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Multiple (8)v�sr�e� STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT A �I* _ Permit Number pT ......... A1-- SYSTEM -1 T -- TION INSPECTION AND F NAL � APPROVAL '. ------ --- ------ Installer& re Tank Manufacturer�.� Proper tank legend: Yes No Tank material Tank level: Yes No Tanks watertight: Yes No Tanksize: gallons gallons gallons Proper tank outlet devic : YesNo anhole or marker to grade: Yes No Drainfield Trench Absorption Bed Length Widt Length Width Length feet x,8,7 feet= 37 ft2 /w .o,0 feet feeW feet feet Length feetx feet= ft2 feet feet feet feet Proper No. drainlines: Yes �No feet feet feet feet Proper pipe separation: Yes ✓ No Total = ft2 Total= ft2 Distribution box level: Yes No Systems located as permitted: Yes _j,_�No Systems including plumbing stub -outs installed at proper elevation: Yes No Average depth to drainpipe invert from finished grade: Ir inches Maximum depth: -4,JL inches Average depth of drainfield gravel: _� inches Minimum depth of gravel: 4!X inches Proper gravel size: Yeses No Gravel is suitable quality: Yes -/ No- Backf ill or fill material as required: (Quality) Yes _wl"_ No (Quantity) Yes ✓ No Other findings: Inspected by: 2Z - Date t17/ I ------------- �--- -- /P,Ff T III - FINAL INSTALLATION APPROVAL-------------------------------------°---------- Date Approved by. 7 LINTY PUBLIC HEALTH UNIT AN APPRO ED INSTALLATI DOES NOT GUARANTEE PERFORMANCE Note: Completed copies of this form will be provided to the applicant, installer and the building department. HRS—H Form 4016, Feb 85 (Obsoletes previous editions which may not be used) (Stock Number. 5744 - 002 - 4016 -0) Page 2 of 2 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date �'Z' 10 - �-1 Job Address °5C( l t� • 1E . 10 3 'ST. Tax Folio Legal Description Historically Designated: Yes Owner/iessee /Tenant 40bRE'W fiN "fnDLA1J Master Permit Owner's Address �5 Cl I a Ia. 4 0.5 ST. Phone No Contracting Co. EL0,A) - TtZ.0 A NL CuYD I n✓Yi I T C.O. Address -7 a -2-3 S --J 13 TERR . Qualifier M&A'60 SS# Phone 2A.4 - 50S l State # —0-4 C- o -a. A. 3'1 1 Municipal # Competency # Ins. Co. 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 YOURPAYING 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 m4WCHANICAL WORK OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and laws regulating construction and zoning. Furthermore, I authorize the above -named 9 Condo President Date 146tary as to or Condo President Date My on >res. 5)SkYPG® MARIO PEREZ- VELASCO �, COMMISSION # CC 640538 .r EXPIRES APR 20, 2001 BONDED THAU �W VVY ATLANTIC BONDING CO., INC. NOM0; 11 APPROVM: work will be done in compliance with all applicable r to do the work stated. Owner - Builder Date lz— n Notary as to Contractor or Owner- der Date My Commission ExpyP% MYRNAMARTINEZ _.Q n ,comm 15SION # CC 677923 .� EMPIRES SEP 7, 2001 C BONDEDTH9V OF p►� ATWITIC BONDING CU., INC. RADON C.C.F. NOTARY TOTAL DUE Zoning Building Electrical Plumbing Engineering DR[UEVJ/-y APPRL ccf Into Trliami S40rej t �e 10050 N.E. SECOND AVE. F�ORIDp' MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (305)_756- 8972 . COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, al $P5 / *5211letiWO , hereinafter referred to as the Owner of the (owner) following described property: Legal description/folio #: Lot Block Subdivision Tax Folio #: requests permission to install: [] spa , concrete, bric pavers L caping [ ] Other within the public road right of way of vA oo--, �L 7,3;1,P,,e (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: I. To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida by the Village Manager of Miami Shores Village (or his fully authorized representative). SIGNED, SEALED, EXECUTED.AND ACKNOWLEDGE on this —IL_day of 62x EX - ev-� /�1�� (owner) SIGNED, SEALED AND DELIVERED in the presence of: Mami SLre.4 Villaae AFFIDAVIT STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, Z/// SPS Ai N4 ado , does hereby attest that the (property owner) attached survey, performed by Au- CO vfu 7'111' S S (name of surveyor's company) performed On —4 is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Mia lage to issue a building permit for the property without first providing a survey less th six (6) months old. a Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Aunt further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. Witness(sign and print) Affian owner itness(sign and print) SWORN TO AND SUBSCRIBED before me this day of Affiant is personally known tome, _produced as dd'enti cation. MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: 7 /,Z) o) OWNER'S NAME: PHONE: 3o5 7s--c Z7a 3 ADDRESS: '/ S2�/�0 6 ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) /VlO COMPANY NAME: V11 PHONE: All Elements on the site must be listed and indicate the color to be painted. Walls JfA 54t-4Z r �� 5Z AdJ Fascia �t h / � e Drip Cap/Drip Edge Soffit W11" le Roof IVO PAIV27WO Flower Bins Shutters Al Awnings Chimney Doors and door jams 1 C 0 f Garage Doors tti "lip Railings Fences I Decorative Metal N All brick (simulated or regular) N Stucco Banding IV Any other stucco features N' Accessory Buildings Other 1'i/ /,*- n 0 r 0 z ro r M H H x z c 3 m w!e ��, ife 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. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached samples. UZ fl z I �? -- Signature of Owner ate Signature of Contractor Date APPROVED: 7 � Building Offic' Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.. %k 16 11 0 Date-A-21-86 _86 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance mad conformity with the Building Ordinance of -Miami Shores Village, Florida, and all provisions of the laws of the State of Florida, all ordinances of Miami 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. ��OO Owner s Name and Address. L i s a W a l s h No .7� �. strees;%Ak- , ..._.._ ... Registered Architect and /or Engineer ' ........ Rase Septic Tank Co. 887 -559 N1 n sore -�:E�a , '� a 7fia 3 0' , Loation an 1 .e,..a.,�.,,..�..,..�.. / tr�.... � ....�,:,�..- . .�,� .... ..a.,...�.�..._ Block ��� SubdivWonl1 Street and Number where work is to be performed-No-291 N.E. 103 street State work to be performed and purpose of building (By Floors) New Building -_. - Remodeling ..... Addition.. __._ _.. Repairs..- ._.......__..__. No. of Stories .................. . Size Septic Tank Type of Tm& . _.._-- _.---- Capadty -._ --- Feet of Drain Tile ._____ Feet of Talc or Drain Field from Well . _ Nature of Water Supply: City -Wa Of Soakage Pit.—___ _ �.__. __....__.___..._ ._ ...... Amount of Permit $ orb _ nn (Signed) - Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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 am required by ti►e Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Share Villages 7 /1_�. ... ... ��/ /r Haslet Plumber. STATE OF FLORIDA, { i WL 1� COUNTY OF DADE. Before me, the undersigned authority. a notary public, duly aatharized to administer oaths and take ackrwwledgments, personally appeared 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 he has earef * read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. My Commission lExpim Notary Public, State of Fbsida =star" and% � l�pecti n fee of $1.00 WW be mob whs mwi tr�laspeotiaa Is ae11111' sMe3 by lmpsop, notloe far ilaspe�tion. or fooky BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOaETa TUaS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT'NS FIXTURES. CONTR. LIST CHECK SEPTIC Stwax DRAIN SOAKAGE GREASC SOLAR DEEP SPRKLR. swim,O TANK CONN. FIELD PIT TRAP NtATtR WELL SYSTEN POOL Ij! CONTR. ' LIST ,-- -- 300 all. f t. eNaeK Size Septic Tank Type of Tm& . _.._-- _.---- Capadty -._ --- Feet of Drain Tile ._____ Feet of Talc or Drain Field from Well . _ Nature of Water Supply: City -Wa Of Soakage Pit.—___ _ �.__. __....__.