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MC-06-1000
Inspection Date: 03/29/2006 Inspector. Perez, JanPierre Owner: MCPHEE, JOHN AND LYNN Job Address: 599101 Street NE Miami Shores Village, FL Project: <NONE> Contractor: REA AIR CONDITIONING INC Buildina Department Comments Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)758 -3464 Parcel Number 1132060171150 Block: Lot: Phone: 305 - 266 -6627 Inspection Worksheet Miami Shores Village Passed &_ Inspector Comments 10050 N.E. 2nd Avenue Miami Shores, FL � �� w Phone. (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 03/29/2006 Inspector. Perez, JanPierre Owner: MCPHEE, JOHN AND LYNN Job Address: 599101 Street NE Miami Shores Village, FL Project: <NONE> Contractor: REA AIR CONDITIONING INC Buildina Department Comments Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)758 -3464 Parcel Number 1132060171150 Block: Lot: Phone: 305 - 266 -6627 Tuesday, March 28, 2006 Page 2 of 2 Passed &_ Inspector Comments Failed El Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Tuesday, March 28, 2006 Page 2 of 2 i f Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 T ` ir2a l-Fi'ax- .3051756.8972 BUILDING PERMIT APPLICATIO FBC 2001 Permit No.' "'& C6 — `GO Master Permit No. v - Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) McPhee, John & Lynn Phone # 305-758 -3464 Owner's Address 599 NE 101 ST a rr»wrt City Miami Shores State FL zip 33138 Tenant /Lessee Name Phone # Job Address (where the work is being done) 599 NE 101 ST City Miami Shores Village County Miami -Dade zip 33138 Is Building Historically Designated YES NO x Contractor's Company Name REA AIR CONDITIONING, INC. Phone # 305- 266 -6627 Contractor's Address 7351 NW 7 ST "R " City_ MIAMI State Qualifier_ Richard J. Arnette State Certificate or Registration No CACO22414 Architect /Engineer's Name (if applicable) $ Value of Work For this Permit $4900.00 FL zip 33126 Certificate of Competency No. Phone # Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ]K4 Repair /Replace ❑ Demolition Describe Work: Exaq, Change out of 5Ton Sys ter Submittal Fee $ Permit Fee T $_� 1 CCF 00 CO /CC Notary $ Training /Education Fee $ Technology Fee $ 4 - aD Scanning $ V • 00 Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ ' B2— (5O (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State w� b Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip t t Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature wv S, �,.� Signature_ Owner or Agent Contractor The for--e--g7oo-ing instrument was acknowledged before me this Io9�� The foregoing instrument was aeknowle ed befor me this dayf �i'11w, , 20 b w��Z / �J y Y VIVA% AMA /y day of UAR 20 by %Ghfi%lpl �. who is person ly known to me or who has produced who is personally nown to me or who has roduced J� y p �!Ort.4�� P,t✓ . As identification and who did take an oath. � 0I✓A) as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: /,-� / Sign: Print: Sign: Print: My Commission Expires: WNT&WWWL R My Commission Expires AS� aSAKKAL of Flori�+� Florida canDD87520 APPLICATION APPROVED BY: Plans Examiner Engineer Zoning chc 05/13/03 � r Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below ELECTRICAL Condensate Drain Generator Refrigeration, Tons A/C Central, Tons Cooling Tower QTY Minimum Fee A/C Central 1 -3 Ton A/C Central 47 Ton A/C Central 8-15 Ton A/C Central 16-20 Ton A/C Central 20+ Ton A/C Window Air Conditioners Chiller Clear Violations Compactor Deep lFreezer Demolition Dishwasher TYPE Dryer Fan Fire Pump Fixture - Fluorescent Fixture Light Flood Lights FPL - Load Central Garbage Disposal Generators, eta Heat Recovery Low -volt, Burglar Low -volt, Fire Low -volt, Intemom/Teleph. Low -volt, Television QTY. Outlet, Appliance Outlet, Wall Outlet, Switch Oven Parking Lot Lights Plugmold/Strip Posts Range/Range Top Receptades Refrigerator, Comm. (p/PH) Refrigerator, Domestic Renew - Temp Service Repair Circuits Service, Number of Amps Paint Booth. Service Repair Service, Temporary Signs Space Heater (kw) Spas/Hot Tlibs Subfeeds, No. of Amps Ductwork, Cost of Swim Pool, Commercial Periodic Inspections Swim Pool, Residential Fire Sprinkler System. Switchboards Temp Serv., Construction Fireplaces, Number of Temp for Test - 30 days Water Service Well, Supply Minimum Fee Condensate Drain Generator Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Wm. Tons Dryer Vents, Number of Paint Booth. Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System. ProcemTressure Piping Bath Fan - Vented, # Fireplaces, Number of Pressure vessel PLUMBING TYPE QTY. A/C Condensate Bath Tlnb Bidet Cap - Fire Ca -Water Ca - Sewer; Catch Basin Clothes Washer Dental Chair Discharge Well Dishwasher Disposal Domestic Well Draiafield, 4" T11elRes. Drains Area Drains, Floor Drains, French TYPE, Drains, Roof Drinking Fountain Fslter Replace Fountain Gas - Appliance Gas -Natural Gas - Propane Gas Piping Grease Trap Ice Maker Indirect Wastes Interceptor Laundry Thy Lavatory Meter Set (Gas) Minimum Fee Miscellaneous Eq ui ment Miscellaneous Fixture I Miscellaneous Repairs Pool Piping Pump and Abandon Pum , Domestic Pump, Firei Stand Pump, Recirculate Pump, Replace - Pool Pump, Sprinkler Pump, Sum Rela Re air TRoof Inlet Se tic Connection Septic Tank Sewer Connection Shower Sink QTY. TYPE Q1-1-. Soakage Pit Solar Water Heater Sprinkler Repair Sprinkler , System Su ly, AC Well Temporary Toilet Temporary Water Closet Urinal Utility -Sewer Utili - Water Vacuum Puns Water Closet Water Heater Water Heater New Water Re-pipe Water Service Well, Supply 2 RECEIVED AND REVIEWED BY: DATE: 3 Page 4 PERMIT APPLICATION OFFICE USE ONLY CliECKLIST ❑ OWNER - BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) ' (Attach) (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / 'multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ R&ACT FEE (New Construction) ❑ OTHER (Specify & Attach) (Specify & Attach) $3.00 per page (Scanning Fee) $ Miami Shores Village $ Bond $' Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine,, Zoning Review ISSUING OFFICIAL $ $ (sq.ft. = x/1000 x 0.60) (0.005 /sq.ft.) (¢.01 /sq.fG) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ REVIEWED AND PREPARED BY Dom: SECTION Mechanical Fire Public Works Structural Building Official Revised July 2001 10050 N.E. 2N- AVE., MIAMI SHORES, FL - (305) 795 -2207 - FAX (305) 756 -$972 - http : / /www.miamishoresvillage.corn w Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 1/19/2006 Expires: 01/12/2007 Permit Number: MC -1 -06 -100 Owner's Name: JOHN AND LYNN MCPHEE one: (305)758 -3464 Permit Type: Mechanical - Residential Work Classification: Addition /Alteration .lob Address: 599 101 Street NE Miami Shores Village, FL Contractor(s) Phone Primary Contractor REA AIR CONDITIONING INC 305 - 266 -6627 Yes Comments: EXACT CHANGE OUT OF 5 TON SYSTEM WITH 10 KW HEATER Additional Information Tons: 5 Additional Info: 10 KW HEATER Classification: Residential In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $3.00 Education Surcharge $1.00 Permit Fee - Additions /Alterations $171.50 Scanning Fee $3.00 Technology Fee $4.30 Total: $182.80 Building Department File Copy Applicant Signature Parcel #: 1132060171150 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 4,900.00 Rough Rough Duct Ventilation Smoke Test Hood Smoke Det Test Final Invoice Number Amt Due Amt Paid MC -1 -06 -23530 $182.80 Total: UM 2 0 PAID e- e--- t h g,r"a—c . NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. I . Dace joo Aaaress `a `j`� t L_ t G�i � ► ax L'ollo %! .321>6 0/ 7 115-0 IL.I �. � l:i ( � %r Legal Description ''J Z L Competency # E1608 Owner / Lessee / Peo 1 G S em, nc. %N Tenant p N�Ue �� ('` Master Permit #� 4 _ Owner's Address 16101 West Dixie Hwy. N.Miami Beach 33160 Phone 940 -0139 Contracting Co. Peoples Gas Address same Qualifier Jesus Vega SS# 261 _ 41 _ 4430 IL.I �. � l:i ( � %r State # Municipal # Competency # E1608 Phone 940- 0139 Ins.Co. Architect /Engineer Peoples Gas Address same Bonding Company n / a Address Mortgagor n / a Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION RMt M Ah" tai RSr C IT7 T72oovj Ztf • V Z L, i-,l A I IV i 1 a _1t 2 A- LL oy •V t az.rl"'i o t lv k-4- 1 IL.I �. � l:i ( � %r Square Ft. 36 sa.- 1 =T Estimated Cost(value) .Z "' i 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. OWNE.�t' be do <.:� compliance i aut r: a the above mi Signat a of ow, late: :ify that all the foregoing information is accurate and that all work will h ll applicable laws regulating construction and zoning. Furthermore, I c ntractor to do the worm state CoAdo-Yresident Signatur f Co t a or r er wilder Date: C-WA[vim ' C : k,"" % Shirley R Marker N ry as to Owner and /or Condo President Notar * crWCtualsor owner-•Builder My Commf% i"�iis'i4ae�►ot My *Imi s s is p N COWASsa M. WNliam27 / ,a � `�7 =., MY CONMNSSION CC546027 EXPIRES ww April 30, MW WM TIM TIM FM OiStRWa, INC. ?ROV'. tADON C.C.F. r NOTARY TOTAL DUE Fire Other a� a. Jf - � �- PROP T /T, T /F, E /M, EFV EXIST 2" SK L S R/W r�-:: N i� i ALLEY I� PROP 1/2" PL I PROP E/M I PROP 2' PREFAB RISER NORTk PROP JOB SITE n ■P //// 101ST STREETI Z 1. LOCATE AND PROTECT ALL UTILITIES IN AREA OF CONSTRUCTION. SUNSHINE #1- 800 -432 -4770 2. RESTORE ALL AREAS TO PRIOR CONDITIONS J. ALL CONSTRUCTION TO FOLLOW JURISDICTIONAL GOVERMENT AND PGS STANDARDS. I r IV PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 106-760 Job Address 59q N E /O1 *` S-r Tax Folio MaAMI 51+0985 Legal Description COTS .23K .2y /hi SLACK 9q or- Historically Designated: Yes No ✓ hM@NDED PLAT CF 5GCTIoN y me M(AmI S"o,« ..,15 w-r PG /1 .. . Owner/Lessee /Tenant J o 4 N S. M C Ptt EE. 44 LYNN S. WA7'SR MAT Master P it # /r0 3 75 -G/all LYNN - �OFFiCE Owner's Address 5T" N E /N" ST . Phone (�O5 ?5$ — 3 L16 oM Contracting Co. Q�fnrd C g& S Address _/5-11 4" r� � Qualifier /O tMCELO FEIRNANDEZ SS# Phone 305 lli &_ OXFGaC UNIVGR51hL- CQRP, State # 0-5Q04(p(P ( p Municipal # Competency # Ins. Co. Architect/Engineer Bonding Compalry Address Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING OPAVING ENCE SIGN hVrfiRL0GK1NCr WORK DESCRIPTION LAVER WALKWAY PORC# PA7 /0 Square Ft. iLt DZ Estimated Cost (value) f3 7Sc3. '74_ WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR 11"ROVEMENTS 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. AM and Notdty as to Owner and/or My Commission Expires✓ that all the foregoing information is accurate and that all w rk will be done in compliance with all applicable laws regulating more, I authorize the above -named contractor to do the r red. esident Date ature o ontractor or Owner - Builder ate /� 7 vo iv�5 dd > Pr d t Day Aotdry as to Contractor or u' ate My Commission Expires: . 01, Humberto Rodriguez * *My Commission CC679838 g,1`Oi FbO�P Expires September 11, 2001 FEES`. PERMIT /� RADON C.C.F. NOTARY .,.aac Humberto Rodriguez * *My Commission CC679838 �• ?on,,�� Expires September 11; 2001 ! //3� g Zonin g Bmldin 1 Electrical Mechanical Plumbing BOND �® TOTAL DUE Structural Engineer. PERMIT NO. STATE OF FLORIDA: COUNTY OF DADE: NOTICE OF`.COM . , .::.;,. a .'.t. TAX FOLIO NO. 0- 10-JR- 543887 2000 NOV 14 14:08 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713. Florida Statutes, the following information is provided in this Notice of Commencement. , 1. Legal description of property and street address: 0-19 ` 5+ r 2. Description of improvement: — _A n _1 3.Owner(s) name and address: Interest in property: w _ Name and address of fee simple titleholder. /11,C,li 414 . W /U/ • /vii .t�,� /�G:• 4. Contractors name and address: �X�urcl h Uri Q 5. Surety:(Payment bond required by owner from contractor, if an C►fQ� Name and address: {j Amount of bond $ 6. Lenders name and address: . . VCY4%,IH Goo WE STATE OF FLORIDA, COUNTY OF DADE I HEREBY CERTIFY that this is a true copy Of tL r rce o y of AD 20—Q:i2— and Official Seat. orrgrnal fijeq; r 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: a. in addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided In Section 713.13(1)(b), Florida Statutes. Name and address: 9. ExpiQa.date- of-�is- Atotice of Commencement: (the expiration date is 1 year from the date of recording unless a Print Own a Sworn to and subscribed before me this �? day of C� . Notary Public Print Notary's Name`s My Commission Expires: ExPires September 11, 2001 D.C. DPMEW / -y f}PPgoti,cff niami S40raj vi� 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207 ....Fax: (305)_756 -8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, , hereinafter referred to as the Owner of the (owner) following described property: Legal description/folio#: Lot Block Subdivision Tax Folio #: requests permission to install: [ ] Asphalt, concrete, brick pavers [ ] Landscaping [ ] Other within the public road right of way of (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: 1. To maintain and repair, when necessary, the above - mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida by the Village Manager of Miami Shores Village (or his fully authorized representative). SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this day of SIGNED, SEALED AND DELIVERED in the presence of: (owner) oQ `� ti • A L L E Y 10' ASPJ•i. PVM'Tt 31,•� 10235 R= fo2.r9 xAtx d � DJL- BCED- BROWARD ENGINEERING COUNTY O.Gp.1 DEPART- SP C 50, w D.E. - °.n D.K. CONC. DRIVE ° . BOX ELF.