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REMODEL(Rev. 04/18/03) OCCUPATIONAL LICENSE CO SAFETY INSPECTION APPLICATION Per Village Ordinance 14 -32, the purpose of obtaining a Certificate of Occupancy/ Safety Inspections is to ensure your safety and to ensure that previous tenants have not changed the original structure in violation of Fire Safety and the Florida Building Code. Building Owner's Name I VDO �� /ZEtX./iV4 Phone # ee Po 80 )4' �� \ 702 ILA ' l �� -t/I State \C --1 04 Owner's Address Business Owners Name CAlie- 11• cJ Phone # 786 r c. — / if S' Business Name /- eTIR, O 4/ - Address ( ArE 6 1 -1-6 c�tY Miami Shores Village Building Department City Miami Shores State Florida Zip 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. BUSINESS OWNER The foregoin instrument was ac nowledged before me this ; /day d of 6 ,5 by If Cr1 OY'qui ., who is personally known to me or who has produced as identification and who did take an oath. Sign: Print: My Commission Expires: Building Officials Approval: Y PUBLIC: Mabel \' rgas °te+: Commi ssion 'DD231984 Expires: Ju 3, 2007 "onded Thru Atlantic Bonding Co In_ 10050 N.E.2nd Avenue Miami Shores, Florida :13138 Tel: (305) 795 -2204 Fax: (305) 756..8972 Permit No. gCC 05-E Zip .3323 Suite 20 contractor -ordinances pertaining Abatis esbuildst nosed above to ooaetruct the to and the work the ha oilssitted to and approved proper *unidpd a ut or if the plans are changed siddrost authorisation. or bidder named above &gametes the reeptesthility for - a *amnia shown en the plans or ` &Akita or is the �^ BUILDING ELECTRICAL PLUMBING Architect Contractor MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5516 DATE 1 - :2- 3 191g_ Contractor's License No. • Work to be perfbriried under this Permit t t0- Z- 0..;,i/ / C27141 Owner of Building ( or Builder `.Y r' V - \. Legal Lot Bl. •- Description Address of - 2 "sr"-- c Building 7. 3 `l,. t ' 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 appli- cation 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 propep• 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 a Chan. -d witl t authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above . es espon- .ility . thorough knowledge of the ordinances and Air regulations pertaining to the work covered hereby whether shown on the plans c,40" •F•. •:. - or s.ecifications and that he assumes respon- sibility for work done by his agents, servants or employees. /' // '. Signed • • - d. �IiI Subdi- vision Value o VidroG Project Amt. o Permit U ^ r r • By In consideration of the issuance to me of this permit I agree to perform the work coy: -d hereunder in compliance Witli,Aordinances anicr pertaining thereto and in strict conformity with the plans, drawings, statements or speci ' . tions submitted to the proper authbfi s of Miami Sh riss In acceptin �• permit I assume res.onsibility for all work done by either lf, my agent, servant or employee. AUTHORITY 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 o:: 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 Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot —__ Block b vision Street and Number where work is to be done 9 Remarks MIAMI SHORES VILLA'1E APPLICATION FOR BUILDING PERMIT Permit No Disapproved Date ( Signed) Building Inspector BUILDING INSPECTION DEPARTMENT Date ___I (Signed) _ Date No. _f z e . e.a.e.. State work to be done and purpose of building (by floors)._ 11/1.C- ' - - - - -_ and for no other :purpose. Nett Building Remodeling_ Addition Repairs No. of Stories__ . To be constructed of Kind of founon Roof Covering Estimated Total cost of improvements $�i0a — ___ — _Amount of Permit Zone cubage required _Plan Cubage Distance to next nearest building _Size of Building Lot Maximum live load to be borne by each floor '-I. Street 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 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires 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 employee. 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. ) 6 STATE OF FLORIDA, COUNTY OF DADE. j 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. 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 in. faulty materials and /or workmanship. Distance to next nearest building STATE OF FLORIDA, COUNTY OF DADE. Permit No Disapproved (Signed) Chairman Member Member Council Approved MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is he by made for the approval of the detailed statement of the plans and specifications herewith submitted for the baildinl or other structure herein escribed. This application is made in compliance and conformity with the Building Ordinance of Miami Shore= Village, Florida, and all rovisions 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. fe - -- — - -- -- — , Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot_ Block Subdivision / -T ,. Street and Number where work is to be done State work to be done and purpose of building (by floors) r and for no other purpose. New Building ____ —___ Remodeling —__ Addition — ________ Repairs No. of Stories____ _ To be constructed of _ t: iiind of foundation Roof Cov ¢ring__________________ —______ Estimated Total cost of improvements $_ _ ,"t2.. _Amount of Permit $ Zone cubage required ___Plan Cubage 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 employ ‘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 th ork such blic notice or notices as are required, by the Act. The undersigned agrees to employ only such su ntractors, on work toperfor d +ender 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 appeared and who, being by me first du of the above described const therein by him stated are tru Building Inspector PLANNING BOARD Read, Sworn to and Subscribed before me. Notary Public, State of Florida • e to me well known, says that he is the the foregoing application, and that he did sign the same, and that all facts // ATE �. Mem r Member Member Date Disapproved fate 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. • g • g F:- f I I! MIAMI SHORES ILLAGE Office of Electrical Inisplctor CERTIFICATE OF INSPECTION I , THIS CERTIFIES THAT the whin : { and a atu installed at / ; . � ', b / !''t'.. t { . `�!