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BP-02-1639Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/25/2002 Applicant: GEORGE/KAREN Owner: GODFREY JOB ADDRESS: 1481 NE 102 Building Permit Permit Number: GODFREY BP2002 -1639 GEORGE/KAREN ST Page 1 of 1 Contractor THE COMPANIES OF R & S INC Contractor's Address: 8715 SW 129 TERRACE Local Phone: 305- 256 -6666 Parcel # 1132050240130 Legal Description: MIAMI SHORES BAY PK ESTS AMD Fees: Description Amount FEE2002 -5332 Building Fee $190.00 FEE2002 -5333 Buildier's Bond $300.00 FEE2002 -5334 CCF $7,20 Total Fees: $497.20 Permit Status: APPROVED Permit Expiration: 3/24/2003 Work: INSTALLING NEW WINDOWS AND DOORS Construction Value: $11,858.00 PB 56-86 LOT 17 & E1/2 OF LOT 18 Total Fees: $497.20 Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another Inspection. This Permit is granted to the contractor or builder named above to construct the building or to Install the equipment or device described In the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: it THE C �MPq,NIES OF R 12 8 AMI, FLORIDA 33,76 ACE S, lN(,+ ORD TO THE 5903 � ER OF FIRST UN sI►ATIOIVA, B n „ _ 43-670 AWK BU LDIN�MIAMI Sg A2 & - ovtv0RnS d i 1 PERMIT APPLICATION ....�... Master Permit No. Subsidiary Permit No.0 F�OR1Dp' INSTRUCTIONS - The following steps must be taken to obtain Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. Address Folio Number 620 3� OY-• 6� ty 0/'Z Lot -4 Ot�L/Mlock , Subdivisio�i _� PB, "- PG Current Use of Property �r37t %if�t/ Proposed Use of Property 5;9,ye Tenant Information PERMIT TYPE( ) Building/ Electrical Mechanical Plumbing LPGX Roofing Fence Other ARCHITECT Name License No. Address Telephone Fax Apt. City T State AJ Zip Description of Work Z��'T�14 �''� �� *1 Zoning Linear Feet Square Feet // p Units Floors Value of Work O Bldg Value Iz Tax Assessed/Appraised Value Flood PERMIT CHANGE (v*) Ch g. Contractor Renewal I Extension I I PROPERTY OWNER Name (%'G Address NE 10'2- t-!=- " 51-%0r.. s i FL 33(3Y Home Telephone 0 5 7 ) o 1-15/ Business Telephone 5 _ G 77 r -7,o Fax Alteration Exterior Alteration Interior Relocation of Structure Foundation Only Other Other Floor Elev. Shell Ohl Add'1 Attachment Add'I Detachment ENGINEER Name,'�(J. W-7-X1`;V, it A. License No. 0 :2 y 3 Address •/ ! �' A Telephone 7L61 7 7 Fax CONTRACTOR Name License No. cc-c- 01 7 o Addressl.iy �� 'll :?31760 Telephone�Sa Fa!';t7S -2X r Qualffier Name •y ^ ��A��G Page 2 PERMIT APPLICATION 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent .(50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of thd'Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, lsr Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature o wner Print Name 2 Swom to and subscribed before me this —! day of ��=� l Signs of N ZrwY'ev JANET L CLARK SE = MY COMMISSION # DD 142500 �<= EXPIRES: September 27, 2006 %k„ p� Bonded Thru Notary Public Underwriters Personally known OR, Produced Identification STATE OF FLORIDA, COUNTY OF MIAMI -DADE Rure of Contra'* r - ,-frint Name / Sworn subscribed before me this �l�day of Personally known S,y;YPjj !.•; JANET L. CLARK MY COMMISSION # DQ 1 42500 %a a EXP!r-0: September G7 2u06 ? 06 f4 Bonded Thru Notary Public Underwriters Type of Identification Produced: Type of Identification Produced: OR, Produced Identification Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. ELECTRICAL TYPE QTY. Minimum Fee TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair Q'ry. A/C Central 1-3 Ton Drinking Fountain Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Pool Piping Outlet, Switch Fire Sprinkler System Signs Cap - Fixture A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel Oven Sprinkler System Space Heater (kw) Cap - Water A/C Central 16-20 Ton Gas - Appliance Fixture Light Pump, Domestic Parking Lot Lights Supply, AC Well Spas/Hot 1bbs Cap - Sewer A/C Central 20+ Ton Gas - Natural Flood Lights Pump, Fire Stand Plugmold/Strip Temporary Toilet Subfeeds, No. of Amps Catch Basin A/C Window Gas - Propane FPL - Load Central Pump, Re- circulate Posts Temporary Water Closet Swim Pool, Commercial Clothes Washer Air Conditioners Gas Piping Garbage Disposal Pump, Replace - Pool Range/Range Top Urinal Swim Pool, Residential Dental Chair Chiller Grease Trap Generators, etc. Pump, Sprinkler Receptacles Utility - Sewer Switchboards Discharge Well Clear Violations Ice Maker Heat Recovery Pump, Sump Refrigerator, Comm. (p(PH) Utility - Water Temp Serv, Construction Dishwasher Compactor Indirect Wastes Low -volt, Burglar Relay Repair Refrigerator, Domestic Vacuum Pump Temp for Test - 30 days Disposal Deep Freezer Interceptor Low -volt, Fire Roof Inlet Renew - Temp Service Water Closet Domestic Well Demolition Laundry Tray Low -volt, Intercom/Teleph. Septic Connection Repair Circuits Water Heater Draintield, 4" Tile/Res. Dishwasher Lavatory Low -volt, Television Septic Tank Service, Number of Amps Water Heater New Drains, Area MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Q-1-Y. Generator TYPE Q-t Y. Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost Drinking Fountain A/C Wall/Wn. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Pool Piping Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Sprinkler System PLUMBING TYPE QTY. A/C Condensate TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE QTY. Soakage Pit Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Draintield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re-pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply RECEIVED AND REVIEWED BY: DATE: Page 4 PERMIT APPLICATION OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) (Attach) (Attach) ❑ FIRE DEPARTMENT ❑ HRS / DERM APPROVAL ❑ BPR APPROVAL (Restaurants) APPROVAL (Commercial / (Septic / Sewer) multi- family) ❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New Construction) (On File) ❑ OTHER ❑ OTHER (Specify & Attach) (Specify & Attach) PERMIT FEES $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 REVIEWED AND PREPARED BY $ 1L �) " BY $ 3 C)Q Zoning $ t (sq.ft. = x/1000 Electrical x Q.60) $ (¢.005 / sq.ft.) $ (¢.01 /sq.ft.) Plumbing Fire SECTION BY DATE Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official TOTAL $�qjl� 0 DATE: Revised July 2001 10050 N.E. 211D AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com } MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby uinde for the approval of the detailed statement ut ute 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 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. Ow -tnci s Name and Address ........... tl. i (�. .... ... . . ......................... No....l ��. Street..jj.E....._j.0.2. Y Registered Architect and /or Engineer .... .. ..............................: t�,,......................... �....,....... .... ,.,......,.., y.,,,,,,.,„,.,.„,.,•,,,.,,,,-,,,,,,, ............................... Name and address of licensed contrActor ..... ......... ............_.» .._.. Location and legal description of lot to be built on: Lot ............. ............................... Block...................... . Subdivision...................... _ ........... ..._._ ..»__....._._...»......— ................. _ ..... — Street and Number where work is to be done........ 1 l `---- ......... ....._._..._.1. o z.. s... __..._..__...._ ._...__ ..............._ State work to be done and purpose of building (by floors) ...... _ ...... _. ......... _ ...............•........................._.................................._..........._..._..__......---•......._........................ ....._..........._.- _.......... .....and for no other purpose. New Bui! ding ............................ Remodeling ........................ Addition .......................... Repairs.......... . No. of Stories............... To be constructed of ......................... Kind of foundation ............................................................. Roof Covering ....................... ........... ... _..-- Estimated Total cost of improvements $..�..� .. .........................Amount of Permit 5.. 4. 7_ ............................ __................... Zone cubage required ...... ............................................................... _ ........ Plan Cubage........................................................... Distance -to next nearest building ............. .............................. _ ........ _ ..... Size of Building Lot ....... -. .............. ..... — .......... _ ...... ..... ............. _ ........ _ Maximumlive 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 . obligations as an employer of !abur under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of orida, Permanent Sup element, anci has complied with the hruvisions thereof, and will require similar compliance fr all ntractors o ub- contractors employed by him in the work to be performed under this permit; and will post or cause to be poste or ection on site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s act o work to be performed under this pennit, as are licensed by Miami Shores Village. Rema rks ....................... _ ............................................... - ...... -- — __ (Signed), STATE OF FLORIDA, ! COUNTY OF DADE. j ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared .......... -----_ ... - .... ........ .......... _ ....... _ .......... - .................. - 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 carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true.. I7 ................ Date .... .'�L.�`7......... _._ Read, Sworn to and Subscribed before me. Permit No.._..----- •------- - - - -.. Disapproved ........ :..:. .... -: .... Date .._ ........ _ ......... — .._ .............. ( Signed) Building Inspector ............................................ ......................_._.. —.._ ...._.._ Notary Public, State of Florida My Commission Expires ....... _....._.. PLANNING BOARD ...................... ..................... _.._......DATE Chairman........ .................... _ ............................... _ ......... _................. Member ....... ......................... .» .... _ ........................... _........ Member................................ _ ............................... _..— ..................... _._ Member Member .. .. ............................................... _ ..... - ...... _ ... _.— ............. Member .... _ ................ . ................ .__...»...:_ ........................ _..- Cot ncil Approved .............. ..... .............................._ ......................Date Disapproved ...... _ .................................................... ...................Date 41" NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the lllannirg Board. A rc- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection at faulty materials and /or workmanship. 0 C,A (M lij APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY I, J l 0 2.2l (•t ,� hereby apply for a certificate to re- occupy the single family residence known as : (address) lY d l A%.0 Nfiiami Shores, Florida. Legal Description: Lot: Block % PB & PG: I hereby certify that I understand that the zoning of the property is for single- family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Mami Shores Village, certifies only that the referenced property is being used for single- family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. Applicant Print Name �� / C Date_ 9-h Z- For purposes of conducting the inspection required by Section 902 of the Mami Shores Land Development and Zoning Code, please contact: 3o-r- Contact Name: � 17L;4 .el � n Z a �� Z . _ Telephone: % S 9.