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BP-02-1382PERMIT APPLICATION Permit No. ry Permit No. • o'�G1� v2 - Step 1. Complete the attached permit applic on which must be signed by the lr�perty owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more acc processing of your applications, If roofing work will be done, a roofing application must be submit- ted along with this permit applicatio Step 2. Submit the corn 1p eted application wi all necessary documents to the B, ' ding, Planning and Zoning Department for processing. During the processing of your application, you ay be asked to submit additional in ' ormation. Job Address: Address Apt. City Sta Zips Folio Number Descripti Vij r dlj 71) Lot Block fiA L Subdivision PB f G Zonmi g Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work ii c;.2.5 rT I aG Bldg Value Tenant Information Tax .Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE( ) Building Name Electrical License No. Mechanical Address Plumbing Telephone LPGX Fax Roofing Demolish Fence location of Structure Other Shell Only PERMft CHANGE ( ✓) Renewal Revision !1 ARCHITECT (✓ ) Name Address License No. ii Address Telephone Fax Name TVPE OF MANAGEMENT (✓ ) NEConstruction Address Enclosure Fai'x ration Exterior Re air Alteration Interior Name Demolish location of Structure Shell Only Foundation Only Add'l Attachment Other Add'1 Detachment Other ENGINEER N e Li' No. Address Teephone Fai'x A dress CONTRACTOR ---y� e© ��dN N Ll�ense No. ® i A dress Uephone Q�alifier Name ) -;'� rj 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 am. to 6:00 p.m., and Saturday from 8:00 am. to 5:00 pm. 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. S. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCIZON 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. 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°10) 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 (5001b) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1't Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. ST OF RID OF MIAMI -DARE Signature of Owner Q Print Name Sworn to and subscribed before me this day of. aa P Signature SEAL: Personally known ✓� STATEEDZ FLORIDA, COUNTY �O+ F MIAMI -DADS 'Signature of Contractor / Qualifier tv I11 i 4- AR e r— d aV Print Name om to subscribed before me this day of Signature of Notary Public - State of Florida * r w mmlON # DD 01202:1 EXPIRES: AP47 4, 2005 SEAL: Bonded Thru Budget Notary servioee Y p � * * W C(7R%t11$RPDN # DD 012023 ! �14, 2005 Bonded rhru'iidget Notary &efAms OR, Produced Identification Personally kno Type of Identification Produced: Type of Identification Produced: MECHANICAL Minimum Fee Condense Drain Gen for Ref 3je— ration, Tons I I Cooling T+ wer Page 3 Vent Hood, Cost A/C Wall/Wm. Tons Dryer Ve ts, Number of PERMIT APPLICATION �I INSTRUCTIONS: in 'care th Please di f work being rfo typed g pe and uanti ies in thy' ace provided below q ty( „) sp p ELECTRICAL Minimum Fee Dryer Fire Sp ' er System Oufle4 Appliance ervice Repair A/C Central 1 -3 Ton Pressure Vessel Fan Cap - Fixture Outi Wall Fountain Service, Temporary A/C Central 4-7 Ton Sprinkler System Fire Pump Cap - Water Oufle4 Switch Signs A/C Central 8-15 Ton Cap - Sewer Fixture - I ftuorescent Oven Pump, Me Stand Space Heater (kw) A/C Central 16-20 Ton Gas - Propane Fixture Light Pum , Re- circulate Parking Lot Lights Clothes Washer SpasMot Tabs Gas Pip A/C Central 20+ Ton Pump, Replace - Pool Flood Lights Urinal Pi oldlStrip Grease Subfeeds, No. of Amps A/C Window Utility - Sewer FPL - Load Central Posts Swim Pool, Commercial Sump Air Conditioners Utility - Water Garbage Indirect Rang a Top Relay Swim Pool, Residential Chiller Disposal Generato , etc. r Receptacles ,c et Switchboards Water Closet Clear Violations Domestic Well Heat R ery y Refrigerator, Comm. (p/P Connection Temp Serv., Construction Waiter Heater Compactor DrainSeld, 4” Ile/Res. Low -volt, urglar Refri rator, Domestic Tank I Temp for Test - 30 days h Water Heater New Deep Freezer Drains, Area Low -volt, e , Rene - Temp Service Water Re -pipe Demolition Minim Low -volt, tercomffeleph. Sho E2 !t Circuits Waiter Service Drains, French Dishwasher Mis us Equipment Low -volt, Televislon Sink'; Servi Number of Amps` We'll, Supply RECEIVED AND REVIEWED BY. MECHANICAL Minimum Fee Condense Drain Gen for Ref 3je— ration, Tons A/C Central, Tons Cooling T+ wer Hea ' Strips, each Vent Hood, Cost A/C Wall/Wm. Tons Dryer Ve ts, Number of Paint th Ventilation, Cost Air Handler, Tons Ductwor14 Cost of Pip' Flammable Liquid; Periodic Inspections Barbecue Fire Sp ' er System Piping Bath Fan Vented, # Firepla Number of Pressure Vessel A/C Condensate Drains, Roof Mss eous Fixture iiSoakage Pit Bath Tub Drinking onntain MiscOaneeus Repairs "Solar water Heater Bidet Filter Replace Pool ping Sprinkler Repair Cap - Fixture Fountain „ Pump and Abandon Sprinkler System Cap - Water Gas - A fiance '','', Pum Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Me Stand Temporary Tollet Catch Basin Gas - Propane Pum , Re- circulate !rem Water Closet Clothes Washer Gas Pip Pump, Replace - Pool Urinal Dental Chair Grease '' p PUMP, Sprinkler Utility - Sewer Discharge Well Ice' Mak Km Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Intercep r Roof et Water Closet Domestic Well Laundry y Septic Connection Waiter Heater DrainSeld, 4” Ile/Res. Lavatory Se ti, Tank I h Water Heater New Drains, Area Meter Se (Gas) Sewe Connection Water Re -pipe Drains, Floor Minim Fee Sho Waiter Service Drains, French Mis us Equipment Sink'; We'll, Supply RECEIVED AND REVIEWED BY. i D . Page 4 PERMIT APPLICATION OFFICE USE ONLY ❑ OWNER - BUILDERFORM ❑ 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) $3.00 per page (Scanning Fee) Miami Shores Village Bond $ Metropolitan Dade County (C.C.F.) $ (sq.ft = x/1000 x 0.60) Inspector State Educational Fund $ (0.005 /sq.ft) State DCA (Radon) ,- Code Enforcement Fine Zoning Review Notary $ (0.01 /sq.ft) ISSUING OFFICIAL. REVIEWED AND PREPARED BY DATE: SECTION BY DATE Zoning Electrical Mechanical Plumbing Fire e Public Works Structural Building Official Revised July 2001 10050 N.E. 2- AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: Roof System Required Sections of the Permit Application Form Attachments Required See List Below Low Slope Application A,B,C 1,2,3,4,5,6,7 Prescriptive BUR -RAS 150 A,B,C 4,5,6,7 Asphaltic Shingles A,B,D 1,2,4,5,6,7 Concrete or Clay Tile A,B,D,E 1.2.3.4.5,6,7 Metal Roofs A,B,D 1,2,3,4,5,6,7 Wood Shingles and Shakes A,B,D 1,2,4,5,6,7 Other As Applicable 1,2,3,0,6,7 ATTACHMENTS REQUIRED: 1. Fire Directory Listing Page 2. From Notice of Acceptance: Front Page Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings 3. Design Calculations per Chapter 16, or if Applicable, RAS 127 or RAS 128 4. Other Component Notice of Acceptances 5. Municipal Permit Application 6.1 Owners Notification for Roofing Considerations (Re-Roofing Only 7.1 Any Required Roof Testing/Calculation Documentation .1470- 12 off +c Rmff" zorvHx �offi u: Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section C (Low Sloped Roof System) Fill In Specific Roof Assembly Components and Identify Manufacturer (If a component is not used,, identify as "NAj System Manufacturer T P NOA No.: 0 <Dw- e IP Design Wind Pressures, From RAS 128 or Calculations: Pmax1: Pma)2: Pmax3: Max Design Pressu Fro th Spec c NOA System: -pa S F= o Fastener Spacing for Anchor/Base Sheet Attachment Fleld:q�L° oc @ Lap, # Rows Perimeter',oc @ Lap, # Rows @ -L° oc Comer.__- oc @ Lap, # Rows A @ �" or. Number of Fasteners Per Insulation Board Field Perimeter Comer Dec Illustrate Components Noted and Type: ®'�� -- Details as Applicable: Gauge/Thkkness: Woodblocking, Gutter, Edge %.Termination, Stripping, Flashing, Continuous Cleat, Cant Slope- /�,� j _ Strip, Base Flashing, Counter- Flashing, Coping, Etc. AnchorBase Sheets o. of Ply(s): ! Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, r/Base Sheet Fastener/Bo .pding Material: _eatarial Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Insulation Base Layer C)''-09 Comply with RAS 111 and Chapter 16. Base Insulation Size and Thickness: Base Insulation Fastener/Bonding Material: Top insulation Layer. Top Insulation Size and Thickness: S% Top Insulation Fastener/Bonding Material: Base Sheet(s) s No. of Ply(s): I 6�s@�Sheet��te�nesiBondi[ ��Nat�a�, „ �� Ply S�heet(s).& No. of Ply(s): �-e- Ply Sheet Fastener/Bonding Material: Top Ply: A F m o 4), w o©.R r F)e Top Ply Fa.%tenqTj -rM Mate 3 /, Surfacing: -A& r 4,6 r LA A 4, q SECTI ON 1524 gl� OCI—Y HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS , -to 'this section it is the responsibility of the roofing contractor to provide the owner with JIV the r+�q Po frog permit, and to explain to the owner the content of this section.. The provisions of Grhapter 15 of , a a Building Code, Building govern the minimum requirements and standards of the industry for roofing!. ct installations. Additionally, the following items should be addressed as part of the agreement betwe} wnFr, and the contractor. The owner's initial in the adjacent box indicates that the item has been exD } 'het�ess-- lrYorkmanship: The workmanship provisions of Chapter 15 (High • Velocity Hurricane ?ape A the purpose of providing that the roofing system meets the wind resistance and water intrusion perfq F standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provi}�' sthetic issues such as color or- architectural appearance, that are not part of a zoning code, should be part of the agreement between the owner and the contractor. If i `h epiaUug 'Wood Decks: When replacing roofing, the existing wood roof deck may .have to be renajl ,g rdance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida • Buil�lj ' c. (Me roof deck is usually concealed prior to removing the existing roof system). ? a,�iiq}ou Roofs: Common roofs are those which have no visible delineation between neighboring • units _,(i, ; yvnhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner, $ pottfy the occupants of adjacent units of roofing work to be performed. ,o& .CeiUugs: Exposed, open beam ceilings* are where the underside of the roof decking can be view belq}v. The owner may wish to maintain the architectural appearance, therefore, roofing nail f thO underside of the decking may not be acceptable. The Florida Building Code provides the emn qi ta" this appearance. Water: The current roof system and/or deck of the building m*y not drain well and may � to pq� (accumulate) in. lying areas of the roof. Ponding can be an indication of structural dish; " May, require the review of a professional structural engineer. Ponding may shorten the life g system. Ponding conditions ,my not be evident until the pp*rmauce of the new roof gystetn is removed. Ponding conditions should be corrected. �otit► scuppers wall outlets It is required that rainwater flow off so that the roof is not over 4 build of water. Perimeter /edge walls or other roof extensions may block this discharge if oy peers ; (wall outlets) are not provided. It may be necessary to install oyerflow scuppers in accgrdp j the Florida Building Code, Plumbing. pu, on: Most .roof structures should have some ability to vent natural an'flogr through the ctuical assembly the building itsel The existing amount of attic ventilation shall not be r . n y ref vial to consider additional venting which can result in extending the service life of the �"'�' et}t'S. Uspature Date Contractors Sig;iature Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/9/2002 Buildin g Permit Permit Number: BP2002 -1382 Page 1 of 1 Applicant: RONALD GRANT Owner: GRANT RONALD JOB ADDRESS: 443 NE 100 ST Contractor J & K ROOFING Contractor's Address: 2013 LEE STREET Local Phone: 954- 961 -7663 Parcel # 1132060170510 Legal Description: 6 53 42 PB 15 -14 AMD PL OF MIAMI SHORES SEC 4 LOTS 18 & 19 BLK Fees: Description Amount FEE2002A415 CCF $1.20 FEE2002 -4416 Buildier's Bond $300.00 Total Fees: $361.20 FEE2002 -4417 Building Permit Application Fee $60.00 Total Receipts: $0.00 Total Fees: $361.20 Permit Status: Approved Permit Expiration: 215 /2003 Construction Value: Work: Install new roof on flat deck only 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. A 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: P 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: / (EGG. �% C}� (Contractor or Builder) BY: .P • Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 - Fax; (305)756 -8972 PLEASE PRINT DATE: 4.3 — 07 TIME:, NAME OF PERSON REQUESTING FILE: /�� e ®�si� s -ale PHONE #: YOUR ADDRESS: fK2 Rle ln7r< f ADDRESS OF FILE REQUESTED: YJ13 /Z Z /do 5%e fi INFORMATION REQUESTED:`% I understand that all documents in this file are property of Miami Shores Village and that NO documents may be removed from this file. You may get 4 complementary copies (8x11) size, additional copies will be furnished at 0.15 cents per page, not including any blue prints. If blue prints are order please be aware that we are not responsible for the quality of the printed documents. Acknowledged by: FILE RETURNED TO: INITIAL MIAIVII SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Date e 1 Type Insp'n Permit No. Name Phone # — )j9/ALq-33-'0L/�S'S –MIAMI SHORES VILLAGE Date , Lt. 9 BUILDING DEPARTMENT For Inspector: Name 305- 795 -2204 Approved ❑ Building Inspection Request Correction Z Date l °r Time Re- Insp'n Fee ❑ G For Inspector: �" % �� Name & Date Approv , Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ® Type Insp'n 6my ii, CERTIFICATE OF RE- OCCUPANCY On behalf ofIv iarii Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for u Sections 901 and 902 of the Miami Shores Land Devclo mernFt�and Zoning cupancy pursuant to property may be re- occupied by the above appE�t for sna e -f Y � Code.and that such amil residential purposes. NEA-"�II SHORES VILLAGE, FLORIDA By: Date of Certificat)—z44 THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAllvff SHORES VILLAGE AND HAS BEEN DETERIMMED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIA.NII SHORES LAND AND DEV ELOPNMNT CODE PERTAINING SOLELY TO THE REQUIRE�r THAT EACH ONE-FAMILY DWELLING IS USED AND QED 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 T_ E PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMCVE THE CONDITION, THEREOF. PAGE 2 OF 2 LICATMN FOR CERTIFICATE OF RF- n(( -TFPA CY i hereby apply for a certificate to re- occupy the single family residence known as : (address) vliami Shores, Florida. Legal Description: Lot: BIock .. . I hereby certify that I understand that the zonins of the ro e and that it is unlawful for more than one family to reside therein is I also unde standthastdential use any Certificate of Re- Occupancy that may be issued by yliami 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 cerdEcation as to the condition of the dwelling or other structures on such property. - 1111 Applicant i BSc Date &/ CJ Print Name 4\�-5t U 1 J For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contict: Contact Name: Telephone: !