___..._ ._ ...... Amount of Permit $ orb _ nn (Signed) - Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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 am required by ti►e Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Share Villages 7 /1_�. ... ... ��/ /r Haslet Plumber. STATE OF FLORIDA, { i WL 1� COUNTY OF DADE. Before me, the undersigned authority. a notary public, duly aatharized to administer oaths and take ackrwwledgments, personally appeared 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 he has earef * read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. My Commission lExpim Notary Public, State of Fbsida =star" and% � l�pecti n fee of $1.00 WW be mob whs mwi tr�laspeotiaa Is ae11111' sMe3 by lmpsop, notloe far ilaspe�tion. or fooky 0. A ock Silo ivislon -/ / /V, /,-_ /0 3- J�/ - 100 S4-re Namo 17D Add* or Phone' General Contractor Lic*Noo Add* or Phone Zone ReqoCu,Ft, U, Cu*Cont* i B Plat Restriction Checked by To Planning Board Approved Rejected Re-Submitted to P.B. Approved Rejected Plans & Spec, Checked by To Council L Approved V Rejected Bldge Permit No. gii I C7 Date zLIJ�ZE,,i" Fee Cos t—,//4 Type Stories Roof-7—/- New Construction 1 Alterations -Repairs V Plumbing Permit Noe DrAto 77'65. Septic Tank 11 11 — Sewer it : I? This 0 New Const. Alteration Repairs 'Electrical Permit N_O_- Date- 11'm� Zd Fee Fixtures r 11 Heater Motors 111i S C 11 New Construrtion Alte ,a"-ion BuIlding Inspection Dat By he I n s P By Y'Le Ins p By dation Fo u r Beams & Lintels Final Final Clean-Up Plw,ib _`ng Inspection Dat f Lns L v rte-Insp By 110-agh-ing F'ixturea S _3 Septic Tank > 'ar Heater Fin,al Certit'icate By Re-Insp By Rc,uc� a-ing ID Fi.x t, ml e s Final 'ern o Ko t 0 F(T V�7 er f _e. -L C! e, K Cc,rt,-. OCCUp. 7s sued il �g8 )100� MIAMI SHORES VI LLAG E BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. r' ,r - -Date_—_- _ � r.- Owner's Name and Address____ ____�_ Registered Architect and /or Engineer _______— _; -------- ------ ------------ ____-- _________-------------- - __ -____ _____ -- ---------------- Name and address of licensed contractor— — Location and legal description of lot to be built on: Lot_ Block__'- _— ________ Subdivis Street and Number where work is to be done ----- - ---- r--------- State work to be done and purpose of building (by floors) - ------------ -- - - - -- ------------------------------------- ------ -- --- ----- - - - - -- -and for no other purpose. ,LL g g p No of Stories 1 New Building __ -- _ -- Remodeling _---- ---- ---- -- Addition__ ---_ -- Re airs __ -- -------- ----- ____ -- _ -- To be constructed of---- Lx__ Kind of foundation__d_� , �_ __ -------------------- Roof Covering-- Estimated Total cost of improvements $_��_�' `-M ---Amount of Permit $____________ ________ - -' —' - -- - -- at Zone cubage required----- ------ - -�_ -�- �"�` .8 - -- F — _—Plan Cubage---- -r�- -2 — __ - - - -- ---- - - - - -- _— -- - Distance to next nearest building __- ------- _ _— — ------ Size of Building Lot __ �; - -- ---------- - --- — ---- - ---- - _------- Maximum live load to be borne by each I hereby submit all the plans and specifications for said building. All notices wijh reference to the building and its ' construction may " 4 be sent to — - -- -- -- -- — - _- x- -- ------- - ---- -- - -- - - ---- -- 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 per €ormed 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 ork to be performed under this permit, as are licensed by Miami Shores Village. - 7z������'`-' e/" -11, Remarks ______— —_ -- ----- _--- _ --_ -- (Signed) STATE OF FLORIDA, COUNTY OF DADE. I ss. Before me, the undi rsi.gneglauthoriyy6a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared - - - - - -- — — -- - -- -- - --- -- - - - - -- -- t° me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ---- _/ — ----- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No ------- — ___ ---- _------------------- Date_— __---- __ ----- —__ Read-Sworn to and Subscribed be(o me. Disapproved — -- -- -- - - Notary Public, State of Florida ' (Signed) --- - ----- - ---- ---- ------ - - - - -- - - - - -- - -- - - __ —_ :� ,t / 4j �l � Building Inspector My Commission Expires---- _----- _- ____- -- __ _ -- -, - - -a -! 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. i i/u.a8 lg:is I -------- g , 6 �37 6, )27 �/j63 %GCB. lyg5° -7 Ell 3 8 2270� MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING P likMIT Permit No.__ G. S-T( Date...�Z� % � -_ -- Application is hereby made for the approval of the detailed statement of the plans and 1.__ -- - -Y p 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 Dhision 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 Addressc? �. Q + :Lz m 1-4— Lk'- __._ No.___ _. _._ _ Street. ... _ Registered Architect and/or Employing Plumber's Nam ____ No— 1140PW Street _ -- Location and Legal Description Lot lack Sub& Rion Street and Number where work is to be performed —No Street_ —.A-- 1 _ State work to be performeS and purpose of building (By Floors)— New Building ___..___ Remodeling Addition_-- .______ No. of Stories. -. Size Septic Tank-_ _ _ _ —Type of Tank--- _._ _ , __,_---..._____Capacity Feet of Drain Tile .---- __._ _Dist. Feet of Tank or Drain Field from Well_- _ _ _ _ -_ --- ____.--- _._.._ - - - -. Nature of Water Supply: 4 v Amount of Permit $ Soakage Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligaj%ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanedt 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 suh -contr on work to be performed under this permit, as are licensed by Miami Shores Village. (Sigma) — ----.. M�..._..___ _._�--------------------- - - - -._ -- Master Plumber. STATE OF FLORIDA, as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well ]mown, and whp, 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 applic atio% 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 worlonanship. BATH LAVA SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBE S HOWERS TORIES SINKS SINKS TysB URINALS BASIN DRAIN FOUNT, NO FIXTURES CON". - LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE- SOLAR DEEP SPRKLR. SWIM'6 TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL I CONTR. LIST CHECK Size Septic Tank-_ _ _ _ —Type of Tank--- _._ _ , __,_---..._____Capacity Feet of Drain Tile .---- __._ _Dist. Feet of Tank or Drain Field from Well_- _ _ _ _ -_ --- ____.--- _._.._ - - - -. Nature of Water Supply: 4 v Amount of Permit $ Soakage Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligaj%ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanedt 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 suh -contr on work to be performed under this permit, as are licensed by Miami Shores Village. (Sigma) — ----.. M�..._..___ _._�--------------------- - - - -._ -- Master Plumber. STATE OF FLORIDA, as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well ]mown, and whp, 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 applic atio% 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 worlonanship. 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 PI and specifications must be kept at building during progress of the work. Date... - ..... - .... -- __ _ _ _ - ...... ..- ............ 19- �... Owner s Name and Address ........... A� - - - -- • - •---- -•• - -• - - - - -•- - - - - -- No------ ---- - - - - - Street -------- •- • - -• -- .................. Registered Architect and /or Engine - ---- - -- - N ---- Name and address of licensed contractor.__.- ___- _ -__ - -_ _ —_ -- - .. '= = _.'--------.____ ------- -- ----- --- - -------------------------------------------- - ---------- Location and legal description of lot to be built on: Block----- _-- _-------------- - - - - -- Street and Number where work is to be State work to be done and purpose of buildpg jby floors) v _ -_ _ _ _-------------------------- - - - - -� --V _ __- ------ __-------------- - - - - -_ ____ -__ -and for no other purpose. New Building------- -- ------- -- ---- Remodeling -------------------------- Addition _ ----- - --- _------------- Repairs --_--- -.