-r Buyer Seller Realtor r Company Name --az Application Fee (S50) paid: Cash Check No. 1W 1 g Inspected bl-)j-,:: ved ___L /Denied Date K D� Comments: PAGE I OF ? CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has bee inspected for purposes of re- occupancy pursuant to Sections 901 and 902 of the NEami Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single - family residential purposes. 3 S RES VILLAGE, FLORIDA ate of Certification: THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MLAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAIVE SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE - FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY, HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY - REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MADE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. PAGE 2 OF 2 0 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No... 2 AV Date ..... 7.' 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, Fiv:ida, 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 /ti !'LriK...... No....LY / ... .....................Street...! � ..... P. .NaI�. ................. . RegisteredArchitect and /or Engineer ..L ............................. ... •- -•--......._................... •.................'- -- .....-- ............................... ....................................... .... Employing Electriciah's NameA/4cAgr!!y` 77..................... ._..... ....................No.- AS..!?. ....IVf'!... ...........Street.. ----- -Zy..�ST.......... .. Locationand Legal Description Lot . ............................... • •.............................. Block.-•---.... ......................_........ Subdivision.........-•---... ............................... Street and Number where work is to be performed— No... ..!vC. ..... ��%Z... ~�s7`........ Street ..................................... ...................... ......... State work to be performed and purpose of building (By Floors ) ...... Fr' a'' a ..... f? 41!T O!'! .................................................................................... ............. New Building ................................ Remodeling ............_.............. ....Addition.................. Repairs..---..... .....--------- I..........---No. of Stories ...... 11Z...... Service Overhead Site Feeders ............ ........Conduit................ Main Sw ... ............................ Amps ....... .................... Main Fuses .. ......................... Amps Underground Type of Installation — Conduit ..................... Tubing..... -- .... .......... B.X.L ......................... Metal Moulding... .... .............. ............... -•- -............................. ........ ............................... ........... .............................-- • --... ................................................................................................. ................... -------- k. ...... ......... ......... . ...............................•+� _ ..... . ------- ............... ...... Amount of Permit 5........`` ......... ............. _..... ................I.............. (Signed)...... ... .... .. ---••- o,_� -, T- - -_,.. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pcrxffnent 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 der this` permit, as are licensed by Miami Shores Village. (Signe . ..... .......... ............................ Muter Electrician. STATE OF FLORIDA, l ' COUNTY OF DADE. I °° Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared............ E * A r d............................ Peterson .......................... ....... ............................................................................................. ............................... .. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ..... %ASS.].S. an t..$ E.GCPt.d.l'y ................. of the above described construction, and he has carefully read the foregoing application, and that he did sign the -3ame, and that all facts thereiq b him stated are true. t ii. , .. ......................... 1..................... . ..... . r .................................... 80h"xlI'J ...................... ..1. ..... . . My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re,inspeetion is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T's NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER (ILL ' CONTR. LIST CHECK ' ENT. D I ST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAS. TEMP. PERM. 0.1 NP 1.5 HP TRANS. CONTR. LIST CHECK Service Overhead Site Feeders ............ ........Conduit................ Main Sw ... ............................ Amps ....... .................... Main Fuses .. ......................... Amps Underground Type of Installation — Conduit ..................... Tubing..... -- .... .......... B.X.L ......................... Metal Moulding... .... .............. ............... -•- -............................. ........ ............................... ........... .............................-- • --... ................................................................................................. ................... -------- k. ...... ......... ......... . ...............................•+� _ ..... . ------- ............... ...... Amount of Permit 5........`` ......... ............. _..... ................I.............. (Signed)...... ... .... .. ---••- o,_� -, T- - -_,.. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pcrxffnent 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 der this` permit, as are licensed by Miami Shores Village. (Signe . ..... .......... ............................ Muter Electrician. STATE OF FLORIDA, l ' COUNTY OF DADE. I °° Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared............ E * A r d............................ Peterson .......................... ....... ............................................................................................. ............................... .. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ..... %ASS.].S. an t..$ E.GCPt.d.l'y ................. of the above described construction, and he has carefully read the foregoing application, and that he did sign the -3ame, and that all facts thereiq b him stated are true. t ii. , .. ......................... 1..................... . ..... . r .................................... 80h"xlI'J ...................... ..1. ..... . . My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re,inspeetion is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Date! PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Legal Description sf, / / /73 Pwner J Lessee / Tenant(�-)Al A& j(LG Master Permit'.. Owner's Address Phone 3x5 7 -2/- .&au5� Contracting Co. ��/U�i Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address !� V 71 Permit Typ 7�6 LD ING ELECTRICAL PLUMBING MEECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION �%f �i�T /�/C'' C�� 1�5. o Square Ft. Estimated Cost(value)� 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'indicsted above, "and on the attached addendum (if applicable). I certify that all work will be performed, to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. rgnature o wne nd /or Condo President Date: -A- 1 , Notary as to Owner ae I o; P>: e#tbAVIS My Commission Expires o * COMMISSION NUMBER CC255237 FEES: PERMI' RADON_ APPROVED: Zoning Signature of Contractor or Owner - Builder Date; Notary as to Contractor or Owner- Builder My Commission Expires:. MY COMMISSION EXP. JAN. 2f 1997 C C. F. NOTARY 1 v TEAL DUB,_,, c Fire Other Buildin % Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE M Date e %z.`_ .Job Address Ai41P/ /(i lec� Tax Polio/ Legal Descriptionet� �LS A-mV e / Lessee / Tenan ` !/� Master Permit 4r /ld Owner's Address Z[ Ze/ X1 4f-' 4oZ J i P n 2-r/ o 4 Contracting Co,,S,i ,dw z.,,a er~4 Address •'� /s'0 IV 261' _- Phone 4P ee f: State # Municipal # Competency #AW0 %8"404' Ins.Co. /; c 1oyC4,ee I Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL - PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. 3J, Estimated Cost(value) 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. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize a above-named contractor to do the work stated.- d Signature of owner and /or Condo President Signatur pKof Contractor 4orer B der Date: Dat -92. Notary as to Owtfer aV P6bf0GT$te0ai1de1RPA Not as to(' ral1l1ctor or Owner - Builder COMMISSION EXP. MAY 7,1994 My Commissio � i�F11�g STATE OF FLbR %DA My Commission $xpire LADED TNRU GENERAL INS. UND. � EXP. MAY 7,1994 BONDED TNRU GENERAL INS. UND. x FEES: PERMIT_ S. RADON C.C.F..f_f6V NOTARY TOTAL DUE✓��' APPROVED: Fire Other / /---/ 2 Zoning � n Electrical Mechanical Plumbing Engineering LAE3ETER,PLUMBING J ,� STATE OF FLORIDA ° ``acunq�® COUNTY OF DADE `ya�t ooG$ I HEREBY CERTIFY that this is a py Of the rn original filed in �hlGffl co o A. D. y O f WITNESS my hafficial Seal. GrAA5Nq .. Clerk It Court 1 ^_ ADEF4 @D { D.C. By :.Z.''' f .x` PERMIT* State of Florida County of Dade THE UNDERSIGNED hereby real property, and in following Information TAX FOLIO NO. A. NOTICE OF COMMENCEMENT C4 gives notice that Improvement will be'made to certain ci accordance with Chapter 713, Florida Statutes, the a. is provided in this Notice of Commencement. 1. Description of property:(legal description of the property, and street 1� address I f ava i I ab I e) / ail f /00 aL9� • t�l 2. Genera I descr I pt ion of Improvement :,6 //�0017G �iJ`" �jl.!✓ fit► A 3. Owner information: a. Name and Address ��Gf� A � l'4�iF! ,1,1 a✓ /d 2 S1` / - b. Interest in property: c. Name and address of fee simple titleholder (If other than owner): 4. Contractor: ( name and address � vv�Iee�,z 5. Surety: a. Name and Address XI/ -q4-w b. Amount of bond $ 6. Lender:(Name and address) 7. Persons with 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) 'V S. In addition to himself, Owner designates � of to receive a copy of the Lienor's Notice as provided in Section 7.13713(1)(b), Florida Statutes. 9. Expiration date of notice of commencement (the expiration date is 1 Year from the date of recording unless a Jiff rent date Is specified) gnature of Ow er Sworn and subscribed before me this day of V4Aeq 199. gdOit;RY PUB!-, JC "TAC O; FLoRn?,1 My C;9MISS1ON C.VI. WAY 7, Ko—tarf Public Mav Commission ExeA�rNx±rx TR,� :;:.,r=.. ,.,, ra•r. ,... PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN %COPY) Date �� Job Address ��, �" ` 1 Tax Folio_ // 3�.� oZy �`%�•�® Legal Description l & Master Permit # Owner / Lessee / Tenant Owner's Address, Phone Contracting Co. ��t a , R % <<' �- �� _ Address '/ S 'It - C; - vV . Qual if ier� _✓ r. ,- _ SSA �,' _ _ . ✓ Phone Stated Competency¢ Ins. Co Architect /Engineer Address Bonding Company. Address Mortgagor Address Permit Type (circle one): BUILDING (AELECTRICAL PLUMBING MECHANICAL P/1cj1ING FENCE SIGN -- .