #.
Li Asbestos shingles: __; type, _; laid,
[I Slate- _; length, "; weather, n
2 Other: Dement til€ * . alaid in cement
13. SHEET METAL WORK:
Gutters: ____IIRIMUIRIFEIMMI ; weight, #. Downspouts: ; weight, #.
Drain: L Splash blocks; n sump; SeWer.
Roof flashing: Copper ; weight, _16_ #.
Valley flashing: _Copper ; weight, _1,4 _ #.
14. LATH AND PLASTER:
Lath: She atroult ; size grounds, _
I'laster: TWA ; coats, taxtur a ; finish,
Other:
15. DECORATING:
Walls: AseatsIeoil---paint--
Kitchen: _ Daralt ovate enamel
Other finis11:
Ceilings: _TWO- C OE: _ta__laa_dand.ail_._p
Bath:
/I
16. INTERIOR DOORS AND TRIM:
Type door: Aa male° tail ; material, F_ir ; thickness, 3,"4/3_ "
Trim: Casings, Applia& ; base, Applied ; other,
Finish: -Lea-d a nd -441 pa int-
Special:
17. WINDOWS:
Sash material: St.s3 ; type, _13A.1311111111311tli _; thickness, Bleak— "; glass, p_s_Balt
Balances: Screens:
Basement windows:
Special:
18. ENTRANCE AND EXTERIOR DETAIL:
Main entrance door and trim: - ; thickness, 1-4/4.. _".
Service door: 2- -.2.--6 thickness, 1..4_1■ WI_ ".
Other exterior doors: -2! V' x VS" ; thickness, 1 ".
Hoods or canopies: Shutters:
Cornive: Ornamental iron:
Special:
(2)
• •
iti --14378
FIXTURES
MANUFACTURER
PLATE NUMBER
NAME
Kitchen sink
RP
At
S
CA
P- • - -QE,Q 20Ttx30
Fiats -r ire
Bath tub
P- 221 - 5 - and - --alto
r 2anibr_ekr
Shower: lii W.41; ie tub__
-- !2*-- triiii - -a - -$4
-wa-Bte-
Lavatory
F --89Q1) 17z] 9
Shelxxn_
Water closet
_Pli.113.0Ai
Cadet-
Laundry trays
Special:
Special:
•
❑ wood; ❑ oil (burner,
Control: ❑ Manual; ❑ automatic, ____
Fuel storage: ❑ Bin; ❑ tank (capacity,
Built -in gas or electric heaters:
Special:
25. LIGHTING FIXTURES:
Allowance, $____ a QQ Special:
(3)
19. CABINETS AND INTERIOR DETAIL:
Kitchen t ittadii
China cabinets:
Bookcases:
Medicin ; closet equipment, BkLCI.t $2111 rod ahott rack_
20. STAIRS:
Basement: El Open; ❑ closed; treads, ; rail,
1st to 2d: ❑ Open; ❑ closed; treads, ; trim, ; rail, __
2d to 3d: ❑ Open; ❑ closed; treads, ; trim, ; rail,
Special:
21. SPECIAL FLOORS AND WAINSCOT:
Bathroom: Floor, tile. ; wainscot, the , height, 401Q" A5'_Q!
Kitchen: Floor, l ; wainscot, MUM* - - -Oil , height,
Other:lila eaxaaterl __and___beab.__1n__kitehea►
22. PLUMBING:
Sewage disposal: ❑ Sewer; septic 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, S dp.r4- -Qr4 -r ; waste pipe, _.s a ndar4-- a,_ + -- -; vents, Sta. .Eire-- aa.._- --
Domestic hot water: Storage, __ gals.; fuel, _m]„Q..r ; ❑ automatic; ❑ manual.
23. HEATING:
❑ Steam. ❑ Vapor. ❑ Hot water: ❑ 1 pipe; ❑ 2 pipe; ❑ gravity; ['forced.
Boiler; make, model: ; capacity, Radiation: ; sq. ft.