- ____________ - -___ No. of Stories -------------------------- To be constructed of------------------- - - - - -- Kind of foundation------- - - - - -- ---- -------------------- - ° ° - - - - - -- Roof Covering ----- ___ ............................ _------ ---- _____------- ..-__- Amount of Permit $.._- __ - - - - -- `� Estimated Total cost of improvements $_______� - -_ _ Zone cubage required ____--------- -- -- ---- -- - - -- — - -- — _,_ —_flan Cubage ------ --- - ----- - - - -- - -_ -- - -- -- - - - - -- - - - - -- Distance to next nearest building-- _-------- _---------- ___ -__ __._._ -_Size of Building Lot ------ _— _-- ___,______ --- _.- --- -- -------- ___._____ Maximum live load to be borne by each floor - -- ---- - ------- - ---- --- — -------- ------------- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to - -- __ �_.--- --- _-- -_---- ---- __ —_ -- The undersisigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under th e Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employe him in the work to be performed under this permit; and will post or 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?ptyactors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks_— __ ---- ___ -__ (Signed)-.--- STATE OF FLORIDA, .mod~' •t►a COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared— ----------- - - - - -- - -- - - - - -- _ _— - _ ---------- - -- - - ........... - ... _ .... ____............ ____._.___ .. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.. ------------------------------------------------- - -------- — _-- ----- - ................. _ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No._ _ _ ___ _________ Date_____— _____..__._____.__.. Read, Sworn to and Subscribed before me. Disapproved —_ - -- - Date--- •---------- -------- - - - - - - -- -- • -- -- (Signed) Notary Public, State of Florida Building Inspector My Commission Expires ---------- - --- - ------- --- _- -------- - ------ __ -- _. PLANNING BOARD_-_- - --- --__DATE Chairman__ - - _ _ —_ —_ - - _ - - - _ Member _ _ - ---------- —_-_____-____ --- ----_------------------- ------- ---- ------ ----- Member- - -- - - - ------ ---- - - -- -- —_ - - - -- Member - - -- - -- --- ------------ - - - - -- - _ _-------------- --- - --- -- Member ----------- - ------- ____-- --- - ------ - ----- Member Council Approved - -_ - -_ __ - - - - _- - -- — Date Disapproved - - - -- - ---------------- --- --- -- -------- -- --- -- ---- -- --Date NOTE: A charge of $1.00 will be made for making 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. I o ,4� MIAMI SHORES I E tAo0­ BUILDING INSPECTION 6 / . VI LLAG,E DEPARTMENT' APPLICATION FOR BUILDING PERMIT Applicati hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build - in or other tore herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, lorida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores V' ge and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified ur ot. A copy of approved plans and specificati ons must be kept at building during progress of the work. Date Owner's Name and Address_______ ® i nJ No._ Registered Architect and /or Engineer__ ®-°"' Name and address of licensed contractor Location/and legal description of lot to be built on: Lod -7 —d` 'z V Block_ Z / aP Subdivision �'�. ✓9 �+. �e oSL 0, �- Street and Number where work is to be done !:P/ jt oJC2, State work to be done and purpose of building (by floors) jC -+J- _7-of 1*1�l - I and for no other purpose. New Building " —__ Remodeling Addition, Repairs____— ___ No. of Stories To be constructed Kind of foundation Roof Covering— Estimated Total cost of improvements $__-"J o � Amount of Permit $___,� Zone cubage required plan Cubage Distance to neat nearest building Size of Building Lot--:_ Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference toi the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted f e 'on on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such beon ctors, on work fo be performed under this permit, as are licensed by Miami Shores Village. _ _r ' Remarks —_" ( Signed )— STATE OF FLORIDA, COUNTY OF DADE. I ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowled . gments, personally ap- peared —to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _ _ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, aqd that all facts therein by him stated are true. Permit No..- � Date - Read, Sworn to and Subscribed before me. Disapproved _�w_ Date ( Signed) _ __ _ Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD �_ —DATE Chairman Member Member ^_ Member Member _ Member Council Approved Date Disapproved -----------Date NOTE: A charge of $1.00 will be made for making 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 worlonanship. MIAMI SHORES VILLAGE /J;y 4wof BUILDING INSPECTION DEPARTMENT APPLICATION FOR BiTILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall he complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Registered Architect and/or Engineer Name and address of licensed contractor � wzeA Locatdo) and legal description of lot to be built on: Lott- Block / / 6� Subdivision Street and Number where work is to be Date f (/-� Y 19 a9i No. Street `�4O 7b be constructed of Bind of foundation Roof //Covering c, .�j� 0V Estimated Total cost of improvements $ ���� `�' Amount of Permit $ / Zone cubage required Plan Cubage Distance to neat nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts ' o ligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, has omplied with the ions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed t 's permit; and will t 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 employ only such bcon on els. be performed under this permit, as are licensed by Miami Shores Village. / Remarks (Sianek STATE OF FLORIDA COUNTY OF DADE. } se' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same and that all facts therein by him stated are true. Permit No. X7 � Date Read, Sworn to and Subscribed before me- Disapproved _ r Date (Signed) Building Inspector My Commission Expires Notary Public, State of Florida PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. et�' 1 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.__ -x,7 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 DiAsion 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 Addressd Registered Architect and /or Employing Plumber's Name Imo, ';'e'e Location and Legal Description Lot_._.._._ B1uek Subdivwon..._ —._ _. Street and Number where work is to be Derformed—No. Q-0. ,- /7 State work to be performed and purpose of building (By Floon) � A � %,, NOW.Build�g _ Remodeling Addition--­ Repairs--X-------- _ No. of Stories... ...... _........ Size Septic Tank.. _ r Type of Tank .. - -- — _,_ --..-- __-_Capacity Gals.--..-- — _.. _-• ---- -• Feet of Drain Tile—.—_ Dist- Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. -Size of Soakage Pit ..._____ ....... ..._.._.�..._ Amount of Permit $ (Signed) -- - — Plum g lnsnec or. -_ The undersigned applicant for this building permit does hereby certify that he understands and accepts bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida anent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contra 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 wo 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 licensed by Miami Sham Village. permit, as are (Signed) ----------- - Master Plumber. 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, neon oathdep uses and. rays that he is 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 worlmaanship. CLOSETS Bugg SHOWERS TORIES SINKS $ SLOP SINKS TuUBeRY URINALS BASIN FLOOR DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD .SOAKAGE PIT GREASE- TRAP SOLAR HEATER DEEP SPRKLR. WELL SYSTEM SWIM•G POOL LCONTR. Q - - CHECK Size Septic Tank.. _ r Type of Tank .. - -- — _,_ --..-- __-_Capacity Gals.--..-- — _.. _-• ---- -• Feet of Drain Tile—.—_ Dist- Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. -Size of Soakage Pit ..._____ ....... ..._.._.�..._ Amount of Permit $ (Signed) -- - — Plum g lnsnec or. -_ The undersigned applicant for this building permit does hereby certify that he understands and accepts bligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida anent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub- contra 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 wo 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 licensed by Miami Sham Village. permit, as are (Signed) ----------- - Master Plumber. 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, neon oathdep uses and. rays that he is 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 worlmaanship. MIAMI Si RES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein descri bed. 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 PI ans and specifications must be kept at building during progress of the work. (J /� 9 Date.._ ! Y!i -- - - - - -- 19 -_6 1— Owner's Name and ------------------- No = 1._I_-- -- - - - - -- Street.- VC - -_ -- 4- 1 ---- _ . Registered Architect 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 - __- _-A_..... t.° ------- - ®3.___ -. A? - -# ----- __._--- .____--------- - - - -_. State work to be done and purpose of building (by floors) -------------- - ._-.- _- - - -___ — -- - - — - - ®wl - --- --------- - -------- --------------------------------------------- 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 $- -- ___ -..- ------- - ----------- -- ------ 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 in 'on on the site of the work such uI h notice or notices as are required by the Act. The undersigned agrees to employ only such subcon work to be pei(oriunder this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. I ss Before me, the undersigned authority, a notary public, duly 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 *hPTP-in by him stated are true. Permit Disappr ( Signed Chainn; Member Member Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires _.— _____ ___ ____ ___ -___. ------------------------ - - - - -- -DATE 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. s. s f� MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT r = APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and El Date � E 19 No Street Registered Architect and /or Engineer Name and address of licensed coatrac "�+ —{�,� l e Locatiop and legal�de�scjription of lot to be built on: Block 14 Subdivision Street and Number where work is to be New Building Remodeling Addition Repairs No. of To be constructed of Rind of foundation �Roo�'yovering Estimated Total cost of improvements $ �—� mount of Permit $ Zone cubage required Distance to neat nearest building Maximum live load to be borne by each floor Cubage of Building I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to 3-31,5_0' The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under 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 ploy onlybcontrac , on work to be performed under this permit, as are licensed by Miami Shores Village. 7 �6� Remarks (Signed) 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 of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. Date ® Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida 1Signedl Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. .76w- MIAMI SHORES VILLAGE 6 3J- BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein. described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date Mao 1901 Owner's Name and Address t�%Yllllf4d %� �%%(et7�/t�/TO Z72eGtl2� /���eZ No. 3 %/ Street l613 S Registered Architect and/or Engineer Name and address of licensed contractor Location and legal d�ejscryripti of lot to be built on: d� Q J v ®` dock r/ Subdivision /ls � / Jr ®x fo Lot ® ; Street and Number where work is to be done —L! /03 Sr State wor4A''q be done and purpose of building (by floors), state exterior colors (submit samples) ©2{24 t�Ed!%.�C .�Gd2S oy azz !Ji%%J ,o rz-t Y`e Q r l P W e c ra i- l Ga e e4& 9 and for no other purpose. New Building Remodeling_ Additirm Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ ,7lj� �' Amount of Permit S '511 Zone cubage required plan Cubage Distance to next nearest building Size of Building Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligators 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 agree to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. 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 fore /going application, and that he did sign the as= and that all facts therein by him stated are true. Permit Na �C � b 75 co 7-< Date ® Read, Sworn to and Subscribed before me. Disapproved A r JA Date (Signed) Building Inspector Chairman IT, Member Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Member Member Member Council Approved 'Date Disapproved Date NOTE: A charge of $25.00 will be made far making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. F /. (ND 1•D• 15- ,R W LGEY 9.0' AS PNAL r �''e'�'� I 77.70'M. CNoiv� 35 Sr YA of o 1 ,vs �+ Q . 00 V N 4' 5LA6 Ale V N4 'C41 /o• JIB' n b In a v ONE 5 TO R Y ; \ N RES. 39/ O R V �} /0.19 3/- 43' Cl<I 0.14' y ��•9' LB�o 8 ` v � 5. _co Ale- , ANAL,C 7- 2-S• /o (No 1.o) , ` 7.90 M. f y2' p - 39.3 098 � � 90 �2.•do j03 ro/ 1 r�eEET LEGEND: �'�• A =ARC D/H - DRILLED HOLE M.E. =MAINTENANCE EASEMENT P.O.C. -POINT OF COMMENCEMENT A.E. -ANCHOR EASEMENT EL =ELEVATION NA) MAIL & DISK P.P. =POWER POLE A/C =AIR CONDITIONER EP =EDGE OF PAVEMENT NIT =NAIL & TAB P.R.M. =PERMANENT REFERENCE MON ASPH. = ASPHALT EW =EDGE OF WATER NO. (or#) - NUMBER PVMT. - PAVEMENT BLK -BLOCK ESMT. =EASEMENT 01H - OVERHEAD R - RADIAL B.M. -BENCH MARK F.B. =FIELD BOOK O.H. - OVERHANG R.P. - RADIUS POINT BCR =BROWARD COUNTY RECORDS FND. =FOUND O.R.B. - OFFICIAL RECORD BOOK & PAGE R/W =RIG4T-0F -WAY B.S.L =BUILDING SET BACK LINE F.P.&L - FLORIDA POWER & LIGHT P -PLAT S.B.T. =SOUTHERN BELL TELEPHONE (L =CENTER LINE IJE. E. =INGRESS/EGRESS EASEMENT PB -PLAT BOOK SET LR =SET 1!2•• IRON ROD. CAP #SM C.B. = CONCRETE BLOCK INT. - INTERSECTION PBR =PALM BEACH COUNTY RECORDS SET N/D =SET N/D LB# SW C.B.S. = CONCRETE BLOCK STRUCTURE I.P. =IRON PIPE P.C. =POINT OF CURVATURE SNY =SIDEWALK C.O.R. CORNER I.R. =IRON ROD PCP - PERMANENT CONTROL POINT TS -TOP OF BANK C.L.F. --CHAIN LINK FENCE LB. - LICENSED BUSINESS P.T. =POINT OF TANGENCY U.E. - UTILITY EASEMENT CONC. -CONCRETE LS. - LICENSED SURVEYOR IL =PROPERTY LINE W.C. WITNESS CORNER D.C.R. =DADE COUNTY RECORDS M. -MEASURED P.O.B. -POINT OF BEGINNING W.F. WOOD FENCE D.E. = DRAINAGE EASEMENT M.H. =MAN HOLE WI.F. =WIRE FENCE D.1. - DFLMNAGEINLET A =CENTRAL ANGLE BEARINGS -USED IN THIS SURVEY ARE BASED ON NORTH ARROW ORIENTATION, FIELD DETERMINED ELEVATIONS ARE R LATWE TOO N.G.V. D. OF 1929, . 1 '� 3(J._ NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER MARK D. STURGIS-, P.S.M. I " REGISTERED-LAND SURVEYOR AND MA_ PPER ND. 4829 STATE OF FLORIDA ONLY EASEMENTS, RIGHT OF WAYS ETC. READILY KNOWN ARE SHOWN. NO RESEARCH OTHERWISE HAS BEEN MADE. SCALE: / ��_ �. DRAWN BY: BY: FBJPG.: DATED: .q,e 1 /- z0 -.q7 ilae 97 -85/0 ALL COUNTY SURVEYORS BOUNDARY SURVEY FOR PROFESSIONAL SURVEYORS AND MAPPERS License Number 6677 ULISES PEINADO . PHONE: (954) 777 -4747 FAX: (954) 777 -2707 5950 W. OAKLAND PK. BLVD. • SUITE 108 • LAUDERHILL, FL 33313 V I PROPERTYADDRESS. 391 NE 103 STREET MIAMI SHORES, FL. 33138 LEGAL DESCRIPTION: LOT 24 AND THE EAST % OF LOT 23, BLOCK 118 OF "NIIANII SHORES SECTION FIVE" ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 10, PAGE 47 OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA CERTIFIED TO. ULISES PEINADO PANTHER TITLE OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY DOW GUARANTEE COPRORATION, ITS SUCCESSORS AND /OR ASSIGNS FLOOD ZONE INFO:_ COMMUNITY # 120652 PANEL & SUFFIX # 0093 J FLOOD ZONE X BASE ELEV, N/A LOWEST FIN. FL. HOUSE: GARAGE: DATE OF INDEX: 7/17/95 PREPARED BY: ALL COUNTY SURVEYORS 5950 W. OAKLAND PARK BLVD #108 LAUDERHILL, FL 33313 1(800)860 =9119 i Vf V(,Ltwc- OF µ 1h1vYt y t m 133 201 371 36 Art o a W3630 W3630 A 26 1 B36 SB33 DISH. 24" DB1 7 so B12R 30" RAN 'E B12L B9R 36" REF RIG 321 4q '4k RW1242 W3030 12 A80N R 942 W3624 or 56 30 46 1331 2!201403 Scale: maximum Design: Q2f2 W Dwg no. AU dimensions 8 size designations THE T his � an original design and must Data : Q?l27/98 given are subject to verification an not be released or unless � � job site and adjustment to fit job HOME DEPOT applkable ree has wpb 391 n.e shares street Designer conditions. order placed. miami shores fl Ian Note: This drawing is an artistic 222014133 Dwg no. interpretation of the general "m � appearance of the floor plan. It is HOME DEPOT Ulysses n.e.103rd street not meant to be an exact rendition. miami shores fl Mil . r A APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY hereby apply for a certificate t6—re-occupy the single family residence known as: (address) 11[ E 1 3 c'1— Nfiami Shores, Florida. Legal description: Lot: ,31ock: ,PB&PG. I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by vfiami Shores Village, Florida, certifies only that the referenced property is being used for single- family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. PP Date: c Print Name: J v a ru N A *A/ For the purposes of conducting the inspection required by Section 902 of the Nfiami Shores Development and Zoning Code, contact: Contact Name: 41V q'0111 d �i one: Buyer. Seller-_ Company Name: Application Fee (S50) Paid: Cash:_ Check: Number. % t� Inspection: By A enied: Date. ' _ Comments: 1#i - f, - 12 /-/,, CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the application has been inspected for the purposes of re- occupancy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the applicant for single - family residential purposes. MIAMI SHORES VILLAGE, FLORIDA By: Date of Certification: 41 THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIANII SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE iMIAitiII SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE-FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PRETNUSES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PARTIES ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION THEREOF. tZ00F )RfF- LOOP CO BE ] 0' MAIN CD rr_OJ0IA a aornuri IETER LL rr f'vC aJ - -- _F RITSNED rRAME PANEL pMOOT w� {-- rEm uur G� t1t/P SUB CB PANEL kTNLk UK r Conduit Sizr_�_ . Canduc-t type- "Rl 6% (�-aI2 . Thru rloo -r._._�_ . Y ES ^ .___NO Ground WIr-c W4 DI S YCH414ECT Rafinp �0o Amps • . Halm /.� 0 _Amps Sub $reo,ice" —_—Amps SUB FEEDER Newr Type - size Bond a$ew• 01S[DE PANEL Rafting .2,00. _Ad-tps Bond Buss . V _ i' es _Na .LoCc.-tx►n, owS� � ��X�_ CONTR NS 'l`CD . S IGHATURE OF at TRA OR NOTARY t�+U' M!N llEPllf Will urn A R F> E D eiin r, T T c-'` T FI h IL 4• City of Miami ITEMIZED LIST FOR PERMITS -- Plans Number: Permit Number: Folio Number: INSTRUCTIONS: This Ust is required for processing Electrical, Mechanical, and Plumbing permits. Please attach to your permit application. Job Address: PLUMBING NUMBER PLUMBING ( con't) NUMBER MECHANICAL No. Specs Value Rough . Set Fixtures: ELECTRICAL No. Units A/C Refrige.Commercial Bathtub Outlets, Rough Wiring Commercial Hood Vents Bidet Ranges, Cooling Tower /Chiller Dishwasher Ovens, Range Tops Duct Work Disposal Water Heaters HEAT Drinking Fountain Refrigerators Mech. Vent Laundry Tray/Washer Dryers Ventilation Lavatory Clothes Washers Smoke Removal Shower Dishwashers Fire Suppresion Sink (Comm.) Disposals Mechanical Elevator No. Specs Value Sink- Residence Space Heaters Amusement Rides Urinal t Air Conditioners j Casing/Jack Water Closet Fans ertificate Air Cond/Safe Waste Motors Elevator /Escalator Cap Fixture Service 1st. Year Inspection Discharge Well Sub Feeds Internal Comb. Eng. Etc. Water Htr. (below 200,000 BTU) Fixtures Wor Bulbs Generator Test Floor Drain Parking Lot Lt. Fixture Heads Hoistway Grease Trap (Interceptor) Sign Transp. Assembly Hose Bib Time Clocks Turbines Indirect Waste Alarm Systems Mechanical Boller No. Specs Value Lawn Sprinkler System Temp. For Testing Boiler Liftstation Sump Pump Temp. For Service No. Sq. Ft. Process/Press Piping Pool Piping OTHER Shop Insp. Roof Drain Signs Steam Equipment Solar Water Heater Sign Single Faced Unifold Press Vessels Storm Sewer LF Sign Double Faced Mechanical Gas Rough Set Water Service Painted Wall Add. Meter/Tank Pump /Abandon Septic Tank Sign Repair Sign Boiler Repairs & Misc. Promotional Special Event Sign Bunsen Burner Septic Tank G/S Temp. Banners, Flag, Balloons Central Heater Sewer Cap Gen. Adv. New Const. Dryer Sewer Connection/Sanitary Gen. Adv. Repairs Sign Fryalator Sewer Conn. Septic Tank Gen. Adv. Embelishement Oven Temporary Water Closet Electrical U Yes ❑ No No. Items Range Paving Landscaping Range Tops Area Drain Inlet Ground Cover S.F. Siaman Der. Area Drain or Catch Basin Trees ea. Space Heater French Drain Cubic Feet Hedges OF S.F. Cost Water Heater French Drain Inlet STRUCTURAL Service Manhole Roof Meter Paved Area (Square Feet) Slab Change of Comp. Fire Protection Curtain Wall L.P. Fuel Tank Fire Pump insulation OTHER( ) Fire Sprinkler Addition Medical Gas Specs Value Flow Test Remodeling Hose Rack/Fire Dept. Outlet Pools (Gallons) Hydrant (Miami Stand Only) Jockey Pump Roof Manifold Siamese Standpipe Water Supply I U I 13U174 7b HBV. WAR / -673 1 `f `PAMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date Y1 Job Address Tax Folio -& cie%z Legal Descriptions f���� j Master Permit Owner / Lessee / Tenant iZ Owner's Address C) jps� J=_ , hlj M 11, f ,•, . . Phone Contracting Address 0q) J A�TL•�)Z Qualifier �raa,& .emm SS# I Z - -0 15 Phone State 0.04 z 9'5 7 Competency # 139 % Z (j Ins Co. Architect /Engineer Address Bonding Company Mortgagor Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION 1Z £ SOw�FI I.Ya I tL6TAIL -A aD , #9!D Square Ft. _so. Y=-r, Estimated Cost 7Da . ©D T' 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 standardscbf all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signal gwwar-Apd/or Condo President Signature of Contractor or Owner -- Builder Date: a e: Notary as to Owner ondo President Nota as to Gen .e3 Y PUBLIC STATE OF FLORIDA My Commission Expire NY COhfl�_9ii_SSY0�1 EXP APR.25.1 95 My Commission Expire * * * BONDED �liRU GENEAL INS. URK PERMIT FEE: APPRbVED: Fire Othei 9D •OD �d -ewner- Builder NOTARY PUBLIC STATE OF FLORILTA 14Y CO SSIm EXh APR.2S,*995 UGEFERAJtjj4S. Ui1D. Zoning Building Electrical Mechanical Plumbing Engineering PERMIT # Tax Folio No. / //.�/O C NOTICE OF COMMENCEMENT State of Florida County of Dade , �3 31 3 b' •-�, THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. %t 1. Description of property: (legal description of the property, and street address if available) -Ve 1os�` a �ee>< �1F /a� �3 c4�._� n/% �� Ca7 ='c! /;, �; /c�, iL�A�r, %�AIY// _ YI /a r S()c 1,de ca /i, C'il CO din /.,, r �; I r_ eco rah '-0) ri 2. General description of improvement: �e` r0 r D% 3. Owner information: a. Name and Address: re Z b. Interest in property: /�� / y ?rl rGz c. Name and address of fee simple titleholder(if other than owner): 4. Contractor: ( name and address) _�%1%���,L ,�pa t Ily y of /yllloHi, '.,1•Sw I5. Surety: a. Name and Address b. Amount of bonds 6. Lender: ( name and address) -,�L 7. Persons with the Sta,te of Florida designated. by Owner upon.whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: (name and address) B. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice ari.gprovided in_Section 713.13(1)(b), Florida Statutes. 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date ids specified) Signature "jof Owner Swor to and subscr:.bed before me this day of %(17 , 1991. /L{G� T ! NOTARY PUBLIC. cT,%'rE O,r FLOM& MY C:OM'SlIssioN h:xpikEs: SEPT. 21, 198x. Notary Pub l is My Commission Expires OONDl<D THRU NOTARY PUaLle STATE OF FLORIDA COUNTY OF DADE o , ' °a HEREBY CERTIFY that this is o��� °/ `o. r opy of th!► �''�� original fil n thlspVce on d f C r ^? VYITfV �,,, r 19"� -1` ^� ;� q' l 8ea 1. M'Asa-0 v" Clark Clhaul u $Y __ o.C. . . ,A CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA �D 368 BUILDING DIVISION Own ent or TenyLnt of Building 'r Lo '` 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 will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. 