`'� Address for -� � owner, and occupied as r �1 has been inspected and current is authorized be ti pned on, until otherwise notified, fo I T c ircu} ` PERMIT No. Size of Service ti c A 2 C Number o Range watts. Water watts Power: nnected to .. ' { Space Heaters . ' watts 01he Ap r4{u( { r I 7/2 ELECTRICAL INSPECTOR. BUILDING ELECTRICAL . PLUMBING PERM I T N? 6775 „.. / / Work to be perforwed un er this Permit \ -' 4 A ' -. i f4' / t L... Owner of Building , y Contract* , i , „ " tti 4, /., 71,1 er J, p , .. /. Architect ! or Builder 4 i i II a Description (Ti„ Legal Loi MIAMI SHORES VILLAGE; FLORIDA ue Project - BY + DATE Caomf6;tetor's e No Subdi- vision („. I agree to perfo e work covered hereunder in compliance with all o awhig ts or specifications submitted to the proper authcisities one by either myself, my agent, servant or employee. t —/71, 11111: 1 " /194_ t. of Pewit This permit is granted to the contractor or builder awned above to construct the building or to install the equipniesit or. device described in the appli- cation herefor in strict compliance with all ordinarices pertaining thereto and with the understanding that the work will he performed in conr,liance with any e Is* plans, drawings statements or specificatio that may hav submitted to and approved by the p at any time if tile work is not done in com ance with such cos or if the plans are &tinged permit is granted is the understanding that ;the coptrackif or ' er named above assumes the r regulations pertaining to the work covered hereb whether shotm on the plans or dka sibility for work done by his agents, servants or e loyees. er municipal authorities. This Permit may be revoked uthorization. A further upon which this y for a thorou kno ordinances and ts or amines respon- BUILDING `I EGTDI€w1- P ERMIT A N? 393 4111kner of Building 't/t2 i NAME f % ADDRESS L CENSE NO. Architect and /or Engineer. 7/7,417 J , AV ME / ! ADDRESS J Contractor or Builder _ Proposed Location This permit is issued to ___-- _____— �_____— To the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores, Vill e. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinan es or rules and regulations, or upon a cha in the plans and specificatius pnaiith rj ed by the building inspector. a i itr / G AMOUNT NAME ADDRESS LOT BLOCK SUB- DIVISION NO. RECD. PAYMENT ACCT. DEP MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT •' , 19 r LICENSE NO. STREET INSPECTOR In consideration of the issuance to me of this permit I herp agree to the proposed construction in . strict conformity with the application and s and /Speci #ations thereof heretofore by me submitted, and compliance with all provisions of all building laws of the State of Florida, all the building rdinankes �an/d , zoning laws of Miami Shores Village nd all rules and regulations of the building department of Miami Shores Village. Dated _L�'t -•'" __ Y , 19 (SEAL) NOTgC:, A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from he Planning Board. A re- Inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. N° 241 Miami Shores Village, Fla., '�: '' �' f "• -- ," -er, yentpr Tenant of Building ( 1 Block „sue Subdivision 2 A . Address /,% /0 ." • 7' wed use by occupancy rks: CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION tr , Certificate of Occupancy is issued to the above named- . , '" y 7..' ' ' ' -C •uilding at above named location only upon the express provision that the applicant will •e by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known ac the ing, Electrical, Plumbing and Building Ordinances of Miami Shores Viltage pertainin to the -tion, construction, alteration or remodeling of buildings or st t es. r BUILDING DIVISION N9 241 Mi i 6hores Vill a g ntpr Tenant of Building � / Block Subdivision /07C ) ‘1°'. wed use by occupancy Address Irks CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION // r Certificate of Occupancy is issued to the above named( _ C iuilding at above named location only upon the express provision that the applicant will �e by and comply with all conditions of Ordinances N•. 