�a - S C�-U Buyer Seller Realtor t" Company Name G Application Fee (S50)(&Cash Check No. G o Inspected i��� o /� � . Approved Denied Dat z Comments: PAGE I OF 2 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date �7� F- ,1 ©S ob Address � � Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant rf y�� Master Permit # Owner's Address A)-F-- c t o G o S t , e Phone 365 71; Contracting Co. E Address q 3 �o d n AA Qualifier a eyl State #.F(, d ©� %L�%D— Municipal # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): WORK DESCRIPTION re Square Ft. SS# Phone �3o Ey < zlo?j7,3 Competency # Ins. Co. a4 Address Address Address MECHANICAL ROOFING PAVING FENCE SIGN >v, r ) 1' Estimated Cost (value) 1;;1106 -00 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 tha work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor t o the ork stated. Signature of owner and/or Condo President Date Signature of Ct/r�act Owner -Boil 1. /iJ `lam Notary as to Owner and/or Condo President My Commission Expires: FEES: PE j �S RADON APPROVED: Zoning Building Date Notary ai to Contractor My Commission Expire 16 �; C.C.F.NOTARY ARY PUBLIC Sa AT1; OF FLORIDA COMMSSION NO.00714103 BOND TOTAL DUE Electrical "- Mechanical Plumbing Structural Engineer ADDENDUM TO BUILDING PERMIT APPLICATION ( AN APPLICATION FOR BUILDING PER -MIT MUST ACC0b_mA iY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEE] NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM BATH TUB UNIT FEE ITN SWITCi OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING 01"ASHER RECEPTACLES a? C A/C (WIND) 01SPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/WTER CWGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS i PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN zy` ABOVE GROUND TANKS UWORY TRAY WATER HEATER U.F. PRESSLRE VESSELS CLOTHES WASHER MOTORS 0- 1 If STEAM! BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEhfORARY WATER CLOSET MOTORS OVER 10- 25 W FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SGFPLY TO: AIR CONDITiCNERS A/C UNIT STRIP NEATER FIRE SPRINKLER GENERATORS TRANSFORMERS j HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFCRMEAS LAWN SPRIWLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS ORAINFIELO, 4' TILE/RES. VIOLATION PUMP 3 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCIi BAS I N 01SCiARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING At PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date I (A f S Job Address 4, 3 -, Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant �1 Y c1 Master Permit #� Owner's Address 443 Al ff 1 6Z) S ; Phone 9 Contracting Co. Address Qualifier State # Architect/Engineer _ Bonding Company _ Mortgagor Municipal # SS# Phone Competency # Ins. Co. Address Address A Permit Type (circle one): UILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. YL-O-CJ C a � Estimated Cost (value) j �- fTDOC WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR 11"ROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS AFFIDAVIT:. I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President My Commission Expires: FEES: PERMIT RADON APPROVED: Zoning Date 7W tf p Si of Contractor or Owner - Builder Date J�7 �.. Notary as to Contractor or Owner - Builder Date My Commission E ire ' M SEAT. C.C.F.. Building lectrical N Mechanical Plumbing Structural Engineer TOTAL DUE 7 ' a' I Lh�&/41s h(is6.,l!! ?) Note: This drawing is an artistic interpretation of the general appearance of the floor plan. It is not meant to be an exact rendition. A2101282 THE HOME DEPOT TRACY LEES -GRANT 443 N.E. 100 ST. MIAMI SHORES FL. 33138 Dwg no. �, �2 12 12 12 84 72 1 157 t 57 ' — 36 63is . -- 30 7f 24 36 —ter 24 — 7 36 ��is 0017 84 WR3624 U302496 U242496BUT U242496BUT U362496 L ri( 36" REF -3D . -- 30 7f 24 36 —ter 24 — 7 36 ��is 0017 84 i Z 84 �3 30 36 15 — -7 162 12 W3024 W 12 E P3 W3642 L. 42 17� 492' i 10012 84 54;U R 34 P3 BBC48R �3 30 51 All dimensions & size designations THE This is an original design and must A2101282 Scale: maximum thug no. given are subject to verification on not be released or copied unless TRACY LEES -GRANT esigne job site and adjustment to fit job HOME DEPOT applicable fee has been paid or job 443 N. E. 100 ST. conditions. I order placed. MIAMI SHORES FL. 33138 Wall # 4 0 ❑❑ I t'.b B E L T 1612 492' 342' 1574 157 6)alo 1 lit r ❑ -07-:: =0.m - BBC48R_ B36 SB36 DISH. 24" B33 �- 18 -7/ 39 - 7-- 27 36 I-" �'W-Uo 4 � 0 46M 461 ' 39 Iz 15 -� 36 ---T- 24 -7 - 33 ­­72W All dimensions & size designations THE This is an original design and must given are subject to verification on not be released or copied unless TRACY LEES -GRANT job site and adjustment to fit job H O M E DEPOT applicable fee has been paid or job 443 N.E. 100 ST. conditions, order placed. MIAMI SHORES FL. 33138 Scale: maximum esigner BM29 Wall # 5 10021 84 iwa no. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date J Job Address 'N3 n '-E J DDS k Tax Folio I i a2-0(o (J5 ( 0 2— Legal Description �—QT 1 � 4 lei &IG I Q A" D Q1--- 04 t-i,S , SEc.4P6 Owner / Lessee / TenantTCa-r.� p J\ (Sr G C-- yam Master Permit # 31�06 Owner's Address _tj Li3 1,� , - l U 0 i' �k, Phoned 3 o J� �-�Ci — Li�jc3L Contracting Co. kS�e-c cvac _FT Z \cdc5. U.S:K, • Addressn 443. (htac*o Z U-4 Qualifier U,3 SCE o l�-r SS # Phone Cgn8 i 3 R3 ^ 3 State #CC -yccx! 6Dt),�Municipal #. Architect /Enginee Bonding Company, Competency # Ins.Co. Address Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION�� 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 �WTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the abo -named contractor to do the work stated. --1 Signatur of owner and /or Condo President 'gnature of Contractor or Owner-Builder Date: /' fir Date: Notary as to Owner My Commission Expi ** * * rZ COMMISSION NUMBER 0',255237 �' 0 a MY rc: POISSION EXP. `c OF F '10 @ IA;I ,,- 23.1997 ate_ ota y ° "a Contractor or er- Builder My Commissioff ;;, �- x � rte.., &tips ry MAt{WET R. TYNAN _.. :.. MY COMMISSION N CC 286489 * * * * - {,�o,� EXPIRES q 13,1997 ** ;� `:`` ft& ThM N� Pulafic Wd� FEES: PERMIT r RADON C.C.F. NOTARY t2l 00 TOTAL DUE • APPROVED: Fire Other Zoning Buildin A—gbl� Electrical Mechanical Plumbing Engineering SEA IRS P;w � HU 11, H a By MASTEp CRAFT BaiLDERs -A SEARS AUTHORIZED INSTALLER George Diaz Installation Inspector Lic. # CG C056003 2442 Metro Centre Boulevard West Palm Beach, FL 33407 Tel: (407) 471 -2898 POWER OF ATTORNEY I hereby name and appoint of l_ L"j n k' to be my l9wful attorney in act to act for me and apply to the 'r.,,,; ocet V'(,L��c e for a p ' t for work to be performed at a -10 -cation described as-!' Section Township Range Loti I.E Block Subdivis'on f� M 7l_ - �t 1 •�= /a0-`' 1 V-\N - X r-. k-A, ITT. (Address of Job) (Owner of Property and Address) and to sign my name and do all things necessary to this appointment. ("J 11 `l f Arc C Type or print,n*me q�f Certified Contractor Signature of Certified Contractor Acknowledge: Sworn to and subscribed before me this ,! _Day of A. D. 19'),-3 Notary Public, State of Florida (Seal) My Commission Expires: NOm y Pu6G4 Sfofe of Florida A, Ily Commission Expires Feb. 14, 1994 Bonded Thru Troy Fain - Insurance Inc, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE �2�9 Date �ob Address / v Tax Folio Legal Description Mr �_l f /� V�� �1 Owner / Lessee / Tenant �ir`'! N- Master Permit Owner's Address Hq_� 9/ F )OoSA N)& S � `' Contracting Co. Q Vef-q-Avve 5, � dress 0 sk' �?S Qualifier SS4!• Phone . State )) Municipal # Competency # nsS.�Co.' 54 I ot, Architect /Engineer. Bonding Company. Addres Address Mortgagor Address Permit Type(circle one): BU 3 LDING ELECTRICAL PLUMBINMM MECHANICAL .OFING PAVING rF,ENCE SIGN WORK DES I PT I ON �� ) C1 G r` e �-+ V � � H v V ec 7:S Y\4 r4 &i%Q� Square Ft. u-- 4 —lg ��g Estimated Cost(value) �� 6 0 5 WARNING TO OWNER: YOU ST RE D 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 jurisdictio I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOF and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information cc a and hat all work will be done in compliance with all applicable laws regulating cons uct on oni Furthermore, I auth rize the ve -nam e contractor o the work stated. Signatu e ot owner and /o ndo President Signatur of Contractor rOwner-Builder L /Date: J' ' .-- Date: %t�7 �� l ' ° JOSEPHINE C14" Notary as to<Owner and /or Condo Pres' nt tary as toCor ,r C ` - My Commission Expires: NOTARY FUMIC, STATE OF FLORIDA. y Commission E p .��;� No. CC187Se MY COMTHISSION EX MES: Mn. 27, 19T,1. FEES: PERMIT •, D RADON C.C.F. �' NOTARY J R� d TOTAL DUE 4 7 , a APPROVED: Fire Other Zoning Building Electrical Me "phanical S Plumbing Engineering n ,� GROW PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address `? Nis jDaS�-, Tax Folio r� Legal Description d4- / 1 /� &,4,11"1 2V Owner / Lessee / Tenant V\,�VY) ( 2'�)n Master Permit # Owner's Address-443 l V F ��� S 1�� Phone - 2EY Contracting Co. < i Address , ( �� /V • E, Qualifier T ( U( s -fY) SS4P,?�- - -Phone �� 3 State # / 5YMunicipal # Competency # Ins. Co. 6Ln,9 �G G L Architect /Engineer Address �/ Bonding Company. Address Mortgagor Address Permit Type(circle one): BUILDI ELECTRICAL LUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ✓ 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 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 s ruction and zoning. Furthermore, I authorize the abo -named contractor to do the work sta 7 Sig ur er and /or Condo President Date: �%��� signatuve of Contractor or Owner - Builder Dater JOSEPHINE CNUR(Yi `'^ + r •' PNM1E 1�N1�1 ftary s to Owner o• ,B,p301 N ary s to Co y Commission Expir s.,, .•' Na Came My Comm ission E p No CC197515 �� j,A'.* APPROVED: Fire Zoning Bui - ---------------- a i Plumbing Engineering FEES: PERMIT �� RADON C.C.F. ® NOTARY - D TOTAL DUEr� / y APPROVED: Fire Zoning Bui - ---------------- a i Plumbing Engineering i 4140 1 a' v MIAMI SHORES VILLAGE Florida d- In consideration of the issuance by MIAMI SHORES VILLAGE to the undersigned of a permit to construct improvements upon the property hereinafter referred to, the undersigned hereby agree that no part of the premises will be used for rental purposes, or for any purpose which is in violation of any of the ordinances of Miami Shores Village. It 4s further agreed that if the premises are used for a purpose contrary to the terms of said ordinances that an injunction may be applied for and granted forthwith and without notice to us, or those claiming under US. The said property is escri described 'j �/` d a4 ^f G Owners, sTi'TE OF FLORIDA SS-. COUNTY OF DADE ) Before me, the subscriber, a Notary Public in and for said State and County personally appeared the persons who signed the above agreement, who are well known to me and known to me to be the persons described in said agreement and each of said subscribers acknowledged to and before me that executed the same freely and voluntarily for the purposes therein expressed. WITNESS MY hand and seal this day of Notary Public, State of Florida at Large My Commission expires: S E C U R I T Y ALUMINUM WINDOWS & DOORS DIVISION OF SE -GO INDUSTRIES 950 WEST 20TH STREET HIALEAH, FLORIDA 33010 PHONE (305) 887 -6541 TO: Village Of Miami Springs 10050 N.E. 2nd Ave. Atten: Mr. Bradford, These windows were tested and approved on A -A2 Forced Entry by Miami Testing Lab.,11/14 /73,and recorded with Metro under MTL 5544. These windows were- supplied to Royal Custom Builders for installatii of 443 N.E. 100th Street, Miami Shores. K/g . Manager. AAMA i TEST RESULTS: AXy, IF *HP• TEST N C E SPCCification NTo. 1.102 4 DATED ENTER RATING L I R RESULTS TITLE OF TEST ALLOT FID _;t(:"o ry at i story -),, ' : is f a c t o r.\ s" t i,:� Li ct o ry Sa4,isfact0rN_ t 1973 UCItilt- IUATION PROGRAM SPI"CIFICATION CONFORMANCE TEST REPORT VALID ONLY WHEN ADMINISTRATOR'S CtRTIFICA`11;4 VALIDATION REPORT NUMBER APPEARS IN pril "ANUFACTURER: t y Aluili;[1111.1 oil o n clus t r SPEC I F I CAT 1 Om-�­_­_ TYPE: A-A,' Forced Fntry es re C SERIES-MODEL: stint Florida -)-")010 Series TEST SIZE:, 1 PT 1 ON OF ',�,�JPLE TESTED: I r - 53 1/8" by 97 S/Pl, hi 11 overall Six "Xten or glazed 1,;J th Single vents, each 52 1/161' by strength th annealed J! C"):�1,01,11hd '111"I I ed n 111111 i rium -1,�ss using adhesive snap in t col-Iler. Autonint:ic 100.1,r, gjij.zjrjg bead. ,() IT," 'N Ullt , iTIS One ro t 0 0 T) c ra -It trig I�in„ at Frame held, sill, Tills of, each vent. Sillole vinyl "Ind, toI D R A ICs_ AS5PUR4Y Id c"ch V� )t )OttOl rail. ) vent �op rai!. Nouble vjiy_1 hu!" AAMA i TEST RESULTS: AXy, IF *HP• TEST N C E SPCCification NTo. 1.102 4 DATED ENTER RATING L I R RESULTS TITLE OF TEST ALLOT FID _;t(:"o ry at i story -),, ' : is f a c t o r.\ s" t i,:� Li ct o ry Sa4,isfact0rN_ t 1973 C 7O D R A ICs_ AS5PUR4Y S E C T I O N ND P A R T oft A L PL F I L C AND D s T F ' I ji A , C W ; �� N C 11 M P A R [ -i'�) , 5 A R1 t l I E' T f C f) ALL M[N@Fpj A�­, Lt c T i.�, AiiEft," T T N I T 1 5 T rr,c) v y , Jr)f I' k,'� f X P I P A T I U N N C O N P L I AN CC 0 A -'N 1 t) 11 T NAY .1 C!, 't/f) FVe, if) C AWA T 0 1 C E 9 T! I I C A T 1 0 N c p 1 0 USE Ct�LY_ A L, a N T,� , _ N 1 5 0 F CCRTIFI "r , " , , U L T S W C R E SCC6"� IT N G I fi C C 0 P 0 A tJ C I 9"Al TTOM n T H E C A T I 0h f. C () R 14 C 1� 'i ' - PPOCEDUP N T I E� A j,4' U 0 r I I r' N 0 C C. U,J t A L GU I D C 1 L E () E n C H F y I 1) ] `i7 F- it c f 0 USAS S TAN 1) f, S N 1 C A T E CON P� L I A F1 CC t: ro Tc o r:1 I NOTI 14 1 P0 I I f V., I t L i- X!, T Cf 3 �14A% k ,It ' U ( I I L S 1 1 N G t I? VA J, I D A-r ION UNTIL TH F UY N'l I S�jUE OF Prf.lA , D,RLCTGRY OF CER-IFIrb PR0�j.tCTS. April, 1974 Mr. Bradford Miami Shores City Hall Miami Shores Village Miami Shores, Florida 33138 Dear Mr. Bradford: ¢ I would like to request permission to build a door on tbB room addition to my home at 443 N. E. 100 Street, Miami Shores. The door would facilitate access to the garden for my elderly mother who will occupy the new room. Thank you for your attention. Sincerely �l- VMr5o Lillian Groce mss•) Lillian Croce 443 N. E. 100 St., Miami Sires, Florida 33138 d' 0 Fiscal Year 1968 -69 1969 -70 1970 -71 1971 -72 1972 -73 MIAMI SHORES III Includes Pi Cerr, of Indeb Block #107 y 7G 1,366.00 1, 513. 