- Z EEM- It. � LLJ E�T.- REF. CDR" R 1t60' HOLE Q COMMON NAL 15.35' 41 NAL d DISC 5�i IRON L.ti cc C3 gm Ic METERR RESIDE RECORDS 'PROPERTY L.NE � IX .o ATE WPT O.K in It FIR- FOUND MON ROD W LB 561 �b3 `ro_ $PC- o. 2.20' POINT OF REVERSE Z RODD 1 4 4Q PVM'T- PAVEMENT FIP- �_,5� c+ Y o 7.60' S_ 5g r •P J cc ui j N f am- co 7.60' 7.50` ;) J 4 4 0 0 T �. PLANTER 4 i ui .o �rrYPa LOT 24 16.50' 81 N 4.3' FIP 112" s En ' zo FIP 1/2" 5'. dd 8' I 23.49' 0 35' NNE •, LOT 23 �`� o . m ® V" d � (*�I! Ott, I • 4 r BLOC X14 " I' V N 50 _25. _--8 102.x' FIP 1/2,11 COP. R° 102.58' BLK. R21�1�. ®.K' N.E. 101st STREET 75' R/W - 28' ASPN. PVM'T LEGEND AND A88REVLATIONS• A&K- • BENNCHMARK. • BABA xAtx d � DJL- BCED- BROWARD ENGINEERING COUNTY O.Gp.1 DEPART- W D.E. - CB. CATCH BASW D.K. ' COUNTY PUB- - . BOX ELF.- Z EEM- It. � LLJ E�T.- REF. CDR" R MANHOLE HOLE Q COMMON NAL 0 Nab- NAL d DISC 5�i IRON L.ti nfiClAl. gm Ic METERR RESIDE RECORDS 'PROPERTY L.NE -- ATE WPT O.K SND- It FIR- FOUND MON ROD W LB 561 P.P.- POWER POLE $PC- o. PRC- POINT OF REVERSE Z NNE •, LOT 23 �`� o . m ® V" d � (*�I! Ott, I • 4 r BLOC X14 " I' V N 50 _25. _--8 102.x' FIP 1/2,11 COP. R° 102.58' BLK. R21�1�. ®.K' N.E. 101st STREET 75' R/W - 28' ASPN. PVM'T LEGEND AND A88REVLATIONS• A&K- • BENNCHMARK. • BABA xAtx d � DJL- BCED- BROWARD ENGINEERING COUNTY O.Gp.1 DEPART- C ■ CALCTULM D.E. - CB. CATCH BASW D.K. ' COUNTY PUB- - �. CABLE JUNCTION BOX ELF.- CI g- CULT NEAR EEM- It. � E CO�NCRERETE E�T.- OR CENTRAL. ON LINE M CORNER gwR FCC■ FOUND SKETCH FH■ FIRE HYDRANT DOK GM• GAS METER ' COUNTY PUB- m?. IDENTIFICATION iK8 DEPART- # ILLEGIBLE It. � PG,- BE EASEMENT REF. CDR" R MANHOLE HOLE N - COMMON NAL FENCE Nab- NAL d DISC 5�i IRON Pr. nfiClAl. gm Ic METERR RESIDE RECORDS 'PROPERTY L.NE RIW- ATE WPT O.K SND- It FIR- FOUND MON ROD OIL. ON LINE PRM- gwR PLAT BOOK SKETCH OF SURVEY PaC.■ CURVATURE P.T.■ OQNT� P.CPr PPERMANENT CONIT- RRAD.- RADIUS # POINT It. RECOR PG,- PAGE REF. CDR" R 'j OF INTER- 0093 G 1/20/93 GARAGE ELEVATION* Dl6c WaOD FENCE• - -- -+1- -- — TNS SURVEY MAS BEEN PREPARED FOR THE EXCLUSK MtPOSE FOR USE 5�i IRON Pr. PARKER KALON NAL RE&- RESIDE PtI,R• 'PROPERTY L.NE RIW- RIGHT P.O B.• POINT OF BEGNNWNG SND- SET M PA.C.- POINT OF C0 7ICN8 LB 561 P.P.- POWER POLE $PC- SET C PRC- POINT OF REVERSE RODD 1 T- PVM'T- PAVEMENT FIP- FOUND 4 N a Q: U r- LEGAL DESCRIPTION, LOTS 23 AND 24 IN BLOCK 94 OF AMENDED PLAT OF SECTION 4 OF MIAMI SHORES ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 15 AT PAGE 14 OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA. CERTIFIED TOs JOHN S. MCPHEE AND LYNN S. WATERMAN CHRISTOPHER P. KELLEY,'ESQ. ATTORNEY'S TITLE INSURANCE FUND, INC. BANCBOSTON MORTGAGE CORPORATION, ITS SUCCESSORS AND /OR ASSIGNS. PIONEER SURVEYORS, INC. NOTES APPLY. SKETCH OF SURVEY N FOR• McPHEE /WATERMAN xM- WATER METER 2) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASE - TYPE OF SURVEY# BOUNDARY JOB # 94 -2209 DATE# 2/14/94 SCALE, 1 " =20' # ADDRESS• 599 N.E. 101ST STREET MIAMI SHORES, FLORIDA 33138 o FLOOD ZONE, X BASE FLOOD ELEVATION• LOWEST. FLOOR ELEVATION, 'j C.P.N.# 120652 0093 G 1/20/93 GARAGE ELEVATION* LEGAL DESCRIPTION, LOTS 23 AND 24 IN BLOCK 94 OF AMENDED PLAT OF SECTION 4 OF MIAMI SHORES ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 15 AT PAGE 14 OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA. CERTIFIED TOs JOHN S. MCPHEE AND LYNN S. WATERMAN CHRISTOPHER P. KELLEY,'ESQ. ATTORNEY'S TITLE INSURANCE FUND, INC. BANCBOSTON MORTGAGE CORPORATION, ITS SUCCESSORS AND /OR ASSIGNS. CERTIFICATION' VEY0 IGl1 -6 . A ADMINISTRATIVE CODE FLORIDA S ED B Ei .. C BELT TO THE BEST J OUIE P. SIGN .. PROFESSIONAL ,'S_ L Y"OR NO. 217 3 STATE OF FL 6600 TAFT ST. STF -0312 HOL.LYNg?D, FL- 33024 1305) 962 -9334 -__- NOTES, UNLESS OTHERWISE SHOWN HEREON, THE FOLLOWING NOTES APPLY. DER- ENT U.E.• UiLJTY EASE) E#IT U.d- UNDERGROUND II RECORD AHD MEASURED CALLS ARE N SUBSTANTIAL AGREEMENT. xM- WATER METER 2) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASE - Wi'i WITH MENTS OR OTHER RECORDED ENCUMBRANCES NOT SHOWN ON THE WVR- WATER VALVE RISER PLAT AND THE SAME IF ANY MAY NOT BE SHOWN ON THIS SKETCH. 3) POR%Z; OF FOOTINGS, FOUNDATIONS OR OTHER 'ED IIY LS F173' CONCRETE • •• • • ;.::., •: • r UNDERGROUND IMPROVEMENTS WERE NOT LOCATED. 41 ELEVATIONS ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM. FENCE. CHAIN l tOC QR -�� 5) FENCE TIES ARE TO THE CENTERLINE OF THE ,DY WIRE FENCE 61 WALL TES ARE TO THE FACE OF THE WALL. Dl6c WaOD FENCE• - -- -+1- -- — TNS SURVEY MAS BEEN PREPARED FOR THE EXCLUSK MtPOSE FOR USE 5�i IRON WALL AS AN AID N OSTANN6 TITLE INSURANCE ON THE HEttEON 13r5CRtBED �•„•, R � PROPERTY. NO A0011 ONAL WARRANTIES ARE t9ZBY EXTENDED. =FA t■ AND PIPE CERTIFICATION' VEY0 IGl1 -6 . A ADMINISTRATIVE CODE FLORIDA S ED B Ei .. C BELT TO THE BEST J OUIE P. SIGN .. PROFESSIONAL ,'S_ L Y"OR NO. 217 3 STATE OF FL 6600 TAFT ST. STF -0312 HOL.LYNg?D, FL- 33024 1305) 962 -9334 -__- PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address � � I� y S Tax Folio Legal Description �' I "Q Historically Designated: Yes No, (l.imar/f vccaa / TPnant h4 ,, P4 D® Master Permit # 7 o 9' Owner's Address � KI C" lo vs, 5 Phone �5D�n°` "` ` 3 ([ 6 `"i Contracting Co. ab Address !✓ , U Z Qualifier Ia hr l on SS#'r hone? °9d,) State # '7 0'- Municipal # Architect/Engmeer Bonding Company Mortgagor Permit Type (circle one): BUILDING WORK DESCRIPTION Square Ft Competency # Co. Address Address Address PLUMBING MECHANICAL l A0 (IM ( 1 d"'`u v Estimated Cost (value) 6 ROOFING PAVING FENCE SIGN 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. r FIDAVIT: I ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable [ling cons tion and oning. Furthermore, I authorize the above -named contractor to do the work stated. of pv4fer and/ ondo Pr nt Date Signature of Contrac or or Owner- Builder Date 7 7X IoO 33 s� Notary as to'Owtier aitJof`to t %O=Kr ~mate My Commission Expires: � J wt 1Iry,'�"i s. :4'+..,�,...- .�^1,;,(V FEES: PERMIT 1 RADON APPROVED: Zoning Building Mechanical Plu Notary as to Contractor or Owner- Builder Date My Commission Expiresa RU 7+1 A NESS. State of Florida ?pis Htr w C "Si? . [xis: 0fl /2 /Cyi3` C.C.F. r 419 NOTARY ;ctrical Engineering TOTAL DUE MYIY • a?s1oJ. �� ��''' �Y'���a� _ rY���/7 .. "lam c��a `d/L'/` �,/�'v�'�,S - jy" � oz Jle" . :x<. -:. SOUTHERN ATLANTIC Page No. of Pages SERVICE CORP._.- 1,_._.,. A GASADVANTAGEDEALER 2120 FLETCHER STREET - HOLLYWOOD, FL 33020 954 - 927 -0529 PProposal 954- 921 - 899 * *1 - 888 - 696 -7272* *FAX PROPOSAL SUBMITTED TO: DESCRIPTION OF JOB: Job MR JOHN MC PHEE Address 599 N.E. 101 STREET . Ciry MIAMI SHORES, FL 33138 fate NEW WATER HEATER PIPING Phone 305- 758 -3464 Dat6/09/99 We Hereby Submit specifications for and estimates the conversion to and installation of a new State brand, 40 gallon natural gas hot water heater, and new gas lines, at the above referenced location. The work will include the following Install 40' (approximately) galvanized Y4" gas line, above ground. One (1) new 40 gallon, natural gas hdt water heater on new approved stand. Model ir# PR640 -NBRT. Glass lined, energy efficient. New temperature and pressure relief valve, flue and flex. Connect gas and water lines as needed. Miscellaneous t's, valves fittings, etc. All parts and labor. $925,00 Run gas linos for stove and dryer. $230.00 THERE IS A (1) ONE YEAR WARRANTY ON ALL PARTS AND NINETY DAYS ON LABOR SUPPLIED BY SOUTHERN ATLANTIC SERVICE CORPORATION AND AN ADDITIONAL FIVE (5) YEAR MANUFACTURERS WARRANTY ON THE TANK LINER ALL WORK 19 TO BE PERFORMED IN A PROFESSIONAL AND WORKMANLI -E MANNER, ACCORDING TO STANDARD PRACTICES, USING 1ST CLASS, U.L. APPROVED MATERIALS. * *PERMIT AM APP"CABLE FEES NOT INCLUDED ** rt We Hereby Propose to furnish labor and materials complete In accordance with the above specifications, for the $1,155.00 (DOES NOT INCLUDE PERMIT) sum of $ 1/2 UPON ACCEPTANCE, BALANCE UPON COMPLETION With payment to be made as follows: , = Ail material i$ guaranteed to be as specified. All work Is to be cornpleted n a work- Authorized Ikemanneraccordingtostandardpractices .Anyakemtionordevlatlon$�mabove S nature specifk atbns Involving extra costs will be executed only upon written orders, and will i9 . become an extra charge over and above the estimate. Ali agreements contingent upon Note' This strikes, accidents pr delays beyond our control. Owner to carry fire, tornado and other necessary Insurance. Our workers are fully covered by workmen's compensation d U insurance Acceptance of Proposal — The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date Accepted 7 " Signature may be FLA.W&IJ 008- 00130M * FLA STATE GG NO.CFC056803* CC NO. CAAC0053800 * EC 0000934 * 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 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. — ` + Date 's 2/ {�� 1 , 19 P& Owner's Name and Address µ "�+ ©!f►% 1(r°� No Street+` `I yr Registered Architect and/or Engineer Name and address of licensed contractor C A ltLs O 1✓ Co M d,,o'%- 554 N e Y ` S I. lzri, Location and legal description of lot to be uilt on: Lot Bl Subdivision AI ;2 T L M S /Y Street and Number where work is to be done Q Q t State work to be done and purpose of building (by floors), state exterior colors (submit samples) � � L Q. FI. f �1 A ! i121 ?-.A� - ' i and for no other purpose. New Building Remodeling Addition 6 Repairs No. of Stories � 0— 1b be constructed of j %J `r .(,,,C I1c Kind of foundation Roof Covering .�- Estimated 7bta1 cost of improvements $ ` �j p 0 Amount of Permit $ ;�—, I I "l Zone cubage required Plan Cubage Distance to next nearest building Sdze of Building 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 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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 t ' 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 undersignacgreeploy one such/7contt�rs, on work to be performed under this permit, as are licensed by Miami Shores Village. '"` l J �� Remarks STATE OF FLORIDA V COUNTY OF DADE. } as. 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 f regoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No, 1j 5 0— 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 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. 1983 .e SCALE: 1" ' �r TOQY C S ` ' c` o2'Sa _ -N ..' - -C1oii �. '�•` p�::� •. t•.,, ���y, ,,v�•"'..Tj%j/.w(►wlAii.F•a3/ »x .!!;�4'•.I;,a..,sy _r; `wW' f 't��•��i.�wL..• °�• � CA ST 7,lt_- • - y. a ap�isl_.T psv M.5C:61 V Q A Q w Y � ^W J W 5 re V PSlPN AVTQAV I ..� ^�. •r .. ': wt �'.pr:is ^b.'y •., Sl.. w..:y $"F.!�:i.:�.@', .•.�f,j'i{q::h ri My�i:•i�•� I m% �• ¢ ►' Goy �. 5�I► o `' •� W'� 6 x 6 �c 1 ° /,o Mss N SG ; �r TOQY C S ` ' c` o2'Sa _ -N ..' - -C1oii �. '�•` p�::� •. t•.,, ���y, ,,v�•"'..Tj%j/.w(►wlAii.F•a3/ »x .!!;�4'•.I;,a..,sy _r; `wW' f 't��•��i.�wL..• °�• � CA ST 7,lt_- • - y. a ap�isl_.T psv M.5C:61 V Q A Q w Y � ^W J W 5 re V THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT ❑ WITH NO VARIANCES ❑ WITH VARIANCES) LISTED IN "REMARKS" NO OTHER DEVIATIO'?S FROM THE (MIAMI S'11RES BUILDING AND ZONING ORDINANCES WILL BE PERI:9ITTF.D, UNLESS SPECIFICALLY LISTED BELOW. ALL OTHER APPLICA$I.E STATE AND COUNTY LAWS MUST BE COMPLIED WITH BY ALL PARTIES. Aut�ofi-e -1 Sgniture Date FIRE DEPARTMENT PUBLIC WORKS POLICE DEPARTMENT L4 I BUILDING DIRECTOR PLANNING & ZONING BO':.:= VILLAGE COUNCIL APPROVAL PRELIMINARY: FINAL: REMARKS: COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & SUB CONTRACTORS ARE -.7 K:`0NtEOCE OF ALA. BUILD- ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. 00 4 MIAMI SHORES VILLAGE r'ja S s(f BUILDING INSPECTION DEPARTMENT �1Mb G 1�/1s'o-!�'APPLICATiON FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement nr the plans and specifications herewith submitted for the build ing or other stru&ure 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 Villa$c 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. 1� Date .- ,.IC..134._»»....._»»......_ Owner's', Name and Address . .. -.. ................... » »»...... No.... 'Sq 9 Street. —1.1 § 19UZT ........ _. Registered Architect and /or g' tl i ttL` er............ .............................»...»......... .................,...........tr tr:.....,,.