El Hot air: ❑ Floor furnace; ❑ Wall furnace; ❑ pipeless; ❑ gravity; ❑ forced.
Furnace; make and model: ; capacity,
Fuel: ❑ Gas (burner, ); ❑ coal: ❑ manual, ❑ stoker ( );
)•
24. ELECTRIC WIRING:
Conduit. ❑ B. X. ❑ Nonmetallic cable. ❑ Knob and tube.
Switches: Dsapart lino Outlets: ____Amble __xe _ez to 1e
Power outlets: ® Oil burner; ❑ range; ❑ water heater; ❑
26. INSULATION:
W __Ron* ; thickness, ". Roof or ceiling: ; thickness, " .
Weather stripping: Doors, - ..........., ; windows,
❑ Storm doors, ___— ... -......... ; ❑ Storm windows, ____ _,..s.w.+. -.. ; 41 Caulking, gun
Special:
16 -14578
27. MISCELLANEOUS (Describe any materials or features of construction not adequately covered in the drawings or elsewhere in this
exhibit):
Date, (Contractor or Builder)
U. 5. GOVERNMENT NRINTING OFFICE 16
ADDENDA
(4)
- -
2 8 . 28. PORCHES AND TERRACES:
Porch: Foundation, concrete ; flooring, __t_i1.0 ;
roof, talent t ia, 6 ; railing, /mad. ; steps, tile
Terrace: Foundation, ; surface, iv ....stir ...• .1.
Other: ar•
29. GARAGE:
Foundation: _ - 0 0110 r WU Floor: ..0u4NO ani_sh ; thickness, _.4 ff
Walls: 0" aanor oil_ ttlook Roof: _nenent_ _tile
Doors: .0Yerhen_d Finished rooms:
Drainage: Plumbing: Heating: Electricitylight_
SW i I
30. WALKS AND DRIVES:
Walks: ____OS_Ingnit ; thickness, Al Drives:clan_ant ribb_one ; thickness,
31. LANDSCAPING:
Lawn: [I] Sodded; EJ seeded; El sprigged.
Planting: Allowance, Frant__grtuiell_nnil__planted. (If extensive, include planting plan.)
Walls:
Fences:
Date, (Mortgagor or Sponsor)
• •
STATE OF FLORIDA)
COUNTY OF DADE )
t1otarr Public, State of f f a ., ,' Arg
�. Cammis w;
My Commission expires
Cubic Feet
Chairman
Member
Member
Secretary
Building Inspector
Permit No.
Electrical Permit No.
•
FLORIDA
APPLICATION
(
DUILDING PERMIT RECORD
MIAMI SHORES VILLAGE
Signed
DATE
Application is hereby made for the approval of the plans and
specifications herewith submitted for the building or other
structure herein described. This application is made in com-
pliance and conformation with the Building Ordinance of the
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
Department of Miami Shores Village, shall be complied with,
whether specified or not.
OWNER
ARCHITECT CONTRACTOR
LOT BLK. SUBDIVISION STREET #
NEW /ADDITION REPAIRS NUMBER OF STORIES/ ROOF
TOTAL COST
to be used for and no other use.
I hereby submit all the plans and specifications for said
building.
Before me, the undersigned authority, a notary public, duly
authorized to administer l ths,nd take acknowledgment,
personally appeared '`�. ��},/ to me well
known, and who, being by Aid first duly sworn, upon oath
deposes and says that he(is the builder of the above described
construction, that he has read the foregoing application,
and that he did sign the same, and that facts stated by him
are trye. Read Sworn and Subscribed before me,
42= t,e-4e4 _ Notary Public (Signed) --- ,�
** #**m ** is0 *
Cubic Feet required in this Block/
FLINING BOARD
Issued to * 'r�.m ' f� �¢^., Date 9•
Plumbing Permit No.
Painting
Plastering
Lathing
Electrical
Glazing
Tile
Miscellaneous
Mason & Concrete
Plumbing
Roofing
LIST OF SUB - CONTRACTORS