8Q 1,461.60 1, 409, 40 1,357,20 Pledgers Electric Franchise n EAR Amount icNo. Hpuses��f KNOW ALL MEN BY aiami Cfh0res=riIlage F L O B 3 D d s BUiLDE S BOND .955 Address►• w a 1 in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or bufldiW at the following addres do hereby deposit with Miami Shores Village, Florida, the sumo � and I agree with said Village that, when such construction shall have been .completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me,.' used for the deposit of material or equipment in the construction or repair and that if I do not so clear and repair such premises immediately upon the completion of such constructio thin'the meaning of such ordinances, the Village may clear, and repair the same and pay the costs of such clearance and repairs of the aforesai d and return the remainder to me; and that if I shall clear and repair said property Immediately,, as aforesaid, then. sai all be returned to me. 0 4 r_01 WITNESS MY HAND and Seal at Miami Shores Village, Florida, thi day (Seal) INSTRUCTIONS TO BUILDER —When above mentioned construction is completed and the premises are cleared d repaired take this bond to the Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your money in accordance with the above agreement. , VILLAGE BUILDING INSPECTOR'S APPROVAL I hereby certify that the construction contemplated under this Bond, has been completed and that the builder thereof has caused the surrounding premises to be cleared and repaired in as good condition as they were befQre commencing said construction. WHEN CLEARED AND REPAIRED -BY THE VILLAGE Amount of Bond. $ V' ge Bacling o j Shores Village Cost of clearing and repairs done by Village $ Balance due Builder . . . . . . . . . . Cancelled 19 By- j MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ELECTRICAL PERMIT N? 8936 Contractor's PLUMBING License No._ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of 'D -1A; 1r Subdi- vision r Amt. of s Permit 194— This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility , for work done by his agents, servants or employees. Si B Signed: INSPECTOR y In consideration. of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195 ELECTRICAL ❑ PERMIT 1N° 13756 Contractor's PLUMBING ❑ License No ROOFING ❑ Work to be performed under this Permit Owner Buildin Archite - ontrac or Build Legal Descrip Addres s Building of q Ct for er Lot II Bl, Subdi- tion. vision of Value of Amt. of Project $ I) Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In acceRti this permit I assume responsibility for all work done by either, myself, my agent, ervant or employee. CONTRACTOR OR BUILDER BY AUTHORITY This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: 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 acceRti this permit I assume responsibility for all work done by either, myself, my agent, ervant or employee. CONTRACTOR OR BUILDER BY AUTHORITY CERTIFICATE OF OCCUPANCY 883 MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla. Owner, Agent or Tenant of Building Lot Block Subdivision Street Address 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 provision that the applicant wil abide by and comply with all conditions of Ordinances Nos. 92, ., 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining tc the erection, construction, alteration or remodeling of "buildirngs or structures. BUILDING DI ION MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195 ELECTRICAL ❑ PERMIT N? 1412 7 Contractor's ` PLUMBING License No. _ ROOFING ❑ Work to be performed under this Permit k Owner of Building Architect I� - ontractor _ or Builder_ Legal Lot II BI, Subdi- Description. vision Address of Value of �.. Amt. of Building Project $ "�.` I Permit $ This permit is granted to the contractor or builder named above to constrict the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY d) BUILDING ❑ ELECTRICAL 0 PLUMBING ❑ ROOFING ❑ Owner of Building _ Architect el or Builder _ Legal Lot DATE 195_._._. PERMIT .lei° 1416 4 Contractor's License No._ Work to be performed under this Bl. Subdi- vision Address of II Value of I Amt. 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, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195 ELECTRICAL ❑ PERMIT No 9144 Contractor's PLUMBING ❑ License No. Work to be performed under this Permit Owner of Building Architect Contractor or Builder Subdi- legal Lot II Bl. vision Description. Address of Value of Amt. 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, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N:' 8941 Connect Licens Work to be performed under this Permit Architect Contractor or Builder Legal Lot Bl. Description Subdi- vision Address of Value of , +� .. ' c I Amt. of Building Y Project Permit r This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY V MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 194_ ELECTRICAL PERMIT N° 8990 Contractor's PLUMBING License No. Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of Rnilrlino Subdi- vision Value of Amt. of Proiect il Permit e M� This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: : ,> _. By F INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ELECTRICAL PERMIT N° 8995 Contractor's PLUMBING License No.- Work to be performed under this Permit Owner of Building — Architect Contractor or Builder Legal Lot Bl. Description Address of Rnildinu r. Subdi- vision Value of IIAmt. of Permit 194_ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, .drawings, statements or specifications that may have been submitted to and approved by the 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 drawing or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: _ BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume respons�Wlity for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER AUTHORITY ADDRESS 40 N. F. 100th St, LEGAL Lots 18-19, B1k.90,MSS #4 RECORD GARBAGE TAX ,�, �s PAID BY Ct .00C* 1j,�2�50 YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER Paul Ryder (o) 9.�'v . o o - 3i- SZ S1,00 RYIMI , P AJL JOB LOCATION (ST. OR AVE.) 443 N. L. 100th Street GENERAL CONTRACTOR Owner - Builder 8 PRESENT ADDRESS 2825 S. +7. 1st Street LOT BLOCK 1c3 -19 90 ADDRESS 2825 S. W. 1st Street 17/% I PPPMIT FFF P. 19.00 I Nn 97 ri f]ATE 2/17/tiO ZONE REQUIREMENTS 21,000 CU. FT I PLAN CUBE 24, 631 CU. FT. I EST. COSTS 15, 000.00 DATE DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: JDH 2/16,/50 TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION a I NEW CONSTRUCTION CBS 1 I Tile I Oak Floor - Plaster 'Malls DESCRIPTION REPAIRS I Liv Rm - Din Rm - Gl. Porch - Kit Storage Room - 3 Bed Rms - 2 Baths - iALTERATION DESCRIPTION ADDITION I 1 car attached ara ,;e I APPROVED I REJECTED REFERRED TO COUNCIL) REASONS SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD REMARKS SUBMITTED TO VILLAGE COUNCIL C� tlT �f CERTIFICATE OF OCCUPANCY NO. 883 ISSUED 4/26/ / 50 BY DH I TO Paul Ryder— 2825 S.W. let qt- BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE PHONE NO. LICENSE NO. SUBDIVISION TA. S. Sect. A PHONE NO. LICENSE NO. 46 -5166 3691 O -B I BUILDER'S BOND 17/% I PPPMIT FFF P. 19.00 I Nn 97 ri f]ATE 2/17/tiO ZONE REQUIREMENTS 21,000 CU. FT I PLAN CUBE 24, 631 CU. FT. I EST. COSTS 15, 000.00 DATE DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: JDH 2/16,/50 TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION a I NEW CONSTRUCTION CBS 1 I Tile I Oak Floor - Plaster 'Malls DESCRIPTION REPAIRS I Liv Rm - Din Rm - Gl. Porch - Kit Storage Room - 3 Bed Rms - 2 Baths - iALTERATION DESCRIPTION ADDITION I 1 car attached ara ,;e I APPROVED I REJECTED REFERRED TO COUNCIL) REASONS SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD REMARKS SUBMITTED TO VILLAGE COUNCIL C� tlT �f CERTIFICATE OF OCCUPANCY NO. 883 ISSUED 4/26/ / 50 BY DH I TO Paul Ryder— 2825 S.W. let qt- BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE BUILDING INSPECTICIINS INSPECTIONS DATE 0 RE- INSPECT BY RE- INSPECT BY FOUNDATION 2 2 ` 0 M.1 MME PERMIT NO. DATE FEE TEMPORARY SERVICE BEAMS & LINTELS S $ SEPTIC TANK Browning 8995 FRAMING 311150 SEWER FIXTURES $ S SOLAR HEATER $ INSPECTIONS FINAL 5 An JDH RE- INSPECT BY TEMP. SERVICE 9/1/-50 CLEAN -UP ROUGHING 3431/5) PLUMBING PERMITS & INSPECTIONS CONTRACTOR V1ty Plwabiay. Co. 1pwnlll PERMIT NO. 8936 DATE 2/1V50 0 FEES 12.75 FEES 10.00 NEW BLDG. X ALTERATION ADDITION PERMIT NO. REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE H. W. HEATER CONN. S $ SEPTIC TANK Browning 8995 S 311150 SEWER FIXTURES $ S SOLAR HEATER $ INSPECTIONS DATE S GAS RE- INSPECT BY TEMP. SERVICE 9/1/-50 $ ROUGHING 3431/5) INSPECTIONS DATE BY RE-INSPECT BY RE- INSPECT BY ROUGHING 3/V50 RANGE CONN. JDH Zl 0 JDH GAS FIXTURES & FINAL 2 SEWER SEPTIC TANK SOLAR HEATER FIXTURES 19 JDH ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR Hurst Electric Co, PHONE 9144 1 PERMIT NO. DATE 1/ 0 FEES 12.75 NEW BLDG. X ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 8990 O $ 1.00 H. W. HEATER CONN. S RANGE CONN, S MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE 9/1/-50 TDR ROUGHING 3431/5) H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL 2 JDH APPROVAL TO POWER CO. FOR SERVICE DATE 4/25/50 BY JDH MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT _ Permit No ___________ Date----_e,o Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No ----- --------------- Street &&_.G_QU------ Registered Architect and /or Engineerr - --_ /✓�°1�A ______ __1___ __ _ _ _ -- ---- _____-- ----------- — _ —_ - - -_ Employing Plumber's Name / LUi'i!� t�-- cc-- _-- - -__-- No ------- – --- - ------------------------- Street ---- – ------------ ---- - - - --- _. Location and Legal Description Lot -------- - -_ - -- ____Block– ____�__� — _- __– ___ –___ Subdivision —� u �r y/. Street and Number where work is to be performed—No .____- ______ � ------ - ------------ street____ State work to be performed and purpose of building (By Floors) -------------- ------- New Buildingl ------- – --- -- ------ - ------- Remodeling ____________________________ Addition -------------------------- Repairs ------------------ No. of Stories__________- Size Size Septic Tank -- -- — -- – – — --- - ----- Type of Tank ------------------- --- --- ---- --------- -- -- -- -- -- -- Capacity Gals. Feet of Drain Tile ------------ – ---- – ---- – ---- — ______ Dist. Feet of Tank or Drain Field from N Nature of Water Supply: City W ell --------- –_– ----------- – ---- – --------------- – ----- Size of Soakage Amount of Permit $ -1 41.1 - - - - ------------ ------------- ----- - - - - -- (Signed) -- – ►t° -- — — ing - Plumb Inspector. The undersigned applicant for this building permit does hereby certify that u derstands and accepts his obli s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ci, eral Laws of Florida Ferman Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) - – –F - - - - - -- -- — -- -- -- ----------- -- Master Plumber. STATE OF FLORIDA, r yv X/7 COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -------- _--------------------- _ ------------------------- ------ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH SHOWERS LAVA- SINKS SLOP LAUNDRY URINALS CATCH FLOOR DRINKING TOTAL TUBS TORIES SINKS TUBS BASIN DRAIN FOUNT'NS FIXTURES CL „P STR. di7 Y.y CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL �QfTL. G�4�C ti CONTR. LIST CHECK Size Size Septic Tank -- -- — -- – – — --- - ----- Type of Tank ------------------- --- --- ---- --------- -- -- -- -- -- -- Capacity Gals. Feet of Drain Tile ------------ – ---- – ---- – ---- — ______ Dist. Feet of Tank or Drain Field from N Nature of Water Supply: City W ell --------- –_– ----------- – ---- – --------------- – ----- Size of Soakage Amount of Permit $ -1 41.1 - - - - ------------ ------------- ----- - - - - -- (Signed) -- – ►t° -- — — ing - Plumb Inspector. The undersigned applicant for this building permit does hereby certify that u derstands and accepts his obli s as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ci, eral Laws of Florida Ferman Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) - – –F - - - - - -- -- — -- -- -- ----------- -- Master Plumber. STATE OF FLORIDA, r yv X/7 COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -------- _--------------------- _ ------------------------- ------ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. � � l 1 sepp--r:� �a/'c THIS LICENSE MUST SE DISPLAYED IN A CONSPICUOUS PLACE A Penalty is imposed for failure to keep this license exhibited at your establishment or place of business TRIPLICATE VILLAGE" LICTENSE No. This License Expires In consideration of the sum of - -- „000OM2= 1il19_., M KQ/1 — 00*40 - - -- - Dollars $ -Rq,op Paid to Miami Shores Village, Dade County, State of Florida, TAM . I3I UM ----- --- ----- ._- �__.__.--- - - - - -- .____Address is hereby licensed to engage in or operate the business of- __ovaer- builder 4UV4 eg-- >13c=8tr%%4tJ M Of Xwsl - -)IIy For the period beginning__ -,. F4#br.Q4"_ 17*, 1950 -__and ending_, 6 =,.atus swot late subject to the Provisions of all ordinances. MIAMI SHORES VILLAGE, FLORIDA (SEAL) Date Issued____ 1 By___� _._ vn.Lnce MnrrnesR . ? .'� __ - THIS LICENSE NOT TRANSFERABLE WITHOUT APPROVAL OF THE VILLAGE MANAGER MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No.1 - — Date -f Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_______ _____ __- ._./L_ ------- No.___.�____ ---------- - ------- Street --- WZ_�_*0cl'�'- ____ -s= 11 Registered Architect and /or Engineer--- _____— __�_ —"_ _ ----------.------------------------_-------------------------------------------y----------`-------__-y--- Employing Electrician's Name ------- s11___- - -_ - -- --- ------- No ----- �,�C_®_/ --------- - ------- Street --- Location and Legal Description Lot------------------------------------------------------------ Block------------------------------------- - - - - -- Subdivision----------------- ---------------- - - - - -- Street and Number where work is to be performed—No -------- ---------------- ____ ------------ - ----- _ --- Street --- ______ State work to be performed and purpose of building (By Floors)___________ ►P___' —S_t A'__PO-_ l_ _____— _ --- - ------ ____ --- - ------ New Building---- - - - - -4 ----- ---- - - - - -- Remodeling----------- -- -------- - - - - -- Additio airs---------------------------------- No. of Stories ------ i --------- - Amount of Permit $---- f---' -" — - — -- - -- ----------- - —_ (Signed)-' — -- - — -- - -- _— --------------------------------------- Electrical Inspector. The undersigned applicant for this building permit does hereby certify that h� nderstands and accepts his o ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 4ermanent 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 -contr tors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)---- - --- -- -- -- - - --- -- --------------------------------------- Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. I? Before me, the 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 the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 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 CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS E N RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1 -5 HP R S. CONTR. LIST LIST CHECK 9 Amount of Permit $---- f---' -" — - — -- - -- ----------- - —_ (Signed)-' — -- - — -- - -- _— --------------------------------------- Electrical Inspector. The undersigned applicant for this building permit does hereby certify that h� nderstands and accepts his o ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 4ermanent 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 -contr tors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)---- - --- -- -- -- - - --- -- --------------------------------------- Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. I? Before me, the 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 the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Service Uverhe�ad 4`1n Size Feeders______ �? _________ Conduit__�� Main Sw._"_�_ v_____________Amps.