• •rrrr.trrtxtrtntr. :•mxxr t:xtttr t ............................... 9 Name and address of licensed contrgctor...` g.= .!+o 1 hL t �..r.1 .iii `► �?.... �?►. � Y.1.1»�»� -»Q'.. t" �-'t ... k' Location and legal description of lot to be built on: Lot....... -'fel� .................. Block...... �lL....._.......... Subdivision. s rV.1 ».»ate.. 0 ....5ee.. .».»... .»...._............._...... »... Street and Number where work is to be done..! ff. -9.. L�.l .».. • • ....» ..-- •..».. »..» .. _....__ State work to be done and purpose of building (by floors). ».ZA ,b-5 .t.ak..c._ 3 .....�-�..x�.. »� Gciez* .... Aw®4 ...... l N'�Z>W7 ... 4j` C- e- .._JVA ✓e. _ 01955- &ve'L -- .. 4sc '9--'s »_ f.. .... c fSS • ».....» ...... ..... »....... »».- ».... ......»»»—".....and for no other purpose. New Buil ding ............................. Retttodcling....... .. Addition ...... _.................. Repairs... .................. No. of Stories ...... ....... » ...._ To be constructed of ......................... Kind of foundation: ..... ........ ................................ ........... Roof Covering ....................... ........... ... _.._ . Estimated Total cost of improvements $........ . of Permit $ .... &.6,040 ».....»....... » » ». Zonecubage 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 besent 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, anti has complied with the provisions thereof, and will require similar compliance from 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 pection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such itractora,oa work,ttQbe gerfgrmed under this permit, as are licensed by Miami Shores Village. �� %�` j . n n Remarks ... _ .................. ....... ..»» . ( Signed ) STATE OF FLORIDA, 1 . COUNTY OF DADE. .Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persorially 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 lie has caret ly read the foregoing application, and that he did sign the same. and that all facts therein by him st�tper��� e: truce e.. Permit No.. ..... Date................. 7_.... _.. 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 ....................... _ ....... _.._ ».... .. _.._..__-_..... Nfember _. _. ».... ......._........_ . ».. _.. .. ».... »-» »..........._.... ».._ Member.. ... .............. --.-..-.------------------ _ .._.---------- — ---- - ----- - Member .... _ ............ _..»_..» ..........». »............. »_..._._....�._ ». CouncilApproved ......... . .................................. _..__ ........ ........_ -_Date Disapproved ..»..» ......... _.. ....................................... .... ... ............ Date NUT E: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the PLennir.- 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 anti /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Applicat'ion is hereby made for the appro%,al of the detailed statc,sient vi tile plans and specifications herewith submitted for the build, inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florid.%. 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. (N 3 pp CT�M� .. krl� , &� Date. 10-f=1 Owner's Name and Address .....:.... ........................ »»..._. N*.S.93—street-Al JC JWU .,Sr- Registered Architect and/or E ngineer.... . ................. . ... . ............ . ... . .......................... ,*Ime and address of licensed controctor .... r.Q. Location and legal description of lot to be built on: Lot......... Block ..................... . ......... . Street and Number where -work is to be done........: . 5136 1 -5 State work to be done and purpose of building (by 1, - ....... .......... »...._ «...,_...... .1.1-................... . «.....«.. ».•.. . . . ....................... -....and for no other purpose. New Building ............................. Remodeling...... , ..... ........ Addition ...... . ................ QR�epalri ..... ............... No. of Stories.. .......... . . ...... To be constructed of ......................... Kind ot foundation:.......„... .................. ............................... Roof Covering................... : . ........... ... Zstirnatt.-d Total cost of improvements $...... of Permit $,.._. ».. «. . ........ I ....... Zonecubage required ....................... ........................_ - - - -.» _......_...._ «. Plan Cubage ................... . . . ....................... . Distance-to next nearest building .................. ............. of Building Lot ....... . . ..« ....., »..._.........._....... -1 ........... ....- Maximum live load to be borne by each floor ..........................._» ............................... ...... . ........ ......... I .............. .... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to.; ......... ................................ ................................................... ................................................................................ ......... ............ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations is an employer of labor under the Flon a NVorktuen*s Compensation Act, being Section 5966, Compiled General Laws of Florida, Permant•lit Supplement, and has complied with the rovisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed tinder this permit; and will post or cause to be posted for inspection on 2 e site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su !:ttm!7 work to be performed under this permit, as are licensed by Mionif Shores Village. Remarks..._ .......... ........ . .............. STATE OF FLORIDA -le, 01- 0, CPU,NTY OF DADE. $3. .Before me-the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. peroorially ap- peared.. . . . ............................. . . . .................. . .. . .......... . . . ... . ................... . . . . . ............. . .. . ..... ....... . .. . .... ....... ..-to me well known, and who, being by me first dulysworn, upon oath deposes and says that he is the . .................. ....................................... . . ........ ; .... . ... . ..... . of the above described construction, that lie 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.--- . ........ .. ........ I . .. Notay Public, State of Florida (Signed) ... . ....... ................. Building Inspector My commission Expires— PLANNING BOARD ... .............................. Chairman ...... .. ........ Member Member.... ............................_ »_ . •-- .. ».. «....._.» ..... ».............. Member Member .. .. . .......... Member Council Approved ........._.......I.. ..-Date Disapproved .._..«..».._.»«. ........ ...................... '..................Date NUtE: A ch.trge of $1.00 will be made for making corrections of changes to this application after apprwal has been obtained from the 111.1rinin-,, lluard. A re- inspection fee of $1.00 will be charged when such re-inspection is made necessary by Improper notice for inspection or 1*uItY materials and/or workmanship. W — MIAMI S I-1® E S VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT - -- ROOF - Sqs. 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 Buildingg Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinapbss of Miami $bores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date __ - ------- 11870 owners Name and Address___ Mr-s.. L_._B_._. Fraher- - ----- -------- - -- -- - - - __ No._599- - - -- - -- Street_K •E • 101____St_o..--- RegWered Architect and /or Engineer --- _ - __ -- - __.- ____ -- -- - - -- -- -- ------------- -_ - - -- _ --------- ._-- ------ --- ____ ------ oof Name and address of licensed contractor_. Adams. & B` eaglas --- Roofing_G._Q..___1nc_... 4Q21_ 33 Location and legal description of lot to be built on: Lot_ - ------- _--------- Block- -___.. ------- __ _ Subdivision__. ------ . -- ----- ._..._.._._ - -------- Street. .X].-3t#11._�J�1Sl }_. 'jS?Y'_jdg___ —_ Street. and Number where work is to be done —599 N .._.Fi..__�..Ql.S -� State work to be done and purpose of building (by floors)-Rear Gravel Roof existing roof and apply 1130 z 2.Z 5.1 s r -- as --halt &gravel . - - - -- -- -- - - — - - -- _ for no other purpose. New Building -__. -- -- -------- - ----- Remodeling -- _-- ------ -- Addition-------- - - - --- -- -- Repairs .... REr- -RO-Qf No. of Stories...._ - .1-- - - -- -- To be constructed of --- ------ — ------- - --- Kind of foundation__. --- -- --------------------------------- - - - --- - - -- Roof Covering__ . QrrB_v_e ., .....__..__ -- Estimated Total cost of improvements $ ---- 5 -OQ _ —__ __ - - -__- 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 foi said building. All notices with reference to the building and its construction may be sent to- Adam,,- &- Beag1--e-s- Roofing Co.; Inc-. _4021 N, W. - -2 .nth--- 3t- .--- Miami,._-33142. The undersigned applicant for this building permit doc 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 Supplenient, 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 `tiblic 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) _._. ._. Vice-- P.res. STATE OF FLORIDA, Adams & Be 1es Roofing Co., Inc. COUNTY OF DADE. Before me, ..3;c undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ______Henr3r _F..._.Adam8-., -o-fl-Adams &- Beagl-es --- Roo-fing Co-.-,- Inc. ------------------------ --------- _ me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ _R.QOfing__CQntra _qtQr- -------- -_ ------ 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. //Read, Sworn to and Subscribed before me. Permit No. - -- -- - - - - - � �`� J _ Date ........ (o s �a _ Disapproved (i - - -- -- --- - - - - -- ate— - (Signed) -- - - - --- ° f�° - - Building Spector PLANNING BOARD_- __ . ----- Notary Public, State lori NOTAI2 PUBLI , STATE of F A at LARGE My Commission Expl s_C6J !�!+ +5.4� to txttt4E5.lU . 1970__ BONDED UGH FRED W. nATF. 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. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT t Application is hereby de for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date - `� -t Owner's Name and Address -_ ___ L'_:�__rZ a L _� -_ .%_r__ No._�l60P____________ S#�eet__sw___3P'� '� -- -- - - -- - -- Registered Architect and /or Engineer ---- -- ----- - -------------------- . ____ _____ _ ____ ______ _________________ Name and address of licensed contractor --------- i'- L±-J _�L ___ C10 t _? :z (I � N1/ ----- t3 C ¢ t Location and legadescription of lot to be built on: Lot--5 ------- = - J-- ---- - �a- --- Block -------- ��A--------------- Subdivision---- - - - - -� --------- _"!`---- --- %4rf1""'� . ------------------------------------------ Street and Number where work is to be done --------- � _9_9 _ _- _____�_ �-_- ____- - ___ __ .____- -_______- _____: - --------------- ___ State work to be done and purpose of building (by floors) --- - _ - fi'- --- - -------- and for no other purpose. New Building -___- - ------------------------- Remodeling __________________ ________ Addition __________________________ Repairs -------------------------- No. of Stories --- Q�`1 -c To be constructed of- "' ------- Kind of foundation - �Roof Co 8&— � - --- Estimated Total cost of improvements $___ _ _Amount of Permit $ ___ -�_ ---------- _ _____________ ________ __ Zone cubage required--- - -- - -- t ---- - - - - -- - --Plan Cubage '¢- Distance to next nearest building_________ `_�?___t�►_C __- _ __________________Size of Building Lot ------ l_ 42IZ- 1c____1_1_6 _____- ______ _________________________ Maximum live load to be borne by each floor____________ 4AP- __ 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 ----------- C _ -t -- -- ---r -- -� - - -i _ -- - -- .= - ---- - - -� -- -- - -- �-- - - - - -- --------- �'- - -- - - - -- -- - - - - -- - ----- - - ---- '- - -- - - - -'' - --------------- - 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 wor ,such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work,jo bg formed under this permit, as are licensed by Miami Shores Village. Remarks- - - - - -- --------- -- - - -- -- ----------- - - - - -- - - - -- (Signed) -------- - - - - - -- .e ----------- -- - - - - -- -- STATE OF FLORIDA, 1 COUNTY OF DADE. j ss. 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 d et ti on oath of the above described cons t ct' n, hat h has cai therein by him stated are tr Permit No. -!