92, 93, 94 and 97, known as the ping, Electrical, Plumbing and Building Ordinances of M mi Shores Village pertaining to the ^tion, construction, alteration or remodeling of buildin . ' st es. BUILDING DIVISION BUILDING ELECTRICAL' PLUMBING Owner of Building Architect Contractor or Builder Legal Lot �., Description Work to be pe rt Address of /740-, Value of �? Amt. of •'• - . '� f w Project Permit Building f ` ' * ' This permit is granted to the contractor o builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all rdinances pertaining thereto and with the understanding that the work will be performud 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 or if the be revoked at any time if the work is not one in compliance with such ordin upon which this permit is granted is the understanding that the contractor o 'buil the ordinances and regulations pertaining to the work covered hereby whet 1p r sho that he assumes responsibility for work done by his agents, servants or emp gees. r Sign In consideration of the issuance to me of his permit I agree to perfo tiona pertaining the to and in strict conformity with the plans, drawings, Village. Jw ep g per gr t I assure eftponsibility for all work l _ CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA �•- DATE ' 1 194 / PER IT N? 2640 Contractor's /1... ...license No. ormed under this Permit £ ' (7c .- Bl. • i �. ?4��p. • Subdi. vision AUTHOF:ITY 0 „ire changed without authorization. A further condition above as the responsibility for a thorough knowledge of plans or . raw s or in the statements or cyicons and By INSPECTOR e work covered hereunder in compliance with al ordinances an4 resins. ements or specifications submitted to the proper authorities of Miati Shores either m - f, my ag t, servant or employee. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building l ' ' Architect Contractor or Builder f :� Legal Lot Description PERMIT N? 3587 MIAMI SHORES VILLAGE. FLORIDA /l ' - Building of �/ r_ // ,<,, In consideration of the issuance pertaining thereto and in strict confo cepting this permit -spo tt time ONTRACIOR OR BUILDER Signed. Work to be performed under this Permit No. II BI BY Subdi- vision a �? • INSPECTOR- / et Value of Project $ 4 DATR /1- I 195 �v Contractor's License No. c - l BY Amount of , Permit $ This permit is granted to the contractor or builder named above to construc 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. me of this permit I agree to perform the work Covered hereunder in compliance with all ordinances and regulations with the plans drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as for • ll work done by either, myself, my agent, servant or employee. AUTHORITY • tom Permit No Disapproved (Signed) Name and address of licensed contractor 4)[4.) is( _ 'D STATE OF FLORIDA, COUNTY OF DADE. ss. Building Inspcc r ANNINC BOARD Chairman Member Member 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. ..... U_ L 6 _ .. .__ ...... ,1921 Owner's Name and Address C R19 4/7 5 72 �'c L _ 5 �eY� c-e No 16 gr Street— 5 Registered Architect and /or Engineer ,,,,.. . ......, ..,,, „,,,, „....,, Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done / N I State work to be done and purpose of building (by floors) 5/74) ON tXPo <'T f #9” and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind q i foundation Roof Covering Estimated Total cost of improvements $ 4/30' °- e Amount of Permit $. 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 ar 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 arc required by the Act. The undersigned agrees to employ only such subcontyaFtors, 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 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. ' ) `9 Date :( – t NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re inspection fee of $1.00 will be charged materials and /or workmanship. Date Disapproved Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires Member Member Member DATE or changes to this application after approval to me well known, Date has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty - - Owner's Name and Address 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 the work. Registered Architect and/or Engineer ,G/ieA,/ .521 Name and address of licensed contractor j2 43 263e 7 Location and legal description of lot to be built on: MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT cio•QG G /L/ C? 4.tci4 Lot 0 / 3 /NC• Block 24") /�� Subdivisiiol /44( 5f7'LG AI../e/ref., ..�G% lo/✓ Street and Number where work is to be done f� �`— f 1/45' 4/• C• 9 f r State work to be done and purpose of building (by floors), state exterior colors (submit samples) //V T6' /O 2 A/44-/' P.4,-7/ fro ,vf Of( e /!// e ' S . /tea /L .44 % £ /Cf fG Ef and for no other purpose. New Building Remodeling X Addition Repairs No. of Stories / T be constructed of Kind of foundation Q� it S Royoff Covering 1 Estimated Total cost of improvements S Bb0 Amount of Perm t'� f J 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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to /'46 ' /. t ; 4 ,G c/4 2 /5:° Jd! a' 7 5/: e.4, j3 /Z5 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor unde Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida. Permanent Supplement. and has complied with the provisions ther , and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed unde is permit: and will post or cau• to be osted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned :trees . employ only such subcont actors.. work to be performed under this permit. as are licensed by Miami Shores Village. Remarks _ (Sig STATE OF FLORIDA COUNTY OF DADE. 1 ss Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. Permit No. Disapproved (Signed) Date ,e4e`:E4 /C• Date 174--/ o Date No. "95 treet .Q3 Y /6 Read. Sworn to and Subscribed before me. Notary Public, State of Florida 8 7 19 Z L= /fo / 'u1. 9 57 /1/44, /=C4. / J Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.