___v _______ - - - - - -- -Main Fuses------------------ - - - - -- --Amps Type of Installation—Conduit ------- _ ----------- Tubing -------------- --- -- B.X.L ---- — _— -------- Metal Moulding --- ------------ ---------- --- — ----------------- --- --- ---- �------- --__ -- Amount of Permit $---- f---' -" — - — -- - -- ----------- - —_ (Signed)-' — -- - — -- - -- _— --------------------------------------- Electrical Inspector. The undersigned applicant for this building permit does hereby certify that h� nderstands and accepts his o ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 4ermanent 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 -contr tors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)---- - --- -- -- -- - - --- -- --------------------------------------- Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. I? Before me, the 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 the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.__��_�__ Date - --- -- .T/ /1 ------- ---- - - - - -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address - - - -- _QZ_4,_ -__ ----- - '"'a `"-- z------ ----------- - -- - --- No ------- 14 --- �2__ 41.e Street -_ _0 - ------- ----- - - - - -- Registered Architect and /or Engineer Employing Plumber's Name - -- pp ___ Street__ Location and Legal Description Lot - - -- - -w 9 ---- ------- ------- - - - - -- Block - - -- -o ------- ------------- - - - --- Subdivision_1�Q Street and Number where work is to be performed— No.- __'�f__�_'_ ____�f E _ _____________,_________________ Street____ � _ -%" State work to be performed and purpose of building (By Floors)------------------------------------------------------------------------------------------------------------------------------------- New Building - - - - -- _ - Remodeling--- ----------- ----------- -- ---- Addition ---------- -------------- Repairs- No. of Stories -------------------------- Size Septic Tank_!0_ EA- -- -------- -- ------ -- - -- - - -- T YP e of Tank o- .� -------- - - - - -: Capacity Gals. - ry Feet of Drain Tile----- . t___-4_ -_----- -- --- ------------- - - - - -- -Dist. Feet of Tank or Drain Field from Well -------------------------------------------------------------------------------------------- Nature of Water Supply: City—Well ------------------- _ ---- _ __ ----------- - ------------------ Size of Soakage Amount of Permit $ -- -------------------------------------- --- --- --------------- ( Signed Inspector. The undersigned applicant for this building permit does hereby certify that he #Ierstands and accepts his obligatio s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled GenYral Laws of Florida Permanent S plement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) _ + --------------- --- -- - - - - -- - 'Master Plumber. STATE OF FLORIDA, SS. COUNTY OF DADE. 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 --------------------------------------------------------------------- y___ -_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRI NKING1, TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT'NS! FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST - CHECK Size Septic Tank_!0_ EA- -- -------- -- ------ -- - -- - - -- T YP e of Tank o- .� -------- - - - - -: Capacity Gals. - ry Feet of Drain Tile----- . t___-4_ -_----- -- --- ------------- - - - - -- -Dist. Feet of Tank or Drain Field from Well -------------------------------------------------------------------------------------------- Nature of Water Supply: City—Well ------------------- _ ---- _ __ ----------- - ------------------ Size of Soakage Amount of Permit $ -- -------------------------------------- --- --- --------------- ( Signed Inspector. The undersigned applicant for this building permit does hereby certify that he #Ierstands and accepts his obligatio s an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled GenYral Laws of Florida Permanent S plement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) _ + --------------- --- -- - - - - -- - 'Master Plumber. STATE OF FLORIDA, SS. COUNTY OF DADE. 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 --------------------------------------------------------------------- y___ -_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 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 rdinance 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 ------------------ � 19 Owner's Name and Address.l :_`"--_ -- - ----------------- ------ ------- --- -- ---- -- - - -- - - - -- - - - --/- -- - -_ - - ---- No.- - - - --- --•-- ---- - - - - --- Street-- ------ ----- ------ ---- ---- -- - - -- -- - -- - -- Registered Architect and /or Engineer. - 44 C,/, A r2 ✓tom / C l'- ' y -- --- - - -• -- -------------------- _----------- --- •---- -- - - - --_ ---- -- - - -- - --- -- - - -- Name and address of licensed contractor-- - - -. -: d yic z t�- ='T- d- C- Lis ^ri /�5� i c✓ f t­------­-------­ Location - - - - - -- and legal description of lot to be built on: Lot------------- -- -- ------ -- ----- ---- - - -- - - . Block- - ----- __-- ---- -- ------ --- - -- Subdivision. ---- --- --- ---- --- -- --- - --- -- ------------ 7 Street and Number where work is to be done_______________ ` ----------- �a_.:L --------------------------- �� State work to be done and purpose of building (by floo--------------------- - -` -' -------------------- - - - - -- ----------------------------- •--------- •----------- - - - -_- ------ _- - - - - -- f �. f -- s 2 - - ------------------ - ------- - - - - -- -------- •----- - - - - -- - - - - -- -------------------------------- .-•---------------------------- ,�- -X - - -- - - -•- - •---- --- •---- • -- - - -- ------ - - -- -- -- ------- - - - - -- ----- --- ----•-------------- - - - - -- ------- ---- ----------- - - - - -- -------------------- ---------- --- --- ........... .-and for no other purpose. ew Building - N Remodeling g- - - - - -- --------------- _ ------- Addition -- ----- -------- -- -•- - --- Repairs ---- --•--- - ------ --- - - -- No. of Stories ----- --------------- To be constructed of ------------- _------------- Kind of foundation ------ .--------------------- _____.---------------------- oof 9verin Estimated Total cost of improvements $__e� G_ b_ _______ _________ _.__Amount of Permit $ ------- I ..." Zone cubage required------ - -- --- --- ------ ---- --- --------------- -------------------- -- -- ---- -----plan Cubage -------------------- Distance to next nearest building .___.__-__-_____-_--_-- ___ __ _____ ____ _-------------------- Size of Building Lot ------ Maximum live load to be home by each floor--------------------------------------------------- ----------------- -------- - - - - -- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to ----------------------------------------- - - - - - -- ----- --- - - --- -- ----------------------- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup dement, 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 ractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks --- - ------------------ - ------------- -- ---------------------- --------------------------------- ( Signed) ------ r2---i -t - t �-t, - - - - -- -- -- - -- ---- STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared---- - - - - -- - - - - - -- -------------------- - - - - -- - -- ----------------------------- - - - - -- --------- - - - - -- 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 .Z�Z4______________________.__ Date - _ ------ ----------- Read, Sworn to and Subscribed before me. Disapproved- - e ----------------- -------------------- -------------------------------------------------------------------------------------------- / Notary Public, State of Florida ( Signed) - { - -- - -- - -- - - -- ---------------------------- Buil Inspector My Commission Expires-.-____--.________ _____________ ___ ___ ______ -_ - - -_ PLANNING BOARD-- - - ---- -- ---- - - -- - -- ---- ------ ---- -- -------- - --- -- --DATE Chairman- -- ------ ---- - - - - -- ------ ----- ---- -- -------- - - -- -- Member ------------------------------------------------------------------------------ Member-- - -- ------- ---- --- --- - -- -------- - - - - -- - -- -_- --------------------------- ---- --- ------- - - - - - -- Member ------------------------------------------------------------------------- Member._ _-_ - -------------- -- ------- ------- ------- - - - ---- ----- --- --- - ------------ ---- --- ---- - - - - -- Member ----------------------- ----- ---- ---- -- -------- -- -- - -- ------------------ --- - - -- Council Approved--------------------- --- --- --- -- ----- -- --- --- ------ --- -- ------- -- - ---- -Date Disapproved -- - -- - -- --- - - - - -- - -- --Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection, fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT PermitNo .......... ............................... Date...... ..... .. Application is hereby made for the approval of the detailed statement of the plans and specifications 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. r ,%c Owner's Name and Address .... ............. ._s , ............................... ................ No ---- ...._ . ..._..........Street- ,�V:.- . t�. .'.. ..T............ RegisteredAr6itect and !or En =' r--... ................... .................................................................... ............................... ............................. .... Employing Electrician's Name- E'.. ! .. /G. �f/ ....._...... No.-.- 7.... ��-7 .......... .........Street......G�....ly.. �. Location and Legal Description Lot ... .... ...... ............ ................... ........ ........ ....... Block.. ......................... ............... Subdivision ......... ........... Street and Number where work is to be performed—No ......... �1...1,300 ............ 04.1./92:C :' .............. Street......./A r.. 7.... _�...t...... ................. State work to be performed and purpose of building (By Floors)..- ..,7._'.,. . New Building. ...- ....... .............. ..... Remodeling-- ............... ......... . ------ Addition ....... ............. . Repairs.. .................................... No. of Stories .................... Service Overhead 00 Underground Size Feeders. ....... M A ............ Conduit Sw ............................... Amps ...........................ain Fuses. ...........................mps Z � O Type of Installation— Conduit ........................ Tubing .................. ...... B. X. L ......................... Metal Moulding......................................... ............................... .................... ............................... &----.---..-..--...----._--------.....-.-.-.--.---._-.....-.-..--------- .-- .................... ..... ...... ............................... i........... . Amountof Permit $ ......................................................... ............................... ( Signed)........ ......:........................ .. ........... ............................... Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accep s 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 th ork such public notice or notices as are required by the Art. The undersigned agrees to employ only such sub - contractors, on work to b 'pe ormed under this permit, as are licensed by Miami Shores Village. (Signed)- --_- • F.••••• ......................................... ............J.......................... Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared........... ............................................. .............. ................. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ........................................... ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ............................................................................... ............................... ......................................-•---................---................. .....I......................... My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. J SWITCH LIGHT i PLUG FIXTURES REFRIG. IRON RANGE RANGE I WATER W. HEAT. ACE HATER STRIP TOTAL OUTtAETS OUTi.ETO j RECE'P'T'S NO. LAMPS OUTLET OUTLET OUTLET C=E HEATER CONN. HEATER CONTR. _ - CHECK ENT. .DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. ^' CAB. TEMP. PERM. 0.1 HP 1.5 HP TRANS. CONTR. LIST — CHECK Service Overhead 00 Underground Size Feeders. ....... M A ............ Conduit Sw ............................... Amps ...........................ain Fuses. ...........................mps Z � O Type of Installation— Conduit ........................ Tubing .................. ...... B. X. L ......................... Metal Moulding......................................... ............................... .................... ............................... &----.---..-..--...----._--------.....-.-.-.--.---._-.....-.-..--------- .-- .................... ..... ...... ............................... i........... . Amountof Permit $ ......................................................... ............................... ( Signed)........ ......:........................ .. ........... ............................... Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accep s 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 th ork such public notice or notices as are required by the Art. The undersigned agrees to employ only such sub - contractors, on work to b 'pe ormed under this permit, as are licensed by Miami Shores Village. (Signed)- --_- • F.••••• ......................................... ............J.......................... Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared........... ............................................. .............. ................. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ........................................... ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ............................................................................... ............................... ......................................