— 1-1 �1 ION et�, ;L G Square Ft. ted Cost 11,01,4" WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing will be done in compliance with all applicable 1 Furthermore, I authorize the above -n ad contractor t 'Signature of Owner and /or Condo Preside t a. Date: nom* information is accurate and that all work two--r gulating construction and zoning. ;;.$o he work stated. e ,.tor or owne- r- Burmer nm pews W%'0 ..W. lotary as to Owner and /or Condo President N ary a - �q wilder 4y Commission Expires: M CosmniJay aie_ WWe b ►k �t �k �c �k etc �t � :Ilt �t :k �c 7k :k' ?ERMIT FEE: APPROVED: Fire := _ Other Zoning Building Electricalao,- Il Mechanical Plumbing Engineering CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUH DING DIVISION NO O O Miami Shores Village, Florida, Owner; Agent or Tenant of Building Russell A. Tones Lot 7'& F, -k 18B1 1 Subdivision Miami Shores B,P.E. Street Approved use by occupancy Swimming_ Pool Addition Remarks: This Cortificate of Occupancy is issued to the above named for buil ding at above named location only upon the express provision that the applicant will abide y and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the ereetion, construction, alteration or remodeling off buildings or structures. Tax 'Value - 3000 /C� x� -BUILDING DIVISION i, F �11, OW ER'S-I�IAME PRESENT ADDRESS LICENSE NO. PHONE NO. BLL A. 0N�' - 1 N.4. 102d Street JOB L CATION � (;�T. OR AYE. T , ,L9T BLOCK SUBDIVISION 1481 1 2ndi Street ' 17,' & 18 1 I MSBPE .E. -E* - :I -- GENERAL CO TRACTOR I ADDRESS PHONE NO. 'LACE SE NO. GUERNSEY CO STR�CTION NCO I: 1301 N.E. 103rd Street I 1487 BUILDER'S BOND 898 g -2 -57 1000 I 21'x- 5-6-57 BUILDING PERMIT NO. ATE PERMIT FEE S N . DATE ADDITION ZONE REQUIREMENT$ J CU. FT. I'Tax Value 3000 PLAN CUBE CU. FT. I EST. COST $ -6000 DATE DRAWINGS, SPECIFICATIONS, ESTRICTIONS AND CUBE CHECKED BY- C.H. Markel TYPE' STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION NEW CONSTRUCTION I DESCR IPTION REPAIRS DESCRIPTION ALTERATION ADDITION APPROVED REJECTED REFERRED TO COUNCIL REASONS SUBMITTED TO PLANNING HOA D l RE- SUBMITTED TO PLANNING iOARD I REMARKS SUBMITTED TO VILLAGE UN IL CERTIFICATE OF OCCUPANCY 190. O ISSUED BY BUILDING I7ERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE 'sp&c. Ca. W * 60*1 *V— BUILDING INSPECTIONS INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY FOUNDATION c- y- Orr !iAMs a LINTELS% 14RAMING FINAL CLEAN-UP PLUMBING PERMITS & INSPECTIONS CONTRACTOR IPHONE .PERMIT NO. DATE I FEE $ ALTERATION -ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE, FEE TEMPORARY SERVICE SEPTIC TANK SEWER SOLAR HEATER GAS s INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY ROUGHING GAS SEWER SEPTIC TANK SOLAR HEATER FIXTURES ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR IPHONE PERMIT NO. DATE I FEE $ NEW BLDG. I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE H. W. HEATER CONN. $ RANGE CONN. MOTORS FIXTURES $ s INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL APPROVAL TO POWER CO. FOR SERVICE DATE BY MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT C_; Permit No.._. Z G �I Dats..._ Application is hereby pade fc r the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address°_ ._.._. No. —�. Street..L.� Registered Architect and /or Engineer —. ....... .. _ . _._... __._._ .._ ..... _.- Employing Plumbers Name._; ,,G'�E® �S ©1602 . - ., , N /�3�0 8tit ,r c•� ��- --� Location and Legal Description Lot Hlock Snubddivldon. —. Street and Number whore work is to be performed —No 1 j � street—e700, treet... e7 State work to be performed d purpose of building (By Fbxn) .._.� _....._- ....... - -_ -- _ a .................. ... New Building____ _... _.._ . Remodeling Addition...___...... -....__ Repairs_- _--- ......_..... No. of Stories............... -- Size Septic Tanti 7['yi>8 Of Tangy _ - -___ _ ._-.-...--.-..____Capacity Di Feat of Drain Tile --- - Feet of Task or Drain Field from Well__ Nature of Water Supply: City —Well -Size Of Soakage Pit------ Amount of Permit $ r?' (Signed)- - --� / .------ - -o�:. ,... _ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation¢ %as an employer of labor under the Florida Workmen Compensation Act, being Section Sm, Compiled General Laws of Florida PennanentApplement, and has com- plied with the provisions thereof, and will require similar compliance from an 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. (, Maker Plumber.. + STATE OF F,Ir.ORMA, COUNTY OF DADE. b Before me, the undersigned authority, a notW public, duly oaths and take aclmowledgulents, personally appeared to me we known, and who. being by me first duly sworn. upon oath and says that he is the of the above described construction, that he has carefully read the regeiag app and that he the ,earns, <anaR kbat >all facts therein by him stated are true. =' `` WMART Pfll➢W S'P,ATF OF FLORIDA AT LAIRM MY COMMISSION EXPIRES SEF. IS, IM f " Notary Publio_SUta of FWda NOTE: A re- inspection fee of $1.00 will be mods when W0h 1041201101im is MR&'naoessasy by LePWW notice for Uvecbm -or laulty materials and /or workmanship. LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS SHOWERS TORIES SINKS SINKS TUGS URINALS BASIN DRAIN FOUNT'NS FIXTURES CONTR. ' LIST CHECK SEPTIC SEWER (DRAIN SOAKAGE GREASE' SOLAR DEEP SPRKLR. SWIM'S TANK CDNN. FIELD PIT TRAP NEATER WELL SYSTEM POOL I CON". LIST �- CHECK Size Septic Tanti 7['yi>8 Of Tangy _ - -___ _ ._-.-...--.-..____Capacity Di Feat of Drain Tile --- - Feet of Task or Drain Field from Well__ Nature of Water Supply: City —Well -Size Of Soakage Pit------ Amount of Permit $ r?' (Signed)- - --� / .------ - -o�:. ,... _ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation¢ %as an employer of labor under the Florida Workmen Compensation Act, being Section Sm, Compiled General Laws of Florida PennanentApplement, and has com- plied with the provisions thereof, and will require similar compliance from an 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. (, Maker Plumber.. + STATE OF F,Ir.ORMA, COUNTY OF DADE. b Before me, the undersigned authority, a notW public, duly oaths and take aclmowledgulents, personally appeared to me we known, and who. being by me first duly sworn. upon oath and says that he is the of the above described construction, that he has carefully read the regeiag app and that he the ,earns, <anaR kbat >all facts therein by him stated are true. =' `` WMART Pfll➢W S'P,ATF OF FLORIDA AT LAIRM MY COMMISSION EXPIRES SEF. IS, IM f " Notary Publio_SUta of FWda NOTE: A re- inspection fee of $1.00 will be mods when W0h 1041201101im is MR&'naoessasy by LePWW notice for Uvecbm -or laulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the appproval of the detailed statement of the plans and specificattons herewi submitted for the build - Shores Villa eF lor�ida and all pro ns hoi the Laws of lthe State a FIonlda all ordinances o Miami Shores Ordinance of Miami regulations of the Building Division of Miami Shares Village shall be cbmpliec with, whether herein specified not gA yaof rules and plans and specifications must be kept at building during progress of the work. P approved Owner's Name and e , Architect giner.-•- - - '� ._ __—_ _- .--- .-- .--- •___-- •- •.- . - -_ - -_ Name d of led contractor - — - '9 - Location and l�al escri tion of lot to be built on: ,J " y Lot_,_ C� __.___ Subdivision- ___- -_ -- __s_.._ ___ _ __ Block __ -� ___ -- '� Street and Number where work is to be done__ l !le C 10 Z __ _ State work to be done and purpose of building (by floors )____i _ _ _ - - ---------- ••--- - - - - -- ------ - - - - -- — - - -- - - - - -- -- --- - -- _ _....._ ..... - -- . g ____ _. _ -_ - - -- Repairs �.____.. No. d for no urpose. New Building_____ Remodeling -- �---- _._..- -.. - -_ Addition__._ of Stories - - � •- - - - - - -- To be constructed of .... Kind ofdation_ • �Q _ m_ _Roo Covering_ -.. __. - - _ -__ -- Estimated Total cost of improvements $_____ yt _ _Amount of Permit $._._.__ W41-6-4) __T — _ Zone cubage required__._ -__ plan Cuba a —_ ce to next nearest building - -- -_ -_ -- - -- '� Size of Buildin Lot• - - -• -- _ e- 9. S' -----•-------------_------•-- Distaa Maximum live load to be borne by each floor ------- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to----- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer . of labor under the Florida Workmen's Compensation Act, being. Section 5966, Compiled General Laws of Florida, Permanent Supplenient, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - tractors employed by him in the work to be performed under this permit; and will post or cause to be posted for ' spection on the site of a work such public notice or notices as are required by the Act. The undersigned agrees to employ only such ntra on work to be performed under this ' permit, as are licensed by Miami Shores Village. ! (Signed' STATE OF F ORMA, COUNTY OF } ss' Before me, the undersigned authority, a notary public, duly) authorized to administer oaths land 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 a same, and that all facts therein by him ted are true. �r �r Permit No. _ —___ Date /— .—_� Read, Sworn to and Subscribed before i ne. Disapproved Vate-- ' ----- - --- -- -------- --- ----- --- ------- --- - - - - -- ' Notary Public, State of Flori (Signed) -- _ - -:_. ---.------------------- .______ B Inspectof My Commission Expires PLANNING BOARD DATE C ber Chairman airman - ...._ Member .----- ---- - - - - -� __ _ __ __ _ __ ___.._ ------- - - - - -. __ r _-- __ -__-- Member _--- _ - - - -_- _ ___ -- Member Member _ ------- Member uncil Approved. -.- __--_ ______________ __-- _- --____ Date Disapproved _. _---- -_____ — ___.._______- -- --- °- --- •--._....-- -...._..._...Date Co 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 ro- inspection is made necessary by improper noti' for inspection or faulty materials and /or workmanship, I' MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT . Permit No.. b R� ' 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 mad 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 Shares Village and all rules and regulations of the Building Division of. Miami Shores Village shall be complied with, whether herein spedfied or not. A copy of approved plans and specifications roust be kept at building during progress of work. �PE i g 7 Owner's Name and Address... _ . � C � ._..._. No /4 � — Street EZ ._../'?.._.. Registered Architect and /or Engin _... ...... _ F,Rp�l ng Plumbear'Z ®re A �...,... Na..r.�a.^..,.. Lflaat of Le� tion ot_.L �` ' o. & �1l gkMek 1 Subdi 4.1 Street and Number where work is to be ply farmed -No Y.�. S "i�_ 0 2i _ State work to be performea and purpose of building (By Floon) AM I ;•- x..W. r.Z. I. 4z L, �?!.. '...... New Building. _..___......._.. Remodeling _.. _.. Addition...___....._._........ No. of Stones... Site Septic T��'- Type of Tani ..— _Capacity Feet of Drain Tile.... - - - -- Dist_ Nature of Water Supply: City -We1L Amount of Permit Of Teak or Drain Field from Well..._ of Soakage (signed) C � 3 •��!� ! .. - - - - -- Plumbing Impactor. 