__l -- - - -- D . - - - - -- fl I ► PLANNING me well known, . says that 111k is the ---------------------------------------------------------------------------------------------- the foregoin application, and that he did sign the same, and that all facts Member\------------- - - - - -- ---------------------------------------------------------------------------- Member-------- - - - - - -- ---------------------------------------- Council prov -------- - - - - -- ------------------------- -- ------------------ - -- - -- -Date 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 when such re -insp materials and /or workmanship. Sworn to and Subscribed before me. Notary Public, State of Florida M Commission Expires _________________________ _ TE changes to this application after approval has been obtained from is made necessary by improper notice for inspection or faulty 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. Ris application is made in compliance and conformity with the Building ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date-Arm I I A 9 - -------- ,19 -0 Owner's Name and Address_.?.a.f_H____,&_- org ------- 5�� Registered Architect and/or Engineer------ .-- - - - - -- --- - ----- — — --_------------------- - - ------- — - ---- . ....... .. _-------------- - - - -- Name and address of licensed contractor__094_� ------- ----- ---------- - ----------------------- - ---------- Location and legal description of lot to be built on: _ Lot_ ,jA'i_!f ----- — ----- Block.__9 --- q . ..... . .. Subdivision.— c 4 ... . ...... Street and Number where work is to be --- - — --------------- State work to be done and purpose of building (by for no other purpose. New Building-_____ Remodeling___------- .--- --- - -____ Addition-- .__---------- --- - - -- -- Repairs---- ------------- _. - - -- No. of Stories - --- -- To be constructed of---------------- - -__ -- Kind of ------ — R 9 ---------- - ------------------------------- - - - 'P Estimated Total cost of improvements of Permit $_-- -_ -___ — ------- - ------------------- - ------ - Zone cubage --.----.Plan Cubage — ----- ---------- — ----------------------- - Distance to next nearest building------------- __------------ - -___. of Building Maximum live load to be home 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 inspection on the site of the work such public notice or notices as are required by the Act, The undersigned agrees to employ only suqhn sub contra work to be performed under this , permit, as are licensed by Miami Shores Village. Remarks-------- (Signed L ---- — -- STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aeJmowledgments,* personally ap- peared ------to me well known, and who, beiny by me first duly sworn, upon oath deposes and says that he is the - --------- - ------ --- - - -- - ------- __ ------- --------- _ ----_----------_ - -- - - - c 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. 4.. Read, Sworn to and Subscribed before me. Permit Nolit—P Date ...... __ Disapproved___ __ __ - -- ----- D tc_____ - ----------------- - --- - ----- - ---------- - ---- - — - — ----------- (Sig,ed) - -- - ----------- — ------ - - - ..... . ------- Notary Public, State of Florida Buil Inspector My Commission Expires----- - ----- ----- --------------- ------- PLANNING BOARD-------- ..- - - -. -- - ------- ----.----.--DATE Chairman Member --- --- - --------- - ---- - ---- ---- ---- ---- - Member- — — - — ------ - - ---- - ------- - - ---- Member -- - - - -------------- - ---- ---- - - - -- ----- - ------------ Member - - - - - -• ----- - ------- Member - ---------- - - - -- - ------ 1 ---- — -------------- I --------- ____ 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. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications- herewith submitted for the build- ing or other structure herein described. This application• is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date AU0 42 lava e_77) Owner's Name and Address -- ICU-7-11 /14, /14 —_ - -k. /V — ----- - ------- - ------- —_ No-24KEt— Street _ Registered Architect and/or Engineer- _-------- --- - - - - -- -- - - — - ---- - ---------------- - --- - - _ ___.._.-------- --- --- --•- - - - -•- Name and address of licensed Zlk w Location and legal description of lot to he built on: Lot_.��g Sbdivisio.&I �M_' Street and Number where work is to be done___�1 State work to be done and purpose of building (by foors) r7 AQ L6LD a_RI ------ ------- -_ -------.-and for no other purpose. New Building------_------_ Remodeling --- - ------------- — Addition------------ ----- - -__ -- Repairs-- -- ---- -------____. -- -- No. of Stories ------ --------------- - To be constructed Kind of foundation - — — - - --------------_ - --------- - - - -------- Roof Covering_------------- _-------- - - - -_- -_------ - -- Estimated Total cost of improvements $ --.---Am..t of Permit $-.--# -------------- - -------- - ----- ........... Zone cubage required-- Ian Cubage — ------- - - — ------------ - _-_ - Distance to next nearest of Building 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 ------------- _ - - - - -- 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 -s=b subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks----------- (Signed)--- STATE OF FLORIDA, COUNTY OF DADE. I sa' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ----------- ----- -- 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. Read, Sworn to and Subscribed before me. Disapproved - -------- ---- - ---- - ------ - — ------------ - ------- - - - (Signed) Z?Z/1 -- -- - ------ — ----- - -- -------------- Notary Public, State of Florida g B 9 Inspector My Commission Expires_------------- ---- --- -__ PLANNING Chairman Member _ Member Member Member — --------- Member — Council -------------Date Disapproved 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 $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement us uie -plans and specifications herewith submitted for the build inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Villa$c shall be compliQ with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during prpgress of the work. �^ Date..._.. Owner's Name and Address ........ ...._ ........ .. ..... _ .„......:.. ...._.......�c... „... » »........ No....� Street... '_: .��f Registered Architect and /or >yngipcer.......h1�1�,irt v�wt� ; �.r ...... ............................ +• •• a» r••••• m •••tn•eer*mrereh.<•mnmanse,r••. Name and address of licensed contactor..... :`~ �l„ d' e: r...------ .._„»�..„...... „.„.... „._. „. „„. ........................ _ ..... . Location and legal description of lot to bui t on: qq. Lot.. � ........ Block._. ... Subdivision.6./..! ! ... ?,.�- ....»....L„....... ...! .. �% Street and Number where work is to be done..._ _ „.... __ Stato work t� done and xpo a building (by floors). !CS r/%ay. 4f�E'i� ............ :........ d. �9...e...C..,�i���= �» „........»... „. „......„. „.... „ „„. � .„......_._^.... ..and for no other purpose. New Building ..................... Rentodclm . Addition ...... _ .................. Re airs :......................... No. of Stories ...... ........ „ ...... _ To be constructed of ... .... Kind o o�u°n�dattion: .......... ............................._. Roof iCovering ....................... Estimated Total cost of improvements $....... /.ti2 v.� ...... „ „ „..... „.A,mount of Permit 3 .��. { �1... _... .............. .... ....._ „..................._.... Zonecubage required....... ....... ............................... ....... »..... „.... „„. Plan Cubage ................... _ .. „.„..„....„...............„ „._._.. ....................... _ Distance-to next nearest buil ding .............................. . „._...„..Size of Building Lot ....... ..._ ...... „... „ ... _.......... Maximumlive load to be borne by each floor ........................... _„ .................................................... .„_ ..... .:._ ..... .. ....... _................ I hereby sub 't all�'''h�e plans and spe ' is for said building. All notices wit be sent to.. .. �” �J n��'C� . 1�(@J( ... .................p ........ ............................... .SI. T ............. h refergn o the building and its construction may The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as ,an employer of tabor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted foll igniqupection on the site of the w k such rublic notice or notices as are rcquircd by the Act. The undersigned agrees to employ only such tr on be ed this permit, as are licensed by Miami Shores Village. Remarks... .. „.._._...„„ ..... (Signed)-- .... _.._ STATE OF FLORIDA, ®c�9 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.. trruue. . Permit No.. °� 1......r_ Date.��. .�_....„...,. Read, Sworn to and Subscribed before me. Disapproved.... ate. .�.__.�... „_..r.._.._.......... .............. ......... .. .... ......... .».„._.._......... �..._ Notary Public, State of FWda (Signed) ............. .... ........ ... .................__...._....... _.......... „.. Building Inspector My Commission Expires ...»....,....„..... » ».....»._. .�. PLANNING BOARD... „ .................... ..........._........._._._DATE Chairinan ................ „........._..... „. „... „.._ „. »...._.... „„ Member ..... „». ......... „ .... ... „....._. _„ ... ». »....... „:.. „.„_.. „..._._......_..._ .Member .. . .............. „.......... Member „. „.._....„„._..... ».. „ „.. .. „....___ .......... „.... „.._ Member ................. »....._. ................ .. Member „.._ ............ ..,.............. „._ .„.....»... „... _..._ ...._ ...____ CouncilApproved .....„ .... .................................. _._ „.._...... „......_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 Plannin-; Board. A re-inspection fee of $1.00 will be charged when such re- inspection is nmde necessary by improper notice for inspection or faulty materials anchor workmanship. 4 G ' N 0 I `rr N Dom. 0 OD Ul s N W v `µ L r ' r 4; L" Y) �1 r STORWPANEL — PHONE3305 I EN33-8571 s ��.�. ����. r CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION NO 1462 Miami Shores Village, Fla., Owner, Agent or Tenant of Building Lot Block " Subdivision Street Address _ Approved use by occupancy This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUILDING DIVISION k' , f. ?,WNER'S NAME PRE ENT,ADDRESS LICENSE NO. PHONE NO. colmc (lob 3— 3rd Avenlys JOB LOCATION (ST. OR AVE.) LOT BLOCK- SUBDIVISION 599'N E. lolst ST. 23 -24 94 M/$ Seoo#4 GENERAL CONTRACTOR ADDRESS PHONE NO. LICENSE NO. GOTTLIEB''& compAw I I I 412E T� Y�'1PC�J B�}UyI�LDER,'�aS BOND (]� 1�j r� ENO. 3V,, 1a DATeEr" BUILDING PERMIT NO� DATE .1-30-51 �/1 PERMIT FEE $ i -w e� ZONE REQUIREMENTS 21,000 CU. FT. PLAN CUBE 21,.989 CU. FT. [EST. COST $ DATE /� P G_ 4 -2 -51 DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: • TYPE STORIE, ROOF CONSTRUCTION INTERIOR CONSTRUCTION X1 CBS I I Tile Oak Floors Plas.Walls & Ceil NEW CONSTRUCTION DESCRIPTION 7 ^ I L *Mo' D M Tao ao Por- KIT -2. BIM Rte- 2 Baths Att Gar REPAIRS DESCRIPTION ALTERATION ADDITION APPROVED REJECTED REFERRED TO COUNCIL REASONS SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD REMARKS SUBMITTED TO VILLAGE COUNCIL CERTIFICATE OF OCCUPANCY NO. 6cJ - I ISSUED s� V BY "^" TO 1j)_4 BUILDING PERMIT AND INSPECTION RECORD -MIAMI SH°b9EM VILLAGE it ' 0 BUIl LDID`.NN G INSPECTIONS INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION SPECIAL PERMITS PERMIT NO. PERMIT NO. DATE FEE TEMPORARY SERVICE BEAMS & LINTELS $ 4�//� H. W. HEATER CONN. $ SEPTIC TANK $ RANGE CONN. FRAMING $ SEWER MOTORS $ SOLAR HEATER $ $ GAS FINAL INSPECTIONS $ RE- INSPECT BY RE- INSPECT BY CLEAN -UP INSPECTIONS DATE BY RE- INSPECT BY PLUMBING PERMITS & INSPECTIONS CONTRACTOR ` - PHONE PERMIT NO. / DATE%• -» t FEE $ NEW BLDG, ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. PERMIT NO. DATE FEE TEMPORARY SERVICE ,} $ 4�//� H. W. HEATER CONN. $ SEPTIC TANK $ RANGE CONN. $ SEWER MOTORS $ SOLAR HEATER $ $ GAS INSPECTIONS $ RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING H. W. HEATER CONN GAS RANGE CONN. SEWER SEPTIC TANK FIXTURES & FINAL 1 7! SOLAR HEATER FIXTURES ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR PHONE PERMIT NO. DATE i r FEE $ NEW BLDG. A& RATION L ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ,} $ 4�//� H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL 1 7! APPROVAL TO POWER CO. FOR SERVICE DATE "�""�' yr BY - R � • WAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL ❑ PERMIT N? 15330 PLUMBING ROOFING ❑ Work to be performed under this Permit. — Owner of Building --- Architect — �ontractor or Builder - Legal Lot. Bl. ' D Descri tion � �` t DATE 195 Contractor's License No. — Subdi- vision Address of I Value of Amt, of Project $ Permit $ Building 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 and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. MIAMI SHORES VILLAGE, FLORIDA GILDING ❑ DATE ,- ,. 195 ,ECTMCAL C PERMIT W? 11204 Contractor s DMBING ❑ License No )OFMG ❑ Work to be performed under this Permit tec Build Descript Address Buildinc 1 Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or equipment or device described in the application berefor in strict compliance with all ordinances pertaining thereto and with the understanding th r will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by t r tiopal 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 rization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the respon ty a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the state is or specifications and that he assumes responsibility for work done by his agents, servants or employees. t Signed:* t 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 and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY a for er ,i . Lot , . II B BL S Subdi- ior� � vision Of V Value of A Amt. of This permit is granted to the contractor or builder named above to construct the building or equipment or device described in the application berefor in strict compliance with all ordinances pertaining thereto and with the understanding th r will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by t r tiopal 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 rization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the respon ty a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the state is or specifications and that he assumes responsibility for work done by his agents, servants or employees. t Signed:* t 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 and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING [❑ #. DATE /f9 ELECTRICAL ❑ - PERMIT N° 12139 contractor's PLUMBING ❑ License Na ROOFING ❑ Work to be performed under this Permit Owner of Building Architect ontractor x ' or Builder Legal Lot IL Bl. Subdi- Description. vision Address of Value of Amt. of Building Project $ I� Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195 ELEcTRicAL PERMIT W? 12 310 Contractor's PLUMBING ❑ License No ROOFING ❑ Work to be performed under this Permit Owner of Building Architect _ ontractor or Builder Legal Lot Address of Building Bl. Subdi- vision Value of Project $ Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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. t w Signed: + r'� m Y' 3"►, °5 .. INSPECTOR' In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 0 MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195 ELECTRICAL ❑ PERMIT W? 12302 Contractor's PLUMBING ❑ License No - -- ROOFING ❑ Work to be performed under this Permit Owner of II Building Architect - ontractor or Builder Legal Lot Bl. Subdi- vision Address of Value of Amt. of Building 11 Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE ' � � / - `� ,� �� 195 ELECTRICAL ❑ PERMIT W? 12429 Contractor s PLUMBING ❑ License No. ROOFING ❑ Work to be performed under this Permit Owner of Building- Architect ontractor or Builder Legal Lot II Bl, Subdi- Description vision Address of Value of Amt, of Building 8" s Proj ect $ Per $, 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 IA t INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL ❑ PERMIT N° 12415 PLUMBING ❑ ROOFING ❑, Work to be performed under this Permit Owner of Building Architect - ontractor or Builder Legal Lot Bl. Subdi- vision DATE � 7. t -1 195 Contractors License No Address of Value of Amt. of Building 11 Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BUILDING ❑A"" MIAMI SHORES VILLAGES FLORIDA 19 ELECTRICAL ❑ -_T� _- PLUMBING ❑ PERMIT N? 10627 Contractor's ROOFING ❑ License No. ❑ Work to be performed under this permit— Owner of Building " Architect ___ - - - - -- - -- Contractor or Builder - — _ =— - - -- Legal Lot ( Subdi- Description Bl. vision -- _-- __�__ -- -- Sq. Ft. — Address of B, r Value of Amount of Building ? j ' _ Project $ Permit $ - -- This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed (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 responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR or BUILDER BY AUTHORITY MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Pennic No._L_ _ Date...: / /:- - ......... _ .._ .l,pplu•:at,on is hereby made for the approval of the detailed Statement of the plans and specifications herewith subuu,,,.A for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miw °! Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatic�. of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and spec. fications must be kept at 'wilding during progress of work. '.hvnei s Name and Address .... !MfMdS J &V &S � . _ .._. No.._. !_ t...-.-..._... Stmet. 6`01.5/ ,egist Bred Architect and /or En erx.._ _. ___. ._. _.. _ , . _...... ._.._.... _ ..... ... 'employing Plumbers Name a N wis ' ^'"�'� `� NO �� 8ti'eet..'lfk �v L. -110 Q ' _ .. _ _..._ ..r ...__...._.... .. _ .. .,...,..m ..................: ,,.,.�. .. . Location and Legal Desctiption Lot __ __ i11ac1t _ _.._ Subdivision.__.— Street and Number where work is to be performed —No. Street. �_ 7-. State work to be performed and purpose of building (By FMoss)_ .___.. ..._....._._._..._ ---- _ ----- _.----- New Building ... -- Remodeling_ _ ...._.._. _ ._. - Addition .. ----._------------- Repairs ........... .......... No. of Stones Size Septic Tanit - -- -- - ---._ ___M_ __ _ _._.Type of Tank _..__-_ --- --- :...- __- _._._ ........................... Capadty ................ _ ....... I Feet of Drain Tile ._- .___- ---------- ..-_____-- _ --rDW- Feet of Tank or Drain Field from Well- _._...-._. _ ..- • ---- _- _-- ....._..__.__� .. _ .........._ Nature of Water Supply: Ciry— Well. ___ _ _____..______ .__ __ �_..6ize of Soakage Pit ...................... ............__.---. -_ ................ _ ........ -... _.... .... _.._. ....... _ ........ _...._.... _ ... .._ Awwa Amount of Permit s ----- _--- t.�— (Signed)- _/`. Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e P Aoym of t2lxw under the Florida Workmen's Compensation Act, being Section 5989, Compiled General Laws of Florida Permanent £upi. lenient, and has ,.m-s- i.lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in - e %( rk v b- performed under this permit; and will post or cause to be posted for inspection on the site of the work such publ: notice x no icer •as as required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be pAfformed -kA this �rel,til, a ar . licensed by Miami Shores Village (Signed) ` - _..... -- °_..... ... ...... .... _ / ® 41 Masts Plumber. STATE OF FLORIDA, I ss. a� f 68' 00,10 7 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclowwledgments, peFaorr: ; , pprar+:e„ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ..--- .. .... ... ............... .. .. _. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all 'acts therein by hin, stated are true. My Commission Expires Notary Public, State of F'lorids '� NOTE: A re- inspection fee of $1.00 will be made when sucb re4axpeetion is m de• necessary by improper notice for hwpw.tkw, (or bultq. materials and /or worllmansbip. a ATM LAVA • SLOP LAUNDRY CATCH FLOOR DRINKING TQT.L CLOSETS TUBS SHOWERS TORI[[ 61NKi SINK[ Tuns URINALS BASIN DRAIN FOUNT -NO I FIXYL RES CONTR. L IN, T CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM•O ate,...,.. � ...,..� TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR LIST CHECK Size Septic Tanit - -- -- - ---._ ___M_ __ _ _._.Type of Tank _..__-_ --- --- :...- __- _._._ ........................... Capadty ................ _ ....... I Feet of Drain Tile ._- .___- ---------- ..-_____-- _ --rDW- Feet of Tank or Drain Field from Well- _._...-._. _ ..- • ---- _- _-- ....._..__.__� .. _ .........._ Nature of Water Supply: Ciry— Well. ___ _ _____..______ .__ __ �_..6ize of Soakage Pit ...................... ............__.---. -_ ................ _ ........ -... _.... .... _.._. ....... _ ........ _...._.... _ ... .._ Awwa Amount of Permit s ----- _--- t.�— (Signed)- _/`. Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an e P Aoym of t2lxw under the Florida Workmen's Compensation Act, being Section 5989, Compiled General Laws of Florida Permanent £upi. lenient, and has ,.m-s- i.lied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed 1 y him in - e %( rk v b- performed under this permit; and will post or cause to be posted for inspection on the site of the work such publ: notice x no icer •as as required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be pAfformed -kA this �rel,til, a ar . licensed by Miami Shores Village (Signed) ` - _..... -- °_..... ... ...... .... _ / ® 41 Masts Plumber. STATE OF FLORIDA, I ss. a� f 68' 00,10 7 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclowwledgments, peFaorr: ; , pprar+:e„ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ..--- .. .... ... ............... .. .. _. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all 'acts therein by hin, stated are true. My Commission Expires Notary Public, State of F'lorids '� NOTE: A re- inspection fee of $1.00 will be made when sucb re4axpeetion is m de• necessary by improper notice for hwpw.tkw, (or bultq. materials and /or worllmansbip. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Pennik No. Date._ - ------ Applicatwil is hereby made for the approval of the detailed statement of the plans and specifications herewith subui;-, A for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mh� :-I Shores Village, Florida, And all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatie , of the Building Division of Miami Shores Village shall, be complied with, whether herein specified or not. A copy of approved plans and spat *fications most be kept at I wilding during progress of work. Z CIO d"It Jamcs- I- VIIL- .)wner's Name and Address ........... ___ 7- No. nl 1'. 'egistaed Architect and/or Engine, j,__ M ) Pm % rlicM eik?& �&_Prj e employing Plumber's Name .1b ------- )#X AAZ3i!W7je*'_^ 91Q* No- 4§r- Location and Legal Description Lbt___ Block Subdivision_._.. Street and Number where work Is to be performed-No. CIS -7 State work to be performed and purpose of building (By Floonro)-__ C ----- - ------ .. ....... New Building.. ......_....._....-- ............ Remodeling—___- Addition..._.._........_ -- -_.. RpWn ........ f No of Stones BATH LAvA • SLOP LAUNDRY CATCH FLOOR 1 SHOWERS SINK* URINALS �CLOS[TO Tuns TORIES SINK[ TUN* RAOIN DRAIN DRINKING I TOT L FOUNT'NS FIXTt "to LI'T CHECK SEPTIC 'P SEWER DRAIN SOAKAGE GREASE SOLAR Ditirp SPAKLM. SWIMIQ TANK CONN. FIELD PIT. TRAP HEATER WELL SYSTEM POOL COX" LIST-- CHECK Size Septic Tank-..-- -..-__----_..Type of Tank____._ ............. ... ..... ....... Feet of Drain Tile_—_. ------------ --JDift. Feet of Tank or Drain Field from Well..._........_ Nature of Water Supply: City-Well._._._______ of Soakage Pit ................... ............. ... . ... . ................ . ....... Amount of Permit $1V ]Plumbinj Inspm-trir The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an en,)Ioyrr of laflot Under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Cupj lement, and has vorl� V.bed with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed I y him in ' t! %,%., t rk v b- jvrformed under this permit; and will post or cause to be posted for inspection on the site of the work plibl., notice 7t no ices '4S W required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be per rmed -3,A tlds aa. licensed by Miami Shores Village. (Signed) ast'A umber, STATE OF FLORIDA, 81. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. WsorA� ppeam ........ . . to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.__ -.. - - - ----- ------ .... .. I - of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and tiut all acts therein by hin, stated are true. My Commission Expires Notary Public, State of Fk>tic)a NOTE. A re-inspection fee of $1.00 will be made wh► such ro4espoctim is mede-neoesury by improper notice for hwpw.tca% tir trully- materials and/or worlamanship. �l 32-0 r I- e G. .�L u MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOk PLUMING PERMIT Permit No. _ Date- - - - - -- ` 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 1 Iiami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owners Nome and Address. ----------- Street - -- ___ -_ Registered Architect and /or Engineer..__.____.____ 2 _ - -- — - - - - - -- -_---- - -. -_- _��_ -- - - - - - -w_ . Employing Plumber's -- Location and Legal Description Lot__ —. Street and Number where work is to be No. —.street_____ — - — ---------- - -- Subdivision_._. _- - State work to be performed and purpose of building (By Floors). ____._ New Building---- -__.__ -_______.- _- _ -_____ Remodeling- _________ -__ Repairs-------- No. of Stories _ ----------- -- -------- size Septic Tank_- - - - - -- _�--------------- _ —_--- _Type of Tank_._...._. Feet of Drain Tile - _-- _- _-- _------- - - - : -- -- ---- _Dist. Feet of Tank or Nature of Water Supply: Amount of Permit $- Gals. - -. Field from of Soakage 7q ( Signed) _ -_ -- _ -- — - ------- - - - - -- Plumbing Inspector. 