-•---................---................. .....I......................... My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ ❑ Owner of Building Architect Contractor or Builder Legal Lot Description -- PERMIT N? 6216 Work to be performed under this Bl. — tr Subdi- vision DATE ' 195 — Contractor's , License No. �r. Address of Value of Amount of Building P 11 Project } -`` }` �� Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: 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. CON RACTOR OR BUILDER BY AUTHORITY J, /J MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date-- - - - - -- . . �- Z--------------- - - - - -- 19 �� Owners Name and Address. = ---- -=-----•-- °___.__ No. - Street . � _ e .. %� Registered Architect and /or Engineer. - -_._ __. -_.- ---_-______ __ ____________----- _. - -__ -----.__----._- - - - -- Name and address of licensed contractor_________ ` ._ -- ___ _ Location and legal description of lot to be but on: - Lot------ ------- ----- -- ----------- - - - - -- Block ...................... ----- - -- - -- Subdivision _---- •---- _---- - - -- -- Street and Number where work is to be done ---------- ___!° — °_ S to work to be done an d purpose of building (by_�Loors/J____�_� for no other purpose. New Building------------ -- ------- - - - - -- Remodeling .. Addition -------------------------- Repairs_- - -- -------- No. of tori To be constructed of --- - --------- ------------- Kind off foundation ---- - ---------------------------------------- - - - -- Roof Covering---------------- - - - - -- --- •- •• -• -• ------ - - -••- Estimated Total cost of improvements $ ------- /._©� ` --- --- -- ---- ------------- - ----- -Amount of Permit $-------------------------------------------------------------------------- Zonecubage required ----- ---------------------- - - - - -- -- - -- — -- _Plan Cubage -- - _ — _._ _----------- --- — ------ ------__---_--_-•------- Distance to next nearest building--------------------------------- - - - - -- — - - - Size of Building Lot ---_-_--------_------ ---------------------------------------------------------- Maximum live load to be borne by each floor --- - ---------------- - - -__ __ _.----_--- _----------------- ___- -___ -- ------._---.----------------....._--._--- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to- •- - - -- — - — - - -- - - - — - - — --- - ------------- - --- - ---------------------------------- - ---------- — ---- ---------- - --------------------------------------------------- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, 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 actors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)._ -_ L -- -- - -.... 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, bein 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 sta ed are true. Permit No._._._ -------- - - - - -- Date ------ _ ? Read, Sworn to and Subscribed before me. Disapproved ---- Date - - --- •----- -- - - -- --------------------- - ------ -- ---- -- - ___________Notary Public, State of Florida ( Signed) ----- — -- -- Building Inspector My Commission Expires -------- - ----- --------- ---- ---------- ------ -- _-• - - -- _ -- P NING BOARD------------ - - - - -- -- •- _-- - - -• -- Chairman---- -_ -- ---- -- ----- --- - - - - -- ------------------- -- -------- ------ - - - - -- Member — — - -- •- - - - --- - -------------•---------- _---- ----------- -• ---- - - - --- Member Member --- ------ ____ ------ ---- ------- __ Member-- - - - - -- — - - - - -- -- - - - ------------ - - - - -- - — _ Member ------------ - - - - -- - - - - - - - -- - -- - Council Approved — -- -- -- - -------- - - - - -- ------- - - - - -- --Date Disapproved -------------- --• - - - --- - -- - -•- --------------- ------- --- •--••.- ---- ----- - -- -Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. - el/ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ® APPLICATION FOR ELECTRICAL PERMIT Permit NO .......... L -C 1.3 Date ... .... . (...� 41 ...... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiuzida, ; 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... ............................................................. (A No...... Y../:�.......... ...........Street.... /. - �...... b ®�,..... Registered Architect and /or Engineer ........... ................................................. .Y'.. �..�. »..t,......No..� ®.a::f...!�'.'/ °.............Street.... ........... ............................... ..................................... ............................... 1 \ � Employing Mectriciali's NameAQ .AJN.J!ysl.�......f %4.5.t.1 . +.. . ......t ........................ 1 Location and Legal Description ot..........1.. '....�.. ............... ..................Block........ y! �!............._....' t.. Subdivisionl ..Yh- .'..°►.....,.....� p.�..S Street and Number where work is to be performed—No ......... zf_Y- 3_ ..........................:a._J ........ Street ........... 1 &.� .......... 51.o.......................... State work to be performed and purpose of building (By Floors) .......... _AA J,.... t ........................................................ 7 .............. ............................... . LeeNew Building ................................ Remodeling ............................... Addition ........ .............. Repairs. ................................... ..No, of Stories.................... Service Overhead d Size Feeders ............... Conduit...............Main Sw. .............................Am ps ..................... ......Main Fuses..................... Amps Undergroun Type of Installation— Conduit..... Tubing ......... .... .......... B. X .L ........................Metal Moulding........ .............. .... ........... .............................................. ............................... ......... ......................................................................... ............................... ........ ._ ................... ...... ...... _ ................. ............................... .. . ...... ................j, ..... .................. .. Amount of Permit $ ................ ... ........ ..... (Signed)............. ..... ... Inspector. ...... ..... eetrical The undersigned applicant for this building permit does hereby certify that he understands and accepts his o 1 tions as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida rmanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•conum rs employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work:such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. /� q (Signed) .. ... .................. .... f1.:. ..... �... ......,....... ............................... Master Electrician. STATE OF FLORIDA. COUNTY OF DADE. 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 ............ ........... . I................ ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same. and thae aU facts therein by him stated are true. My Commission Expires NOTE: A re inspection fee of $1.00 will he made when such re•inspection is made necessary by improper materials and /or workmanship. Of for inspection, or faulty SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECEIP'T'S NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. IST L LIST 3 rt CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1.6 HP TRANS. CONTR. LIST CHECK Service Overhead d Size Feeders ............... Conduit...............Main Sw. .............................Am ps ..................... ......Main Fuses..................... Amps Undergroun Type of Installation— Conduit..... Tubing ......... .... .......... B. X .L ........................Metal Moulding........ .............. .... ........... .............................................. ............................... ......... ......................................................................... ............................... ........ ._ ................... ...... ...... _ ................. ............................... .. . ...... ................j, ..... .................. .. Amount of Permit $ ................ ... ........ ..... (Signed)............. ..... ... Inspector. ...... ..... eetrical The undersigned applicant for this building permit does hereby certify that he understands and accepts his o 1 tions as an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida rmanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•conum rs employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work:such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. /� q (Signed) .. ... .................. .... f1.:. ..... �... ......,....... ............................... Master Electrician. STATE OF FLORIDA. COUNTY OF DADE. 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 ............ ........... . I................ ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same. and thae aU facts therein by him stated are true. My Commission Expires NOTE: A re inspection fee of $1.00 will he made when such re•inspection is made necessary by improper materials and /or workmanship. Of for inspection, or faulty MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No�� ........-L...__ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made In compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the maws 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. _ �� O C° E? �. No �Z Street_ �''._£ :. %O 0-51 Owners Name and Address_.._.... ----- • Registered Architect and /or Engineer _ - • -_ -.. _ . __._._ .. _ Employing Plumbers Name.__. V fl i � -U.:� � _...., lti '7 �S . 8tii� �'... `...,��.�. s� . Location and Legal Description Lot Bloch Subdivlslou Street and Number where work is to be performed —No q Li State work to be performed and purpose of building (By Flom)--..__ — _....__._.._...._ ...__........... _ ....._ ............. . New Building..._..-- ...... -.. Remodeling .. .--._. Addition._.r...— _._ --... Repairs_-..-__.........•.. -.-- No. of Stories ................. Sin Septic Tank ._ -Type of Tank _ - -_ _..___..Capacity CaL_ Feet of Drain Tile ....-- DisL Feet of Tank or Drain Field from Well Nature of Water Supply: City —WO L -Size of Soakage Amount of Permit a_ _ - -! 0 The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblil?#oW as an employer of labor under the Florida Workmen's Compensation Act, being Sectioa 5988, Compiled Cenral Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed "der this permit, as are licensed by Miami Shares Village. .. —. Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgements, personally appeared foregoing application, and that he did sign_ _...._.._.._._....i ...._.. to me well known, and who, being by me first duly swan, upon oath and says that he is of the above ] described � construction, that � has carefully read the the same, and that all fact: My � Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when snob ra4w r 1 atioo i. roads asoewry by improper notice for iospectbn. or fauhy materials and /or workmanship. BATH CLOSETS Tun• SHOWERS LAVA• TORIKS SINKS SLOP SINKS LAUNDRY Tune URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'HS TOTAL FIXTURES COWM. LIST / •i- -� CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASC TRAP SOLAR HEATER DEEP 1ROLLL SPRKLR. SYSTEM aWIM'O POOL _ I CLIST T CHECK Sin Septic Tank ._ -Type of Tank _ - -_ _..___..Capacity CaL_ Feet of Drain Tile ....-- DisL Feet of Tank or Drain Field from Well Nature of Water Supply: City —WO L -Size of Soakage Amount of Permit a_ _ - -! 0 The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblil?#oW as an employer of labor under the Florida Workmen's Compensation Act, being Sectioa 5988, Compiled Cenral Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed "der this permit, as are licensed by Miami Shares Village. .. —. Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgements, personally appeared foregoing application, and that he did sign_ _...._.._.._._....i ...._.. to me well known, and who, being by me first duly swan, upon oath and says that he is of the above ] described � construction, that � has carefully read the the same, and that all fact: My � Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when snob ra4w r 1 atioo i. roads asoewry by improper notice for iospectbn. or fauhy materials and /or workmanship. MIAMI SHORMP VILLAGE BUILDING IN4rlFCTIQjq DEPARTMENT APPLICATION PCIR SWILDIN13 PERMIT Am*cw= is ham for the the o! C::&Umec harewA affixo4ted far the bulld- aty!=m mg str we mw1bed, Wtm i is of Uk—ad or other a. m I* made of 6 the 0 OM -4 ar,d SFwm ViUage, od lap =0 ild" ir L I Of Miand 5 v with, Whether buda 1pftum of OOL A copy of appm" regulations of the B plena and ipl t be loft at butidtn9 dvring of the j OwnWs Now and No.- Bootered . .................. aoptracboz. _5 Nam and address of *o=W 1,000don and legal don Option of 10 to be built ono Lot- __- Block...... Stem and Number w} pp work is to be Suft work to be dong and In -and for no other purpose. New Building ----- - Remodeling -- ----- 4#Nm Rqp&im__.__ No. of stofles.._._____ To be constructed ofd 14ad of Won ptod Mftmw Tow am of Improvements $_ cz . ..... 41114"t Of Permit 7mne cubm nqWn4-- Distance to nest an" bv&vn$__ 13119111- lm_ blast ono load to b% Wne 4y each floor....--- - I hereby submit *e plans and spec elions for said Wdbw. All W#m with reference to the kdftg and its constroom may be sent tm_ for this bidkhg pevraft I km I b=01 The umde�r anderafold Work 's Comneasatim AM, cm of&& Dvidons C bim all contractors or sob- contractors of labor tas 02ft:1. and wM am o, work to under this and will, pad to for inspection an the site of the work su je rFl war, perform cause U0.2— I-.- or mouloes as the 489008 OY sublo�� on to be permit, as auto RenvAs STATE OF FLORID cold wff OF Before m% the "Ol� (i*lmftv it "w VuW% d# pth" Iq Wpibfter oaths and take acknowledgments.' pm=nmRy ap- pealed - i to me wen known, and that *a all fads SZL'tPar* No.- P4 Swain to and Subscribed before me. Diapproved. (SlIped) PBOARD,.-_._.._ Notary Public, T _of_Floflda _ my commission Famines -.- . — _ ... Chairman MR* — C*WWO AppnWea'--_­ .... . ......................_.,Data of $1.00 will be made for meld" cRfptlm or pom" to this application after approval has been obblaW Am dw W -ud/or vw"m 6* I*o p* p00 wffi be cmd whm p" Is spade necessary by improper notice for inspection or faulty MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT (� APPLICATION FOR PLUMBING PERMIT 'V l I Permit No. -- 1- _ - - Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulatii s of the. Building Divinon of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and speoffications; must be kept at building during progress of work. , f Owner's Name and Address_ - -- — _. _ -- - _. . — No. �` _ ._.-_ Street- Registered — Architect and /or Engineer _ Employing Plumber's Name ? " . _ -9 ' ° — - - No— - - - -__ Location and Legal Description Lot __ Block_ Subdivision._.. - Street and Number when work is to be performed —No. —I 00 -- Street State work to be performmeS and purpose of building (By Fklors) -- - New Building.___ -- -_: Remodeling Addition_— _ _- —__- Repairs_ _. _ _ . _ — No. of Stories Size Septic Tank - - - - -- - -_ __. ___ -,_— --- _._._ - - -- -Type of Tank - ----- _ -____ __ _.. - - -- -_ _ . Capacity Gam... Feet of Drain Tile _ .�_.-- _-- ___ - -- _-Dist. Feet of Tank or Drain Field from Well- _____________,__------- - ----- ____.,------- ,-------------- _.. - Net= of Water Supply: City Well Size of Soakage Pit.. Amount of Permit - ( Signed)______._-- _._.- .- ....._ . _- ____ -___ , _J� _- _ -- - •- -_ _. _.. _ Plumbing Invectou' The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 59M, Compiled General Laws of Florida Permanent supplement, and Iowa com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractgrs 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 publiq notice or no° ices as are regWred by the Act. The undersigned agrees to employ only such sub - contractors, on work to be perfoiuted 'under this per rut, as are licensed by Miami Shores Village. Mantes llumbes. STATE OF FLORIDA, t COUNTY OF DADE. J Before me, the undue authority, a notary public, duly au&arized to administer oaths and take acknowledgments, personall.•- appeared to me well known, and who, being by me first duly sworn upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregomg application, and that he did sign the same, and that all ,acts therein by him stated are true. My commission Expires Notary Publ% Mate f Florida _ ._ NOTE: A re-bWxtlon foe of $1.00 will be made when such winspectim is made-necessary by improper noti{e for inspection, or faulty materials add /or worlmu mship. CLOSETS BATH- TUBE SHOWERS LAVA- TORIES SINKS - SLOP SINKS LAUNDRY TUBE URINALS CATCH BASIN FLOOR DRAIN DRINKING FOuIVT'NS TOTAL FMTURES LCON". -{- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP SPRKLR. WELL SYSTEM SWIM'G POOL CONTR. LIST / CHECK Size Septic Tank - - - - -- - -_ __. ___ -,_— --- _._._ - - -- -Type of Tank - ----- _ -____ __ _.. - - -- -_ _ . Capacity Gam... Feet of Drain Tile _ .�_.-- _-- ___ - -- _-Dist. Feet of Tank or Drain Field from Well- _____________,__------- - ----- ____.,------- ,-------------- _.. - Net= of Water Supply: City Well Size of Soakage Pit.. Amount of Permit - ( Signed)______._-- _._.- .- ....._ . _- ____ -___ , _J� _- _ -- - •- -_ _. _.. _ Plumbing Invectou' The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 59M, Compiled General Laws of Florida Permanent supplement, and Iowa com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contractgrs 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 publiq notice or no° ices as are regWred by the Act. The undersigned agrees to employ only such sub - contractors, on work to be perfoiuted 'under this per rut, as are licensed by Miami Shores Village. Mantes llumbes. STATE OF FLORIDA, t COUNTY OF DADE. J Before me, the undue authority, a notary public, duly au&arized to administer oaths and take acknowledgments, personall.•- appeared to me well known, and who, being by me first duly sworn upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregomg application, and that he did sign the same, and that all ,acts therein by him stated are true. My commission Expires Notary Publ% Mate f Florida _ ._ NOTE: A re-bWxtlon foe of $1.00 will be made when such winspectim is made-necessary by improper noti{e for inspection, or faulty materials add /or worlmu mship. b4 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT (-7 0'5-10 APPLICATION FOR BUILDING PERMIT Application is hereby inside for the approval of the detailed statumenr of ine plans and specifications herewith submitted for the build inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores N':11aFc, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the building Division of Miami Shores Village shall be compliQ with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. - Date. 14 84 3 NE Owner's Name and Address ... MRS t.. L.. GROCE ._.. _» ..... _ ....... .. ... _ «.....» N 4 ....». Street...........» »......_.._..........._. RegisteredArchitect and /or Engineer.... . ................ ... ............................................ t ........... x,x•••••xt•••,.„ttett.xt, t• mx. t, sxttter ............. .......... Name and address of licensed contr;ictor...?�&'e .� L..1= .. co .. 4300 E 11th Avenue, Hialeah, Fl Location and legal description of lot to be built on: Lot..... ............................... ... Block ._.................. Subdivision ............ _... _.. ............... _.. Street and Number whera work is to be done..... ,443 N.E. 100th Street St to be done and urpose of building$ (by floors)..RE —ROOF T GRAVEL AREA--GO—OVER PRESENT ROOF k� INS T ON AN 4—PL CRAYM.ROOF.. »»... . ......... _..... ..... _ .... ................... _..__.. _...._..... »._._ .._...._ ._.._ _. ......_and for no other purpose. New Buil ding ............................. Remodeling................. _ Addition .......................... Repairs:.. �....... No. of Stories..... .... _.... -- To-be constructed of .... ................. Kind of foundation:. ....._...... ................................ ....... ...._•Roof Covering.. ».Zr ........... .... ..� Estimated Total cost of improvements $........( ....Amount of Permit ................ ....._................._..... ». Zonecubage required ...... ..................................... ... ......... ._........__.plan Cubage ................... _...........».»__. .............. .»... ..._._. ................ .. ..... _ Distance .to next nearest building .............................. ......._ __...Size of Building Lot.......... _. ...»_ »._.» ..... _...... ............... :Maximum live load to be borne by each floor ........................ _..... ........... : .................... .. ........ _ ... .. ... __...... ..... _ ....... _ ............. _ ..... .................. .... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. qp .R_.._Aji xe , W(JXIe F. l�p�i� � �i CQ ! 300 E _Uth.Avemez..Hialeah,... . . ............... .......... The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labur under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Snp element, 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 pccfor►thcd under this permit; and will post or cause to be Fned)4 lion on t of ork su ppublic notice or notices as are required by the Act. The undersigned agrees to employ onlractora, o pert ed under this permit, as are licensed by Miami Shores Village. Remarks._. ........_._....... ........ _ _ .. (Si gSTATE OF FLORIDA, . COUNTY OF DADE. ss Before me, the undersig ned authority, a notary public, duly authorized ths and take acknowledgments. personally ap- peared._... __.._ .......................... .......... ._......._._............_....__ -------.. .........._ ...... _... _ _.....»......_.. _. ..._.__ ... _..... _.... , _... ___..._.........__.._._. .... ........ ...__......_.. _ .._to me weU 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 agate, and that all facts therein by him stat_qd are true. . Permit No.. :...�......._: ....... Read, Sworn to and Subscribed before ate. Date....... .... Disapproved __ &X0 ----- _.�........_.. »_ ...... ................................................................... Notary Public, State of Florida (Signed) ..................... .... ............ __ ..... .....-- Building Inspector My Commission Expires.. PLANNING BOARD ...... ............................... Chairman ...... .. ........ _. ......... _.._......_.. ».._....... ...._» ..........__ Member .....__ ........ .......».. _»._...... ».._................. .Mernber ................................. ... ......... ...»..____._..... _.....__ Member _ ..............»...._....... .........._... »....___..........._...._.._ :Member ....... .............. ._....... _. _..._.._ »_ Member »..._..... »......�.... »............ �.._..._.._....__._» ....._.._.... CouncilApproved .... .- .. .................................. _•__. ....... ......._Date Disapproved - .- ..-- - ».._. ... ............................... ....................Date NU T E: A charge of $1.00 will be made for making corrections or changes to this application after apprmal has hem obtained front the I'l.tnnin;; Berard. A re- impaction fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials ants /or workmanship. a' I MIAMI S, ES VILLAGE BUILDING 1 fa CTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is berets made for the approval of the detailed statement of the plans and speolfletatioas heowith sabmi for the build• hsg or other structure herein described. This application is made in compliance and coafarmtty with rho R O inaaoe of Miami Shares Village, Florida, and all provisions of the Laws of the State of Florida,. all ordinance of Miami Shores Visage and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified at not. A copy of approved plans and specifications trust be kept at building during progress of the work. 3 9 Date ...,19- Owner's Name and Address....__. .1...._�_.� ..r�� e.... �� .f°....,....,_..... .........._. No....... Steeete....� ... Registered for lrngineer _ -� _......._ .__..,.�.. .....,. ............... ..... .. ........... �....®.............e..........� .....- ....._...I......... Name and address of dlicansed oenataot ®r �A ` �� ��s? ®a2�.� Location and legal description of lot to be built on: � ,. Lot.. - ___ I .Block _. ....- ..... - - Subdivision. ..... .... ..� .................. .... Street and Number where work is to be dose _ . �. �%....- 'Pig -... ........._.�...___ ............. .. State work 1'e done and purpose of building �by floors) _____ ------ - -___ -- ---- - -_ -__ _ _ __ _ ._and for no other purpose. Neer► Building_ j.__._-_. Remodeling -- - - - - -- - - -. _ Addition-- -_-- ----- .-- -_ -_ -- Repairs ---- - ---- __ No. of Stories...... To be constructed of-- _____ Rind of foundation_ - - - -- - -- --- - - - - -- Roof Covering - ---------- -- --- I ...... ...._.,.,. M Estimated Total cost of improvements `�� amount of Permit $ ....... -� .._ ,,.,,,--. ,.,,,,_ ..... . .... ,,.,o.,..,,,..„ Zone cubage required-- --- - -._ -- - -- plan Cubage -____ ., ., ,,,,,,, ---- - Distance to nest 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 ifts-cononcUon may be sent to_- - -- -- - --- - -- - -- - - --- - The and ggnn a licmnt for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under a Worlanen's Compensation Act, being Section 5968, Compiled General Laws of Florida, Permanent lenient, and has complied with the provisions thereof, and will require similar compliance f -om all contractors or sub - contractors em lowby him in the work to be ed 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 req d by the Act. The undersigned agrees to employ only such subcontractors, on vLvrk to be performed under this permit, as are lick b Miami Shores Village. Remarks -___ -_ _ ____ - ( Signed) _ ..zz_. STATE OF FLORIDA, COUNTY OF DADE. J �' 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, bei� by me first duly sworn, upon oath deposes and says that he is the- e the above described cbnstr duly that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated a Permit No f -2- Date- _.-._L = _�= _- `. � _ Read, Sworn to and Subscribed before me. Disapproved ----- ( - Date —_- - - - -- -- _ __ - Notary Public, State of Florida ( Signed) — - - - - - Building it My Commission Expires--------- __._ -- _._---- - - - - -� _ P G BOARD _ ------ -------- _----.----DATE Chairman __.___ ---- ----- -------- _ __.__ Member _------- .------ _ - -• -- - - - - -- Member - - - -- - --- -- - - -- -- - - - Member Member -------- - - - - -- r --------------------------- - - - - -- -- - - - Member --- ------- - -- ------------------------------------------ Council Approved-_---- '_- - --- - ---- - - -- - -- - - - - -- Date Disapproved - .- .- ------- ------- --- .----_---- - ---- --- _ -- - -_- - ----- --- --- _ -- -- -_ -Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for insi.. oon or faulty materials wor p. MIAMI SHORES V LLAGE BUILDING INSPECTION tEEP RTMENT 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. her in 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 pi9gress of the work. p p Date %- �...._..»..._._ .19..._... Owners Name and Address.....L.l.6. ... »...P:.....-.: .y-c- a .. No. 4-� .»... Registered Architect and /pr Engincer.... !":!' . ». ».�.x.1 - .�� 't• • »- sss:ta•• +tmr tnttattest::- mns -mtmss ................... «- - Name and address of limned contrpctor... O? ` . -- ?r �{'� �''^...... Location and legal description of lotto be built on: Lot.. C '._ .. � ..._ .�I..... Block ._ ....... , C%.._...... »._ subdivision..A WW.W"-,- . C6 Street and Number wl State work to be done New Building ................. To be constructed of..... Estimated Total cost of work is to be done..._.1.�._... purpose of building (by floors) . . . ............... ........and for no other purpose. . Remodeling .. ........................ Addition......... Repairs .......................... No. of Stories....PAbP......... I........ Kind of foundation..- eeL9 -.H. C.,. .......... .....................— Iioof Co *g....�7 f 1 !�►tt �� t ements s..._......_. ......Amount of Permit ip.. ». ». rte° ..... ......... .............. Zonecubage required.....:................. ....._---- .........--_.....»._ - _...._plan Cubage.. »..- ............ _.... » ...._... _»._..._ ......:..... »�_ . _ Distance to next nearest building ....... _ ........ ..... - ..... _ ... _._.._._._.»._.....Size of Building Lot-...A!LQ - -LC -i. 5._- ®...._......._ ..............._. _ Maximumlive load to be borne by each floor ................ .. ...... _.. .... _ ..... ._ ......................... .._--_-.-_-_.._....»_ ... .. ....... _ .... _ ...... ............................... I hereby submit all the plans and specifications for said buildingt-'- AIVnotices with reference to besent to ................... . . .. ..- ........................................ _ ...... _ ....... _ ............................... ... The undersigned apr licant for this building permit does hereby certify that he of Iabor under the Flori � Workrneri s Compensation Act, being Section 5908, Car and has complied with t e rovisions thereof, and will require similar compliance i in the work to be performed under this permit; and will post or cause to be posted or notices as are required !by the Act. The undersigned agrees to employ only such permit, as are licensed by Miami Shores Village. Remarks ._..__ ---- --------- _ --- - - - -- ._ .._ .. l5�►�) ---» -» - ---�- STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notazy public, duly authorized to administer oaths peared.. _ ........... - . ......... ...- ........... _ ...... . .. ................... - -._... - ... building and its construction may- _ Id acc4pts his obligations as an employer Laws of Florida, Permanent Supplement, ctors or sub- contractors employed by him on the site of the work such public notice b in -work to be performed under this acknowledgments, personally ap- ._ . _ . _ _ _ own. _._- ...._... _ -_ -- .:�:._.__- ._.- ._...... ...._.... to me well known. and who, being by me f' st 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 ttrue Permit No_ZOY _.. Date.._.' (,? Read, Sworn to and Subscribed before me. Disapproved .. .. Date- _. _ ..»». ...... . ................................. ... _ _ ._ __. _ _ Notary Public, State of Florida (Signed) ------- -- -- ------ . ... ...... .... Building Inspet:to My Commission Expires.....-.._.... .. »..........._. P NNING BOARD ......._................_..... — _....._...._,..DATE i Chairman ................. - - -. Member ......... »...... ._ ».. ...__ _.._.....� ... _ __ Member._._._.......... .__- --- - -- Member _ ..._...». »»... . _...._ __...._.- .. ... . ............ ......... .._.__.... ... _Date Disapproved .._._.__.. »... - ...... ............ .......Date $1.00 will be made for making corrections or changes to this application after approval has been obtained from )f $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection at faulty Member .. ... .. ............. _ Council Approved ...... -_ NOTE: A charge c the Plannin.- Board. A re- inspection fee materials and /or workmi MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application Is her by made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure erein described: This application is made in compliance and conformity with the Building Shores Village, Florida and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Via"a'n'doclel rules and regulations of t ui. ing Division of Miami Shores Village shall be complied with, whether herein specified or not. LgAe copy of approved plans and on, must be kept at building during progress of the work. Owner's Name and Aldress.... 'VX&4 ......... A- . . . . ............................ - No.-------------- - - - - -- Street._....... ........_...................... RegisteredArchitect and/or Engineer.... .. ... ......... . .. ............. . .. . .. . ............................. . ..... -- •---------- ------ - - - - -- . ... . . ............ ....•........••.• ...... Name and address of licensed contractor -------- L8L1;X__e __L6aZ . . .......... . Location and legal d"ption of lot to be built on: Lot- _._.._____-- _------ - - - - - --------- Block .------ .------- .----- - - - - -- - - _- _--_.- •-- •-- . . ................ Street and Number wt ore work is to be done,_____14/_�_..__mf_ el-0 a rl State work to b! done and purpose of building (by . ..... . .. . .... .. . . . . . . .......... . .. New Building....--.--, To be constructed 01 Estimated Total cost . ...... and for no other purpose. _•-- ........ - - - -------- --- -- - - - --------_-- __­­_­, ---------- .............. I Remodeling - - -- ......... ....... _ Addition .......................... Repairs .......................... No. of Stories ......................._.: ........................ Kind of foundation . .. . .... . . . . . .. . ....... . .................... . ........ . . Roof Covering ........................................... improvements $_._........._. s ..,•. . ............._.Amount of Permit $.....__ . .......... . ......................................... r ...... Zone cubage required._..___._- _._.____ Cubage______._-._... — - - --- - - - --------------- - ----- - --- - - - ------ ................ Distance to next nearest building_,__ ---.--.--Size of Building Lot ...... . . — - - - — - - — - ------- - _----------- -----------_-----_-- Maximum, live load to be borne by each floor—___- . .... . ... . ... . ................... --I here-by -submit all the plans and specifications for said building. All notices with-reference to the building and its construction may- besent to----- -- — -------- - -- . ...... . ................................ -------- The undersigned ppplicant for this budding permit does hereby certify that he understands and accepts his obligations as an employer Of labor under the Fl rida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied wit the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be perf )rmed 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 b the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licenied'by Ural Shores Village. I (Signed) --- Remarks_ . ........ STATE OF FLORIDA, COUNTY OF DAM 11 SL Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who,j by above of the ab e scri therein by him stat( ....... . . --- --to me well known, first duly sworn, upon oath deposes and says that he is the..- .......... _ --------- - --- - ----------------- - -- - ---- - - _-- ............ ___ construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts e true. Date_! 6 Read, Sworn to and - Su bscribed before me. Permit No. Disapproved (Signed) --- .c-.,. L_ .......<. Chairman Member Member ... . ... Council Approved- NOTE: A chap the Planning Board. A re-inspection materials and/or wo late� . . . . . ... . .... . ..................... . .. . ................... . .... . ..... . . . ......... ( - _/ !1` Notary Public, State of Florida My Commission Expires ................. . PLANNING member. . ........ . . .... . . . . . .. . .............. . . ..... Member Member DateDisapproved -- - - — --- - - - - - -------------------------------------------------------- Date of $1.00 will be made for making corrections or changes to this application after approval has been obtained from of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty MIAMi SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or tree plans and specifications herewith submitted for the build in; 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 pipgress of the work. 26 squares Date..._».».. Owner's Name and Address .Lillian, GToce._._..._» _ ................... _ »._._. No.AA3».._......... Stre�,_.1QQtb...15treet RegisteredArchitect and /or En gineer.... ........ ....................... .»..............................,.........:„.,... ..,,...,,.,,e,,,.,,e.,.r,•n, „ „. „,... ............................... Name and address of licensed controctor .... I4Ae-&Q '� »` Location and legal description of lot to be built on: Lot ............ ............................... Block ................................ _ Subdivision ...... . ...... _ ». ».»...... ». ».... ».......».»».........» . »...».. »._. Street and Number where work is to be done.ka.3..Ne.E L.14Qtl...5#=P,-t...._ ».. »......» ».__ . »_........ »...... » »._... State work to be done and purpose of building (by floors).-- .a.PD.9f ..t110 ropf..4 tin cap 1 -30# felt to sheathing, mop 1 -901b. slate with hot asphalt sand install standard , fiI te - deirieii £-'shi,iigLe•:E1T6.- ...._. .....»...._._...__-._.... ._-. »............._.......... »_ .___.... ........ .._ .......................» _ .................................... »-.._ ..... » ....................... ».._......__. » .............. » ... .... »... ».. »....._.. ».» ... »..».».»».» ......and for no other purpose. New Bui'. ding ............................. Remodeling ......................... Addition .......................... Repairs..13art. ..... R.R No. of Stories............. »...... — To be constructed of ......................... Find of foundation ................................................ _ ........... _ Roof Covering- Sh�le...tile...._....._ Estimated Total cost of improvements $....4.,95.0 to .... ........ __ ....... Amount of Permit Zonecubage required...... __._ _ » » » »... Plan Cubage ................... ..» ».»»»»...._.....»..._»» - »._._. ....................... _ Distance to next nearest building ................................... _._... ...... _.. -Size of Building Lot ...... .._»....... . _»._.._..... ._...... ._ ................ _.._. Maximum live load to be borne by each floor ........................... » ............................................ ......... »._........» .... _ ....... ....................................... .... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to .. ..... .... ................................................................................. _ . The undersigned applicant for this huilding permit does hereby certify that he understands and accepts his,obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup element, and has complied with the provisions thereof, and will require similar compliance from all contractors or su 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 of he work such public notice or notices as are required by the Act. The undersigned agrees to employ on such subcon a ors, on k be performed under this permit, as are licensed by Miami Shores Village. - z7 00— V Remarks ... _...... STATE OF FLORIDA, i COUNTY OF DADE. j ss. (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared .------ . .................. I ........ - - -- - __. ...... ............... _ -- _..... - ._...._. M._ .... .................. _....._._ ... _ .—..-tome 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 stateed are true. L% ft Permit No.. !- .....__......... Date... �j.14).1.L._..»»w Read, Sworn to and Subscribed before me. Disapproved- -- - - -- %, _9. .. Date.-__. ._._._..........._ ..... _....... -• ..................................---- -.......................... »._. ».... »..._ Notary Public, State of Florida (Signed) .-- •---- •........ _ .............. Building Inspector My Commission Expires... »............» ._.., PLANNING BOARD ....... _ ............. ..............__. —_. -DATE Chairman........ ........ ........... _.._ ..... __ ...... -••-•• _ ... _... ..... ..- ............. .. Member _ »....-» ......... _ .... ». »..... ._ ».._._............. _......._... ».... »..._ Mernber................................ ........ »..... »._ --- ...... _ ... ... ....... ---- 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 frrnn the Plannir._, Bo.trd. A re- in%pec•tion fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workin nship. 14IAMI SHORES VILLAGE APPLICATION FOR FINAL INSPECTION Prior to a final spectir -�n this application must be filled out; if subcontractors have failed to take out permits the general: contractor shall be responsible for the permit and fee. A final ins ection.must be made prior to the release to Florida.Power` and Light Co. and the issueance of a certificate of occupancy. owNER �� �✓zp c c= JOB anDaESS4�3 LOT BLOCK SUB. BUILDER Fz4 DL L%, t) hn &7 C rL.. S CONTRACT -'ATE A - i, -Z 1. �� MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ----- (_. /. ............. Date....................................... ............................... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ..... ' ........................... No ....... 1...�1..4�?. ................... Street ...... fi-~1.._.. .__.....�.......... ,--.......... Registered Architect and /or Engineer.... r! .....= ......'.... -. ``.'! .............................................. ............................... Employing Electrician's Name...,Y --- �.. 3.._.1.. .. " •.... .................. :........No.. � � . ./� ..................... Street ..... : ............................. `. t..:. Location and Legal Description Lot ..................................... ................. •-............ Block---........ ............................... Subdivision.-----.......---- _.............................. Street and Number where work is to be performed—No ................... ...........................•---... .....................Street.._4 r�.:. ................ r:.................................... State work to be performed and purpose of building (By Floors) ................ New Building ................................ Remodeling ................. ............... Addition. ... ................ Repairs ......................... ............. No. of Stories...- -- ----- Service g Site Feeders ....................Co �1r ` �f Overhead Underground �111C ....... .........Malil Sw. ......... .........Amps.. ....................Main Fu,Ses ...........................Amps Type of Installation— Conduit ........................ Tubing ........................ B. X. L ......................... Metal Moulding ....................................................................... -- Amountof Permit $ ......................................................... ............................... (Signed) .......................................................................................................... Electrical Inspector. The undersigned applicant for this building permit does hereby 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 sub, contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) ..................... ............................... ........................ ............... Master Electrician. STATE OF FLORIDA, 1 ss. COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared............................................................ to me well known, and who, being by me first duly sworn,- upon oath deposes and says that he is the ........................................... ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ............................................................................... ............................... ......................................................._..----._...---•---•--.. ............................... My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 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 CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. O -t HP 1.5 HP TRANS. CONTR. LIST I CHECK Service g Site Feeders ....................Co �1r ` �f Overhead Underground �111C ....... .........Malil Sw. ......... .........Amps.. ....................Main Fu,Ses ...........................Amps Type of Installation— Conduit ........................ Tubing ........................ B. X. L ......................... Metal Moulding ....................................................................... -- Amountof Permit $ ......................................................... ............................... (Signed) .......................................................................................................... Electrical Inspector. The undersigned applicant for this building permit does hereby 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 sub, contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed) ..................... ............................... ........................ ............... Master Electrician. STATE OF FLORIDA, 1 ss. COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared............................................................ to me well known, and who, being by me first duly sworn,- upon oath deposes and says that he is the ........................................... ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ............................................................................... ............................... ......................................................._..----._...---•---•--.. ............................... My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. - -- - _l__7-_ --- --7 Date - _______.._- �_�. - -��- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept al building during progress of work. Owner's Name and Address - -_Q _-- .--------- ------ - - - - -_ No --- — ----------- _-- ----------- - ----- Street ------------- _- - - - - -. Registered Architect and /or Engineer_.__ ._ -- _----- ------- ------ •- -_�._— ___ - --------- - - - -- --- - -- --- -- -- - - - -- ---------- _---------- - - - - -- . Employing Plumber's Name ------ " "-- `. - -- -- ._ �'' No. _ -� -_._ - -_- -- - -_ . ......... Street---- --- - - -- -- ---------------- _.- --------------- Location and Legal Description Lot -- _---- --- - - - - -- ----- _------ _ -_ -.- _- _ Block ----- ..._ . -__ - -- __ Subdivision ----------•----------- -_-------------------- -- �• -•- Street and Number where work is to be performed— No. - -- l _ _�_ ..fie ....- u ? - -- $treet--------------------•_---------------------------_---------------------- State work to be performed and purpose of building (By Floors)----- ----- ---- - - ---_ -------------- ------------------- -- -------------------------------- . -- --- _----- - - - - - --_--- - - - - -- New Building_ -- . ------ .--- ---- _ - - -_ . Remodeling -- - - - -- ----- ---------- -- ---- -- Addition ------------ - _. ... . Repairs.- -------- .--- --- _ -._.- No. of Stories _--- _-- --_----- ..__ - - - -- Size Septic Tank_ Feet of Drain Tile -Type of Tank- -- ------------------------------ - - - - -- - - - -- - - - - -- - - - - - -- Capacity Gals.. -- --- - -- -- -------------------- --- Dist. Feet of Tank or Drain Field from Well__ ___ ______ --- - __._-._---------------- -- ------------ - ----- - --- - . -__._ . -.. . Nature of Water Supply: City— Well --------- _- _-- ----------- - ------ Amount of Permit $_ ____--- ____ Size of Soakage Pit__ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as nn employer of `c ibr,T under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and hus c plied with the provisions thereof, and will require similar compliance from all contractors or sub contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such slab- contractors, on work to be performed under this r rinit, as are licensed by Miami Shores Village. (Signed)_-_ STATE OF FLORIDA, i COUNTY OF DADE. j - ------ - - - - -- - - Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare 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 tac therein by him stated are true. -- -------------------- --------- - - - - -- --- --- - - -- -- ------ - - - - -- — ---- --------- - - - -- -- — --- -- ----- -- - - - - -- - - - -- - ... _.. - -..... ------------------------------- My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessity by improper notice for inspection, or foul materials and /or workmanship. BATH LAVA • SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS S SHOWERS TORIES SINKS SINKS Tues URINALS BASIN DRAIN FOUNT NS FIKTUREI CONTR. `- LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. swim TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank_ Feet of Drain Tile -Type of Tank- -- ------------------------------ - - - - -- - - - -- - - - - -- - - - - - -- Capacity Gals.. -- --- - -- -- -------------------- --- Dist. Feet of Tank or Drain Field from Well__ ___ ______ --- - __._-._---------------- -- ------------ - ----- - --- - . -__._ . -.. . Nature of Water Supply: City— Well --------- _- _-- ----------- - ------ Amount of Permit $_ ____--- ____ Size of Soakage Pit__ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as nn employer of `c ibr,T under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and hus c plied with the provisions thereof, and will require similar compliance from all contractors or sub contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such slab- contractors, on work to be performed under this r rinit, as are licensed by Miami Shores Village. (Signed)_-_ STATE OF FLORIDA, i COUNTY OF DADE. j - ------ - - - - -- - - Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally .Ippeare 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 tac therein by him stated are true. -- -------------------- --------- - - - - -- --- --- - - -- -- ------ - - - - -- — ---- --------- - - - -- -- — --- -- ----- -- - - - - -- - - - -- - ... _.. - -..... ------------------------------- My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessity by improper notice for inspection, or foul materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions Of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. f) � � � � Date ----------------------------- ------ ----------- ------ - - - - -- ---------- --- - -, 19 -------- Owner's Name and Address _- _- ---" o✓"---------------------------------- ------------------------ - - - - - -- No.-------------- -- -- - - - - -- Street------------------------------------------ RegisteredArchitect and /or Engineer------------------------------------------------------------------------------------------------------------- ----- ------------ ---- - - - - -- --------------- --- 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 � -7 i= -4'A- + -- 0-- A----- �'- ---------------------------------------------------- State work to be done and purpose of building (by floors) --- ------- - -- - -- -------------------------------------------------------------------------------------------------------------------- r �- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -and for no other purpose. New Building----------- ----- ------ - - -- -- Remodeling ----------------- Addition-- -- -- ---------- ---- - -- - -- Repairs -------------------------- No. of Stories --------------------------- To be constructed of_______ _____________________ Kind of foundation_________________________________ _______________________________ Roof Covering_:______ ------------------------------------------------ Estimated Total cost of improvements $______�_U O � do ------------------------------------ Amount of Permit $------ ------------------------------ --------- --------- ---- --- - - - - -- Zonecubage required -- --- ------------------------------------------- ---- -------------------- - - - - -- -Plan Cubage ------------------------------------------------------------------------------------------------ Distance to next nearest building ------------------------------------------------------------ Size of Building Lot--------------------------------------------------------------------------------- Maximum live load to be home by each floor----------------------------------------------------------------------------------------------------------------------------------- --------------- - - - - -- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to -------------------------------------- -------- ------ ------ - - - - -- -- - - - - -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance froin all ontractors or sub -c retractors employed by him in the work to be performed under this permit; and will post or cause to be posted for i ection on the site oVth._work uch public tice or notices as are required by the Act. The undersigned agrees to employ only such s 75u /bb wo be p ormed upider this permit, as are licensed by Miami Shores Village. Remarks---------------------------------------------------------------------------------- ------- - - - - -- ( Signed) - - -- - - ' -- STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared------------------------------------------------- ------------------ -- - - - - -- -- ---------- - ------- --- ----------- - ------------ -------------------------- --------------------------------------------------------------------------------------------------- --- -------- - - - - -to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the______ _______________: _-__________-____________________ ________-- __________-- _________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. n Permit No.------- - r _____ _______________r Read, Sworn to and Subscribed before me. =----'-- -�- - -- --- -- ------ --- - -- - -- Date--- --------- "-- - - - - - - -- Disapproved------------ ------- -- ---- -------- - - - - -- Date-------------------------------------------- (Signed) C - - - - - -- ------------- -- - - -- ----------------------------------- Building Inspector PLANNING BOARD________________ Chairman ____ Member - Member . Notary Public, State of Florida My Commission Member Member Member .TE Council Approved---- -- -------------- - -- - -- ------------- --- --- ------ -- - -- - -- -Date Disapproved -------- --- - -- - - -- ------------- ----------------- ----- - - - - -- -Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. C ,a) pal 0 / v IiMM I& ROOFING # i V V %..j I L. q 3 ^oz, o;r of 4�"1 ►a,,� shores a p rr . /��.P-N -�-�640� MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT A lication is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or o� er 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. '2 yy�� ! v Date — lg — Owner's Name and Address n P U — F -_l___ — No. L �i -jr_J Street 5 ^_j Tom✓ Registered Architect and /or Engineer_________C_I!_ of /I Name and address of licensed contractor Location and legal description of lot to be bpuilt on: Lot ------- ---- �- --i - -- /- _9_----- - - - - -- Block---- ----- --l- -- S Street and Number where work is to be done______________ State work to be done and purpose of building (by floors --------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------ - - - - -- -and for no othe //r purpose. New Building - - - - - -- Remodeling-------------------- - - - - -- Addition -------------------------- Repairs-- ------------------ - - - - -- No. of Stories -------- !___________ - - - - -- To be constructed of - - - - -- - -- Kind /of tion ------------------------------------------------------------- --- Roof Covering-- - - - - -- Estimated Total cost of improvements $___-`_�� v{___ _________ ________Amount of Permit $ ------- --- -------- -- - - - - - -- -- - - - - -- -- - - - - -- -- - - - --- - - -- Zone cubage required - -- Z -0 d f%_____ __________ flan Cubage______ �__ - -- 1 -- - - - - -- -- - - - - -- - - - - -- Distance to next nearest building------------ - - - - -- "Z' --`-- ___________Size of Building Lot________ ______________L_v____X________� - - - - - -- - - -- - - - -- --------------------------- 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 be sent to---------- - - - - -- - -1 - -s I:, i W 1 --15 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 su actors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks-------------------------------------------------------------------------------------- - - - - -- — (Signed) - ---- I ---- - --- - - - - -- -- Y--7---- -------- ------ --- - - -- -- STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------- - - - --- - -------------------------------------------------------------------------------------------------- ----- ---------- - -- -to me well known, and who, being by m first duly sworn a ses and says that he is the_______________________________________________________________ _________________________ ____ __ of the above describe construction, th h c of y read the foregoing application, and that he did sign the same, and that all facts therein by him stated re Permit N0 ---- - - - ---------- - - - - -- ttq_ �Gead, Sworn to and Subscribed before me. ate Disapproved — -------- _________ _ 1 _ - -- ------ - - - - - -- - -- - -- - -- - - -- --------------------------------------------------------------------------------- (Signe - -- - -- - - - - --- - --- -- - - -- -- - ---- -------- ------ - - - - -- Notary Public, State of Florida ------- - -- - -- - - - - --- . Building nspector My Commission Expires________________________________ _____________________________ __ TE Chairman'!--------------------------------- ------ -------- - - - - -- - - - -- Member - - - -- - -------------------------------- Member ------- ------------------ - - - - -- 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 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. z jil ' 3oe i 1 IV 11- I M I 4 i W 0 of i i:i Inc 1 `J0 w �: II i i A F F I D A V I T STATE OF FLORIDA) COUNTY OF DADS ) I of the Village of Miami Shores, County of Dade and State of Florida, being duly sworn, doth depose and say, that under the provisions of Ordinance No. 185, dated June 15, 1948, amend- ing paragraph (d) of Section B -368 of Ordinance No. 97 of the Buffing Code of Miami Shores Village, he desires to build n - L--AIM i„t "e, ,,� "A ,� e i ' on Lot . Block of , 41'4t Subdivision, that lis the owner of,id property, and will be the owner of said "a, , that he will do the work personally, and that he will, at such tunes as are required by the Zoning and Building Director.- 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. 3• Pay the required fees. 49 Execute the a ork in accordance with the provisions of this Code. 5• Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's C cnpensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certi- ficates showing the payment required by the Federal Social Security Act to the State of Florida or the united States of .inerica. 8. Assume the responsibility of not employing other than properly licensed contractors by l,iiarai Shores Village for any part or portion of the work. 9. 17ot set himself up as a "contractor ". 10. Sign an affidavit before conLiencing work to the effect that he iias read this article and will do the work personally and observe all of the requirements of the Building, Electrical, Plumbing and Zoning Codes of 10tiami. Snores Village. Such affidavit to be properly notarized upon blanks to be supplied by the Building Inspector. 11. In order to prevent abuses and subterfuge the right of such owner - builder as herein provided, is limited to but one owner- builder kera.iit each 2 years, and where an owner- builder has once exercised the privilege herein conferred no second application for owner- builder permit shall be granted in lese than 2 years, unless the applicant is qualified as a licenseC General Contractor under the applicable Ordinances of said Village. And Further this Deponent says not: STBSCRIBED AIM SWORi1 TO B370RZ ME this day of A• D•+ 19 . NOT;d3Y PuBlIC