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 a Compensation Act, being Section 5988, Compiled General Laves of Florida Permanent Supplement, and ilex com. plied with the provisions thereof, and will require similar compliance from all contractors or subcontractors emploird by him in the work to he performed under this permit; and will post or cause to be posted for inspection an to of the work lic notice or notices as asp required by the Act. The undersigned agrees to employ only such arb-em on ipo& to be I this permit, as are licensed by Miami Shares Villages STATE OF FLORIDA, w. COUNTY OF DADE. oZ.7 �// Master Plumber. Before me, the undersigned authority. a notary public. d* au6mized to administer oaths and take acknowledgments, personally appeared f mew�e �ed co by me upon gp�o the abov descsibon o, that he duly adtha o apcatonind the be did dga'tbs sam% and that all fads therein by him stated are trues My Commission Ezpises Notary PuWio. State of Flod& NOTE: A re- inspection fee of $1.00 will be wade whims won isispeottas is =a&'aaowary by I r up ex notice iar l�pectloe, or feWW material and /or wo rl®anship. CLOSaTa BATH TUBS SNOWU/ LAVA- TORIES SINK* SLOP SINKS LAuNORY URINALS Tuna CATCH BASIN FLOOR DRAIN DRINKING FOYNT'NA TOTAL FIXTVRaa CONTIt. LIST CHECK SEPTIC TANK SEWaR CONN. DRAIN FIELD SOAKAGE PIT OREAaa. TRAP SOLAR NEATER Damp SPRKLR. WELL SYSTEM SWIN'O POOL CONTIt. LIST .- -- CHECK Site Septic T��'- Type of Tani ..— _Capacity Feet of Drain Tile.... - - - -- Dist_ Nature of Water Supply: City -We1L Amount of Permit Of Teak or Drain Field from Well..._ of Soakage (signed) C � 3 •��!� ! .. - - - - -- Plumbing Impactor. 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 a Compensation Act, being Section 5988, Compiled General Laves of Florida Permanent Supplement, and ilex com. plied with the provisions thereof, and will require similar compliance from all contractors or subcontractors emploird by him in the work to he performed under this permit; and will post or cause to be posted for inspection an to of the work lic notice or notices as asp required by the Act. The undersigned agrees to employ only such arb-em on ipo& to be I this permit, as are licensed by Miami Shares Villages STATE OF FLORIDA, w. COUNTY OF DADE. oZ.7 �// Master Plumber. Before me, the undersigned authority. a notary public. d* au6mized to administer oaths and take acknowledgments, personally appeared f mew�e �ed co by me upon gp�o the abov descsibon o, that he duly adtha o apcatonind the be did dga'tbs sam% and that all fads therein by him stated are trues My Commission Ezpises Notary PuWio. State of Flod& NOTE: A re- inspection fee of $1.00 will be wade whims won isispeottas is =a&'aaowary by I r up ex notice iar l�pectloe, or feWW material and /or wo rl®anship. MIAMI SHORES VILLA13E BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is here It), wade for the arproyal of the detailed statement or the 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 Villagge shall be complied with, whether herein specified or W. A copy of approved plans and specifications must be kept at building during progress of the work. Apprx. 2 sqs. Date...,.....«...,.._.. betober 2 .. «, to 80 Owner's Dame and Address �B' Geier ,,,,, „, „„ No. street, streetN'.E«:« 102nd Street Registered Architect and /or gnginoer .... ............... •.•.•,«••••««••••«.. ............. ..............»••• •:• «• not•• «sn••. ..... mtrteewvts�este. ertnnt ......••..••.••••.......•••,••• .. `''III” Name and address of licensed contrgetor... ofin & Ti.le »Co,.z. „Inc. 57. 3 N.«W.71st Miami, Fla. Location and Icgil description of lot to be built on: Lot...r..y�...1.. /..�:..1.. ... Block..... :a........ «. ...» Subdivision.... ..�.. ._... «......... «......... _.. Street and Number where work is to be State work to be done and purpose of building (by floors). Repair on Shingl® tilee roof. _ ....... ..... . »._ ......._._......_ ..... ...... ................... ».... «. . .... ..... „..... « »«««»... «.._.«. ..«....and for no other purpose. New Building....... .............. Remodeling.................. « Addition ......................... Repairs...„ X.............. ».. No. of Stories ...... ....... ......._ To `be constructed of ...................... land of foundation ........._.... ................................ ........ Roof Estimated Total cost of improvements $!!R.00 ---..-.Amount of Permit Lv_ k ....._........ «.... Zonecubage, required .................... ............................ ».» ». ««.««.......« Plan Cubage ................... ....«.«....«««.».........«...«.... ....._.. ................ „ ..... _ Distance -to next nearest building ............................. _. « »_..._ Size of Building Lot......».._«« «.«. ««._«...._ «_..... Maximumlive load to be borne by each floor.......... ..............„..........«................................... ............... » «.«........_... ............................... I hereby submit all the plans and specifications for said building. AU 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 3966, Compiled General Laws of Florida, Permanent Supplement, anti 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 tinder this permit; and will post or cause to be posted for in ion on the site-4-the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such au on to be perform nder thb permit, as are licensed by Miami Shores Village. Remarks.. . ............... _.... ........ .. .... «. .._...._...._,«.. ( Signed) : _ STATE OF FLORIDA, ! . COUNTY OF DADE. .Before me,, the undersigned authority, a nota,& public, duly authorized to administer oaths and take acknowledgments. personally ap. peared ..... . ................... ......... __ ....._._ .............. , . «�.. «......._. »....... „„ .._... _,.._«« ._.. _ .«........,. «.__ �....._.__.. _w.... „_... «......, ..._« _...._:......... «_ «_:. .... ........ «... «.._..« ...«. «.«.. .._...._. « «to me well kaown. 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 si the same. and that all facts therein by him stated axe e. rr "04 Ilk kb Permit No.....:« ... Date._.1 Read. Sworn to and Subscribed be me. i�� ... » «............ «...«...... ......D isa pp rov ed Date.. ......_...... ..Notary. i bic Stae o F�da ( Signed) _ ....... .............. Bulding Inspector My Commission. Espires..«_.....,.„«.,F. PLANNING B OARD .......... .......................... «..;.—.-DATE Chairman....... . ........ ... ... . .... _._.....: «» .... «..._ .«.« ..... «. «»...... Member .....»«. »......« ....._._..«««....{.... ................._.. «.......... « ..« .Merraber ....... ...... ......._...«....... _ ...... «...... «.... Member «.» « ....._ «»..... «._.... «..... „....» _ Member..........................«.« «...... «. «.......«..r.... «.._._......«..._ Member «..«..«........ ....«..»»« »....... . „ « «. ».....»__ _,.., CouncilApproved ..... .»._ .......................... __ .... _.. ««.._................Date Disapproved .. ».. ».. ».. „... «. » »......... ........ ...........................Date NUT E; A eh.irge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plannir._, Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by Improper nbtice for inspfttkm or faulty materials anti /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approl al 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 \Pillage and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or snot. A copy of approved plans and specifications must be kept at building during progress of the work. Date-------------------- - - - - -- ?? - Owner's Name and Address..._ ..-- -... -- R . 'A'."-'Jo E}O 53 ----- _.------- 81, --- I 1, --- • No.....�.Qis'----- • - - -.. Street fE'-- -'�t3' H Registered Architect and /or Engineer...--- ---• ----- --•......• ................ ........... ................................. - ...................... - ................ }•--------- Name and address of licensed contractor--- . - - - - -- TRMY --- NQYZN_ ....IN . ....... irc ......6Q 4 N.— ...... ...A!ft'a.s Location and legal description of lot to be built on-, Lot------------------ - - - - -- ----- - - - - -- Block ---- _-------- _--- ------ - -- Subdivision ----- ___ --------- - - - - -- -- - -- Street and Number where work is to be done.------- ,---- _- ________ 8l N •._- E. 102 110 re State work to be done and urpose of building (by _------_ •--- ------------ •--- -- •• - - - -- - --------- -- --_. ___._. _- ---- •---- - --_ __------ -..- -__ -__ Drywood - Termite Fumigation -- - Acrite t - Gi - -- - - - - -- 8 fours^ - - IVglo __ n T ®nt and for no other purpose. New Building- - - - - -- ----- - -• - -- --------- Remodeling .......................... Addition -------------------- - - - - -- Repairs ..................... • - -- No.. of Stories - - - - -- .......................... To be constructed of- ............. ___ _ ._...__._ Kind of foundation--- ---- - - - - -- -CBS ................................... _,. Roof Covering ............ RS._�.4.P-. .... 11 Estimated Total cost of improvements $.385-QQ. .... ,- ..................... Amount of Permit $ ---- 5 . CL..____.__.___._._._..._......... ....................---- - - - - -.. Zone cubage required — - - - - - — - - - - -- -- —Plan Cubage-- - - - - -- LL2 _lLao — - Distance to nett nearest building.___.__________. 1 _ s..- ._.________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---- _.__. _ ---_ _ _ __ _ -- ----- --------- --- °-- -- - -_. _-- -------- ---- -- ----- .._--•-_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 FloridaP Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empiu yed b him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of th work such c not or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on w to perfor= nder s OF permit, as are licensed by Miami Shores Village. ,f.� 1 Remarks_-- .-- __ (Signed)_ _ STATE OF FLORIDA, COUNTY OF DADE. f 98' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowl gments, personally ap- peared— -- — _ -- -- - - --- -_ __ _ -- -- -- - -- - - -- — _ -- -- - ---- ------ _ _ ---- ------ - - - - _ __ _ --------------------- ___.to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the-------------------------------------------------_r ---------- --------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.- Disapproved ( Signed) Chairman .. -Read, Sworn to and Subscribed before me. -- — ----------- - ---------- - ----- ------- -- -- -- -- -. --------------- -- Notary Public, State of Florida' - My Commission Expires--------------- - - - - -- ----- -- _- ------ - ---- --- ------- DATE Member----------------------------- - - - - -- - - -- Member Member _-------- -- ber -- -- -- - - - --------- _— - Member Council 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. APPLICATION FOR PERMIT TO 'FUMIGATE WITH CYANIDE,'_ METHYL BROMIDE 4ACRITET X APPLICATION NO. DATE 19 1. Location of building to be fumigated , 1481 N. ' E. 102 Street, Miami Sho es, Fla. 2. Name and address of owner of premises 3. Type, size and construction of building 4. Is entire building to be fumigated? 5. If not, state what portion R. A. Jones CBS — Resido:nee — Ye s 6. Approximate number of cubic feet of space in building or in portion to be fumigated. 