'BUILDING DIVISION ADDRESS 391 NE 103rd St Ez 23 -24 Blk 118 MS #5 LEGAL RECORD GARBAGE TAX PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER � �° 3, yY � q7 ,moo q /2 -3 1,7-00 Z - /Z- (1 IOJJ- -- 7 -z1 -v tom" • 7 e/ e / t y �fe�,� Q�� yonl �qS1- la.ea la-s sat /9 / 1 - a3 -NEI 43a all MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 194 ELECTRICAL ERMIT N° 4321 Contractor's PLUMBING Work to be performed under this Permit f t ` Owner of ra Building �,-- Architect Contractor or Builder- L"�` -�-' Legal Lot II Bl. Subdi- Description vision Address of I Value of iI Amt. of Building ;(.+ 1 1 / .A^�'' 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 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 drawin -s or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. t $ Signed: ' a _ BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered4bereunder in compliance with ��jj11 dinances and �g]�aame!�ns pertaining thereto and in strict conformity with the plans, drawings, statements or specs ons submitted to the proper authod4of Miami Shores Village. In accepting this,permit I assume responsibility for all work done by either myself, my agent, or employee. CONTRACTOR OR BUILDER BY AUTHORITY Ni S 1 G CAI. ING G it of MIAMI SHORES VILLAGE, FLORIDA ❑ DATE 1951_ ❑ PERMIT W? 11384 Contractor's ❑ License No. ❑ Work to be performed under this Permit tect actor .lder iption Lot II Bl. s of h9 f,f Subdi- vision Value of .., . e Project $�% Amt. of Permit $� jThis 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 in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, s, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any he 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 is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ng 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 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 ng thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. ting 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 ROOFING Owner Buildin Archite - ontrac or Build Legal Descrip Address Buildin g MIAMI SHORES VILLAGE, FLORIDA ❑ DATE 195 PERMIT W? 1210'7 Contractor's F-1 License No F� Work to be performed under this Permit of a - for er Lot II Bl. Subdi- tion vision of Value of Amt. of Project $ I 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 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, gervant 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, gervant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA WILDING DATE :LECTRICAL PERMIT N° 4506 Contractor's License No. 'LUMBING Work to be performed under this Permit +' )wner of 3uilding architect I ontractor )r Builder Legal Lot Bl. Subdi- vision 194 ss of Value of Arnt. of ng Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device d cribe in the appli- herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in mp ance with any drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Per vteul ay be revoked time if the work is not done in compliance with such ordinances or if the plans are changed "without authorization. A further conditon which this is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge ordinances and ions pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- 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 ling thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. epting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL PERMIT N?` PLUMBING Work to be performed under this Perini Owner of Building - — Architect Contractor or Builder Legal Lot I Bl. Description Address of Subdi- vision Value of DATE 194_ Contractor's License No. Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 Perinit 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 BUILDING ELECTRICAL PLUMBING Owner of Building Architect MIAMI SHORES VILLAGE, FLORIDA DATE' , 194- PERMIT M 1. 4119 Contractor's License No._ Work to be performed under this Permit I I J Contractor or Builder Legal Lot Bl. Description Subdi- vision Address of Value of II 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 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 MIAMI SHORE'S VILLAGE, FLORIDA [LDING ❑ ❑ ;CTRICAL ❑ ❑ PERMIT (Contractor or Builder NA 32'73 Work to be performed under this DATE 195 . Contractor's License No. Legal Lot Subdi- Description �� Bl. vision _ Address of Value of Amount of . Building Project $ __— �+ Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, 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. wgnea:_ _ BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 6 I BUILDING ❑ ELECTRICAL E] P - 1/ 195 d� — PLUMBING El PERMIT N� 6 5 51 Contractor's. License No. - ROOFING ❑ fit, Q Work to be performed under this Fermit Owner of _w Building t'` ✓ }r Architect Contractor or Builder V I C V • t,r...1 c C. i�.. 4 t t d , Legal Lot Subdi Description Bl. vision Address of t` Value of ; Amount of " Building Project $_ 1 V 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. r`% f A r' ''�-- In consideration of the issuance to me of this permit I agree to perform the work covered pertaining thereto and in strict conformity with the plans, drawings, statements or specifications sub: cepting jhi� permit I as me .span ability for 11 work done by either, myself, my agent, servant CONTRACTOR OR BUILDER BY BY: p6under in compliance with all ordinances and regulations =d to the proper authorities of Miami Shores Village. In ac- employee. AUTHORITY s BUILDING ❑ M/ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ MIAMI SHORES VILLAGE, FLORIDA DATE. lg f PERMIT N° 3927 Owner of Building Work to be performed under this Architect Contractor or Builder Legal Lot Description Bl. Subdi- vision Contractor's License No. Address of r, w ., Amount of 11 Building 11f 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: INSPECTOR 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. ,. CONTRACTOR OR BUILDER BY AUTHORITY ABBOT PRINT MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. — 4 3�L Darn 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 — ` � _ No. M2 �''"' ° '°r' . Street® Registered Architect and /or Engineer ^ Employing Electrician's Name Location and Legal Description Lot n4 T W& Y. Q 2 flock I A, Street and Number where work is to be performed No. (/4 n44__,_ A4 State work to be performed and purpose of building (By Floors) New Building _ Remodeling — Addition Repairs - - -_ No. of Stories Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, 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 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 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 A /� i/Zsi9i!- � - fA-7� CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO IOTA CONTR. `® LIST CHECK Overhead Size Feeders Conduit Sw. � Amps. Fuses Service ____E__ _ Main Underground Main _-Amps. Type of Installation — Conduit Tubing A--- B.X.L.—Metal Moulding Amount of 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 labs under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as ate required by the Act. The under signed agrees to employ only each sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. oe rZe (Signed) STATE OF FLORIDA, o Master Electrican. COUNTY OF DADE_ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, 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 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 materials and /or workmanship. ,19 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 12"10 -I I Job Address 3a I ST - Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant A N W-luu-) R A N (='0 LA-+`l Master Permit # � Owner's Address sat t iV E -10 ST: Phone contractine Co. `F'-o uJ • TtFW A t tL CCm iD t Tio t.I i hl (, C'sRP Address 70"13 SW ► 3 T MPL . Qualifier N AQ w SS# Phone 'z *4 - so s State # tAC. V S-4 31 1 Municipal # Architect/Engineer Competency # Address Mortgagor —Address Ins. Co. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 0-4 4 KJ 4-M 0-U'T L--XG l ST 1 N c9- 3 �qvi PW4� N T a-^L�y . 00 Square Ft r s/0 o 't - Estimated Cost (value) 1900 . WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR EU PROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated 6gt� X- T'Me-t4-� t7Erti �A-TA c tl�c—t Signature of owner and/or Condo President Date Signature of Contractor or Owner- Builder Date Notary as to Owner and/or Condo President My Commission Expires: Date Notary as to Contractor or Owner - Builder My Commission Expires: FEES: PERMIT l RADON C.C.F. � NOTARY APPROVED: Zoning Building Mechanical Ll Plumbing Electrical Engineering BOND TOTAL DUE Date PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date r j / Job Address 3 9/ 12�1 3 S� Tax Folio �,z zl my / Legal Description Z S Master Permit # Owne / Lessee / Tenant Owner's Address Contracting Co. /t /did= Address Qualif ier Phone SS# - - Phone State# Competency # Architect /Engineer Bonding Company. Address Address Mortgagor Address Ins. Co. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION_ 01,110-1,12e 1-7e e14?4-ire_ `16&Se , v � Square Ft. Estimated Cost ,$ /, 0 ff el, 60 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. 'L. 'g, Signature of Owner an /or Condo President Date: Nota as o Owner and/or qn President My emission Expires: / /ems , Signature of Contractor or Owner- Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: PERMIT FEE: APPROVED: Fire 0 �1 Zoning Building � .�D Mechanical Plumbing Other Electrical Engineering ./' PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date $ f 8®1 Job Address / AIC ���? Tax Folio Legal Description Historically Designated: Yes No Owner /Lessee / Tenant Z� %Se_ /I%i w.-/ e e Master Permit # V6'661. Owner's Address l X/- C— 1,03 Phone (3. f s) —,2 ;2o-3 Contracting Co. 4 d ej" � � ,► t - Address ,�/ Z - a✓ /'.3f Ss' Qualifier SS# ` Phone j-- 6_? State # Municipal # Competency # ®QO Ins. Co. Z �-ea-,�'k Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL LUMBING MECHANICAL ROOFING PAVING ;FENCE SIGN WORK DESCRIPTION Z4 a, A-" 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 BWROVEMENTS TO YOUR PROPERTY OF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction a d-zenm. F&rthermore. I authorize the above -named contractor to do the work stated Signature of ft9and/or Condo Owner Date as to Contractor or My Commission Expir6s: My Commission Expires: Marro T Rosas * fMy commissim cceelele Expires August 9, 2003 /� ;J� FEES: PERMIT V RADON C.C.F. v" NOTARY APPROVED: dwa.A D. l,%tftt ConuWsai£n 0 00 ,66406 Expires Get, 11, 2003 Bonded Thru Atlantic Bonding Co., Inc. BOND TOTAL DUE,_ Zoning Building Electrical Mechanical Plumbing Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Q — q Job Address 3' / tl z 0 S 7' . Tax Folio (/'- % 360 J .3 G 2 5 C Legal Description Ffistorically Designated: Yes No Owner/I.essee /Tenant AA 66 ( kJ /j Q y) t Master Permit # � ® 0 Contracting Co. Phone °? / - do Af Address i® i 0 Qualifier Fra 0 C-f 1- SS# ' ' Phone e� � � - S� �,5_$r Ins. C $ r I/L5 , ROOFING PAVING FENCE SIGN 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 bn the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in'ithis jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor tgdo the work stated„ ignature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: A _ t{ �% ] OI'FIOIAL NOTARY SEAL SANDRA M MONTIEL E COMMISSION NUMBER OC401261 MY COMMISSION '10. op /C �i Signs n actor er- Builder Date Notary as to Contractor or Owner- Builder ' Date My Commission Expires: l02 - lam_ 5.7 Pub OFFICIAL NOTARY SEAL t� ti SANDRA M MONTIEL W0* COMMISSION NUMBER < CC401261 MY COMMISSION -EXP. FEES: PERMIT W%'l `a- RADON C.C.F. - - NOTARY APPROVED: Zoning Building BOND TOTAL DUE % OWN! Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee /Tenant X 411 bey Al- 19el� 4,&210 Master Permit # Owners Address /i�t/�� �O Phoneme —� contracting °5rdL fAel fAIAI GOA fl'�rlbS l 4el Address /�3 40e •`�ri� /�l, , � Queer j Go 71;1 % SS# Phone ZZ6 7,9 7J- State # Z 76 3 / Bonding Company Mortgagor Municipal # competency # Address Ins. Co. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK 00 Square Ft Estimated Cost (value) /,0001 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -name r to do the work stated �yy ` ©GriheP' Signatur of owner and/or Condo t Date Si a of Con ctor or er- Builder G� 300- o- g-� 3 �'y �- o N tary as to or Condo President Date Nofiq as to C trac er- Builder Date My Commission xpires11F�°►t. R1�iI'AFYSFAL My Commission Expires: GLADYS j `" L� 1; OFFICIAL NOTARY SEAL NOTARY PUBLIC SI'A� E OF FLORIDA GI.ADYS J iTE OF COMMLSSION NO. CC714103 IoTOTCO In ESIO 5T ATE 9F 14103 FLORIDA MY COMIyLS610N EXP. ]L C(?F.tIaILSIOi�d NO. rC714103 fAR.1.2002 My COM,MTS1,;!0N FJfF. MAR 1,2M FEES: PERMIT o RADON C.C.F. + �! NOTARY J BOND 6� TOTAL DUE _L45� APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering EZW PERMIT APPLICATION FOR MIAMI SHORE$ VILLAGE Date Job Address I Description Owneviasee / Tenant Nm tr Owner's Address -I;q 1 145- ( Op?r Contracting Co. Queer State # Bonding Company Mortgagor 46 low e-e- Tax Folio Intoric ally Designated: Yes I UA 6'Cs LfAmAj ® Master Permit # a ° Phone ( 03) Address tl71 4e (0,7GV -4 SS# - 76 - OW Phone Municipal # Ins. Co. Permit Type (circle one): BUIELDING ELECTRICAL PLUMBING MECHANICAL ROOFING PA VING FENCE SIGN WORK DESCRIPTION 64 6E f 0 uo Qw w ?—I izk °°o Square Ft. Estimated Cost (value) o '0 ttkc I �M l tj1 ®f- =rte 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 WITS 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 AFFIDAVff:. I certify that all the foregoing information is accurate and that all work will be dose in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work gfai1 �f, Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date No as to C My Commission Expires: My Commissi F Lfl FEES: PERMIT _ l ® RADON C.C.F. /- NOTARY BOND APPROVED: Mechanical TOTAL DUE Electrical Plumbing Structural Engineer A-Aalyq Date 0 '-/ —® "" ` ` PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address �� 1 PJC (U3 1"t" TaxFolio I Legal Description H'istoricall Designated: Xes No y grated: Owner1essee /Tenant � r,c� re w u a +d�eS r e e 1R.- ,1 o Master Permit # / owner's Address rJ Phone Contracting Co. Q ro i, I c r,,.— Address Qualifier SS# - - Phone State.# Municipal # Competency # Ins. Co. " AmhitecVEngineer Address Bonding Company Permit Type (circle one): BUILDING ELECTRICAL PLUM 1N G WORK DESCRIPTION Square Ft. Address Address MECHANICAL ROOFING PAVING FENCE SIGN WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made. to obtain a permit to do work and installation as indicated above, and'on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in,this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. %1.� Signature of owner and/or Co resident Date ignature of C&4actor or Owner - Builder Date 12&0 4afe Notary as to Owner and/or Condo President Date Notary as to Contractor or ,Owner -Build Date My Commission E ABEL QRENZ4 My Commission Expir ABEL CORENZ4 My Comm UP. lftl 7 1/11/97 'NOTARY AIOTARY ' �NBLIC Bonded 9y Serene Ins leusuC ! n. , I , ervice Ins No. CC252175 f% f~ P Py>NttW { j'Q *M QF 4 s "'y wwwo t j' OIho I. D. FEES: PERMIT RADON C.C.F. P NOTARY TOTAL DUE APPROVED: Zoning Building Electrical' Mechanical Plumbing Engineering I MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT / n Permit No.- -- _ _. __ Date__�.Ge 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 ,wo . Owner's Name and Address `ail_' _ — - - No.__ �l _� _ .CC__ �. Street__ _/Q 3_A-Z — ` — Registered Architect and /or ngi Employing Electrician's Nam .- N------ StreetAU Q Location and Legal Description Lot_ —___ -------- —__ Subdivision_ Street and Number where work is to be performed— No.___0W_-__,g7_/ ___1___I' �_46_i:� ---- __— ________ Street__ State work to be performed and purpose of building (By Floors) ----------------- — __-- __��__�,___�______w New Building ------------------ ------- - - - - -- Remodeling- --- -------- -- ----- -- - - -- -- Addition-- -------- -------- - - - - -- Repairs-- No. of Stories- ------ - - - - -- Service Overhead Size Feeders - __,___________ Condui ------ Main Sw.__— ___�_�_�_ Amps. Main Fuses________w._Amps. Underground �" Type of Installation— Conduit ------ - -------- Tubing________________ B.X.L ----------------- Metal Moulding Amount of Permit .Electrical al 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 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 - contrac rs, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) -_- - -- — - - - -- -- Master Electrican. 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__ 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•Pu................... ..... ._........----------- — 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. i 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 424A CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Service Overhead Size Feeders - __,___________ Condui ------ Main Sw.__— ___�_�_�_ Amps. Main Fuses________w._Amps. Underground �" Type of Installation— Conduit ------ - -------- Tubing________________ B.X.L ----------------- Metal Moulding Amount of Permit .Electrical al 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 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 - contrac rs, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) -_- - -- — - - - -- -- Master Electrican. 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__ 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•Pu................... ..... ._........----------- — 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. i MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ........1 . . ....... ........... Application is hereby made Zr the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. 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.. . 11:zl� 1 .......... No .. 1.. .3Street ............................................... . ................................ ....... t .......... .. RegisteredArchitect and/or Engineer... . ............................................ ...................................................................... .............................. Employing Electrician's Name ........ � .. , - E r-. - � � - � .................... ...... - - - - -- -... ------------------------ - Locationand 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) .......................... ............................................................................................................. New Building ................... .............Remodeling........ ................... . Addition .............................. Repairs ...... X -------------------------- No. of Stories. - -•-.. ......... Overhead .....Amps Service Underground Size Feeders .................... Conduit ................ Main Sw ............................... Amps ........................... Main Fuses............... .............. t Type of Installation--Conduit ........................ Tubing ........................ BXL ......................... Metal Moulding.... ................................ ............................... .................................................................................................... ............................................................................................................................. . ........ ............................... . .................................................... .................................................. I .................................................................................. Amountof Permit $ ....... . ..... ...................................................................... (Signed) .......................................................................................................... Electrical Inspector. The undersigned /apcant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Flori 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, 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 .......................................................................... 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. 0-1 HP 1.5 HP TRANS. CONTR. LIST CHECK Overhead .....Amps Service Underground Size Feeders .................... Conduit ................ Main Sw ............................... Amps ........................... Main Fuses............... .............. t Type of Installation--Conduit ........................ Tubing ........................ BXL ......................... Metal Moulding.... ................................ ............................... .................................................................................................... ............................................................................................................................. . ........ ............................... . .................................................... .................................................. I .................................................................................. Amountof Permit $ ....... . ..... ...................................................................... (Signed) .......................................................................................................... Electrical Inspector. The undersigned /apcant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Flori 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, 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 .......................................................................... 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. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address /V�� r Tax Folio r0 O iR q 0 Legal gtion Historically Designated: Yes No Owner/Lessee /Tenant L L /'✓�t°5 Yi G�_ d0 Master Permit # C� � Owner's Address Phone / ' OS� 70 (7 Contracting Co. & Address Qualifier ' IV XW - SS# - - Phone State # �f Municipal # Competency # Ins. Co.' Architect/Engineer l�l l 5'P ,S �Gi 417 ./Q Address Bonding Company �� Address Mortgagor /,I�� Address Permit Type (circle one): BU_U DRWr-- ZLECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION _ ( far; Square Ft. 0 Estimated Cost (value) �f(i® =_ WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO, SO MAY RESULT IN YOUR PAYING TWICE FOR IldPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize 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 6 0 RADON APPROVED: Zoning Building el- -7/21 o j of Contractor or er -Boil Date ,oq-�� t OA -1)2 /'01 Date tart' as O Con or or Owner- Builder t / t Datb My Commission Expir : ,SPRY p&e OFF191AL NOTARY SEAL ANGELA M BECKER 2�, t `�0 COMMSMON NUMBER ' Q CC766697 Z QO MY COt�PP.9SSION EXP(RES `�OFF�� NOV. 96,2 082 C.C.F. NOTARY - BOND TOTAL DUE �P Electrical Mechanical Plumbing Structural Engineer 9 I f PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7L ® Job Address .341 Tax Folio Legal Description Historically Designated: Yes No \— Owner /Lessee / Tenant 6 6 'Se� i )IA" Master Permit # � ��e> Owner's Address 5,-M e_ Phone 7 S V 27 ® 3 Contracting Co. _ A,/ /¢2- Address Qualifier SS# - - Phone ?' State # Municipal # Competency # Ins. Co. Architect/Engineer e' � Z "/;; C'-'/; 0 - � e 2 Address Bonding Company 44�� Address Mortgagor' Address I. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN —_WORK DESCRIPTION lei -tlV 1tf ?2 alIZ4 AAi� W /Go"W' , • d/1" - ®2 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 DIPROVEMENTS TO YOUR PROPERTY (III' 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. f to -7 L&Lo Signature of owner and/or Condo President Date tore f L CZ n for o Owner-Builder to ® L 0 ® Notary as to Owner and/or Condo President �. My Commission Expires: FEES: PERMIT RADON I Date V Notary as to r-on My Commission OFFICIAL NOTARY SEAL ANGELA M BECKER OOMMISSION NUMBER CC786697 My COMPASSION EXPIRES NOV. 16.2002 C.C.F. 6�NOTARY i V ® BOND'_ APPROVED: TOTAL DUE -->,65 , 6 a Zoning Building Electrical Mechanical Plumbing Structural Engineer