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 59M, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance f> om all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by. the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as art licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. f Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath i of the above described construction, that he has carefully read the therein by him stated are true. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such materials and /or workmanship. and says that he is the .._--- ---------------- - ---- ----- -------- ------------- - -------- Ing application, and that he did sign the same, and that all fac Notary Public, State of Florida - -y is made necessary by improper notice for inspection, or fuu) CLOSETS BATH TUBS SHOWBRS LAVA. TORIES SINKS SLOP SINKS(J LAt�NDRY ®e URINALS GATCN BASIN FLOOR DRAIN DRtNKINfd. FOUNT'NS TOTAL FI%TUR[1 Conn. LIST CHECK SOLAR HEATER EEP � SPRKLR. SYSTEM SWIM'G POOL -. CONTR. LIST SEPTIC - TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP CHECK size Septic Tank_- - - - - -- _�--------------- _ —_--- _Type of Tank_._...._. Feet of Drain Tile - _-- _- _-- _------- - - - : -- -- ---- _Dist. Feet of Tank or Nature of Water Supply: Amount of Permit $- Gals. - -. Field from of Soakage 7q ( Signed) _ -_ -- _ -- — - ------- - - - - -- Plumbing Inspector. 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 59M, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance f> om all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by. the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as art licensed by Miami Shores Village. Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. f Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath i of the above described construction, that he has carefully read the therein by him stated are true. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such materials and /or workmanship. and says that he is the .._--- ---------------- - ---- ----- -------- ------------- - -------- Ing application, and that he did sign the same, and that all fac Notary Public, State of Florida - -y is made necessary by improper notice for inspection, or fuu) 40�-fI 1-7 av3��. iv MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ..-- ...(...Q .. .. �.�__t_h__e Date .............. !_..' .... .0 -..•� ........ Application is hereby made approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address --- -..5.r".Gr �!i %C.G4'/._.... 7o.:_......... - ............. No._......_... ........._...__................ Street. ._._...._.. ............................ Registered Architect and /or Engineer ............................. ....................... ........ .................................----•-•--...---...------..._.............................--- Employing Electrician's Name ---..x ,&4...-- -..1... YfrCIL�' . ....................No._- ..3..2 .11.._.................. Street -- -- ......... Location and Legal Description Lot_ .......................................................... ....... Block...- --...-- _..................•. --------- Subdivision ................................................ Street and Number where work is to be performed—No ...... _S7. �'_J .................. ............................... .Street...... /.l!... .......� ©I....:. ._........ State work to be performed and purpose of building (By Floors) .............. ............................................ New Building -------------------------- ...... Remodeling .......... ........ .------------- Addition .... ... ........ .. ----......... Repairs --------- ----- ----- -- -•---....--- • -- -No. of Stories ........... -........ ROverhead Service Underground Sue Feeders...I. / ........ Conduit ... MSw 1 U." .......... Amps. ...............J_..am.•/ ... ...Main Fuses ............................ Amps Type of Installation — Conduit........ t Tubing ........... ............. B.X.L...... .... ...........Metal Moulding ........ ................................................................ ............................................... . .............. ._.� ... Amountof Permit $ ............ .... .3- ..-- _- ._._..---- - - - - -- (Signed).. ................................................................................. Electrical Inspector. 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 subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub, contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. d ( Signed ) ......................... . ... r...... `-:..:. ...... iV/ __..,...------------- Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ........................................... ............................... .... ............................... .............................................. .................................. .................... I......... My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials a /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P'ryT'S NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CL STR CHECK + CO V ENT. 61ST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1.5 HP TRANS. CONTR. LIST CHECK +d to , ROverhead Service Underground Sue Feeders...I. / ........ Conduit ... MSw 1 U." .......... Amps. ...............J_..am.•/ ... ...Main Fuses ............................ Amps Type of Installation — Conduit........ t Tubing ........... ............. B.X.L...... .... ...........Metal Moulding ........ ................................................................ ............................................... . .............. ._.� ... Amountof Permit $ ............ .... .3- ..-- _- ._._..---- - - - - -- (Signed).. ................................................................................. Electrical Inspector. 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 subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub, contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. d ( Signed ) ......................... . ... r...... `-:..:. ...... iV/ __..,...------------- Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ........................................... ............................... .... ............................... .............................................. .................................. .................... I......... My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials a /or workmanship. P-00204 3-30+Jl PAID BY G\I11J.'L ^r', oce� ornr-r;or� r_wnow�c 9'-wv I P-00204 3-30+Jl PAID BY G\I11J.'L ^r', YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER s♦ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No..3 _Q ^ Date - <I Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the buildmg or other: structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A 'copy of approved -plans and specifications must be kept at building during progress of work. Owner's Name and Address- -___ - _ _ No------ ---------------------------------- Street _______ __ Registered Architect and /or Engineer - - - - - - --- - - - - -- - - - - -- - - - - -- -- -------- - - - - -- ---- -------------------------------------------------------------- Employing Plumber's Name ---- ±•�±� - -�y /- -------- No ----- � ----- Street ---- t -`s`� - - - - -- ------ Location and Legal Description Lot -------- __ .J3__�C�Z Block_________ _ Subdivision-- / �^+ Street and Number where work is to be performed— No.___ _ S __ _ ___ Street_____ __-- 1- _GZ_�__�• ----------- ------ -__ _ _ _ _ State work to be performed and purpose of building (By Floors) __ ------------------------------------ _______ __ ____ - -_ -___ __ _ _ - -_ __ ___ _ _______ __- _________ ______ New Building------ - - - - -- �!'_ ------- - -- Remodeling -- __- - --- -- ----- - - - - -- Addition -------------------------- Repairs -------------------------- _ No. of Stories -------------------------- Type of Tank -------------------------------- Size Septic Tank --------------- � -� - - - - ---------------------------- -- - - - - -- --- - ------------ Capacity Gals. - - - - -- - - -- j / n - Feet of Drain Tile----------- ,r __ b® - -- -Dist. Feet of Tank or Drain Field from Wel)----------------------------- -- -____ _ __ ____,_ ____ -_ -__ _ -_ Nature of Water Supply Ci well ---------- _1_- __�%_- -- -- _ _ -- -Size of Soakage Pit -_ - -- ----------------------------------------- - ----- - - -- -- -- - -- - -- - -- , -- -- - - - - -- --- Amount of Permit $ - F— - - -- - - - - - ( Signed) - = 1- - -- - -- -- --- . 19 t � Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and- awQpts 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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work t bfj performed under this permit, as are licensed by Miami Shores Village. (Signed)_- -- ------ ----- - - - - -- -- --- - -- ----------- - -- - -- - -- - /� _G Master Plumber. STATE. OF FLORIDA, I /�" ss: COUNTY OF DADE, Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appearec? 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. -- - - - - -- - - --- ----------------- - -------- - -- ------ - - - --- -- — ---- -- -- -- - - - - - -- - ------------------------------ - - -- - - - - - - -- - - - -- - - My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BATH LAVA - SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBBS SHOWERS. .TORIES SINKS Si NKS TUBS URINALS BASIN. DRAIN FOUNT'NS FIXTURES CONTR. LIST 0 .CHECK t J -L-- ^ -l- ,r SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP. HEAT ELL SYSTEM POOL CONTR. LIST G CHECK ' 61) (D V Z7 Type of Tank -------------------------------- Size Septic Tank --------------- � -� - - - - ---------------------------- -- - - - - -- --- - ------------ Capacity Gals. - - - - -- - - -- j / n - Feet of Drain Tile----------- ,r __ b® - -- -Dist. Feet of Tank or Drain Field from Wel)----------------------------- -- -____ _ __ ____,_ ____ -_ -__ _ -_ Nature of Water Supply Ci well ---------- _1_- __�%_- -- -- _ _ -- -Size of Soakage Pit -_ - -- ----------------------------------------- - ----- - - -- -- -- - -- - -- - -- , -- -- - - - - -- --- Amount of Permit $ - F— - - -- - - - - - ( Signed) - = 1- - -- - -- -- --- . 19 t � Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and- awQpts 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 com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work t bfj performed under this permit, as are licensed by Miami Shores Village. (Signed)_- -- ------ ----- - - - - -- -- --- - -- ----------- - -- - -- - -- - /� _G Master Plumber. STATE. OF FLORIDA, I /�" ss: COUNTY OF DADE, Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appearec? 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. -- - - - - -- - - --- ----------------- - -------- - -- ------ - - - --- -- — ---- -- -- -- - - - - - -- - ------------------------------ - - -- - - - - - - -- - - - -- - - My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BMG. PERTUT APPLICA.T MIAMI SHOI BUILDING INSPEC APPLICATION F'OF Application is hereby made for the approval of the detailed sta ing or other, structure herein described. This application is made v Shores Village, Florida, and all provisions of the Laws of the State regulations of the Building Division of Miami Shores Village shall- I plans and specifications must be kept at building during progress o Owner's Name and ES VILLAGE ION DEPARTMENT BUILDING PERMIT tement of the plans and specifications herewith submitted for the build - I compliance and conformity with the Buildingg �Ordinance of Miami f Florida, all ordinances of Miami Shores VLge and all rules and )e complied with, whether herein specified or not. A copy of approved E the work. ' � Date 11 1 26,151. �- No. 9-9 Street-.l(2a,St St3 c- Name and address of contractor n —� i f' f ad n T nd u s t-." Aga Tr) a. R � Location and legal description o lo't to be built on: —___ _ _ _ _ Lot Block Subdivision' Street and Number where work is to be done 599 X. E. 3M st Si rent- Vi aml Sbusrc� State work to be done and purpose of building (by floors) Roofing Ren, 1 -stow he .Flat Deck Roof, - Apply 1"Butt t e ent Shingle Tile over 3 s halt Felt _$e__1 90� slates inatsll `Galse valley A Lrip and for no other purpose. New Building Remodeling Addition Repairs ,_ _ No. of Stories___ nne To be constructed of__ Kind of foundation - Roof Covering - -- 3()/90 P- T 13 - Estimated Total cost of improvements $ 95• Amount of Permit $ Zone Cubage required— plan Cubage Distance to neat 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 buil g All notices with reference to the building and its construction may be sent to_Sif eY.9, Industries, Inc, P.O. TES?,.x6331, r'a'h G l e .F", 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 employe him in the work to be performed under this permit; and will post or camAe 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 emp oy only such subcontractors, on work to 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 an geared and who, being by me first duly sworn, upon oath deposes and say of the above described construction, that he has carefully read the therein by him stated are true. __ � Permit No. __:�__ ! Date Disapproved Date (Signed) Building Inspector PLANNING BOARD Chairman Member Member Council Approved___ -- Date NOTE:. A charge of $1.00 will be made for making correctio the Planning Board. A re -inspection fee of $1.00 will be charged when such re -in materials and /or workmanship. if R. K. Th®m pson� S e ay. & Treas. orized to administer oaths and take acknowledgments, personally ap- _ —to me well known,` at he is the going_ application, and that he did sign the same, and that all facts Read, Sworn to and Subscribed before me. Notary Public, State of'Florida My Commission Expires Member Member Member Disapproved. — — _____Date or changes to this application after approval has been obtained from action is made necessary by improper notice for inspection or faulty MIAMI SHORES VILLAGE ELECTRICAL INSPEdTION DEPARTMENT APPLICATION FOR, ELECTRICAL PERMIT i e rmit NO ........ :�_:. .... .... Date ,......... ... .... : :........... pplication is hereby made for the approval of the detailed statement of the plans and specifications herewith, submitted for the building or other tructure herein described. This application is made iii compliance and CDnform ty with the Building Ordinance of Miami Shores Village, Florida, d 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 If Miami Shores Village shall be complied with, whether herein specified or not. A'Copy of approved plans and specifications must be kept at wilding during progress of work. Owner's Name and Address.......... : ........ , s...... No...:,.... ! Street_ egistered Architect and /or 'Engineer Employing Electrician's Name....... d .::.No ...Street. im Legal Description Lot. �V„ :..Block__, Subdivision _.._ ..... ... ......._ .. ocation and _.' ....1 .._...� .... .. . Street and Number where work is to be performed—No ..... ..__ .. Street,... . _ .................... ........ N, tate work to be performed an se of building (By .Floors)... :,. ..... ............ ......... s ...`.: ........ ew Building,..... ...`._.., ....:....ltemode ling .................... . .........Addition ' :,:.._ ............., ,...Repairs_,,, ., ............ ............. No. ' of Stones...... SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON. OUTLET RANGE OUTLET - RANGE CONN. WATER HEATER W. HEAT. - CONN. - SPACE HEATER STRIP HEATER TOTAL NTR. 1ST - - ENT. SW. DIST. CAS. SERVICE TEMP. ..SERVICE - PERM. - MOTORS -. 0.1 HP MOTORS i -S HP NEON TRANS. RADIO TOTAL C INTR. LIST - e C 4ECK 0 7 - ervice Overhead Site Feeders ........ . ..Conduit ......:.........Main Sw Underground " "' ::.. ,Amps..... ...Main Fuses .... ... tkmps ype of Installation -- Conduit ...... ........'.` .....Tubing ................... $.X.L .. ........................ Metal Moulding ........... ; „ » ........... :..:..... ........ ,. .......... ..... . .............. . ......... .. .......... .... ....... .... ............. ...... w .............. I..................... .. ............ .... .. .. ........... .. . _ ......................... .. .......... L..., ...... ,,..s.............. Amount of Permit $.. _ ... ., ..... ........ ...... ( Signed ) .......................... .. ..... . .. ..................... Electrical Inspector. The undersigned applicant for this building permit does hereby ce4ify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5,,966, Compiled General Laws of Florida Permanent Supplement, and as complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by huff 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. (Signed). ......... ......... ., .... Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. } 96. Before me, the undersigned authority, a notary public, duty authorized to administer oaths and take acknowledgments, personally appeared.................................................... _....... .. ... M ...... .............. .. . ... ......... .... ........ to me well known, and who, being by me first dui sworn, upon oath deposes and says that he is the,.... :.. ......... ........ ......:....fact. f the above described construction and he has carefully read the for ' g going sign, �gaing :application, and that he did sign, the same, and that.. all .facts therein by him stated are true. ... .. .................... c .... ..... .......... My Commission Expires i ..... ...................... Notary Public, State of Florida E. 'A re- Inspection fee of $1.00 will be made when such re'rinspection is made necessary by improper notice for inspection, or faulty No _a nd /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ry APPLICATION FOR ELECTRICAL PERMIT Permit No ...4' a. ................ Date... ... .......... ............... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiucida, and all provisions of the Laws of the Stapp of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address... �� . $�e� .5 d . .. ... . No ......... ............................... / cr t.................... ...........,................... RegisteredArchitect and /or Engineer ........... ..........................:......................................................................................................... ................I.............. Employing EleetriciaA's Name 464 . .%A. e......�. ��'� %area` . a' � 7(r 9�' ................�........ S treet........... ............................... : Location and Legal Description Lot .................................... ............................... .Block......................... ....... Subdivision. ............................... Street and Number where work is to be performed —No.. 1... 1..... ............ .........`................... Street ......................................... ............................... State work to be performed and purpose of building (By NewBuilding . ............................... Remodeling .............................. A itio ' ......................... .. Repairs ...................................... No. of Stories.................... s i i Service 'Overh a Site Feeders.....y ........,.Conduit.... Main 5 1.0-10 erground ....... .............. .....Amps.......... �.............Msin Fuses....... Amps Type of Installation -- Conduit ...... .................Tubing....... .......B.X.L....... ......... Me Moulding....................................... ............................... .�� �...... .. t ...I .. v:? .. tx .... ... .. ...... ............................... .......................... ............. ....... .... ............................... . . . ........ ...... s� g� Amount of Permit $.. �` -? q4 ......................... . ...... ............................. (Signed)J.W.K. ...� q:�......- ...... ..... .. Eleetrical Inspector. 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 £ the ork such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contracto , on work to orme&under this permit, as are licensed by Miami Shores Village. ( Sign.. . r .1.. ....... Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. j 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. a d�zl Fti�w /J •.i • . . .i.e ................... ... ..._ "T..�- ..........-- ...w......•. �otatyiclorida NOTE: A re- inspection fee of $1.00 will he made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGNT. PLUG FIETUREs REFRIG. IRON RANGE RANGE WATER W. HEAT. 'SPACE STRIP TOTAL OUTLETS OUTLETS RECET•T's NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. R GUST CHECK O ENT. DIST. SERVICE SERVICE Y.1�Pd.�'✓.�i MOTORS MOTORS, NEON RAOIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1 -S HP TRANS. CONTR. LIST CHECK .J o .. s i i Service 'Overh a Site Feeders.....y ........,.Conduit.... Main 5 1.0-10 erground ....... .............. .....Amps.......... �.............Msin Fuses....... Amps Type of Installation -- Conduit ...... .................Tubing....... .......B.X.L....... ......... Me Moulding....................................... ............................... .�� �...... .. t ...I .. v:? .. tx .... ... .. ...... ............................... .......................... ............. ....... .... ............................... . . . ........ ...... s� g� Amount of Permit $.. �` -? q4 ......................... . ...... ............................. (Signed)J.W.K. ...� q:�......- ...... ..... .. Eleetrical Inspector. 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 £ the ork such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contracto , on work to orme&under this permit, as are licensed by Miami Shores Village. ( Sign.. . r .1.. ....... Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. j 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. a d�zl Fti�w /J •.i • . . .i.e ................... ... ..._ "T..�- ..........-- ...w......•. �otatyiclorida NOTE: A re- inspection fee of $1.00 will he made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHO ES VILLAGE BUILDING INSPE TION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application made for the approval of the detailed st ing or other e herein described. This application is made Shores Village, Florida, and all provisions of the Laws of the Stat regulations of the Building Division of Miami Shores Village shall plans and specifications must be kept at building during progress - Owner's Name and Address.-...._ ...... C ;i Registered Architect and/or Engineer...--- ------------- - Name and address of licensed contractor_______________ —____ Location and legal description of lot to be built on: Lot------ - ---------------- - --------- Block--------------- ------------ - - - - -- Sul Street and Number where work is to be done_______ ______________. State work to be done and purpose of^lding (by floors) New Building- __________________ -- --- Remodeling- ------ -_-_._ _- _. - - --- Ad4 To be constructed of ------------- - ------------- Kind of fou�&tion___�_, Estimated Total cost of improvements $__- _____- Zone cubage required_--.---------------------------- -------- Distance to next nearest building ------- - ---- - - ----------------- - Maximum live load to be home by each floor----- ______ I hereby submit all the plans and specifications for said buil iae --4. 4- ------- - - ---- - - --- - ---- - ---------- - -- ---- -------------- - - ------- - -- The undersigned applicant for this building permit does her of labor under the Florida Workmen's Compensation Act, being and has complied with the provisions thereof, and will require s in the work to be performed under this permit; and will post or or notices as are required by the Act. The undersigned agrees to permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. I ss. Before me, the undersigned authority, a notary public, duly peared — — - - ------- - --------- - ------ :ement of the plans and specifications herewith submitted for the build- i compliance and conformity with the Building rdinance Of Miami of Florida, all ordinances of Miami Shores Village and all rules and ,e complied with, whether herein specified or not. A copy of approved the work. 2 1 19 --- - ------- --- ---- ----------- ------ ............... -,-Size 14-W, C_ f6r no other purpose. Repairs- -- --- -- _-- ---- - -•- -- No. of Stories .......................... RoofCovering --------------------------------------- - -- - --- mtof Permit $ ------- - - -------- - - ---- - -- - ----------------------- Cubage_- - --- - - ----- - - - -- - --- - -- - -- - - - --------- - ------ - - -------- ............ ofBuilding i.ot _- - _ _------------------------------------------------- - - - - -- All notices with reference to the building and its construction may certify that he understands and accepts his obligations as an employer ction 5966, Compiled General Laws of Florida, Permanent Supplement, ar compliance from all contractors or sub-contractors employed by him se to be posted for inspection on the site of the work such Public notice doy only such subcontractors, on wwk to be performed under this (Signed) /Wc.., to administer oaths and take acknowledgments, personally ap- ---------- — - ------- - me well IMMM, and who, beiny by me first duly sworn, upon oath deposes and says that he is the. ----------------------- ------------------------------------- - -- - _-----------------_- - e 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.--- Read, Sworn to and Subscribed before me. Disapproved -- ----- D ----------- expires_- Sr- K�7 , to of Florida (Signed) -- ------ ---------- -------- ---- ------ - -- - -- - B g sp r My Commission E, - -------------- _ - ------------------- - ------- - PLANNING BOARD----- Chairman Member ------------------ - - - - -- Member . -------------------- Council Approved_------------. ------------ - -- - -- - NOTE- A charge of $1.00 will be made for making correctio the Planning Board. A re- inspection fee of $1.00 will be charged when such re-in materials and/or workmanship. Member-- - - - --------------------------- - -------- Member -- — ------- - - - - -------- - - - -- - - - ------- - ------- - ------- - -- - - - -- - ------------- - _ Member— --- — - - -------- - ___ — _ - ----------------- - - - - Disapproved-- - -- - -------_------ - --- .... ------------- -- -__- --- - - ---- - _ ---_ -- -_Date or changes to this application after approval has been obtained from is made necessary by improper notice for inspection or faulty MIA M-1 SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT 3 Permit NO. _�__.._._.� 16Z CD .,._._ 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 Diosion of Miami Shores Village shall be complied with, wf yether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. // /y ,i OwneQ's Name and Address. -1° �� _ . No. _Street .� Registered Architect and /or Employing Plumber's Name No. —13 9 5 street 7-713 11? { " Location and Legal Description Lot Block Subdivision..._. Street and Number where work is to be performed —No. 5 10 Street State work to be performed and purpose of building (By F om) _ _ ___ - - _-------------- _- _.---- .---------- ---- New Buddi rg _.__ _ Remodeling Addition_____ Repairs .___- _---- .-- __ -. —. No. of Stories.__.. Size Septic Tank_ Type of Tank ..__ __.____.___ —____ Capacity Gals --- --------- — _._.---------- Feet of Drain Tile tea+- Feet of Tank or Drain Field from Well ___ _ __ __ ---- -_____ _____--.___--._-- _ -.._- Nature of Water Suppl : City eiL -Size of Soakage Pit Amount of Permit ( signed The undersigned applicant for this building permit does hereby certify that he understands and accepts his oEt ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perm Supplement, and hats com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors emd by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, work to be performed under this permit, as are $ )►Y Village. > Master Plumber. r 0 • lip 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 depom 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. My Commission Expires Notary Public, State of Florida -� NOTE: A re-tws fee of $1.00 will be made when such re-inspeodon Is mede• necessary by improper notice for inspection, or faulty materials and /or worlmnanship. CLOSETS BATH TUBE SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY URINALS TUBS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES ° ST e / CHECK SEPTIC SEWER DRAIN .SOAKAGE GREASC cR= DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONM. ST LIST CHECK Size Septic Tank_ Type of Tank ..__ __.____.___ —____ Capacity Gals --- --------- — _._.---------- Feet of Drain Tile tea+- Feet of Tank or Drain Field from Well ___ _ __ __ ---- -_____ _____--.___--._-- _ -.._- Nature of Water Suppl : City eiL -Size of Soakage Pit Amount of Permit ( signed The undersigned applicant for this building permit does hereby certify that he understands and accepts his oEt ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perm Supplement, and hats com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors emd by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, work to be performed under this permit, as are $ )►Y Village. > Master Plumber. r 0 • lip 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 depom 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. My Commission Expires Notary Public, State of Florida -� NOTE: A re-tws fee of $1.00 will be made when such re-inspeodon Is mede• necessary by improper notice for inspection, or faulty materials and /or worlmnanship. MIAMI SHORES VILLAGE s ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT PermitNo ......... ............................... Date.... _............. ...:............-- .- •-- Application is hereby made for the approval of the detailed statement of the plans and specifications herewi h submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. OIi:I12 T LOOBY 10905 r,xxx 8th COURT Owner's Name and Address ................ .. ............. ......................... . ...... :.......................... No ............................................ MUM .................................................. Registered Architect and /or Engineer. ........................ ... ---- .....-- ••--..... v h lt3 YJEClr ,VT( C aTL.... �tV�11 ................. 0 1 • t o EmployingElectrician's Name.. . ............ . --•-- --•---- ....._.- ..-- ---- - ---.- ------.-.------------- No.-----.._... ._..........•-- .........._..... Street-•-- --............_.............. 12 g of 11 103 Sect-j-4 Location and Legal Description Lot ............ .... "..................... ............. • ........ Block ----•---- -.--- .- .- _- ._.. ................ Subdivision ..... ......... ................................ Street and Number where work is to be performed—No ........ 6. 0,0- -�Toi_ o 101th to - -•- -• ... ........... .................... Street ... .-•--------.._----_-.•--_--------- .- ---- ------ ...._. ....... .._... State work to be performed and purpose of building (By Floors) ..... .. ...... ........•---•......................-•---...........--••--............_.....-_----__.--...... ............................... New Building..... I .................. Remodeling - °- •--- --- --- -................ Addition ............ .--- .............. Repairs ...................................... No. of Stories..........._........ Service Overhead Underground Sze Feeders ............ ........Conduit................ Main Sw. ........ .......... ............ Amps ....... ........ ...........Main Fuses .. ......................... Amps Type of Installation — Conduit...... _ ......... .... Tubing.............. ........ B. X.L....... ...... ,........... Metal Moulding........ --. ....... ................................... Amountof Permit $.........._ ............. ............._._...._.... ....,........ ...... .... .- ._,... ( Signed) ......... .......... ......... ---- ........... .............. ............ ..................................... Electrical Inspector. The undersigned applicant for this building permit does hereby cc:-tify 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 sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) �Z�ly� --" Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. IT 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. .... ............................... ........... ..................... _ ... _.. ...................... ........ ............................... ....,,............... ....... ............................................ ._ My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. ,r SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP OUTLETS OUTLETS RECE'P'T'S NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER - TAL CONTR. LIST 18 19 _1116 26 _ 1 1 1 —Di shwashl CHECK 1 —,V sher ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON SW. CAB. TEMP. PERM. O• HP 1.3 HP TRANS. RADIO TOTAL, CONTR. LIST LIST ps 1 CHECK Service Overhead Underground Sze Feeders ............ ........Conduit................ Main Sw. ........ .......... ............ Amps ....... ........ ...........Main Fuses .. ......................... Amps Type of Installation — Conduit...... _ ......... .... Tubing.............. ........ B. X.L....... ...... ,........... Metal Moulding........ --. ....... ................................... Amountof Permit $.........._ ............. ............._._...._.... ....,........ ...... .... .- ._,... ( Signed) ......... .......... ......... ---- ........... .............. ............ ..................................... Electrical Inspector. The undersigned applicant for this building permit does hereby cc:-tify 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 sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) �Z�ly� --" Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. IT 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. .... ............................... ........... ..................... _ ... _.. ...................... ........ ............................... ....,,............... ....... ............................................ ._ My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. ,r 2 S 5 T i� ll i .0Q T .€3 0 T i vq 2 7 .E I .75 3 3b0 Ace —? 350 P 3 -4a 6 2 S 5 2 S 5 T i� ll i n--'IL. 1 NI OQ la 6N N I Nt THOMAS J. KELLY OFFICE: CIVIL ENGINEER - LAND SURVEYOR TELEPHONE: 8139 S. W. 8TH ST. MIAMI, FLORIDA 48 -0904 SURVEY NUMBER. SURVEY OF LOT -5 Z3 9i7Gi '2¢ BLOCK -94 SUBDIVISION_ /Y% /,q/✓// - 517102f -5 aS�C'T /o/�/ 4 'y'127e'7p1e,;" ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK NO. �`5 AT PAGE NO. PUBLIC RECORDS OF -- COUNTY, FLORIDA. �- DATE:. - i p�-/- Iq AA} C. J`"f ss.:= % FOR: LOCATION SKE�CH SCALE 1'= 200' I 1 HEREBY CERTIFY THAT THE ATTACHED J 7p, SKETCH REPRESENTS A RECENT SURVEY MADE UNDER MY DIRECTION AND IS TRUE AND COR- ME qy ,26 Q ^/E .5 7. So ", TO THE BEST OF MY KNOWLEDGE AND ,. ., ., ". ". 1 9" 52.35 THERE ARE NO ENCROACHMENTS. 14 IS 16 17 /8 19 20 zi 2z I as /7, B 7 6 S 4 3 n E /asst sr. ;Ll `�° � � ocA�ed i/7 /Y/i�rni- Shores � /mot TO THE BEST OF MY KNOWLEDGE AND NRECT BELIEF. THERE ARE NO ENCROACHMENTS. 14 IS 16 17 /8 19 20 zi 2z I as [,13 REGISTERED E EER 4 316' REGISTERED LAN SURVEYO 626 n E /asst sr. ;Ll `�° � � ocA�ed i/7 /Y/i�rni- Shores � /mot W'X;l 9' WaZ e.- 1147,,7 //7 19111ey STATE OF FLORIDA. NZ /D/ sz` S T 7,S' /2- a- w /"/ " Pa✓el2;7el�z LOT DETAILS C. B. CO.. NO. 9909 -6.90 cyL L D SCALE 1' = 7D TO THE BEST OF MY KNOWLEDGE AND NRECT BELIEF. THERE ARE NO ENCROACHMENTS. n REGISTERED E EER 4 316' REGISTERED LAN SURVEYO 626 W'X;l 9' WaZ e.- 1147,,7 //7 19111ey STATE OF FLORIDA. NZ /D/ sz` S T 7,S' /2- a- w /"/ " Pa✓el2;7el�z LOT DETAILS C. B. CO.. NO. 9909 -6.90 cyL L D SCALE 1' = 7D Al (f77 j a- MIAMI SHOF BUILDING INSP'EC APPLICATION FOR Application is hereby made for the approval of the detailed star ing or other structure herein described. This application is made it Shores Villa e, Florida, and all rovisions of the Laws of the State g p regaion s o f th e Building Division of Miami Shores Village shall 1 P lans and specifications must be kept at building during progress of Owner's Name and Address__ Registered Architect and /or Engineer— C,. Name and address of licensed contractor- CAD VOL I Location and legal description of lot to be buA�,t on: Lot 4-1 Block_.;.. Su 'vision Street and Number where work is to be done e State work to be done and purpose of building (by floors) New Building - vl Remodeling Additio To be constructed of C ` 66S. _ Kind of foundatio � 1'0 Estimated Total cost of improvements $ Zone cubage required Distance to neat nearest building _ iF Maximum live load to be borne by each floor I hereb 41 yubmit all the plans and specifications for said building be sent to P �` C;� SI., %—" V `� C The undersigned applicant for this building permit does here of labor under the Florida Workmen's Compensation Act, being and has complied with the provisions thereof; and will require si in the work to be performed under this permit; and will post or, or notices.as are required by the Act. The undersigned agrees to E permit, as are licensed by Miami Shores Village. Remarks ZES VI`LLA13 E TION DEPARTMENT BUILDING PERMIT r ,meat of the plans and specifications herewith submitted for the build - compliance and conformity with the Building Ordinance of Miami )f Florida, all ordinances of Miami Shores Village and all rules and complied with, whether herein specified or not. A copy of approved the work. p Date cc_ -a i r No. Street I t� i�_, toe". 'tz r' a and for no other purpose. r Repairs - _____ No. of Stories C to —0c a _ R Wyering_7n ( ' .Amount of Permit $ flan Cubage _ _Size of Building Lot All otices .with�efe Wince to the building and its construction may, " t-r s t ( 7= m- ;ertify that he understands and accepts his obligations, as an employer :lion 5966, Compiled General Laws of Florida, Permanent Supplement, :r compliance from all contractors or sub - contractors employed by hini to to be posted for inspe on the site of the wo ch public notice toy only such subco rs, 'onj ivvor - be ormed , underm this ( Signed) J kV r STATE OF FLORIDA, COUNTY OF DADE. 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 b me first duly worn up on oath deposes oses and that he is of the above described construction, that lie 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 Member Member Member Council Approved— ___ Date Disapproved Date NOTE: A charge of $1.00 will be made for making correctio or changes to this application after approval has been obtained from the Planning Board. 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