2 It 400 7. Kind and quantity of fumigant to be used and manner of application and length of fumigation pe 'riod Aori t a t - 48 Flours - 8. Distance of nearest building and direction from building to be fumigated 12 Ft. 9. In what manner will vents to exterior of building be sealed? Nylon Tent 10. Date whem fumigation will be begun May 27,'1961 Time 1000 A. M. 11. It is hereby agreed to station a guard on the premises to be fumigated during the fumigation period and to post suitable placards at each entrance into the building bearing the following words in letters at I lliom st two inches by one inch in size: "DANGER" — THIS. BUILDING UNDER FUMIGATION WITH A DEA LY GAS." ,12. It is hereby agreed to make such provisions that all openings into the building may be opened the outside after the period of fumigation is over and to take such other precautions as may be necessary ft insure that all of the fumigant is removed from the building before anyone is permitted to enter. 13. It is hereby agreed to notify the County Health Department when the building has been preparec for fumigation. FIRM NAME: TRULY NOLEN, INC. 600 N. W. 7th Avenue Miami 36, Florida of this fumigation job.) Q MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT APPlication is hereby made for the approval of the detailed statement of the plans and specifications herewith 'submitted for the build. ing or other structure. herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be comphQ with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during piggress of the work. �� Date. ...19•.1'.!%` Owners Name and Address. 40D.Z.4., »............ »......._._ No� ...... S�- ..�... »..... ». Registered Architect and /or l ngiaeer..........��..t ».» , ........ ........... ................•n..,,..,,. :....<> ,,.,... ��-:: ............................. Name and address of licensed contractor . ..1� • ��. ...�2.�............_... ».»....» ........... »........ ». ». »..»».. »» Location and legal description of lot to be built on: Block ............ » » ».. ».» Subdivision._» »2.1 7 -.5 .. » _...»........ »..... _.._....... Street and Number where work is to be done.--,/-V.. .. ».» . .�—».. State work to be done and purpose of building (by floors )N »`�. ®- F �.��»..�•• -�-� / ... .... and for no other purpose. New Building............ ..... . Remodeling.. ».., . ...» Addition .......................... Repairs .... . ......... » ».. »» No. of Stories ...... ... ... »» ... _ To be constructed of ............................ of foundation »..».._»-.. ................................. . ........... .» Roof Covering ............ ..........................».... Estimated Total cost of improvements -��.. :. .a.. ®= »»•• -..- .Amount of Permit $-.» .................. .. ..... ».,..... »............... »_ .... Zone cubage required- _ ....... ...- .__.___. ». »._. » _ » ».______ . __Plan Cubage ... _ ....... _.._ Distance to next nearest building ............................ _..------- w.. »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 pennit 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 arc required by the Act. The undersigned agrees to employ only such subcontrWors, on k tome performed under permit, as are licensed by Miami Shores Village. �"' Remarks... :. ... ... .......... _. »... »..._»»»»»» »_.. ( Signed STATE OF FLORIDA, COUNTY OF DADE. I 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. Z Permit No. Z.._... Date....- 3 Read, Sworn to and Subscribed before me. Disapproved»_ _ Da »..... ...». ..................••--• -- ••- -•••- •- ........._. ». ». ».._ _ ._ Notary Public, State of Florida (Signed) ......»._.._.._.... r._..:.._...,. ._.._.........,._.._. »......_.. .. Buildmg Ins for My Commission Expires..._...»..»»..,» Chairman .......... Member ...-- - -•- -- PLANNING BOARD »»» .............................----DATE Member Member» ...» ...... »»» » ._» .....�_...» »_.. . Member .. ... ............. Member .......... ... » » _.. .. » »». »» Council Approved ...... » ._ ...................... ». » » » »» _._......._.--Date Disapproved .. ».. »_ ». » ». ......... »..................... ........................... Date NOTE: A ch.►rge of $1.00 will be made for making corrections or changes to this application after approval has hem obtained from the Plxnnin%; Board. A rc- inspection fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspectiem or faulty materials and /or workmanship. MIAMI SHORES VI LLAG E BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Buil(Img 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 )by K ,19___ Owner's Name and Address.__ No._;_,___14R3 St;ect _,_ _.._____------�_ Registered Architect and /or Engineer— I ' . - .1 1 ___ ____ Name. and address of licensed contractor TL .Rob_bi ng Son Rooti ng ft. ],b©l 2'wtm_ XI ami Location and legal description of lot to be built on: Lot. Block Subdivision Street and Number.where work Is -to State work to be done and purpose of building (by floors) Umye old roof . pp y ] / asphalt and gravel -and for no other purpose. New Building Remodeling Addition Repairs Z No: of Stories____________ To be constructed of Kind of foundation ____ _ __ __— Roof Estimated Total cost of improvements Amount of Permit 5.00 Zone cubage required plan Cubage _ Distance to next nearest building Size of Building Maximum live load to be borne by each I hereby submit all the plans and specifications for said building. All notices with reference to the building) and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subco trVcpr /ogrk to performed under this permit, as are licensed by Miami Shores Village. �n Remarks ( Signed) �1 STATE OF FLORIDA, COUNTY OF DADE. I ss' 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. ( Date Sworn to and Subscribed before me. Disapprove (Signed) Chairman Member _ Member _ Notary Public, State of Flori da My Commission Expires ____ —DATE Member Member Member Council Approved Hate Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approv 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. 10 7 1?1 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 swcturr. herein described. This application is made in compliance and conformity with the Buildingg Ordinance of Miami Shores �'iUage, Florida, and all provisions of the Laws of the State oaf Florida all ordinances of Miami Shores Pillage and all rules and regulations of the luilding Division of Miami Shores Vill a shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during ap�ress of the work. Date �,,„ , l�� Owner's Name and Address.... .... „ „_.».„..._._ „..._.......„ No.. L411_.._.. S �../0 Z,... Registered Architect and/ Engtn4 r -„ , �,tt :..,,,�- ,....,.m,,,,,� . ................. »..........».. Name and address of licensed contr{ttctor....... .......5.� Location and legal description of lot to be built on- Lot-.-Mill .» d- 7........... Block. „ »...I....... „„ ....„ Subdivision__....... „� i'i� ,'Y _0_P,4/ ..... Street and Number where work is to be done_....'P%Y..!(....._.._ _.._ ..... State work to be done and purpose of building (by floors) _....„ ...„_.._„ „....„„„_,..._„„„. �._..�„... ..... ............ ._........„ „......_...» ._...... _...... .................. »- .... ...... _.._ ..... „ ..................... _.. „_......._ _... »..... »_._. „. ».„...„„__......_.. ........{Rpd for no other purpose. New Building Remodeling ..... Addition .......................... Repaid ... . ......... . ......... No.l of Stories ...... .._... ..... ..... „ iy+��.... Kind of foundation »..,� To be constructed of.. T-1 . �. J/.. 10. I . .... .......... ........_..........— Roof Covering.». ....... . ................... » ..... ._._._ Estimated Total cost of improvements $... t� . ...... ..... .... amount of Permit S�.__._. �9 �...„_ . »_ .. Zone cubage required _....._..,. »_.__ - - -_. ___ ... ._„ — plan Cubage.._ ..... ». ».... »..._.__....»,._».. . Distance to next nearest building ................. ..... ............. . _ _ .... „Size of Building Maximum live load to be borne by each floor ....................... _..»-- ... »- .............................. „ ... _.. »....... » »...._...._ _......_ l,.........._....... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may s g be sent to ...... ��- &... :e4 ./i &.4r ._.._ -- AdrS7 -------- »- -f..- .... »... 0' ....... 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 Ceneral Laws of Florida, Permanent Supplement. and has complied with the provisions thereof, and will require similar compliance from all contractors or su n actors employed by him in the work to be performed under this permit; and will post or cause to be posted for in ion on the si f th work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s to performed under this permit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, COUNTY OF DADE. I 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 ef'y reed tfo g application, and that he did sip -the same, and that all facts CAP therein by him a e�� #0, i� y Permit No. Date.._ ....__.__ r. ._. Read, Sworn to and Subscribed before me. Disapproved .._ Date_ » _ _ _ .......................... oy -t......o »..__d4 Notary P State of Flori � ( Signed) _ _....... -- - __ _--_- - -. Building l pector My Commission Expires. PLANNI G BOARD» ........ ............................... ...DATE Chairman.......... ........ ._._.._ ...__ _ ... _._ » . _ -- - „...„ Member .... »_ ........»_.„ » „...... „ ....» ...» ......._. _ Member Member . _.. „._..... _.. __.. »... »... _ Member ................ Member ... .... Council Approved.- ._...»._.......... _._ _ Date Disapproved .............................. _Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plannin., Board. A re- inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notic� for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit N........ Date. ......... 1_» Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub 'fled structure herein described. This application is made in compliance and conformity with the Building Ordinance of and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores. Village and all rules and regul tions of Miami Shores Village shall be complied with, whether. herein specified or not A copy of approved plans and ecii building during progress of work. Owner's Name and Registered Architect and /or Engineer... Employing Electrician's Name.......... . Location and Legal Description Lot....... Street and Number where work is to be State work to be performed and purpose. of building (By Floors) New B,*ding.—.,.� .............. ........Remodeling............. . .........I a+.. for the building or other i Shores Village, Florida, of the Building. Division ications must be kept at .......................... Repairs. ......... .................... .. .... No. of Stories.................... Service Overhead Sine Feeders.. ... ? ». Conduit:. .Main SW Underground - - -. ....._... .:. :.. » ..........:.....:Amps...::.. - Type of Installation—Conduit ....................... Tubing....................... B. X .L........................Metal Mould Amount of Permit $........ .�.?..'.... .................... ....... ........ (Signer Fuses ...... . ....... ..4 ........ Amps 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 to be perfo ed under this permit, as are licensed by Miami Shores Village. ' s (Signed) ..... » MEA ...................... Master Electrician. STATE _ OF FLORIDA, 1 COUNTY OF DARE: v Before me, tht undersigned authority, a notary public, duly authorized to . administer . oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ».. ............ .. of the above described construction, and he has carefully read the foregoing application, and that he did sign therein by him stated are true. /NOTE. - - - -- » - -- --- --Ivly Commission Empires » » » .. ». ,. ». .. ». ». ».. .... .- ........ Public, Stn A re inspection fee of $1.00 will be made when such re-inspection is made necessary by improper materials and /or workmanship. same, and that all facts of Florida ice for inspection, or faulty SWITCH .LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS' RECE'P *rs NO. LAMPS OUTLET OUTLET OUTLET CONN, HEATER CONN. HEATER HEATER ' CLISTLIST CHECK o°` moyy ENT. DIST. SERVICE SERVICE MOTORS tAOTQRS NEON RADIO TOTAL, Sw. CAR. P TEM . ERM P .. O•I HP 1.8 HP. TRANS. TRAN CONTR. LIST CHECK , Service Overhead Sine Feeders.. ... ? ». Conduit:. .Main SW Underground - - -. ....._... .:. :.. » ..........:.....:Amps...::.. - Type of Installation—Conduit ....................... Tubing....................... B. X .L........................Metal Mould Amount of Permit $........ .�.?..'.... .................... ....... ........ (Signer Fuses ...... . ....... ..4 ........ Amps 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 to be perfo ed under this permit, as are licensed by Miami Shores Village. ' s (Signed) ..... » MEA ...................... Master Electrician. STATE _ OF FLORIDA, 1 COUNTY OF DARE: v Before me, tht undersigned authority, a notary public, duly authorized to . administer . oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ».. ............ .. of the above described construction, and he has carefully read the foregoing application, and that he did sign therein by him stated are true. /NOTE. - - - -- » - -- --- --Ivly Commission Empires » » » .. ». ,. ». .. ». ». ».. .... .- ........ Public, Stn A re inspection fee of $1.00 will be made when such re-inspection is made necessary by improper materials and /or workmanship. same, and that all facts of Florida ice for inspection, or faulty CERTIFICATE OF OCI MIAMI SHORES VILLAGE, BUILDING DIVISION NO 127 Miami Shores Village, Owner, Agent or Tenant of Building Block- Subdivision Street Approved use by occupancy. Remarks: This Certificate of Occupancy is issued to the above named for building at above named location only upon the express abide by and comply with all conditions of Ordinances Nos, Zoning, Electrical, Plumbing and Building Ordinances of Mic the erection, construction, alteration or remodeling of buildin 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 herewi submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with: the Bull Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores ge and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified ol not. A copy of approved plans and specifications must be kept at building during progress of the work. January 25, 55 Date- Guernsey Cons t . Co. � Owners Name and Address ...... ...... 0- - I3th ...... .�VenU.e Registered Architect and/or Engineer.. - - -- - ----------- --__.__--- ----- -- ------- ----------- -- •----- - - - - -- - •--- - - - .�_.. -------------------------------------- Name and address of licensed contractor- - -._._ Sheet e t2t 1 Spe C~ i a It �Company,, 573 1. �. ? 1 B t St. Location and legal description of lot to be built on. Lot -------- --- ------ - ------ --------- Block. ---------- _------ ------- - - - --- Subdivision__._.__- ----_. .... - ..... — _ - - Street and Number where work is to be done ___. 1481 W. E. 102nd Street State work to be done and purpose of building (by floors)•_ _- _--.- _._.._........_._..... - Tig on new -resid enee New Building_--_ R __•.-- •- ___ -.. Remodeling ----- — ----------- --- Addition - .--- ---------- __._ Repairs ----- -- ---- ___ -• -_ To be constructed of -- B ` • Kind of foundation-_- _.__ ............ . . . . .. .. ...... ._ -------- _ Roof Covert Estimated Total cost . of improvements $. MQ_*A _____ — Amount of Permit $- .--- 5.00 - - -. ad for no other purpose. of Stories ....... PAP __ -__ -_. Tile Zone eubage required ..__ Plan Distance to next nearest building--- ...— ______ __ ___ __Size 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 bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General laws of Flori , Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-co i tractors 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 t ie 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. SHED.' METAL S CIALTY CO. Remarks. — ( Signed) STATE OF FLORIDA, COUNTY OF DADE. 1 sa Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take pied and who, being by me first duly sworn, upon oath deposes and says that he is the_.-_ ------------ - ------- - of the above described co ction, that he has carefully read the foregoing application; and that he din therein by him stated are e. Permit No.— _T_. Date_ Read, Sworn to and Subscribed Disapproved ___ _ _.___— Date— - ( Signed) - Building Inspector Notary Public, State My Commission tckno ledgments, personally ap- to me well known, Lu _------ - - - - -- sign ame, and that all facts efore e. Flori �— --- PLANNING BOARD -- __________-- .____ -- -DATE Chairman __ .............. _ . _._ __ __ Member ---- __ -_ -- Member Member Member Member __ _._.___ ---- - - - - -- Council Approved.— --- ____ -- Date Disapproved -.---__.___.------•------- A charge of $1.00 will be made for making corrections or changes to this application after al ard. tion fee of $1.00 will be charged when such re- inspection is made necessary by improper r workmanship, has been obtained from for inspection or faulty Cgrg, e MIAMI SHORES VOL.LAGE, BUILDING INSPECTION DEPARTMENT , APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailec) statement of the plans and specifications herewl ing ar other structure herein described. This application is made in compliance and conformity with the Buil Shores Village, Florida, and all pro- Isions of the Laws of the State of Florida all ordinances of Miami Shores regulations of the Building. Division of Miami Shores Village all be complied' with, whether herein specified c plans and speci€ications must be kept at building during progress of the work. — Owners Name and Registered Architect and /or Name rand address of licensed contractor- -..._. __ ___ Location and legal description of lotto be built on: Lot -_Z . . .......... Block ._ ----- ._.•- - -.__. _.__.. Street and Number where work is to be done ...... '. d. State wok to be done and "- o�_seppof building (by flo - .. ... _.e - __._... __ p......... New Building-- ----- .............. ...... Remodeling----- - - - - -- ••-- - - - - -- Addition .......................... Repairs------ .................... 1 r submitted for the build - ng Ordinance of Miami r' ulage and all rules and not. A copy of approved _ ® _ ..... .,19__ ..................................... for no other purpose. of Stories...... To be constructed of- ... .......... ............ Kind of foundation_-._..:____-._-_-- ------------------------- _ -------- -_ Roof Covering__+ ........ _ ............. ............. ------ Estimated Total cost of improvements $.._._4__..um..f- - .____ -- .__Amount of Permit $ ........ % -._..-.-_-_.- ...... _ .................. _ -.___ Zone cubage _ --------- Distance to next neatest building-_-_.; ------- -- : -__ -_ _ Size of Building --- — ------------------ ---------------- Maximum live load to be borne by each floor__-.... Y_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 8966, Compiled General Laws of Flori , 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 in �onthedte of a work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such s =f ®acrk to be performed under this permit, as are licensed by Miami Shores Village. Remarks _ ____ _ _._. Y__ _ ( Signed ) STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take lamed and who, heir by me first duly sworn, upon oath deposes and says that he is the - .________._ --- ........____ of the above described construction, thafhe has carefully read the foregoing application, and that he iii therein by him stated are true. Permit No. __.. Date.__ Read, Sworn to and Subscribed Disapproved Y -_- __ - -_.- Date_... _ (Signed) ----- --- .._._ ...............................____.___.._...__.._._.--._._..---- Building Inspector Notary Public, State My Commission PLANNING BOARD ..._...._.___._ —_--..DATE Chairman - __---------- Member Member Member Member ... ------- Member Council Approved—____.. _._ _ _ _Date Disapproved tclmo ledgments, personally ap- .._._..to me well known, _ —_ --- ............... .._.._ the same, and that all facts efore me. NOTE: A charge of $1.00 will be made for making corrections or changes to this application after al the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper materials and /or workmanship. has been obtained from for inspection or faulty _w � s .n Y owl Ago r• 't. �"r u STIP f R , t MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application Is hereby made for the approygl of the detailed statement of the plans and specifications hi ing or other structure herein described. This application is made in compliance and conforinity with the Shores Village, Florida, and all pio-Osions of the Laws of the State of Florida all ordinances of Miami S) regulations of the Building Division of Miami Shores Village shall be compliQ with, whether herein specif plans and specifications must be kept at building during progress of the work. September Jones (Guernsey Const.) 1481 ----- Owneis Name and Address ............ ..... No_ Registered Architect and/or Engineer_ - - -- - ---------- . ....... . ...... . . . ...... . . .. •.............• .... ............ . ......... ._._ . ..... Name and address of licensed contractor.. ----- Sheet Metal-49A .... . Location and legal description of lot to be built on: 17 . Miami S1 LOL-. Block--_. ------- ----- - - - - subdivision.- Street and Number where work is to be done—J481 N. Elt.-I State work to be done and purpose of building i submitted for the build- a%e of Miami lliagZe Ordinance 11 rules and not. A copy of approved OS, 57 ............. . .,19.. _ ... tN.E. 202nd St es Bay Park lEat New Building _.._ ........................ Remodeling .......................... Addition ...... X ............... Repairs ............... . ........ To be constructed of_....9.t B _14.t---- Kind of foundation .... . .... . . . . . .............................. .. . ......... . Roof Govern Estimated Total cost of improvements $_XT5.*_QQ . . .. . ....... . . ...... Amount of Permit $...50-00- _-- , -• - -. Zone cubago Ian Cubage....-.- Distance to next nearest building--• 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 buil, be sent and for no other purpose. of Stories .......................... 'Aillt-ap ............ _ inli 7 and its construction may The undersigned licant for this building permit does hereby certify that he understands and accepts his applicant a F1 of labor under the Florida lopiga Workmen's Compensation Act, being Section 5966, Compiled General Laws of orl and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-c4 in the work to be performed under this permit; and will post-or cause to be posted for inspection on the site of or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, On work tc permit, as are licensed by Miami Shores Village. Remarks-- - -..._ (Signed)-- SHEET METAL— STATE OF FLORIDA, COUNTY OF DADE. I ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take peared . ....... . ..... igations as an employer Permanent Supplement, actors employed by him work such public notice P performed under this ECIALTY CO. personally ap- .......... me well known, and who, !jnj by me first duly sworn, upon oath deposes and says that he is the . . . .................. I . . . . . . .. . .......... . . . ........... described isciibed 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. (v 0 1 To Date. Read, Sworn to and subscribed before me. Disapproved Date— . .............. ...... Notary Public, State of orida (Signed) ..... -----_--_------------_- -- - - ------ Building Inspector My Commission Expires .................................. . . . PLANNING Chairman .---___.._..---.---•--------__--- member . .......... ......... . ...... . . . ..... . . Member member ---- - --- Member --------- — - --- - ------- Member Approyed— —Date Disapproved ...... . ..................... :• Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after appr4al lins been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-insppction is 'made necessary by improper not ce for inspection or faulty materials and/or workmanship. SHORES VILLAGE, W.A. W9 6597 JOB Z - ADDRESS -21 V INSPECTION TIME READY REMARKS: OIL INSPECTOR DATE C? Il MIAMI SHORES VILLAGE, FLA. NO 6504 JOB ADDRESS WON INSPECTION T- TIME READY 47 REMARKS: INSPECTOR DATE C - MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING- -PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure. herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied' with, whether herein specified or not. A copy of approved . plans and specifications must be kept at building during piggress of the work. Date. ..�.�__.__.LL _ _ .19 Owners Name and Address..Q1... Registered Architect and /or Engineer................. ........... «...« . «... .. ...................._. ••e••• « Wane•••,: en••m<etn:sea:mn: +mmtsemvar.••• Name and address of licensed contritetor.......... J. .i2 �aL...�(ir. / L � .«........2.1 42 5S '� ?.�. A ...._ .............. _ ........ ._ » .... Location and legalydescription of lot to be built on: Lot__ a'Z .. �.—.' . f........ Block._... �........._........ ».» Subdivision._G. ...- Street and Number where work -is to be done......L.Y2 V .- A��iu -9i L- XhQlfU. ' S ««_«. _.._......._�.. State work to be done and purpose of building (by &O-t t OF f�`��asd. Jauy laQ : t t91s..�r�treg s.d a t�.c.�rtd�.:j,%�au Aaa4.141n.rs....G /Aland for no other purpose. JNew Building.44s+jw.�............ Remodeling..,l ................ Addition................. . Repairs:_.. ............. :.._.. No. of Stories . »... To be constructed of... ......................... land of foundation ... «. .... ..... .................................. ........... _. Roof Covering ... .... .......................... :..._..... Estimated Total cost of improvements $..._.,�A_— ___... ..._Amount of Permit S�._» .. /......�... « ._.. _.... _.._...._........» r . . Zone cubage required .— ..... — ...... _.._.__ - - -_._ ._ ___..__ ..._._.. _ plan Cubage ... --_ ..... _...».— .«.._.__ .............. ._ _. Distance to next nearest building .................................. -- ._._.»._ -Size of Building Lot...... Maximum live load to be borne by each floor_ .............._..._._.....-... ._....__................._..._. _ ._.... — .._.__ -... ...... _.:.... ...... .. ........ ..................... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to ....... �. 1%s^d.. �li�... `1 f% ...... /111!s�1Ja &.... 1t�Rlt n!..G�IiL 1rsL�lsarr..f. cil.C� �......- 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 5968, Compiled Cenral Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be - posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work o performed under this 4L=:S� permit, as are licensed by Miami Shores Village. Remarks ... -._ ..... ......... _.._ ....... _...._ ... (Signed) STATE OF FLORIDA, i COUNTY OF DADE. j ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap. peared----------- --------- --------------- - - -• -- ._- -�_ ...........» _.«». ......._ _to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ..._ ........... : ........... .- -................ .__._ . _ ..._......_....._. . of the above described construction, that he has carefully read the foregoing application, and that he did sign the aame. and that all facts therein by him stated are true. ` Permit No �_ __... Date.. � —0— Read, Sworn to and Subscribed before me. Disapproved D _..... _._.�_--- .......- .. . «..... —�— Notary Public, State of Florida (signed) . L _....__ ._.. y . Building Ins or Commission Expires.. »« PLANNING BOARD ....-._ ............ .............. _..-- ...._.. -. «DATE Chairman.._ ...... ........ _ ... _ .... —.__. « _. .» _.«» « .« Member ...�......... » ..... ........««_...« —. _,.._.......__ _ Mernber .- ._._ ... _ ........ _.._ —__ _. _.. —... 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 hem obtained from the Plannir.- Board. A re- inspection fee of $1.00 will be charged when such re- inspection is trade necessary by improper notice for inspection or faulty materials and /or workmanship. r ro 5 V v�,-q)jjo wily Ss Z-V . JV i V�_ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ,APPLICATION FOR ELECTRICAL PERMIT Permit No..... ..�..6....I.- - Date....... & » ....L... .�. ... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fludda, 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. Owners Name and Address...... ... ........... ..: 1L.. ' . ........................... No ...................... 1:... ...........Street.. - •ice... . ...r%..... e ...... Registered Architect and /or Engineer I ...... ..� • ................................................ .......................................................................... ........... . Employing Eleetriciai!'s Name ... /•.- ......` ..............`�(... f: !:.....No ..... �:.....�1!.: :.... Street......... ............................... e Location and Legal Description Lot ....... .. ........................................................... Block ................................ _ ........ Subdivision ..................... ............_.......... Street and Number where work is to be performed— No .................... ....... ............ .51-1 ...............Street.... gjE ..... _. ............... e...........:.......... State work to be performed and purpose of building (By Fl oors) ..... ..................................... _............................................................................................. New Building . ............................... Remodeling ... ............................ Addition ............................. . Repairs ...................................... No. of Stories. ................... Service Overhead d Site Feeders ........ .. ... _..... Conduit ...............Main Sw ............................... Am Main Funs.. R+ Type of Installation— Conduit.......... .............. Tubing........................ B.X.L.................. :.....Metal Moulding ............... _ .................. ..................................... _..... _..... .... ............. _.•---- ............» ........................... ......:............ .............................:: ........... n. Ig... .. (Signed) t...................... . . ................. ....... f r Amount of Permit $ .............. f :... Z .. ( g )........................ m. '1 Tnam _ The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblintibIns as an employer of labor under the Florida Workmen's Compensation Act, bring Section 5966, Compiled General Laws of Florida neat 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,. work to be performed under this pe as are licensed by Miami Shores Village. v�"�_ (Signed).................. . .. ................ �.................... �. Etcetrician. STATE OF FLORIDA, j COUNTY OF DADE. I SL 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 bas carefully read the foregoing application, and that he did sign the same, and that all fact therein by him stated are true ........ . . . ......... . . ... _ ........... .».........._. »My Commission Expir es ._....... ...................... ....................... ..N�.,��'State of Florida......... »_._.. �.. NOTE: A reoinspection fee of $1.00 will be made when such re•inapection is made necessary by improper notice for inspection, or fsulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REPRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RKCET'T'S No. LAMrs OUTLET OUTLET OUTLET CONN. NEATER CONN. HEATER HEATER CLIST NTM. &g J CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAS. Tamp. PERM. 0.1 HP 1 -5 HP TRANS. Comm. LIST / C .( r e CHECK Service Overhead d Site Feeders ........ .. ... _..... Conduit ...............Main Sw ............................... Am Main Funs.. R+ Type of Installation— Conduit.......... .............. Tubing........................ B.X.L.................. :.....Metal Moulding ............... _ .................. ..................................... _..... _..... .... ............. _.•---- ............» ........................... ......:............ .............................:: ........... n. Ig... .. (Signed) t...................... . . ................. ....... f r Amount of Permit $ .............. f :... Z .. ( g )........................ m. '1 Tnam _ The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblintibIns as an employer of labor under the Florida Workmen's Compensation Act, bring Section 5966, Compiled General Laws of Florida neat 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,. work to be performed under this pe as are licensed by Miami Shores Village. v�"�_ (Signed).................. . .. ................ �.................... �. Etcetrician. STATE OF FLORIDA, j COUNTY OF DADE. I SL 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 bas carefully read the foregoing application, and that he did sign the same, and that all fact therein by him stated are true ........ . . . ......... . . ... _ ........... .».........._. »My Commission Expir es ._....... ...................... ....................... ..N�.,��'State of Florida......... »_._.. �.. NOTE: A reoinspection fee of $1.00 will be made when such re•inapection is made necessary by improper notice for inspection, or fsulty materials and /or workmanship. 4 �1 p� p �c ©C] Z ,r r e Z5 4! MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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 of not. A copy of approved plans and specifications must be kept at building during p%gress of the work. 19 7 Date. , / » .°i'` 's Name and Addre s. %.� ... ............. ».»..._. ., ..................._ »........ No. Sacet. .. 1 a.............. Owner A $ J 1 ................... Registered Architect and /or nglntetr.. _ ....... _ ... ».. ._ . . ........... ••• n:.r.• rare• ::. :eatamssmxSsrr�n. =n:eq: ..•.••.•• ,Name and address of llcelsed controctA. d Location and legal description of lot to be built n: Lot.... .... ... _ .. ................ .....a... Block... .......................... Street and Number where ,work is to be State work to be done and purpose of building (by floors).—...._..».._.».. _.._..... .� :.................._ :;0:0q `: :_. _ ...._�_.........._. Da. _-----------------_..-..-.---___--....------ _.._..............._..._...... ._ .._..... .. w....___._..........»_......_. ........and for no other purpose. New Building ............................... Remodeling ... _ ............ ...... .. Addition .......................... Repairs :......................... No. of Stories...... To be constructed of......... ................... Kind of foundation.. _... .................................. ....... 0�_. Roof Covering ............................ e Estimated Total cost of improvements $ ... ...... _'' ° _.—Amount Amount of Permit k.» _.-.-....... Zonecubage required........ - - -. _.._ ..._.__-- -..... ...-_. flan 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 m besent to... ....................... .....---.......------- •--- --- ......._ ............... .......... ................................................................................... ... ........... The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an emplo7 of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Suppleme and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by h 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 not or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under d permit, as are licensed by Miami Shores Village. 4 e .11 � n nn Remarks.__.._..._. -_ ( Signed ) STATE OF FLORIDA, i COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally peared and who, being by me first duly sworn, upon oath deposes and says that he is the......... of the above described construction, that he has carefully read the foregoing application, therein by him stated are true. to me well that he did sign the same, and that Permit No. e`,Jj __._.._... Date.._... _ _ _ _ ._ Read, Sworn to and Subscribed before me. Disapproved (signed) .._ Chairman .._...... Member ...._._... Member ........... .. ...... ........... . . ---- --- -- - - - - -- Notary Public, State of Inspector My Commission BOARD......._ .... _ ....... ........... ..._........._......DATE Member Member Member Council Approved ...... ...._ ............ _ ..._._.__ »__ _ ... Date Disapproved --- -- _- -_.._.......... NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained f17 the Plannin;; Board. A re- inspection fee �of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspation or faulty materials and /or workmanship. £: Y BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING 21 MIAMI SHORES VILLAGE, FLORIDA DATE 1951— PERMIT lr ? 6004 Contractor's �� License No. W k b rt d d this P 't or to a pe orme un er erau Owner of �r Buildings # i f r ! ,�' J a L. r,. -t f Architect Contractor �' or Builder T Legal Description of Lot Subdi- vision Value of Amount of Project $ r 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 or in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans ings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any 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 ed is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowle o rdinances and regulations fining to the work covered hereby whether shown on the plans or drawings or in thtatements or specifi tions and th assume responsibility for work by his agents, servants or employees. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered eunder in compliance with all ordinances and regulations .fng thereto and in strict conformity with the plans, drawings, statements or specifications sub ttted to the proper authorities of Miami Shores Village. In ac - it thi permit I assume esponsibflity for all work done by either, ysglf, my gent, servo or employee. CO TRACTOR OR BUILDER BY AUTHORITY s MIAMI SHORES VILLAGE. FLORIDA BUILDING ' ELECTEICAL ❑ DATE 195 f PLUMBING ❑ P E R M I T N0 5898 Contractors ROOFING [] License No ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot _" Subdi- Description — $ ` Bl. — - -- vision Address of Value of Amount of Building 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 awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any .me 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 v 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. f / CONTRACTOR OR BUILDER f BY AUTHORITY 6` MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE 195 PLUMBING ❑ PERMIT N° 6032 Contractor's License No. -- ROOFING [' ❑ Work to be performed under this Permit — 1 Owner of ? j Building Architect Contractor - 1. f �_ or Builder = t.> - .- I ;, t� 7 �:.. 7 Legal Lot Subdi- Description % ' BL vision Address of - f Value of Amount of Building t `� Project $ ' a 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 Pe statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. rt Signed: e -- — — 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my ,agent, servant or employee. i CONTRACTOR OR BUILDER BY AUTHORITY 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _ Permit No.—Jo. 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. Thiss application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws the State of Florida, all ordinances of Miami Shores Village aind all rules and regulations of the Building Division of Miami Shores Village shall complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor OwnWe Name and Address _ =. No. Registered Architect and /or En' __ Employing Plumbers Name. No_ r d Stree _ _._.. . Location and Legal Descriptt Lot _ Subdivislon._� Street and Number where wor is to be performed —No - t�1 Box 'j State work be pmformeS purpose .of building (By Flom) ew .Buildin _. _ Remodeling Addition _ _. Repairs..-_-_-_......._..._. No. of Stories......... _ -- • CLOSETS BATH SHOWERS LAVA• SINKe -SLOP LAUNDRY URINALS CATCH FLOOR DRINKING TOTAL Tree TORIES SINKS TUBS BASIN DRAIN FOUNT N8 FIXTURES CONTR: Ltl1'1' � CHECK . SEPTIC SEWER D IN .SOAKAGE GREASE' O960B! DEEP SPRKLR. 8 -a TANK Nc CONzLD .F; PIT TRAP HEATER WELL SYSTEM .POOL COWM UST CHECK 6 Size Septic Tank Feet of Drain Tile Nature W Supply: Amt of Permit 6$. The undersigned appliew under the Florida WM1=614 plied with the provisions that perbrnied under .this permit; nq*ad by the Act, Tim m licensed by Miami Sham W STATE OF FLORIDA, t COUNTY OF DADE. Before me, the unders of Talc _.____Capacity Gals._ -- -• Feet of Tank or Drain Field from Well_ _... __...._._.._ r Size of Soakage Pit (Signed Plumbing Inspector. for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor ompensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- F, and will require similar compliance from all contractors or subcontractors employed by him in the work to be d will post or cause to' be posted for inspection on the site of the work such public notice or notices as are arsigned agrees to employ only such sub- contractors, on work to be performed under this permit, mare i0. 13. ` 5 �•."`i (Signed) _...._._ S Master Pl . l authority, a notary public, duly a to administer oaths and take acbmwledgments, personally appeared to me well known, and who, bung by me first duly sworn, upon'oath imposes aml.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. Notary Public, State of Florida re- inspection fta of $1.00 will be made when such ft-Inspection is made necessary by improper notice for inspection, or faulty � r workaoanship. OWNER' IN ME PRESENT ADDRESS I LICENSE NO. PHONE NO Guernsey 6onstruC ion Co Tue. JOB LOCATION (ST, OR AVE.) LOT BLOCK SUBDIVISION 1481 N.F. 102> , Simeet, I 17 yig I 1 I MS BP Est.y' GENERAL CONTRACTOR ADDRESS PHONE NO. LICENSE NO. R.Q. Guernsey I I BUILDER'S BOND BUILDING PERMIT NO. 31.09 I I AT 1 -18-55 I PERMIT FEE s 22.00 NO. DATE ZONE REQUIREME TS CU. FT. I PLAN CUBE 32 %931 CU. FT. EST. COST $ 189000 DATE DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY! TYPE I STORIES I ROOF CONSTRUCTION I INTERIOR CONSTRUCTION NEW CONSTRUCTION' ',� DESCR IPTION 3 bdrm.s3j baths -Fla* room—dining area— k itchen vg room - garage REPAIRS DESCRIPTION ALTERATION I ADDITION I APPROVED REJECTED REFERRED TO COUNCILI REASONS SUBMITTED TO PLANNING BOARD i RE- SUBMITTED TO PLANNING ''BOARD REMARKS SUBMITTED TO VILLAGE CO NCIL CERTIFICATE OF OCCUPANC NO. a ISSUED � x3 BY B�ILDING PERMIT AND INSPECTION RECORD -MIAMI SHARES VILLAGE BUILDING: INSPECTIONS A a INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION BEAMS & LINTELS pr /y t FRAMING' j FINAL CLEAN -UP F 41 1' PLUMBING RERMITS & INSPECTIONS CONTRACTOR PHONE PERMIT NO. O -41 DATE 1 °,1 5' FEE .S NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE SEPTIC TANK $ SEWER $ SOLAR HEATER $ GAS $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING GAS SEWER SEPTIC TANK SOLAR HEATER FIXTURES ryry t ELECTRICAL PER TS & INSPECTIONS CONTRACTOR PHONE v r �� PERMIT NO. DATE FEE $ NEW BLDG. ALTERATION ADDITION I REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY REINSPECT BY TEMP. SERVICE ROUGHING ` H. W. HEATER CONN RANGE CONN. • b FIXTURES & FINAL Aga APPROVAL TO POWER CO. FOR SERVICE DATE ;/,- o% ®,5r BY CERTIFICATE E OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DrMION N °• 127 Miami Shores Village, Florida, Owner, Agent or Tenant of Building Lot V Block Subdivision -- Street Addr s t 4� 1 NN C. t o of XU-" Approved use by occupancy 1 Remarks: This Cerft of 0ccupct4cy.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, El cal, Plumbing and Building Ordinandes of Miami Shores Village pertaining to the erection, construction, alts ation or re odeling of buildings or structures. 3� 93,E 4 J� y b''b T04 BUILDING DIVISION STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISP SAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT �Sfl_ # �� tit �E P�m t Number 8 S'7 /� PA T I I- A O-N -f -P- � 6TION AND FINAL I LLA ION APPROVAL------- ---- -- Installer Tank Manufacturer Proper tank legend: Yes No Tankmaterial Tank level: Yes No_T Tanks watertight: Yes No Tank size: gallons gallons gallons Proper tank outlet device: Yes No Manhole or marker to grade: Yes No Drainfield Trench Absorption Bed er9Lh Width L&ngth Widt Length feetx '7 feet =-17.3 ft2 feet _ feet feet feet Length feet x feet ft2 feet feet feet feet Proper No. drainlines: Yes - No feet feet feet feet Proper pipe separation: Yes No Total = ft2 Total = ft2 Distribution box level: Yes No Systems located as permitted: Yes ✓ No Systems including plumbing stub -outs installed at proper elevation: Yes No Average depth to drainpipe invert from finished grade: inches Maximum depth: Inches Average depth of drainfield gravel: inches Minimum depth of gravel: Inches Proper gravel size: Yes No Gravel is suitable quality. Yes ✓ No Backfill or fill material as required: (Quality) Yes I/ No (Quantity) Yes _V_ No Other findings: Inspected by: ate % I Vd-OWL _ r------------ ---� -- --PART III - FI AL INSTA CATION APPROVAL ----------------- �-- °°-- °--�- -- Date Approved by: 6 6 I COUNTY PUBLIC HEALTH UNIT AN APPROVED I STAL ON DOES NOT GUARANTEE PERFORMANCE Note: Completed copies of this form will be provided to the applicant installer and the building department. HRS—H Form 4016, Feb 86 (Obsoletes previous editions which may not be used) Page 2 Of 2 (Stock Number. 6744 -002- 4016 -0) 9 on: