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MultipleMiami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 331384000 Phone: (305)795 -2204 Project Address 246 NE 103 Street Miami Shores, FL 33138 -2431 FABIO CORREA Parcel Number 1132060134880 Block: Lot 246 NE 103 Street MIAMI SHORES FL 33138 -2431 Contractor(s) Phone Cell Phone HOME OWNER Type of Work: Exterior Color. white Additional Info: Classification: Residential Color. white Approved Color. white Approved_ FABIO CORREA (305)756 -9900 Valuation: $ 1,000.00 Total Sq Feet p Available Inspections: Inspection Type: Fhal Code Comments: WALLS, FASCIA, DOOR, Color. white F Fees Due Amount CCF $0.60 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee $60.00 Technology Fee $1.50 Total: $67.30 Total Amt Paid Amt Due $ 0.00 $ 0.00 $ 0.00 Payment Type: WAR 2 7 PAID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated March 25, 2008 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Tuesday, March 25, 2008 1 ATTENTION HOMEOWNERS YOUR PAINTING PERMIT REQUIRES A FINAL INSPECTION FROM THE BUILDING DEPARTMENT. This permit is valid for 180 days. If it is not finalized during this period of time, the permit will expire, and it will require payment of a renewal fee to reinstate it and to call final inspection. WHEN THE PAINTING IS COMPLETED, PLEASE CALL THE BUILDING DEPARTMENT AT 305 - 795 -2204 TO SCHEDULE YOUR FINAL INSPECTION IN ORDER TO CLOSE YOUR PERMIT. wner's signature Thank you for your cooperation I MIAMI SHORES VILLAGE e ELECTRICAL INSPECTION DEPARTMENT `/� APPLICATION FOR ELECTRICAL PERMIT Permit NO... ......... � ... Date....... March 9,1972 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. Owners Name and Address .... _. Roland—Save ..........._............ No....... 24 .............. ». ...... Street........ a a0 .. �e...... «...... .. ......................... .. RegisteredArchitect -and /or Engineer ......................................................... .. ....... _.... ... .. ......... » .................... . .................................. _ .... ............................... Employing Electrician's Name ...... ..Shores Electric, Inc• No ....... 10611 N-W. Street...:_ AV@.. Location and Legal Description Lot ....... » ........................................ _ ................. Block ........... . ................... _ ........ Subdivision. ................. ................. ............. Street and Number where work is to be performed— No ............. ... 242 N•E .. .......... ...Street......1 .. Statework to be performed and purpose of building (By Floors) ......... _ ............... .. ............... ......................................................... ...... ............................ New Building ........... _ .................. Remodeling ................................ Addition ........... X ........ . Repairs.......... ............................No. of Stories. ..... 1........... Overhead .. total $ 9,00 Service Underground Site Feeders...,..4.. d....Coaduit .........Main Sw..2 .................... Amps ._........................Main Fusee ......_..............»...Amps Type of Installation— Conduit.. «. A ... ........... Tubing .. ...................... . X. L ......................... Metal Moulding ............... » .............. .... .... . ..................... ......... ....... w..» ......... ............................ «.. d ......................... . I ........ ................ ..... «..............» .... ». . « .. ....................... ..... ........_........... ........... Amountof Permit $....» ....: ............... _ .......... _ .... .. ............. . ............ ......... 'The undersigned applicant for this building permit does hereby certify that he understands and accepts hisyiligations as an employer of labor under the Florida Workmen s Compensation Act, being Section 3966, Compiled General ws of Floridl'd Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all con or subcontractors employed by him is the work to he performed under this permit;_ and will post or cause to be posted for inspectio the 'te of the work such public lice or notices ZhIs ;17 as are required by the Act. The undersigned agrees to employ only such sub•contracto o r to be performed underermit, as are licensed by Miami Shores Village. e— ��/ (Signed) STATE OF FLORIDA, 1 COUNTY OF DAJ)E. j 88' Master Electrician. 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. ._..» ................ lviy ........ om union .� ..........».................. .... .. ..... _ ..... ..........Notary.Public, State of » Mo' rtda .... ... ........ ............... NOTE: A reinspectiou . 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. 30 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. NEATER HEATER LIST 4 4 3 3•1 CHECK ENT. SW. DIST. CAB SERVICE TEMP. SERVICE PERM. MOTORS MOTORS NEON RADIO TOTAL CoNTA. 2�0 200 0.1 I4P 1.5 HP Ica. TRANS. LOST 5.50 CHECK Overhead .. total $ 9,00 Service Underground Site Feeders...,..4.. d....Coaduit .........Main Sw..2 .................... Amps ._........................Main Fusee ......_..............»...Amps Type of Installation— Conduit.. «. A ... ........... Tubing .. ...................... . X. L ......................... Metal Moulding ............... » .............. .... .... . ..................... ......... ....... w..» ......... ............................ «.. d ......................... . I ........ ................ ..... «..............» .... ». . « .. ....................... ..... ........_........... ........... Amountof Permit $....» ....: ............... _ .......... _ .... .. ............. . ............ ......... 'The undersigned applicant for this building permit does hereby certify that he understands and accepts hisyiligations as an employer of labor under the Florida Workmen s Compensation Act, being Section 3966, Compiled General ws of Floridl'd Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all con or subcontractors employed by him is the work to he performed under this permit;_ and will post or cause to be posted for inspectio the 'te of the work such public lice or notices ZhIs ;17 as are required by the Act. The undersigned agrees to employ only such sub•contracto o r to be performed underermit, as are licensed by Miami Shores Village. e— ��/ (Signed) STATE OF FLORIDA, 1 COUNTY OF DAJ)E. j 88' Master Electrician. 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. ._..» ................ lviy ........ om union .� ..........».................. .... .. ..... _ ..... ..........Notary.Public, State of » Mo' rtda .... ... ........ ............... NOTE: A reinspectiou . 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. 30 1 '741 - 3_0 I: 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 j Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores, Village and all rules and regulati ons of the Building Division of Miami Shores Village shall be compliQ with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address.190- `- A&LO__ A CIA" .l Registered Architect- and/or Engineer..&1LJ&,` _._S .�"wlhm.Q..L, Name and address of licensed contractor_ 42 MV Al Iff 1z 10 lil. � •�„ . . -w - ,,., Location and legal description of lot to be built on: Subdivision."_ '�►Mi02 lr1 �{!3 javC` T A_17► Street and Number where work is.to be done ' ' &L IPS SrmXft!r p State work to be done and purpose of building (by floors ).%a Q.E..�. .i►iQ►i� w� P, -and for no other purpose, New Building _.__..___... Remodeling.—___ Addition_-- Repairs:_ ._.:_ _.____ No. of Stories.—A—_ .Rt i ' To be constructed of_,��i! TC.._:._... Kind of foundation_M R N ering_i d �...+.. �D-�.? Ci..» Roof Cov .ft__.... &W.ff&.4. Estimated Total cost of improvements $ -!l3: �" Amount of Permit j Zone cubage required_.___ _ plan Cubage_ �i�! °% ! Distance to next nearest buildin �4! -. - 811% ___ ize of Buildin Lotx 2. :• li ~.'dZ�� g -- g . l� 1._.. .. _ L Maximum live load to be borne by each floor,_____ `II _ I hereby submit all the plans and I' specifications for said building. All notices with reference to the building and its construction may be sent to_!► CIAD Qi1- as -mb-s- The undersigned applicant for this building permit does hereby certify that he understands i and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled Gen of Florida, Permanent Su and has complied with the provisions thereof, and will require similar compliance from ontractors o contract mp by ' in the work to be performed under this permit; and will post or cause to be posted f on on the site o wo u lic notice or notices as are required by the .Act. The undersigned agrees to employ only such ntractors, on work to o ender this permit, as are licensed by Miami Shores Village. , Remarks — ( Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, a p'. 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 sI the same, and that all facts therein by him stated are true. Permit No rte' -- _ _ _Date.° 9�- Read, Sworn to and Subscribed before me. Disapproved _ , .: '.- Da Notary Public, State of Florida (Signed) Im _ Building - ctor My Commission Expires __ PLANNING BOARD __L__._.__._ DATE Chairman Member Member _ _.___ Member _ Member - — Member - Council Approved.- _ Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. PL. -e4 bra = 2/ = 4 1f"' 9' r 7- 7 ",� �o -� �. �,� b e. � yes �• b7 lc, o Par.,.. i'� �ce = f, 1 �9 re. o,? 7 *bboL. �jAA A 6 Q Cart YiiA.i'wsV �y MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.____. (435j: Date. �> Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Roland A. Sa e, Jr. 246 N. E. 103rd St. Owner's Name and Address_ Y No. Street- ._._.._ - -- - _ -.-_. - -- Registered Architect and /or ngineex _ ___ _- - -. ___.... _._.._ .... EmployiugPhmsbe'sName_ � Vickers Well Drilling No 10836 Strom N. W. 7th Ave. Location and Legal Description Lot BleRk Subdivision...._ Street and Number where work is to be performed -No Street....._ State work to be performeil and purpose of building (By Floors) New Building _l:_ Remodeling Addition.- .___—___ -.. Repairs_,_- ..-_---._-.-... No. of Stories.....:..._ -_---- - --- Size Septic Tank.._..__ Type of Tank--- --- Feet of Drain Tile—_ Trier- Feet of Tank or Drain Field from Well__ — _ _- - _ —_ ----- ------ - Nature of Water Supply: city —Well. Closed Air Cond. _p 44 ft. deep lace o Amount of Permit . _- -rf=r- ------ f. - -- - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat as an employer of labor under the Florida World nen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennaner� upplement, 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 he posted) for inspection on the site of the work such public notice or notices as are required by tlie Acct. The undersigned agrees to employ only such sub - contractors, on to be performed under this permit, as are licensed by Miami Shores Village. (sigma) -- -- - -__ _ ................------------ Mester Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared tome well known, and who, g by me first duly sworn, upon oath deposes and. says that he is the__._.._ -._ -�_ - -_ -.- - _- _- _____ --- -- .-- -_ -_.- - - - - - -- of the above stated are true. �, that he has carefully read die foregoing application, and that he did sign the same, and that all facts My Corgmisston Expires Notary Public, State of Florida NOTE: A re-fiinxwdon foe of $1.00 will be made when such rednspection is made-necessary by improper notice for inspk m, or faulty._- materials and /or worlmaanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY URINALS TUBS CATCH BASIN FLOOR DRAIN DRINKING FOYNT'NS TOTAL FI XTURES Con". LIST CHECK SEPTIC TANK SEWER CONN. iDRAIN 'FIELD .SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP SPRKLR. WELL SYSTEM SWIM'G POOL CONTR. LIST CHECK Size Septic Tank.._..__ Type of Tank--- --- Feet of Drain Tile—_ Trier- Feet of Tank or Drain Field from Well__ — _ _- - _ —_ ----- ------ - Nature of Water Supply: city —Well. Closed Air Cond. _p 44 ft. deep lace o Amount of Permit . _- -rf=r- ------ f. - -- - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligat as an employer of labor under the Florida World nen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennaner� upplement, 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 he posted) for inspection on the site of the work such public notice or notices as are required by tlie Acct. The undersigned agrees to employ only such sub - contractors, on to be performed under this permit, as are licensed by Miami Shores Village. (sigma) -- -- - -__ _ ................------------ Mester Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. j Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared tome well known, and who, g by me first duly sworn, upon oath deposes and. says that he is the__._.._ -._ -�_ - -_ -.- - _- _- _____ --- -- .-- -_ -_.- - - - - - -- of the above stated are true. �, that he has carefully read die foregoing application, and that he did sign the same, and that all facts My Corgmisston Expires Notary Public, State of Florida NOTE: A re-fiinxwdon foe of $1.00 will be made when such rednspection is made-necessary by improper notice for inspk m, or faulty._- materials and /or worlmaanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No..j_�_1 -t- 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 11 ``y Owner 'a Name and Address_— � � . _ _ �. _ No. a ""1 �Ic Street Registered Architect and /or Engineer, __ — — - - -- - --- Employing Plumber's No a-lz�s Street Q _ L Locution and Legal Descript[ftul'ot Block Subdivision— Street and Number where work is to be perfmmed—No L` State work to be performed and purpose of building (By Floors)__ -- - New.Bu41ing ____— Remodeling Addition_. _.. Repairs_ _.__ -_ —_ No. of Stories......._-____. ....... _. Size Septic Tank - Type of Task—____ —_—Capacity Feat of Drain Tile Est. Feet of Tank or Drain Field from Well__ Nature of Water Supply: City —Well _Size of Soakage Pit________— _ -- --- - - - - -- Amount of Permit L—) u (Signed) 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 General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shares Village. (Signed) - � - --- - - - - -- - - - -._ Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the umdesigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well (mown, and who, being by me first duly sworn, upon oath deposes and.says that he is the___ _- __.�--- - -____ . _ -- ._._. -- ------------- .. of the above des ribed construction, that he has carefully read the foregoing application, and that he did sign the same, and that al facts are true. My commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such rwinspection is nude-neoessary by improper notice for inspection, or faulty materials and /or worlmnnsbip. CLOSETS BATH TUBS SN WERE q LAVA- TORIES SINKS SLOP SINKS LAUNDRY URINALS TUBE CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CoNiR. LIST _ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP SPRKLR. WELL SYSTEM SWIM'G POOL Q M LCONTR CHECK Size Septic Tank - Type of Task—____ —_—Capacity Feat of Drain Tile Est. Feet of Tank or Drain Field from Well__ Nature of Water Supply: City —Well _Size of Soakage Pit________— _ -- --- - - - - -- Amount of Permit L—) u (Signed) 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 General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shares Village. (Signed) - � - --- - - - - -- - - - -._ Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the umdesigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared to me well (mown, and who, being by me first duly sworn, upon oath deposes and.says that he is the___ _- __.�--- - -____ . _ -- ._._. -- ------------- .. of the above des ribed construction, that he has carefully read the foregoing application, and that he did sign the same, and that al facts are true. My commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such rwinspection is nude-neoessary by improper notice for inspection, or faulty materials and /or worlmnnsbip. c, MIAMI SHORES TILLAGE' 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 Floridan all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Vill a shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during Village of the work. Date. 10 Owners Name and Address....... /.I. No z:......,, O 3 ' ........ registered Architm and /or Enginoor.....• .. eeaave°° °+ap:ea°nennsisee°sstn+ •°e°nee°ennn°mnvvnsetnaN puvaneMn tnnenwnm°oZ' Name and address of beensed contrplor ..G,1� .% ,��,Gii/G O kS lay-�p�j� Location and legal description of lot to be built on: Lot_-....... ..._.---.._..-.....•-- --....... Block._ . ........ .... ...._.._ Subdivision._... Street and Number where work is to be done........ _.._ State work to be done and purpose of building (by noors)u� and for no other purpose. New Building ...._.• --._...__...... Remodeling.:_...- ...- ....._..... Addition...- ..... ... .._ .„.... , Repairs'......._ No. of Stories........ To be constructed of ... _ .......... ... .._...... Kind of foundation....._ ._......._ ___._- Roof Estimated Total cost of improvements $ . . ° - ............»......,..._Amount of Permit Zone cubage required._... -- .. plan Cubage � Distance to next nearest building---... s ° _ ize of Building Lot — Maximum Maximum live load to be borne by each floor..._. -. - -.. I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he of labor under the Florida Workmen's Compensation Act, being Section 5966, CDT and has complied with the provisions thereof, and will require similar compliance f in the work to be performed under this permit; and will post or cause to be posted or notices as are required by the Act. The undersigned agrees to employ only such permit, as are licensed by $Iiami Shores Village. Remarks (Signed)-., STATE OF FLORIDA, p COUNTY OF DADE. j 83. erstands and accepts his obligations as an employer ' ed Cenral Laws of Florida, Permanent Supplement, i all contractors or sub - contractors employed by him inspection on actors, anmwork t be work performed such 'under notice n , performed under :I Before me, the undersigned authority, a notafy 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 fasts therein by him stated are true. Permit No. Date. Read, Sworn to and Subscribed before me. Disapprov _ Date (Signed) _ �.IVotary Public, Seats of Florida udding Ins or My Commission Expires.,....... LANNING BOARD.._.:._...„......... _ ...... E ... Chairman Member ____»__ DATE Member . _ »»_ _._.... _ Member,, Member .. ..... _ Member Council Approved.._.»..._......». Date Disapproved .....____.........._.d._ ....... „..r.... _._ „ ............. ....Date NOTE: A charge of $1.00 will be made far making corrections or changea to this application after approval has been obtained from the Planning Board. A re- in,�ccoon fee of $1.00 will be charged when sneh winspection is made � by improper notice for,inspertion or faults* materials and/or workmanship. Permit No.__ -1 C -( MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date -' ?` Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shaves Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether hereio specified or not A copy of approved plans and specifications must be kept at budding during progress of work. , 11) Owner's Name and Registered Architect and /or Engineers No. ��! Street. /® Employing Plumber's Name_,t!�__ No Street Location and Legal Description Lot G lock Subdivision /��a� Street and Number where work is to be performed —No � °� � ✓�� � 0 9)� S+*�+* State work to be performeS and purpose of building (By Floors)_ Nay B„tldc _ Remodettn Addition_ _ _ .�_ No. of Stories.._ g Repairs----- •-- •-- - - -.__ ......_.__.-- •- - - - - -- Size Septic Tank.- Type of Tank __ -- - - - - -- Capacity Gals•--- _------ ��___.. _---- ____ -- Feet of Drain Tile _ DisL Feet of Tank or Drain Field from Well__ _.._- -_ - -_- Nature of Water Supply: Cityr -Well. `T 4 Soakage Pit--- _ - -____ _ _r_ _ .____ ____._ --- ---------- Amount of Permit $ Inspector. The undersigned applicant for this building permit does h t(y certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Section 59K Compiled General Laws of Florida Permanent Supplement, and has com- phe I 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 Miod Shares Village. (Signed)-- _ Master Plumber. STATE OF FLORIDA, 0 COUNTY OF DADE. j Before me, the undue authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well ]mown, and who, being by me first duly sworn, upon oath deposes and.says that he is the____ _.___ -- _-- ___._ - -- ofheah above stated described e true. won, that he has carefully read the foregoing application, and that he did sign the same, and that all facts by My Commission Expires Notary Public, State of Florida NOTE: A re-Inspection fen of $1.00 will be made when such zo-ingxwd n is made-necessary by improper notice for inspection, or faulty materials and /or worlimansbip. CLOSETS BATH TUBE SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY URINALS TUBS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES COMM. LIST CHECK SEPTIC TANK SEWER CONN.- DRAIN FIELD .SOAKAGE PIT GREASC TRAP SOLAR HEATER DEEP SPRKLR. WELL SYSTEM SWIM*G POOL g - CONTR. CHECK Size Septic Tank.- Type of Tank __ -- - - - - -- Capacity Gals•--- _------ ��___.. _---- ____ -- Feet of Drain Tile _ DisL Feet of Tank or Drain Field from Well__ _.._- -_ - -_- Nature of Water Supply: Cityr -Well. `T 4 Soakage Pit--- _ - -____ _ _r_ _ .____ ____._ --- ---------- Amount of Permit $ Inspector. The undersigned applicant for this building permit does h t(y certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Section 59K Compiled General Laws of Florida Permanent Supplement, and has com- phe I 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 Miod Shares Village. (Signed)-- _ Master Plumber. STATE OF FLORIDA, 0 COUNTY OF DADE. j Before me, the undue authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well ]mown, and who, being by me first duly sworn, upon oath deposes and.says that he is the____ _.___ -- _-- ___._ - -- ofheah above stated described e true. won, that he has carefully read the foregoing application, and that he did sign the same, and that all facts by My Commission Expires Notary Public, State of Florida NOTE: A re-Inspection fen of $1.00 will be made when such zo-ingxwd n is made-necessary by improper notice for inspection, or faulty materials and /or worlimansbip. MIAMI SK0 fZ S VI LACE 1oa� t .0- Z ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit NO........... ........... — o? 7 — �.L.. Date.. ............. ........ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other ' structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address ..,.. Bab ..... a�Gl. �� ..................................... ................ No ....... �rZ.��...................... Street-. o.O.V E : ..... Co3...................... RegisteredArchitect and or En meer ..............................................................•••............---•........ ............................... ............. Employing Electricians Name.•._ -- 7,.`.?..':!..........Get .I.., . ..................No...... 7t 8' ..................... Street.. A�:. »! f r/� h e ........... ........................ Location and Legal Description Lot ..............7 6 ---•--•-• ........ ............................... Block......._._ ....... ....... _ ................ subdivision .. ..................... OeStreet and Number where work is to be performed—No .... a A............ ............... ............................... Street-.2 21....................... ............................... -L'S State work to be performed and purpose of building (By Floors) ............... �ew Buildin Building ................................ Remodeling ................................ Addition .............................. Repairs ...................................... No. of Stones.................... Service Underground Size Feeders ............. ». Conduit ............... Main Sw ................... ............. mps .......................... Main Fuses; ...... _ .................... Amps Type of Installation— •Conduit..4. . .............. Tubing ........................ B. X .L ........... .............. Metal Moulding ............... .................... ................................... -- ------------------------- -------------- •--------- •• - -•- -............................ ............................................................. ..................... » .... » .... _............................. »..........» ............. ................ ....... ........ ce ... .... _.......... _........ ........ . .. ..... ............. ............. ...... Amountof Permit $ ...............:.J. ...--.-....... .....-.. ........................... ....... ( Signed) ....................................... ......_.... ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli us as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P ent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contractots employed by him in the work to be performed under this permit; and will post or cause to he 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) ......... . » ......... .....2....... C Z_Z_.4Zna_.. Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared......................................................... . ............. ......... ...... :. ........ ...--- ..... ......... ....................... ..........._............................._......_.......... ............................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ............................. _ .... -.. ... . .......................... »... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hire stated are true. - ... ..�........................•.. ... ».. »....................... My Commission Expires No 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 OUTLETS LIGHT OUTLETS PLUG ReCE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. e LIST r r CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS MOTORS NEON RADIO TOTAL, 0.1 HP 1.5 HP TRANS. CONTR. LIST , CHECK Service Underground Size Feeders ............. ». Conduit ............... Main Sw ................... ............. mps .......................... Main Fuses; ...... _ .................... Amps Type of Installation— •Conduit..4. . .............. Tubing ........................ B. X .L ........... .............. Metal Moulding ............... .................... ................................... -- ------------------------- -------------- •--------- •• - -•- -............................ ............................................................. ..................... » .... » .... _............................. »..........» ............. ................ ....... ........ ce ... .... _.......... _........ ........ . .. ..... ............. ............. ...... Amountof Permit $ ...............:.J. ...--.-....... .....-.. ........................... ....... ( Signed) ....................................... ......_.... ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli us as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P ent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contractots employed by him in the work to be performed under this permit; and will post or cause to he 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) ......... . » ......... .....2....... C Z_Z_.4Zna_.. Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared......................................................... . ............. ......... ...... :. ........ ...--- ..... ......... ....................... ..........._............................._......_.......... ............................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ............................. _ .... -.. ... . .......................... »... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hire stated are true. - ... ..�........................•.. ... ».. »....................... My Commission Expires No 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. 10 MIAMI SHORES 'VILLAGE PLUMBING INSPECTION DEPARTMENT i * APPLICATION FOR PLUMING PERMIT Permit No.- Date_ Application Is hereby Jade for the approval of the detailed statement of the Pim 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 Shams Village, Florida} and an provisions of the Laws of the State of Florida, all ordinances of Miami Shaw Village and all rules and regulations of the Building Divisio In of Miami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at budding during progress of work. Owner's Name and Address— Registered Architect! and/or F,- Employing Plumber's NameI No. Location and Legal Description Lot Btock Subdivision— Sued and Number where work is to be Performed—No. Slate work to be perfatmea and purpose of building (By Fhxm)— Now BulkUng Remodeling Addition--_ Repairs - — — ------ *.-...—. No. of Stories ... ...... Size Septic Tank_ _Type of Tank— Fed of Drain Tile — __—DisL Feet of Tank or Drain Field from Well--- Nature of Water Supply: City —Well. - - - ---------- Sim of Soakage Pit._.._._._. -- Amount of Permit $ 6' (signed)--- Plumbing Inspec'tor.'- 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 " 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 reqWred by We Act. The undersigned agrees to employ only such sub- contractors, on work to he performed under this permit, as are licensed by Miami Shores; Village. (Signed) ..... . Master Phrurber. STATE OF FLORIDA, COUNTY OF DADE. Before ni% the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare4 1!�: to me well known, and who, being by me Bra duly says that he is the--- ------ - - -- of he sworn, upon oath deposes and of the above described construction. carefully read the foregoing application, and that he did sign the same, and that all facts therein by him 7,41M true. MY commission Esphes, Kci—w KW, State of Florida N A re-bpection fee of $1.00 will be made when such re-Inspection, is made-necessarY by improper notice for inspection, or faulty or materials /or workmomdiIP6 I III it CLOORTS AT" TUBS SHOWERS LAVA_ TORIES SINKS SLOP SINKS LAUNDRY TUBS URI MALII CATCH BASIN FLOOR DRAIN DRINKING FouN• 4­oI TOTAL FIXTURES CONTIL L IST CHECK 1. AAI SEPTIC TANK, SEWER CONN. 'DRAIN FIELD SOAKAGE PIT G_iL*e 'rRAP SOLAR HEATER, 3�_ SPI /W L Pt SYSTEM SWIMIG POOL CLOI CHECK 0 & /e Size Septic Tank_ _Type of Tank— Fed of Drain Tile — __—DisL Feet of Tank or Drain Field from Well--- Nature of Water Supply: City —Well. - - - ---------- Sim of Soakage Pit._.._._._. -- Amount of Permit $ 6' (signed)--- Plumbing Inspec'tor.'- 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 " 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 reqWred by We Act. The undersigned agrees to employ only such sub- contractors, on work to he performed under this permit, as are licensed by Miami Shores; Village. (Signed) ..... . Master Phrurber. STATE OF FLORIDA, COUNTY OF DADE. Before ni% the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare4 1!�: to me well known, and who, being by me Bra duly says that he is the--- ------ - - -- of he sworn, upon oath deposes and of the above described construction. carefully read the foregoing application, and that he did sign the same, and that all facts therein by him 7,41M true. MY commission Esphes, Kci—w KW, State of Florida N A re-bpection fee of $1.00 will be made when such re-Inspection, is made-necessarY by improper notice for inspection, or faulty or materials /or workmomdiIP6 I III it Permit No. �^t r ate of Florida ounty of NOTICE OF COMMENCEMENT Tax folio No: d-- 3 .04 -/3 -ml- 93R174762 1993 APR 137 13IL14 The undersigned hereby gives notice that improvements will be made to certain real property, in accordance with section 713.13 of the Florida Statutes. the following informationisro and in this NOTICE OF COMMENCEMENT provided Legal description of property (including street address) /B1 /A'Ghl 'WD -e65 5G-- /,qjw ppe6 /0 -7c General descrip ion of improvements: Owner: Address: Owners interest in site of the improvement: Fee simple title holder if other than owner : Name : Address; Contractor: PIONEER ROOFING CO., INC., 2026 GRANT STREET, HOLLYWOOD, FL. 33020 Surety: wj o Address Lea Amount of bond $ Mp- .ny person making a loan for the construction of the improvements Name: Address: W.* 'erson within the State of Florida designated by the owner upon whom notices. or other ocuments may be served as provided in Section 713.13(1)(a)7., Florida Statutes ;ame: NIA yddress : u t� n addition to himself the owner designates �l�r receive'a copy of the lienors notice as provided in Section 713.13(1)(b), Florida Statutes. :piration date of Notice of Commencement (the expiration date is ONE YEAR from .e date of recording unless a different date is specified) HIS SPACEn FOR RECORDERS USE ONLY /, Own r� �igra tcur• � 1Prinb.�d �igr�zur� i`fe,w �o�i r•d e ° S r� ' :Sworn to and subscr ' ed before me �2to Grwa� S�- this iS day of 19 t Not y 7PUb1 r5i L LAS Pris•►t�d �iq �1. '� 7f g. 1PIRi1 My oomifrti?i'�'ion ..x=.si'r�� STATE OF FLORIDA, cr,U;i -j' Or p4pE 1 HEREBY CERTIFY thot th r s a a. ve Pa y 'of Me 11, aaa�s C0 originatfile�l 'n Ph IS ofiic� .,� — day of .r A ©. 19 y W TNESS my h ,nd and Of /ir.1 1 5 ®al. HA VET RUVKCLERK, ofcirc ' ondCoon}yCoYrb ® gas we �� AL PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address ax Folio". » 7-egal' Description /U � bice7" ;%1 La7/o 1,6 6 _ t.wht 5OK,0 _s6 c- ! AW PLf Ia 7dD Owner / Lessee / Tenant A.Zeeeg Master Permit.# Owner ' s Address R,4l0 1� i td L&CrA- Phone &4u Contracting Co. () i-,—,, — e esg, C, axcz Address �w�� l�r�►.�+ � llu Qualifier —�n�� -x tCc .jA SS # Phone C70-6-74,f?? Ac,00a 7 ' State icipal #k90 G&7soa►So.1 Competency # 1407 a Ins.Co. kdA.z/�P� -lased Architect /Engineeru)la Address W* Bonding Compan7 tQt. Address A Mortgagor_ A gyp- Address P la. Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL <1 FIN PAVING FENCE SIGN WORK DESCRIPTION_2 E - �� • i 1 G 1- (A- '� �g�31," ✓�Q��� - lS -d Square Pt. R3U0 Estimated Cost(value) I,I., Odd . 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 perforated 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- autho ize the above-named contractor to do the work stated. hv' zo�- SiU-:'4 a of owner and /or ndo President ignat of Co rector or Owne 'lder _ _G -� J Date: 4 ?� ry to Owner a or Condo President Notary as to Contractor or Owner - Builder 'ssion Expire M3' �_n salon Which`ca 3 — riv vUA'.i7! o'Jr! Ehf'i BcBS:.: C F EB.&95R. ID19A9.�l, P ARY PL UNDER x G 4/J`95 60ND -TNRU W r r _ ='. MTOTAL DI�B 4 - AARR� PER�fi -_ RADON, NOTARY _ -- ildng, s. Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 3/28/2006 Expires: 05/29/2006 Permit Number: BP2002 -661 Owner's Name: FABIO CORREA one: (305)756 -9900 Permit Type: Imported Permit Work Classification: Paint Job Address: 246 103 Street NE Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: EXTERIOR PAINTING AS PER AGREEMENT(OWNER BUILDER PERMIT) Additional Information Perm Type: Building Alpha Two: Repair/Remodel SF Residential Alpha Four. PAINTING Alpha Five: Residential Alpha Sbc: SINGLE FAM Pay Date: 4/5/2002 Pay Amount: 65.6 Pay Comments: PAID W MONEY ORDER Bond Return: $60.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $0.60. Educational Fund $0.20 Notary Fee $5.00 RENEWAL $60.00 Revision $35.00 Techonology Fee $1.50 Total: $102.30 Building Department File Copy Applicant Signature Parcel #: 1132060134880 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 200.00 Invoice Number Amt Due Amt Paid imp -3-06 -24272 $102.30 $60.00 Total: $60.00 NOTICE: In addition to the regljirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. t�l Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 3/28/2006 Expires: 05129/2006 Permit Number: BP2002 -661 Owner's Name: FABIO CORREA one: (305)756 -9900 Permit Type: Imported Permit Parcel #: 1132060134880 Work Classification: Paint Block: Lot Job Address: 246 103 Street NE Section: PB: Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: EXTERIOR PAINTING AS PER AGREEMENT(OWNER BUILDER PERMIT) Additional Information Perm Type: Building Alpha Two: Repair/Remodel SF Residential Alpha Four. PAINTING Alpha Five: Residential Alpha Six: SINGLE FAM Pay Date: 4/5/2002 Pay Amount: 65.6 Pay Comments: PAID W MONEY ORDER Bond Return : $60.00 to me of this permit, I agree coverea nereunaer in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $0.60 Educational Fund $0.20 Notary Fee $5.00 RENEWAL $60.00 Revision $35.00 Techonology Fee $1.50 fqwsn unietT nr nw.30 Total Square Feet 0 Total Valuation: $ 200.00 Invoice Number Amt Due Amt Paid imp -3-06 -24272 $102.30 $60.00 Total: $60.00 S S ■�i/ as ®" `� T NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the Ap public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER ff III GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT III M on INSPECTIAU'hN DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. For Inspections, Call (305) 795 -2204 exts 431 & 442. Requests must be received by 3 pm for following day inspections. Obtain Certificate of Ocupancy /Completion Before Using the Building Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 3/28/2006 Expires: 05/29/2006 Permit Number: BP2002 -661 Owner's Name: FABIO CORREA one: (305)756 -9900 Permit Type: Imported Permit Work Classification: Paint Job Address: 246 103 Street NE Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: EXTERIOR PAINTING AS PER AGREEMENT(OWNER BUILDER PERMIT) Additional Information Perm Type: Building Alpha Four: PAINTING Alpha Six: SINGLE FAM Pay Amount: 65.6 Bond Return: the issuance to me Alpha Two: Repair/Remodel SF Residential Alpha Five: Residential Pay Date: 4/5/2002 Pay Comments: PAID W MONEY ORDER agree to coverea nereunaer in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $0.60 Educational Fund $0.20 Notary Fee $5.00 RENEWAL $60.00 Revision $35.00 Techonology Fee $1.50 Total: $102.30 County Copy Parcel #: Block: Section: 1132060134880 Lot PB: Total Square Feet 0 Total Valuation: $ 200.00 Invoice Number Amt Due Amt Paid imp -3- 06-24272 $102.30 $60.00 Total: $60.00 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 3/28/2006 Expires: 05/29/2006 Permit Number: BP2002 -661 Owner's Name: FABIO CORREA one: (305)756 -9900 Permit Type: Imported Permit Parcel #: Work Classification: Paint Job Address: 246 103 Street NE Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: EXTERIOR PAINTING AS PER AGREEMENT(OWNER BUILDER PERMIT) Additional Information Perm Type: Building Alpha Two: Repair/Remodel SF Residential Alpha Four. PAINTING Alpha Five: Residential Alpha Six: SINGLE FAM Pay Date: 4/5/2002 Pay Amount: 65.6 Pay Comments: PAID W MONEY ORDER Bond Retum : $60.00 to me of this permit, I agree to covereo nereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $0.60 Educational Fund $0.20 Notary Fee $5.00 RENEWAL $60.00 Revision $35.00 Techonology Fee $1.50 Total: $102.30 Finance Copy 1132060134880 Block: Lot Section: PB: Total Square Feet: 0 Total Valuation: $ 200.00 Invoice Number Amt Due Amt Paid imp -3- 06-24272 $102.30 $60.00 Total: $60.00 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Date Owner's Name - Miami Shores Village Paint Color Approval and Agreement Owner's Address," City Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name (if applicable) Phone # All elements on the site must be listed and indicate the color to be sainted Walls Fascia _ W R. i �P Drip Cap /drip Edge \�V 14 (mac e Soffit �- Roof "GALS- C Lec-, L, Flower bins l Shutters Awnings Chimney Doors and door jams W C4 CT Garage doors LA- tA- S:3: Railings C-U �" I L-� Fences Decorative metal All brick (simulated or regular) Stucco banding Any other stucco features Accessory Buildings Attach Color Samples With Numbers Other . OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done incompliance with all applicable laws regulating construction and zoning. Date 3 -,.9- F-046 Signature Owner or Agent Z'� 1 APPLICATION APPROVED BY: Date she 6/18 /03 & Z Official MIAMI SHORES VILLAGE Paint Color Approval and Agreement L.XDDRESS: C2 � 6 °yt.E. `ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) A/ / tt COMPANY NAME: ---"7 T PHONE: C.- 3 il ?'P All Elements on the site must be listed and indicate the color to be painted.. - Walls Fascia 0 Drip Cap/Drip Edge V o Soffit a 0 Roof Cn Flower Bins Shutters r En En Awnings Chimney Doors and d Garage Doo Railings Fences % Decorative Metal � j 10, All brick (simulated or regular) Ki C'- Stucco Banding nj I Any other stucco features Accessory Buildings �►) c� Other _ ij ( C g H H x Z c rn 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 sam les. Q %�Ignwner Date Signature of Contractor Date APPROVED: Building Official Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 r_< n of lines in square which represents an entire city block), showing on which A -a44 S"' $ -ag DIVISION OF PUBLIC INSPECTION Sketch position of building and 1 q ( p street the building and lot. faces; also show exact locations of "Y" in street and position of lateral or septic DEPARTMENT OF PUBLIC SERVICE tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate layout of all underground pipes for future references. MIAMI, FLORIDA 19_.1 I herewith submit the following plan of plumbing for approval: Employing Plumber 6?C-W i�!/ Work executed by 161A10Tld '41 F, / n S Qj ' New �� Old ❑ Story El % G C Addition E] Remodeled E] ra Dwelling Store ❑ Garage ❑ Apartment ❑ Hotel ❑ Office Bldg. ❑ Owner or Agent ��, Cv� pf ' Address oZ — TUBS URINALS I .BASIN DRAIN FOUNT'NS Builder or Contractor is Address Lot No-7 Alock o. Subdivision Address ac, z d 3.�d/ i Sewer Connections At center of St. ❑ At curb ❑ At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑ To septic tank 06-'oo' Existing bldg. drain ❑ To dry well ❑ A charge of x'1.00 will be made for correcting any inaccuracies in the foregoing information. i DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. Date >� ,(° ' • >' Date _ Date ROUGH -IN INSPECTION SEWER INSPECTION FINAL INSPECTION Ground Rough -In Rain Leader A.M. P.M. A.M. P.M. A.M. P.M. a I Approved by Approved by Approved by Condemned by Condemned by Condemned by REMARKS REMARKS REMARKS NORTH SOUTH Plan No. Sewer Permit No. BATH. LAYA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS I .BASIN DRAIN FOUNT'NS FIXTURES A charge of x'1.00 will be made for correcting any inaccuracies in the foregoing information. i DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. Date >� ,(° ' • >' Date _ Date ROUGH -IN INSPECTION SEWER INSPECTION FINAL INSPECTION Ground Rough -In Rain Leader A.M. P.M. A.M. P.M. A.M. P.M. a I Approved by Approved by Approved by Condemned by Condemned by Condemned by REMARKS REMARKS REMARKS NORTH SOUTH Plan No. Sewer Permit No. THIS SPACE FOR ELEVATION SKETCH A PERSPECTIVE SKETCH WILL BE SUFFICIENT THIS SPACE FOR PLAN SKETCH In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack PROVIDED' THE WORK CAN BE CLEARLY SHOWN Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the to correspond with the opening shown in floor plan or ground plan on opposite page. stack connections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of building showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in reference to same. I I a' z z Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -78386 Permit Number: PT- 3- 08-488 Scheduled Inspection Date: January 08, 2010 Inspector: Bruhn, Norman Owner: CORREA, FABIO & ALBINA Job Address: 246 NE 103 Street Miami Shores, FL 33138 -2431 Project: <NONE> Contractor: HOME OWNER aundmg uepartment comments white color the entired house Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number (305)756 -9900 Parcel Number 1132060134880 January 07, 2010 For Inspections please call: (305)762 -4949 Page 31 of 41 Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 07, 2010 For Inspections please call: (305)762 -4949 Page 31 of 41 I Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -78386 Permit Number: PT- 3- 08-488 Scheduled Inspection Date: January 08, 2010 Permit Type: Paint Inspector: Bruhn, Norman Inspection Type: Final Owner: CORREA, FABIO & ALBINA Work Classification: New Job Address: 246 NE 103 Street Miami Shores, FL 33138 -2431 Project: <NONE> Contractor: HOME OWNER Building Department Comments white color the entired house Phone Number (305)756 -9900 Parcel Number 1132060134880 January 07, 2010 For Inspections please call: (305)762 -4949 Page 31 of 41 Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 07, 2010 For Inspections please call: (305)762 -4949 Page 31 of 41 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No._.._. �'�" Date__.V' _-Z_1 5 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. Ito 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 Addressisnsa- ii. %oi oyar _ _ No._._ 2)JA 111-1011. — streeL.103rd_.S t_ ®� _ ... _ ........ Registered �ch�# �d�or Engineer -- __ —_ -- Em to P Name_ T4131 � X4 1-. iU -& :E; 2i'P * C ®. -� 1, 29 N * e �h Ale P Employing - No. __- Street_..,__._ Location and Legal Description Lot .Block Subdivision Street and Number where work is to be performed—No. 246 N*E* Str�t._� -��'d Street _ -s state work to be performa and purpose of building (By Floors) ,tt_ drain well for air_ conditioning New.Building� Remodeling — Addition — - -.- Repairs----- - - - - -- _ No. of Stories . .. ................ _ -• Sias Septic Tank_ Type of Tank - -__ _ __.-Capacity Gals - - - -- — - -- - - - -.. - -••- -- Feet of Drain Tile_ — ___ - Feet of Tank or Drain Field from Welt__ Nature of Water Supply: City —Well. _ -.Size of Soakage Pit_- -� - - -- ____ _ _�---- __- . - - - - -- _.-- _ - -_ -- .i ,ue IS n Amount of Permit (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 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 AcL The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ______.--.-------- -.__ -- Master Plumber. STATE OF FLORIDA, 1 a COUNTY OF DADE. j 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 o aml.says that he is the _------------- _-------- _- - - - -.- _ _. -._. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 worl®ans}}ip. CLOSETS B ATH -TUBS SHOWERD LAVA- TORIES SINKS SLOP SINKS LAUNDRY URINALS TUBS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE' SOLAR DEEP SPRKLR. SWIM -G TANK CONN. j FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CKxCK Sias Septic Tank_ Type of Tank - -__ _ __.-Capacity Gals - - - -- — - -- - - - -.. - -••- -- Feet of Drain Tile_ — ___ - Feet of Tank or Drain Field from Welt__ Nature of Water Supply: City —Well. _ -.Size of Soakage Pit_- -� - - -- ____ _ _�---- __- . - - - - -- _.-- _ - -_ -- .i ,ue IS n Amount of Permit (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 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 AcL The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ______.--.-------- -.__ -- Master Plumber. STATE OF FLORIDA, 1 a COUNTY OF DADE. j 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 o aml.says that he is the _------------- _-------- _- - - - -.- _ _. -._. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 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 worl®ans}}ip. MIAMI SHORES VI LLAG �� ,r� ` r�`������ BUILDING INSPECTION DEPARTMENT �'.t ��` APPLICATION FOR RUILDIN13 PER[ . -* 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 ci *W.= 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. Date ._ a19 Owner's Name and Address F �� gip- . C-11 No. Sere 12 b - J_" Registered Architect and /or Engineer z Name and address of licensed contractor- Location and legal description of lot to be built on: Lot Block Sub�d�av' Street and Number where work is to be done — V- State work to be done and purpose of building (by doors) _ —and for no other pu ose. New Building Remodeling _ Addition Repairs_ °� No. of Stories_ To be constructed of _ Kind of foundation ___ --*A RWpf Covering— _ Estimated Total cost of 'improvements $ l i —i rL i2,�Q% Amount mount of Permit $ Zone cubage required I plan Cubage__ Distance to nest Aearest 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 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement. and has complied , with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be'-performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. r Remarks (Signed) �- ----r STATE OF FLORIDA, j t COUNTY OF DADS. W. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared — I —� me well known, and who, being by me first duly sworn, upon oath deposes/and says that he is the of the above desc bed construction, that he has carefully /tead the foregoing application, and that he did sign the same, and that all facts therein by him to re Permit No. O Daj dad, Sworn to and Subscribed before me. E3sapproved ____ _ Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires_ PLANNING BOARD DATE Chairman Member Member Member Member Member Council . Approved_ Tate 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. MIAW SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is here y made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure h ein 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. --II ryry Date - — —� _ _ — 19 Date Owners Name and Address - _1�_..__. `� A Vii._ �_ �'i- -_ -- ------ - - - - -- No. � Street ® � Registered Architect an /or Engineer.... - ---_ _ Name and address of liitsed contractor ----------- -1b Street and Number w} State work to be done of lot to be built on: Block.- - - - - -- ............. --- -- -- ---- -------- -•--• - - - - -- _�------ - - - -_. _--- --------- - - - - -- - - - - -- - - - -- - - - - -__ _ --- - - - - -- -and for no other purpose. New Building ----- ---_ Remodeling -- - - - - -- Addition-------- v - --- -- Repairs --- _--- •--- -•-- --- -- - - -- No f Stories-------------- - - - - -- � ov / - -- .. To be constructed of Kind of foundation___ ��k_ _ ering�°. Estimated Total cost of improvements $ ------- ---- boo __ Amount of Permit _- - - - -__ ---- ---------- - - -- -- _ -- - ---------------------- Zone cube a required.. ----- -_ - - __ - — _ flan Cubage - - - -- - ---- - - - -� - Distance to next nearest building ------- — ---- --- ----------- --- _____— Size of Building Lot. —._ � S�- A -_1 -1 — ----------------------------------- Maximum live load t a borne by each floor -------- - ----- _— _ _____ --------- -• - - -- —__-----,----------- --------------- --•--____----__--- hereby sub all the plans and specification for said building. All notices wi ence to the building and its construction may be sent to -- —�® __ -_ - -°�(- — -------------------------------- The undersigned a plicant for this building permit does hereby certify that he understands and accepts his obligations as an employer. of labor under the Flor da Workmen's Compensation Act, being Section 5998, Compiled General Laws of Florida, Permanent Supplement, and has complied with a 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 ublic notice or notices as are require by the Act. The undersigned agrees to employ only such bco , on work be performed under this permit, as are licensed l y Miami Shores Village. %)% a s / & STATE OF FLORID COUNTY OF DA DE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared_ __---.+ .------ ._------------ _.____ —__. ___._ __ ------- - -------- - -- ------ --______________--.._.— ------ - --- - --------------- - ------ - ----- - -_ - -_ —__ _ ___________ ------ ___ . _- ___.to me well known, and who, bein a orn, upon oath poses d says that he is the- -_ ---------- - ----------- _--_- ------------- --- ------ _.------------_-----•--__ ---- off the above ed stru on, that lie has fully r d thejgregoing application, and that he did sign the same, and that all facts therein by ' t e. `�� Permit No.__ _ __. Date_ _�,__ Read, Sworn to and Subscribed before me. Disapproved ___ Date _— _ Notary Public, State of Florida (signed) --- - - - - -- -- - -- •------ - - - - -- - - — '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 f of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or wor anship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. 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 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. Gam. Owner's Name and Address ___ `�e __ _ No. _- Registered Architect and /or ^ - -- - -- Employing Plumber's Name No.C!s Streat�� •_ 3 __�.Tl _.. Location and Legal Description Lot Block Subdivision— Street and Number where work is to be performed --No `A �_o Street__ l, State work to be performeS and purpose of building (By Flom)--- -- __- �------ _-- - - - - -_ ---- ._..__ New Budding __.__ Remodeling Addition______.._.______ -- Repairs --- ------- -._ - -. No. of Stories... Size Septic Tank cil� ® x \ ci Type of TAac _____. -- -_ -- Capacity Gals.- - - - -__ �® _ - -• -. - -- - -- - - -- Feet of Drain Tile -1 ---, Dist- Feet of Tank or Drain Field from Well_ - - -- _ —__ - - -___ --- _ - - -___ - - -_ —_ ------------ - Nature of Water Supply: City —Well. _ _Size of Soakage Pik - - - - -- _- - - - -__ _ _ — __�---------- _---- ____ -- Amount of Permit $ (Signed) _._..-........._..._......- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obhga ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent ,Supplement, and has con- 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 We Act. The undersigned agrees to employ only such sub - contractors, on work to be Terformed under this permit, as are licensed by Miami Shores Village. J\ Master Plumber. STATE OF FLORIDA, se. 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 Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made°necemary by improper notice for inspection, or faulty materials and /or watkmransbip. CLOSETS BATH TUBE SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST _ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWiM'G POOL CONTR. LIST CHECK Size Septic Tank cil� ® x \ ci Type of TAac _____. -- -_ -- Capacity Gals.- - - - -__ �® _ - -• -. - -- - -- - - -- Feet of Drain Tile -1 ---, Dist- Feet of Tank or Drain Field from Well_ - - -- _ —__ - - -___ --- _ - - -___ - - -_ —_ ------------ - Nature of Water Supply: City —Well. _ _Size of Soakage Pik - - - - -- _- - - - -__ _ _ — __�---------- _---- ____ -- Amount of Permit $ (Signed) _._..-........._..._......- Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obhga ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent ,Supplement, and has con- 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 We Act. The undersigned agrees to employ only such sub - contractors, on work to be Terformed under this permit, as are licensed by Miami Shores Village. J\ Master Plumber. STATE OF FLORIDA, se. 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 Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made°necemary by improper notice for inspection, or faulty materials and /or watkmransbip. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No... yL Date.. Appli&ion is hereby made for the approval of the detailed statement of the lens and structure herein described. This application is made in p specifications herewith submitted for the building or other and all provisions s the Laws s the State 1 cornpbence and conformity with the Building Ordinance of Miami Shores Village, Florida, of Miami Shores Village shall be complied with, wa her s of Miami Shores Village and all rules and regulations of the Building_Division � building during progress of work. edbed or not. A copy of approved plans and specifications mast be kept at Owne s Name and Address - ALV" -' -" � Se " �® No -- .2 �� Street ✓� �:� °✓�` Registered Architect and /or Employing Plumber's Name Location and Legal Description i O L — ----- Su��bdMdon.._ — Street and Number wheys work is to be performed —No — StrsekrL�. State work to be performeil and purpose of building (By Floors) _ _ New Building _ _. .._ Remodeling— No. of Stor _r__...__. Repairs -- - -- ies- - -. - -- - - - - -- Sim Septic Tank Type of Tank ----- _.._._ _ .—.----Capacity Feet of Drain Tile . _ _JDjsL Feet of Tank or Drain Field from Well— Nature of Water Supply: City—Well. Size of Soakage Pit .-... Amount of Permit � � ( Signed) - --©s� � _ .__........ _.......... L 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 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 am required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as US licensed by Miami Shores Village. r ® 7j f, (Signed) Masten 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 we well known, and who, being by me first duly swam, 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 c➢id sign the Mme, and that all facts therein by him stated are true. MY Commission Expires Notuy Pnblio, State of Florida NOTE: A re-irLVOCtion fee of $1.00 will be made when so& min spsad - is made•umoessary by improper notice for inspection, or fenity materials and /or workmanship. CLOSETS TUBS SHOWERf LAVA TORIES SINKf SLOP SINK$ LAUNDRY URINALS CATCH FLOOR T.DS SATIN DRAIN DRINKING FOLINT'NS AL FIST TOTAL CONTR. LIST CHECK - -� SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREAsir TRAP SOLAR HEATER DEEP 8PRKLR. SWIM'G WELL SYSTEM POOL, CONTR. LIST CHECK a A ��• Sim Septic Tank Type of Tank ----- _.._._ _ .—.----Capacity Feet of Drain Tile . _ _JDjsL Feet of Tank or Drain Field from Well— Nature of Water Supply: City—Well. Size of Soakage Pit .-... Amount of Permit � � ( Signed) - --©s� � _ .__........ _.......... L 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 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 am required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as US licensed by Miami Shores Village. r ® 7j f, (Signed) Masten 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 we well known, and who, being by me first duly swam, 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 c➢id sign the Mme, and that all facts therein by him stated are true. MY Commission Expires Notuy Pnblio, State of Florida NOTE: A re-irLVOCtion fee of $1.00 will be made when so& min spsad - is made•umoessary by improper notice for inspection, or fenity materials and /or workmanship. 'V ILE NO. ' DATE DADE COUNTY POLLUTION CONTROL 864 N.W. 23rd St. SEPTIC TANK APPLICATION REVIEW SHEET Bldg. Permit Application No. Owner's Name __R0 A r p A. ri g E ,3 6t Project - Single Family Res. Duplex Other A0 N . No. of Bedrooms Legal Description- _LO 17 ;i,, �, �, O f `1La1 _ +3�2i i.) !►6�j, a lU fit: Project Address - qj, f< /03 4a Wn"i sNr „DES Fla. Street and No. Municipality Water Supply —Well City Water Septic Tank - Req. �p t:+ &A t,.• Furn. [-4L t4 ghu&dNL Drainfield - Req. boo 5,;', Furn . Zoe, , j- Drainfield Location LZ o NT , IA Filter Sand (Req. if project has well) (24” Class II- Silica) Available ppen Space Req. '�Oo Furn . Fi t? C A I E' Distance well to septic tank and /or drainfield Distance city water supply to septic tank and /or drainfield m ,e,16 APPROVED: 7 (Date) DISAPPROVED: (Date) See above checked items COMMENTS: 119-05-144 Pr cessor -1 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during piggress of the work. Date. Owners Name and . ................ ».....».._. Registered Architect and/or Engineer...... ...................... . ......... . . . ... . ......................... I ......... .,TIT .......... I-- ............. Name and address of licensed contrActor.rY,.-e'-/&W._P__,4L- Location and legal description of lot to be built on: Lot..........._ ............... ................ Block .................. . . . .......... , Subkvi)IoS._--- Street and Numb State work to be . .. . .................. . ........... J.Z ... ......... . ......- - -.. »» for no other purpose. New Building .............. ............... Remodeling ................. ...... - Addition ..._.............:....... Repairs...,.................. ........ No. of Stories ...... ....... . ...... To be constructed of.._......... ................ Kind of foundation .... . . ... . .................................. ........... — Roof Estimated Total cost of improvements . . ....... . . . ..... Amount of Permit ... . . .. . ...... . . . .............. . Zone cubage required .................. . .... . ................. —­....._---_.Plan Cubage ................... . ....................... Distance to next nearest building .......................... ................ ...... _.-Size of Building Lot........ ......»__...-»----...... _......................... ».._. . .Maximum live load to be borne by each floor ...................... . . . . .......................................... . ....... _ » ..._ »....---_--_.._------------------------------------------- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to--- --------------------- -------------- -------- •- • - - - - -- ---------------------_----_ -_-------- --------------------------------------- - _---------------_----------- - --------- --- ... ........ . .......... - The undersigned applicant for this building permit does hereby certify that be understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement. and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ---- -------- --------- - -- ------------ - - - - (Signed STATE OF FLORIDA, I ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared. . . ................. ........ . . . ........... ....... - ---------- - - ---- _--- ..---------- ..--- • - - - - -- me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . ................... . ....... . ................... . ........ . ..................... — of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him st4ted are true. Permit . . ......... Date__...._ .......... Read, Sworn to and Subscribed before me. Disapproved....... Dat ....... ..................................................... . .... . (Signed) Notary Public, State of Florida . . .... .. ...... ...... .............. Bu i g Ins for 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 Plannin_­ Board. A re-inspec•tion fee of $1.00 will be charged when such re-inspection is nods necessary by improper notice for inspection or faulty materials and/or workmanship. a MIAMI SHORES VILLAGE ELECTRICAL INSPECTION QEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No ......... 1 !?Z. i.......... Date �° ..................... .. . . ... ..,...._.............. Application is hereby mad 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 Budding Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building, Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address i.... [1 ...... ...... . .. .- --- -- ______.No:__ _. . ....................... Street.. /Y_e ®....ZA ..... Registered n / r Engineer ........P..,.p ..............• Cl .............................. . .............................................................................. '-•----- •-�.... ...: • ....... ....... W. °Emp Employing Electrician's N e..... A" Ca n y.... ...... ......o36D................treet. � .... . ..... - -- tiLocationan d L egal Descri on Lot ....... _........................................................... Block ........................................S ubdivision............... ............................... Street and Number where ork is to be performed— No.......... Z . .!.P.... t....� � .. ® . Street ........... ................ ............... State work to be performe and purpose of building (Bp Floors) ..................... `.- ........ ........ ... .... ................................ New Building .................Remodelin ................................ Addition .... .. .... k/ .............Re airs.......... ............................No. of Stories ........ y ........ Overhead Service Size 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 LNT 2 CHECK ENT. DIST. SERVICE: SERVICE MOTORS MOTORS NEON RADIO TOTAI, SW. CAB. TEMP. PERM. 04 HP 1•0 HP TRANS. CONTR. LIST I, CHECK Overhead Service Size Feeders:. . /.......Conduit.... .. ....Main Sw......... ®. ® ®.......... mps ...........................Main Fuses......... IA. ._....Amps A Type of Installation — Conduit. — .......,,..Tubing.... e ....... —.... B. R.L ........... 4 ....... _ ... Metal Moulding ............... ........................ A.............................. Amountof Permit .. (Signed) .............................................. ............................... Electrical Inspector. The undersigned app4cant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida rkmen s Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and ,has complied with the provisions 11 thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors on work to be performed under this permit, as are licensed by Miami Shores Village.'' 7J (Signed). ... .P..... Master Electrician. STATE OF FLORIDA, COUNTY OF Before me, tl undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ........................................... ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires ...................................•-•--....-•-•--............................ ......................_........ Notary Public, State of Florida 'E: A reinspe�-on fee of $1.00 will be made when such re�inspection is made necessary by improper notice for inspection, or faulty and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Buil ' Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores ViDage 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__ 4__2_q_269 19 -------- Owner's Name and Address.- R®,8 ...._ l ,/�� ' -1 ----- - --------- -- -_____ No.J- 4i6_ ----- ____ street_& - 1P-- �------- - - - - -- Registered Architect and /or Engineer. ........ r _ —-f1 .� -------- ------ ------- - - - - -- -- ------------ ---- - - - - -- -- Name and address of licensed contractor_ � - -_�- /`�_ - - %! � _a__ -- �� ®� � ✓l` . -- - -- J) Location and legal description of lot to be built on: , Lot_7__JLV_ ,324__.6_-______ Block_ �_!....... - -- __ -- Subdivision. _)ML/tm i .Sf-`/�6 ft',t'u /I /PlAel/ 1), /0 Street and Number where work is to be State work to be done and purposes of building (by floors) 6- C U1 /'N1 f O 'n ' '15-6 - -- - -- -- ��gg ®®— - - -- — - -- - r — - - - -- --.-.and for no other purpose. New Building ---- ----------------- ReeoaeTin�----- - - - - -- _ - -- Addition- ------ - - -- -- Repairs-- ---- ---- ----- -- - - - - -- No. of Stories - - - - -- --_--_---------- To be constructed of-- - Kind of foundation--- _____.-- _- --__ -_ - -- --- --- --- -------- _ Roof Covering ----- AQ ...................... _---- - --- Estimated Total cost of improvements of Permit $ --- �? ----------------- -------- --- ------------- - --- -- Zone eubage required _---------------------- ____ —.- -_----Plan Cubage --------- _______ — _----- ____ -- --- _- ____ -- -- Distance to neat nearest building-- .- __— ___. - - - -- --- _------ ^- .___ -- Size of Building Lot - ------ -` - - -_ �_ -- __ —_ -- _ -- Maximum live load to be borne by each floor — _ _ -- -- __ —. -- _ _.._...- _ —.._ _------ _---- - - - - -_ _ - -_ _-- - - - - -- __ . __.._._. I hereby mit all the plans and specificatio for said b ' ding. All no/ ' with reference to the building and its construction may be sent �9 - — — - The ersigaed applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer Of labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks_.--.-_—_•_ (sign STATE OF FLORIDA, t7 COUNTY OF DADE. ( ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the..-.. ...... ___ - -- ------ -_— ------------------ ---------------------------------- - of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. J % __ _t _ ______._ Date_ -_-7--- --' . -____ Read, Sworn to and Subscribed before me. Disapproved /�- (Signed) ------ - - - - -- Building Iz Chairman -- ---- - ------- _ Member- Member -- -------- - - -- --- -- -- - - -- - — --- - - -- ------------ Florida----- - - - Notary Public, State of My Commission Expires - - - - -- - --- - - - -- -- - -------- BOARD -- -- - - - - -- . - -__. -.--_---------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. F _ TV lip BUILDING PERMIT RECORD V/ MIAMI SHORES VILLAGE FLORIDA DATE APPLICATION Application is hereby made for the approval of the plans and specifications herewith submitted for the building or other .structure herein described. This application is made in com- pliance and conformation with the Building Ordinance of the 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 Department of Miami Shores Village, shall be complied with, whether specified or not.f OWNER ARCHITECT, CONTRACTOR J LOT!' �L11 �BLKiJ SUBDIVISION �rx�i-+- tQ, STREET NEVV *_:;.,ADDITION REPAIRS NU1MBER OF STORIES:'! :ROOF ''`�k�r-7� X03 TOTAL COST Building to be used for ,f L and no other use. I hereby submit all the plans and specifications for said building. �- Signerf ~ STATE OF FLORIDA) - COUNTY OF DADE Before me, the undersigned authority, a notary public, duly authorized to adminis" -P atlry and take acknowledgment, personally appeared to me well known, and who, being me first duly sworn, upah oath deposes and says the, -,he is the builder of the above described construction, that he has read the foregoing application, and.t;hat he did sign the same, and that facts stated by him are true. Read, Sworn and Subscribed before me, _ Notary Public (Signed) My Commission expires`�d� wry; Jh iFC i}t rF• �' =F -�- %ir %n ,;e � 1i •l Cubic Feet Cubic Feet required in this Block 1 4 PLi.,NNING BOARD ` G Char s r w -� Member 8 ecretary Building Inspector Permit No. /,� O-Issued to J Dete OP Electrical Permit No. Fl=bbing Permit No._ __ __ .... A I LIST OF SCi3lCO3TRA'CTOkS ,�: •`',t� Painting Plastering Lathing Electrical Mason & ConcrotE Plumbing Roofing Glazing r Tile Miscellaneous ' +} � R .. .!" r.. ♦ , it .. ICI, �. I4 � � � '.� `t. t �• � � ♦. ,�I s �� P�' R I t • l• I, j T`!I p( } «` . i. ! •Yil `,: M M i wY E:% 1 • 4 YY to 1 ilk, , f tint"" „r *w � • im 44" " kr- MUM u v y J"AlSh 8,44 ` t t flit Rio JA IJA*Iwa M y VILLAGE ILMN N laC3 *N DEPARTMENT ASP , �;,: a �•: _ rprova went of the plans and specifications herewitB sulm�ittid for the build e h d is aal�p tt compliance and conformity with the* Buildin of Miami s liag da, dl f t haws Florida, all 'ordinances of Miami, Shores Vie and all rules and �T B "1d n Mi mr .Sh s. e Compliedwith whether herein specified oa,not, A copy of approved spec ti .t'iltg grief 'the work. _, �,nckAddre r No;, Six .A r — - e /� 9 • r ' egy�s Archt "anj /ar t __� t • ar► apd�es°s of hcens for f' — t *des Iptioi� �ot es��:- .+� y � ` i W . - -- foe ._ - - - t x �ee *mod umb `� here Irk WtC�i' !� � �__ " - -- _ x „ . • `� �fa�e irk" ite and pose tld -�L j -- --- - -�1✓L +� _ _ _ - --� - ,, � A k - - - -- - _ ... - - -- -- -end' for other r New3uid w ° alt - - e -_— b I&A � i 'on _ Repaus -No. of Stories_ p h lie constr acted tstst`tn a ion_ - - -- -- - - - f trove . g► _Roo - ro ,. - E stud Totacgst of igro milBl►$ Amount of Permit $ _ -- _ _ -__ -- , w: • n-a ♦ .-1' .w a�sone. c ge �xecued _ — �•` wF - -- �a - - - -- - -•� •� -- ._Plan Cubage - - - -- - -- �•- --�r- s Di ceext;#arest building ____ - - - -- -Size• of Building Lot - ------- . - -- t� 1C�Iaximui �h e . lq' to b 'ci oor - - ----------- — 'a Y - '1pt d eblr sul ►it a�t ie plans axxd sypec'ir ations for uikling.. All notices with reference to the builii�n and its construC6, niay C •be sent to _ -_- -s 0- - - -- - - - - - -- - - 4 >. ; TI}emnders ed appWant f9 this building es hereby certify that he `understands and - —� bligatians as anier . o labor, ler�_Wlox•da Worl 'en's`'Comp nsation being Section 59ti6,,Compiled General Lairs of , Permanent Sup , &as pl %1d�+with KovisWns the of,'and w' ' hire similarr compliance fromlali ontractoxs`or sub-' tractors.�m 1 by -}sim ' • _ to bcr perforrnerurtd •thtg er d ast or cause to Des t posted for ' ction'on the site `of warts such ublic notice �► ., as are regpire�b b}� the °f` a t*dersign it Tees to employ only such tractors, on wor o permit, kts are licensed *y'4�wni' Shpres V �. f u dot #Isis marks Si ----------------- - S`tATE 'OF �RIDA • iM ' " �. " = CtN 1 l Ala the ti dl I geed authonty, a not b�ic,• duly authorized to administer oaths and take vents, ap- peared ` - -- f7- -- - -- - - �— - _ 'r"� _ - - - ~A :° - - - a - -- :to �e we knoyvn, andviA`,'be' 'py me first duly # o sand says that he, is the__,_ _ _ ` W - - _ - am= of"the above des bed.0 struction, that•he has y read the'foregdtng applic ion; and that he c tf gn � f an that all bets' . thery axq� e, Na - -------- Read, Sworn to and Subscrx At ea • a ____ ,�..... �...� -. Mme' v r ,.- - - -- - - - - -- - - -- - — - E ( Signed) -s - - -- _ -.- Notary Puhhc, awe � Building Inspector My Commission Expir * -•N. -- -- -- __a— ____ -- PLANNING BOARD_-- - -____ _ _ DATE ,, _. - 4..,. � � - • Chairmen a + _ M ul �. e +»». r Member -- ----------------- •- - - --------------- Member - - - -- r- - - - s Member .,, M - - - -- - - - - - -- -• - --- ------ - - - - -- Me{*b� - -_ _� -p � ` - —_--� Council Approved --- -- -- 4 - - -- - - - -_ Date Disapproved - ; -..----- - - - - -••-t -- - - - -'� - - -= - _Nate NOTE. A char e' o£ $I bO will be made #Qr'makin cbrrec ons or chan es,to,this a li<cation .. fter *th g g tl S PP ,a oval !� as been s twined• from ,. lanAing Board. . fc. 1" Are- in5peeti.an fee of $1,00 Kill be charged •when such re=mspection is made necessary: b�% improWe totic�ifor inspe t or feh}ty r materials and /ai workxpanshiP. Ci'lrainsuote to W4 41 hight 61 w,-r latbe. I'lloar to bo Ott ILY,,Aazad tile -.1ithjut bardoro A000aaories ia tile ax :CQjjww$j 2 24"" +**vel bars$ t soap dish* I tumblsr "101C or a , dor ior sAd 3. toothb M-sil 11old t 1twa*:)r- rocussed jAper bol 0 *1 01 at watoro-01*80s I roloo hookf and I Ooiabiwr ti° " : r&ad vab at tul)# .......... Ij "oe ra-wed at cream c*gored 11,3rady 4, no and of deSIG-n zw3wn 04 druwinGa- 1 6 I To be abtainsd and paid- for bY PlIVAbOrs All 0 0aes an e, :rsgu l utlow by all auth,)r It w7wor ri od to Waft'rid adhered too we x ar izaadard ea." *(I Lu Partit'10jas't To be IAstUle4 to prevwit watsr ""Wo stzmdc.,zi, &-:a4Q and free from xemd IR MI uol" anfriffir. defootso tarred lasicL's 'c,'xzi wt# V I - '10AL1 5+'Uq'�-40 a�d evory unguBir OlaaAg* 'Ll S - At foot of Vort o�' of�& Rzontal run* j-3j-.AS.S OSLp ore a& is 1jeavy 'If'orrule, g ZIMi, To be gulvaaizad steel off" audard t riidwo A - -jVOVj(iO aa4 jnstaU 41 ex ty;4 with lead colUr turneCIA144 7alt at top* 'led TUree Lqs+.al - t ,,j d1roct tod by Iwaore BY ("rane Goi-inway "')r up"Woved Oquall flAd as "follows*- I'M , Ijut T' aiami Jbores7illage F L O A I D A P UMBING PERMIT to Issued to N° 1155 OWNER I LOW BOCK SUBDIVISION r` 71 jj- to install the following described plumbing, in accordance Jith the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbipgoand drainage work done it Mia i Shores Village, Florida. For a- i story °_`'/.�' y building at Fixtures Fixtures s_70 44 Sewer $ / ,0 -tic Tank Total $� Village Plumbing Ia Received Payment by Miami Aores J 111age F L O R I D A PLUMBING PERMIT Date Issued to N° 1261 OWNER LL T � BLOCK SUBDIVISION to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. Fora story building at 4 Fixtures Fixtures Sewer Septic Tank $ Total Village Plumbing Inspector_. Received Payment by r � aiami =fhores=YjIIage F L 0 A I D A PLUMBING PERMIT N9 1261 r , Issued to OWNER I LOT BLOCK SUBDIVISION to install the following described plumbing, in accordance with the laws, statutes and regu. lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a —/story building Fixtures — Fixtures_ Sewer $_ -,tic Tank Total $ Village Plumbing Insp Received Payment by- - CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N� 193 �7 Cyst ' - Miami Shores Village, Florida, Owner, Age or Tenant of Building �'` Lo J �' Blorl +cL —., � Subdivisio Street Address Approved use by Remarks: -- % I X i I 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 re eling of buildings or structures. 4 �L- I 5 3 ( TNe V"41-1 —T BUILDING DIVISION 4 g In u �a 1 ,2 3306 OF MOO AQUO.41ALA St Ooro=va A* AIRO, Bath Go?* Bath and 4hawsr llxture -40 ' W G# Ps, Supply and 44' supplies �O zoo Lt" 04,P* ` IT$AOvqx V* iu0 4" X:110' """� w as 1A zatu ` W-1 18"x." as in Bath #1 wx in 39t4 wl . 123460 gullxwfll ph# * UU 1917 0 fast* 33980 I. O t o o p 0 1114 J Wouton V. 1502b 1&A4gwq 3"t Towt . X drain tilo, i Z O o 5 Y a tri -o$l f a 4hor*4 tO* To be volaOUd IbY + 1A acoor4ame with 100al, state LUIU AiA orulax-mcess asd requiremeatse 7MMMON AND tI Tops or all rootlajrs shall be loWePth mularal grade. + Atlas ar, othqw sypr*ved. Partlaimie Cleans CoLxset fr"h WLitero BUZ -10 or lose is inximm aiiaeasions. U12,29M4 SM, - we* frog heavy =at soc-le and as shown. C onareta mIx for tootings, tle'oes,,W,j etc. 10*0*0 4alvanized Iran. Under1riterts label *r ap;roved equal* 414,*�0-2 462Q, -36�Q A2- ki Oarago, flow ammi drivem to be or GonAme.or tr sudx* Wilks t* be rd Pat%sm quarry key on 4" 40Ao"to "ab* I WWWO dir"SO4, QUUAAO ot 09're" Porah, place a IV'** x U 0" tudem qu ar , ky kVyP-PUIttmu on 4" c5noret.,:. slab, IN, lortc,,- Jac. ,Lo - yellow -pine* . CAnd 16" 0, 0, brIdg*4k OVOry 610 AJ 4U bL4 J,X JoIsts it7re"F* bearlm�, 1)artitlooao V x 61' bolted to\"- x 4" or to, x 61* 16 a 4LQ arm opeaings* Dmble tol, plates oJ& U Boy "'gg #2 0=0= yellow; C2 1 MMLVI 7/8" thia Mx ks 10" ifrllx��% 4 , QT;�BI213 jI,G-tmz.t DOOR mla 7/all oypress with ap BhA ZAM cypress wIth di4LM=g a 3NT=aI.D00) .!� - 1j''8`° stook flush panel fir te tie beat ,Se ,WJU,5,Le �Ul studs one a NNW, 23LONG - Form with 3" x S" rid and 4w 611 all So e4:14A on plans and of jI GypreSIS., Ana T, t., rl,. "r," Ward page one r A. l xlir" iA tail closetq one L�r�e araouh to give aa•es� ett o sp"e. --L= q - i ,ypress as sh3viA , mill tO submit ahoP drawn e Waxwovalo rod 'S x 'M 01 Qoa ye3N1cW pine Of m ruber sh*vmo 1" round g Wiled hooks to each Qlosete g u .` ' ers sh*VM on glans ereet i n g►rago Plat arst for storages MR ' j - ':,,quip all windows with 3reravalDle pressed w-)od or Mazonite shu"Grge 7- e 5,6- 70 &,:F Fc4x"v /.sf/ t o B r o wAle .� =MICI. G& JET ' be selected u110sIG600. To be selected » dlloW �;35 UO• ,. 13/16" x ," clear plain red oak to be finished by r ontraotor as Wlassi all" filler in dolor and two coats Berry Brothers .,,Jgla d Granite, nIr sow over 6/8" Pines i ;. - Soft rolled tes<perb Tonoun 1r*A at of roor and eal vertical sur +4009 ktQq ' ' - be (;*meat Zile laid iu 0 t in cul approved mnner* I To be placed where ehoen L- 4icsted ern pl"st and as reqWred by �!�. .• To be TrusQscan or &P- arQv8d squab eq RGlass to be double thlOk Libby'- 0eMQ -;J"tard or approved A" c lity, hold is place by proper e148 und aet In putty as manufactured by the i 603ra GmV&aY or an approved a Uale gal oaulkiAg around steel Bush to bO oir ?00 or COMP ournd This bauWMg to be dwe tpp]Ll*d With an A- Vr*V*d QaUlkug gUa* only after an application of Q10Am properly pushO '.at* Plao** "dtND p s IV be good tirade rcrcls laths Well Auiled aU Saints broke'" - 3/8" galvanized Clinton sloth. place at inter- A or wall*; e►t baths o0a wall w%srs tile is applied; at intersections of cells and aeill"s anti at 211 d O'arasrse . Ward .� , e '`F#o r lub l/v As y e *I A ilea Fo � /✓o I?v / -/ q;/, /- SBwta �o SepJi� JOURNAL O SV PC ACCT NO SV PC ACCT NO TER SERVICE, INC' ur utility billing you need t and NO special training need when Metro does a typewriter, an adding NS SERVICE ODE (TYPE OF CONDITION DETECTED) I 1 t PAGE --i SV PC .r 9 ►;I- ` _�,� ..y�,r . .. ...; i rr 1 BUILDING ELECTRICAL PLUMBING Owner of Building Architect MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N° 5265 Contractor's License No. Work to be performed under this Permit II 0*. 4 A / i"1,0'ev Contractor or Builder Legal Lot Bl. Description Address of Subdi- vision Value of Amt. of Permit 194_ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or 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 r MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 194- ELECTRICAL PERMIT N? 4848 Contractor's License No. PLUMBING Work to be performed under this Permit Owner of Building Architect 'Contractor for Builder Legal Lot 131. Description Address of Building Subdi- vision Value of*�:: I Amt. of r ;� 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 m compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA I I BUILDING ELECTRICAL PERMIT N° 5250 PLUMBING Work to be performed under this Permit Owner of Building Architect Contractor { or Builder A ,&. Legal Lot Bl. i Description Address of R ( r' r n *i ildincr e ! Subdi- vision DATE 194 Contractor's /tiX> '., License No. / Amt. o Permit f 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 �1 MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 194 ELECTRICAL PERMIT Nn 52'75 Contractor's ++ License No. PLUMBING Work to be performed under this Permitw - �•- t.C.e' °' ' Owner of Building Architect Contractor r' or Builder" Legal tot I Bl. Description W. Address of ,� 1 �* Building `�' 71 Subdi- vision Value of 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 here for 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 dnd that he assumes respon- sibility for work done by his agents, servants or employees. INSPECTOR _ By In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume respond lity for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING I /�__ ELECTRICAL ❑ PLUMBING ❑ MIAMI SHORES VILLAGE, FLORIDA DATE 4ell 195 PERMIT N° 9021 Work to be performed under this Owner of Building Architect Contractor `# or Builder Legal Lot J` Address of Building nio Contractor's License No._ Subdi- vision Value of A Amt. of Project $f 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 herefor in strict compliance with all ordinances pertaining thereto and witl 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 ganged without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes tlF responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dra -flings or ij� the statements or specifications and that he assumes responsibilit for work done by his agents, servants or employees. Signed: By INSPECTOR In consi ration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining °tiller o and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting is 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 l ; BUILDING DATE /j, ^► 194= ELECTRICAL PERMIT N° 4848 Contractor's;; PLUMBING License No ..�- -- Work to be performed under this Permit � � {/ W - '` 1 Owner of �° r``°, Building 1 "Architect — s Contractor or Builder f Legal Description _ Bl. Subdi- vision Address of 1-Y, � /1 Value of �' I Amt. of Building_ L� I _> Project •..` i Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 staternerLts or specifications and that he assumes rtitSpon- sibility for work done by his agents, servants or employees. r 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 pe u,,l assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDEER— — BY AUTHORITY 3 � � :yam. 1 MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 194 ELECTRICAL PERMIT N° 6255 Contractor's PLUMBING License No. Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of Subdi- vision Value of 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 her in=strift co4pipliance , ,,;ith all ordinances pertaining tbereto-d I'd 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. I Signed: — — By INSPECTOR In considgi4ion of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with_ ordinances andtreq�,a ons pertaining thereto and in strict conformity with the plans, drawings,, statements or specifications submitted to the proper, authori ies of Miami Shcchhcrs iHHage. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA • . , BUILDING DATE 194- ELECTRICAL PERMIT N? 5250 Contractor's PLUMBING License No. Work to be performed under this Permit_ t` Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of r Subdi- vision Value of Amt. of Project I Permit vM 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 1+ MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL PERMIT N? 5275 PLUMBING Work to be performed under this Permi Owner of 'J�' 112 N ,�. �/ Building � V ///'��aaaccc /// — Architect Contractor f or Builder Legal Lot `/ ,, Bl. D scription.?K" i, b A v T 1 Address of e Rn ? ildincr - m-` J G Subdi- vision Value of 46 If f A- DATE �` 194 Contractor's 7Lilcensi� No._ RAE Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equ}pment 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 or ances -and regulations pertaining to the work covered hereby whether shown on the plans or drawings or n h* t statements or specifications and4hat he 442nes respon- sibility for work done by his agents, servants or employees. IN 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 acce �this it I assume respo 'bility for all work done by either myself, my agent, servant or employee. CONNM O JLOR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description Address of MIAMI SHORES VILLAGE, FLORIDA DATE -' 194_ PERMIT N? 5265 Contractor's / , License No. / t 2 c Work to be performed under this Permit _Y! <�. Bl. Subdi- vision Value of Amt. of 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 assumPS' 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: j� — By r . 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 iv,strict conformity with the plans, drawings, staff entseor specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by eitl>efms�elf, any agent, servant or employee. CONTRACTOR OR BUILDER) BY AUTHORITY MIAMI SHORES VILLAGE PERMIT Office of Electrical Inspector No. CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at by Address for owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range watts. Water Heater_ watts Power: Connected load H. P. Space Heaters watts Other Apparatus ELECTRICAL INSPECTOR. 3 dry' �d*t .�es e n sr q.2 .1 %2r 3 A i _ _ _ .L i ti ti 1 ./ - - .� :. !` "` l'q A rM M A !`w C Or- A �� .�' �"� Ps Mme! PI� { .,,.. Ar'SV AS . w rakfi-vvv r / ,Wf,A, w . �,, ` PAIL) BY ` YEAR . ANNUAL TAX � ....` PERIOD USED AMOUNT PAID YtATE.pA1D ? • j it a #P!T , Nffi1fR 1940 1941 r ,.,. Sr / wig _. 1 942 fi v t �� .1 d O ..._..: 1 Y ,� 1.943 -�/ 1944 1945 16.o 'S� c� J [t- 1946 , " i Ae 1947 O s► -36 -- 1948 . 6 - �oZ - O 2� / _ L3' O 1949 1950 246 N. E: 103rd +gam Y -tam* p rl- O +used` pfLiClA ` o�fte paid receipt tt OL • �. 1� try ,t r. ,:f1k b5` 7, �"� �'= i a ' r. .y: ':1! ♦ ,r,+. r. 4 b �y v ' v , i «. -.. 4 •'� "� - a;'� • { t .�., a ,b5a K �'+� a 'hR x' ° ♦„' r+Mi'"' .yid + .. ,. i a� �. :G ' } � r� �'�t is MY + :♦ •. �i. ; ��! +iu�, � � °� ,r -�� i�; "� � �i `♦ `T' t�k i rt .A 1; �"'1 r #. ^.4 JAXX A I �YE PLAN CVV9 CU. PT. ' EST. C Si I tqulpgmfm Tffi DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: TYPE I STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION NEW CONSTRUCTION DESCRIPTION - - REPAIRS DESCRIPTION ALTERATION . .,. X Florida I. AD r m : 1.'i vi APPROVED REJgCT D REFERRED TO COUNCIL REASONS lJE9MlTTEd Td tx ANN IU2 BOARD RE-SUBMITTED TO- PLAfiINfNG BOARD REMARKS x. ,. SUB !TT D 10 VI A 1 RUILDING INSPECTIANS INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION ;2- PERMIT NO. DATE FEE TEMPORARY SERVICE $ BEAMS & LINTELS $ SEPTIC TANK RANGE CONN. - FRAMING SEWER $ $ SOLAR HEATER $ $ GAS INSPECTIONS FINAL $ j RE- INSPECT BY RE- INSPECT BY $ CLEAN -UP DATE BY RE- INSPECT BY RE- INSPECT BY PLUMBINGo-RERMITS & INSPECTIONS CONTRACTOR PHONE PHONE PERMIT NO. DATE �' $' " FEE $ NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ SEPTIC TANK RANGE CONN. - $ SEWER $ $ SOLAR HEATER $ $ GAS INSPECTIONS DATE $ j RE- INSPECT BY RE- INSPECT BY $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING H. W. HEATER CONN GAS RANGE CONN. SEWER SEPTIC TANK FIXTURES & FINAL SOLAR HEATER - FIXTURES ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR PHONE PERMIT NO. DATE ° FEE $ G: NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. - $ MOTORS $ FIXTURES $ INSPECTIONS DATE BY j RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL APPROVAL TO POWER CO. FOR SERVICE DATE BY BUILDING PERMIT Owner of Building - Architect • Contractor or Builder MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR Miami Shores Village, Florida, '19 PROPOSED LOCATION N° 490 DESCRIPTION OF BUILDING FRONT DEPTH PART OF LOT LOT BLOCK SUBDIVISION No. STREET PERMIT FEE 5 Frame, Tile Concrete Stucco DESCRIPTION OF BUILDING FRONT DEPTH HEIGHT STORIES TYPE OF CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE 5 Frame, Tile Concrete Stucco Residence Apts. Stores, Hotel This permit is issued to To the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said 4s, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. BUILDING INSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. Dated , 19 (SEAL) ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Contractor or Electrician aiami Jhores7illage F L O R I D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla., 19 LO CATI O N NO. I STREET I PART OF LOT I LOT I BL'K I SUBDIVISION N9 726 DESCRIPTION OF WORK NUMBER OF Outlets ( Motors ( Receptacles I Generators ( Stoves Water Heaters I Signs I Billboards I Other Apparatus I Permit Fee This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. 19 (Seal) ELECTRICAL PERMIT aiami Jbores d illage N. B. —This Permit must be on display on the premises during F L o n I D A the construction. OFFICE OF ELECTRICAL DEPARTMENT N® '726 Owner of Building Miami Shores Village, Fla., 19 l� C actor or Electrician LOCATION NO. STREET PART OF LOT LOT BL'K SUBDIVISION Signs I Other Apparatus Permit Fee DESCRIPTION OF WORK NUMBER OF Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by t*Department. h . Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Village. .n , Dated , 19 d w li I ' "' (Seal) =/ d Liami Jbores7illage h F L O R I D A APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for issuance of permit for electrical installation as described below, and for inspection of same after installation: Owner Building Contractor Electrical Contractor.�..� -- Location of proposed work: Lot �? Block_s Date _ 193_ 1 41 t Subdivision Building: Old or new '" ! Number of stories Used as Description of proposed work Details of proposed work: Number of Motors H. P.. + Volts Amps. Phase OUTLETS UMBER OF RECEPTACLES INSULATION STOVES WATER H'TERS GN BI O RDS RAP RATUB MAIN SUB BRANCH Basement First ,r A .. 0 4mo FLOOR UMBER OF SIZES OF INSULATION OPEN OR CONCEAL'D NUMBER OF CIRCUITS OUTLETS MOTOR GEN. MAIN SUB BRANCH Basement First ,r A .. 0 4mo Second Y Third Fourth Other Floors Additional Information Signature of Applicant =' /f Address (if other than owner or contractor) (SPACE BELOW FOR INSPECTOR'S USE ONLY) Work begun Work finished Final i 1 Inspector MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No-------------- Date- f ------ - - -- -- -- - Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance,.aA! 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. 6 /°fl .�_� Owner's Name and Address -- ------------------ - - - - -/ - - -- -- - - - - ----------------------- No.--- --- - -- - -- Street ----- T /� Registered Architect and /or Engineer --- - , - -- Employing Plumber's Name----- - - - --- e XI!____---vim±--- ;- ---- -, No----------------------------------------- Street f__ Location and Legal Description Lot ----------------------------------- -!f :_•Block::___ ______________ _ Subdivision____ _________ _________ - Street and Number where work is to be performed—No.---- __?f __: ; !,E __ ______L _ __ Street _ _ ________ "_ ,State work to be performed and purpose of building (By Floors __________ _______ _ __ -------------------------------------------------------- ____ ___ Remodeling __ ______ ___ ______ Addition ✓�R _ _ Repairs __ No. of Stories - _____ New Building ------------------------------------ g -- SizeSeptic Tank------------------------ -------------- -------- - - - - -- -Type of Tank------------------------------------------------ -------- - -- - -- Capacity G s.- - - - - -- Feet of Drain Tile__________ _ ________------------- ---- - - - - -- -Dist. Feet of Tank or Drain Field from Well ____________:'___ - ----- ____ Nature of Water Supply: City — Well ------------------------------------------------------------- Size of Soakage Pit________ I r , t•: - - - - -- - -- -- - -- L-- Nod (Signed),­' ,- -_ , Amount of Permit $ ___ _ __ __ _______ ___ - -- - - - - - -- --- - - - - -- - - ----------------------- - 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 5966, Compiled General Laws of Florida Permanent 'Supptemcnt, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. i�/ n1 f co (Signed)__ �! -- -- -__�- -- __ -_____ STATE OF FLORIDA, } ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgpients, personally appeared -------------------------------- - --------------- - ----- — ----------- -- -- - - - - -- - �t , to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -------------------- __------ j__ _ -------- , of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and-that all facts therein by him stated are true. ` - - ------ -° - - - - -- - - - - -- ---------- ------------- -------- - - - - -- ---- - - - - -- - - - - -- - - - - - --- - - - - - -- -- - - - -- -- - - - - -- -- - - - - -- My Commission Expires Notary Public, State.. of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES - SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING� FOUNT'NS TOTAL. FIXTURES CONTR. LIST .CHECK - CONTR, LIST SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G - POOL - CHECK SizeSeptic Tank------------------------ -------------- -------- - - - - -- -Type of Tank------------------------------------------------ -------- - -- - -- Capacity G s.- - - - - -- Feet of Drain Tile__________ _ ________------------- ---- - - - - -- -Dist. Feet of Tank or Drain Field from Well ____________:'___ - ----- ____ Nature of Water Supply: City — Well ------------------------------------------------------------- Size of Soakage Pit________ I r , t•: - - - - -- - -- -- - -- L-- Nod (Signed),­' ,- -_ , Amount of Permit $ ___ _ __ __ _______ ___ - -- - - - - - -- --- - - - - -- - - ----------------------- - 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 5966, Compiled General Laws of Florida Permanent 'Supptemcnt, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. i�/ n1 f co (Signed)__ �! -- -- -__�- -- __ -_____ STATE OF FLORIDA, } ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgpients, personally appeared -------------------------------- - --------------- - ----- — ----------- -- -- - - - - -- - �t , to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -------------------- __------ j__ _ -------- , of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and-that all facts therein by him stated are true. ` - - ------ -° - - - - -- - - - - -- ---------- ------------- -------- - - - - -- ---- - - - - -- - - - - -- - - - - - --- - - - - - -- -- - - - -- -- - - - - -- -- - - - - -- My Commission Expires Notary Public, State.. of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ,( PPLICATION FOR ELECTRICAL PERMIT -, �f r Permit No. Date------------------------------------ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name _______:__ Location and Legal Description No ------ —,2 ------------------- Street -------------------- – -------------------- -- No.---------- ------- ------ -- ----- --- - ---- -- Street---------------- -- -- --- ------------ -- -- - -- - -- Street and Number where work is to be performed—No. _ __________ _W_ y �, Street _ ________________-------------_------------- 7 - _______ State work to be performed and purpose of building (By Floors) __ _–_— --------- _ ---- -- -------------- — -------------- .-------------------------- New Building---------- ------ ----------- - - - --- Remodeling---- ------------- --- -- - - - --- Addition . --------- - Repairs - -- No. of Stories.. – Overhead Service Underground Size Feeders ----------------- Conduit- _ –:___ -- Main Sw_ =— L Amps. Main Fuses ----- – --------- — ----- Amps. Type of Installation — Conduit_______ _________ Tubing ----- BXL ----------------- 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 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 - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ------------------------------------------- ------------------------------- Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. f " Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared----------------------- ---------- ---------- -- --- - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _-- --- – -------- –_–_–_– ------------------ – ___----------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON SW. CAB. TEMP. PERM. 0-1 HP 1 -5 HP TRANS. RADIO TOTAL CONTR. LIST CHECK Overhead Service Underground Size Feeders ----------------- Conduit- _ –:___ -- Main Sw_ =— L Amps. Main Fuses ----- – --------- — ----- Amps. Type of Installation — Conduit_______ _________ Tubing ----- BXL ----------------- 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 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 - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ------------------------------------------- ------------------------------- Master Electrican. STATE OF FLORIDA, COUNTY OF DADE. f " Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared----------------------- ---------- ---------- -- --- - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _-- --- – -------- –_–_–_– ------------------ – ___----------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. ,t r v (c7 %4.G.-7x 400Z 3raq i K lo-7 s ��4,7 X33 6'I O SOS 2 -- Omft- �Z @ sf_zs36 FAia Vok MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. a Date ' -- - - - - -- t:: _ - 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 comp ed with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wcylj - �-,- -r-' N e:t - - No - - - - - -Z -- -- -- - - - --- Street 1 ! `^ — / 41� Owner's Name and Addre __ : ____ • Registered Architect and /or En ineer - - - - -- -- -- - - -- - - -- -� -- -- - - - - -- --- -- r a .._ Employing Plumber's Name , _ G t, J C d_^! ----------- 1^,,a __ --------- Street, !____ I d Y1rj r Location and Legal Description Lot ------------ _: ---------------------- _ __ division _ ----------------- __ -- __. Street ____ 1 Block ____ f _ _ Su Street and Number where work is to be performed —No.__ _o_�__ �7 �: ____- -------------------- - - -- K State work to be performed and purpose of building (By Floors) ______ ___ __ - - - - -- ___ __- _ -__ - -- -- - - - -__ _ -- -_ New Buildirg--- - ` - =- - Re t;,dA #n ;'_T- M _ _ ___ - - - - - -- Addition ------------ _ Repairs -------------------- ----- No. of Stories -------------------------- Size Septic Type of Feet of Drain Tile_ ________ ____ _ _ _____-------------=-- - - - - -- -Dist. Feet of Tank or 'Drain Field from W Nature of Water Supply: City—Well ._____ -e- -- I -�- - ` -y- -e - -' ° - -- -Size of Soakage Capacity Gals. - ------------------------------------ - - -- - - - -- -- - -- Amount of Permit $ - - -1 a -, a --------------------------------------------- ( 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 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied Noffi the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be perform' `.under this permit; and will post or cause to be posted for inspection on thgf 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 t permit,- as are licensed by Miami Shores Village. t Si ned {- l% ( )- C'j # g - �� r STATE OF FLORIDA, j ss COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowled en ts, personally appeared - - - ---- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the________________ - F - -�- - - -- -- - - -- of the above described construction, that he has carefully read the foregoing application, gnd that he did ---- -- the same; anal that all facts therein by him stated are true. ! •: ,� + ----------- ------------------ - - -- - -- - - - - -- ---- ---- -- - - -- - -- --------------------------------------------- T ota a : AFlorida My Commission Expires - - - -- - - - -- -- Public, State of - -- - -- 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. 1, CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST -- CHECK DRAIN FIELD - SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G ,POOL I SEPTIC TANK SEWER CONN. CONTR. LIST CHECK Size Septic Type of Feet of Drain Tile_ ________ ____ _ _ _____-------------=-- - - - - -- -Dist. Feet of Tank or 'Drain Field from W Nature of Water Supply: City—Well ._____ -e- -- I -�- - ` -y- -e - -' ° - -- -Size of Soakage Capacity Gals. - ------------------------------------ - - -- - - - -- -- - -- Amount of Permit $ - - -1 a -, a --------------------------------------------- ( 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 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied Noffi the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be perform' `.under this permit; and will post or cause to be posted for inspection on thgf 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 t permit,- as are licensed by Miami Shores Village. t Si ned {- l% ( )- C'j # g - �� r STATE OF FLORIDA, j ss COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowled en ts, personally appeared - - - ---- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the________________ - F - -�- - - -- -- - - -- of the above described construction, that he has carefully read the foregoing application, gnd that he did ---- -- the same; anal that all facts therein by him stated are true. ! •: ,� + ----------- ------------------ - - -- - -- - - - - -- ---- ---- -- - - -- - -- --------------------------------------------- T ota a : AFlorida My Commission Expires - - - -- - - - -- -- Public, State of - -- - -- 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. 1, PAINT COLOR APPROVAL AND AGREEMENT All elements on the site must be listed and indicate the color to be painted Directions: Please circle corresponding number to appropriate color sample. walls: [ 2 ' 4 Attach color samples with name and Fascia: I 3 4 number. Drip Cap /Drip Edge_ 1 2 ; 4 Soffit I 2 ; 4 OLke 0-ys llJ X) Roof. 'PMeSL) PM— 4 Flo\,ver Bins: 1 2 3 4 Shutters: 1 2 3 4 Awnings: 1 2 3 4 2 Chimney: 1 2 3 4 Doors and T00-1 ,lams: 2 3 4 Garage Doors: 2 3 4 Railings I 2 3 4 3 Fences: 1 2 3 4 All brick (simulated or regular): 1 2 3 4 Stucco Banding: I ? 3 4 Any other Stucco Features: I 2 3 4 4 Accessory Buildings Other: 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. Signatur Signature Owner or Agent ,,'^^ Contractor The foregoing instrument was acknowledged before me this G(J The foregoing instrument was acknowledged before me this day of Al /1rcLt 20 J56. by , U C � day of 20 _ by who is personally known to me or who has produced v ho is personally known to me or who has produced Lc 52010 As identification arid who ' ® as identification and who did take an oath. NOTARY PUBL C: \GPI \ \�� tZ�i Off' \gS obe � NOTARY PUBLIC: Sign: 05���Q Sign: Print: L o � ,;°1Noi; - -� -- �a Print: _ My Commission [`xpires: • • My Commission Expires: APPLICATION APPROVED BY: nd e!3 ve Plans Examiner Preservation Board Code Enforcement (Revised 04 /24/0% PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RREETAIN COPY) !/ Date Job Address Tax Folio // Legal Description �f', n�master Permit # - /✓�� — Owner / Lessee / Tenant _0/1, ,ea ti. C/ y or Owner's Address 0 S'r : Phone Contracting Co.� dv` a L Cuo Addressfl� Qualifier SS# - - Phone State # Competency # �ij 5-!t!%1 Ins . Co . Architect /Engineer Address Bonding Company Address Mortgagor Address : Permit Type (circle one) BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORM. DESCRIPTION � Square Ft., Estimated Cost �yy`vo 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 f o will be done in compliance with all appl iurthermore, I au orize a above -named cont Signature of Owner and /or Condo President Date: �j 12 �rl/ Y � � Notary as to Owner and /or Condo President My Commission Expires: PERMIT FEE: APPROVED: Zoning 7,1M Mechanical Fire regoing information icable laws reg ractor to do a'accurate and that all work construction and zoning. stated. Signature y(f Contractor or owner- Luilder! - Date:L% Notary as to Contra for or &,:ner- Builder My Commission Expires: " gjW -$Wit STW O nA ► at C"ISSIM t1p. OR-18, s Other 900 TW 4902L IN$- iND. Building Electrical Plumbing Engineering f 4 k PERMIT APPLICATION move . -- Master Permit No. Subsidiary Permit No. l�CORiDp' INSTRUCTIONS obtain Step 1. ".Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized Please print or type to allow fora more accurate processing of your application. If roofing work-will be done, a roofing application must be submitted along with this permit application. ' Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Jb Add G b o Address Apt. City State Zip j Folio Number escription of Work Q� Q S C be Ct v_ 126 (µ 6 c� -�.✓1� Lot Block Subdivision PB PG Zoning Linear Feet Current Use =of Property ".a S (C Squ e'Feet Units Floors Proposed Use of Property ` ` V ue of Work , Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone. Base Floor Elev. + k i' E F f f PERMIT TYPE' (✓ ) Bultdin Electrical Mechanical Plumbing LPGX �,"fing Fence Other ARCHITECT Name License No. Address Telephone Fa PERMIT CHANGE (✓ Ch g. Contractor Renewal ' Revision Extension Sunulement PROPERTY OWNER Name" Address Home Telephone 6 c_ 1 Ug s t Business Telephone <r J C_ t-k 4 TYPE OF MANAGEMENT IJ New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Ad.d'I Attachment Other Add'1 Detachment Other ENGINEER Name License No. " Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name I Page 2 PERMIT APPLICATION 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. -)AVIT - Please reac Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, I" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OIF,.ELORIDACQUNTY OF MIAMI -DADE Signa e3`( 0 C( -"O—rr t, Print Name Swom a "n ubscribed before me ttw�y day o &a_41 Si at of Notary Fublic Ialk,Nj Fronda T AL: Personally known OR, Produced Identification Type of Identification Produced: 5. C_ a 0i STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Print Name Swom to and subscribed before me this day of Signature of Notary Public - State of Florida 63:619 Personally known Type of Identification Produced: OR, Produced Identification Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Q'I'Y. Service Repair A/C Central 1 -3 Ton Fan Paint Booth Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Piping, Flammable Liquid Periodic Inspections A/C Central 4 -7 Ton Fire Pump Bidet Outlet, Switch Bath Fan - Vented, # Signs Pool Piping A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Ribs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Temporary Toilet Posts Catch Basin Swim Pool, Commercial Gas - Propane Air Conditioners Pump, Re- circulate Garbage Disposal Temporary Water Closet Range/Range Top Clothes Washer Swim Pool, Residential Gas Piping Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Pump, Sprinkler Refrigerator, Comm. (p/PH) Utility - Sewer Temp Serv, Construction Discharge Well Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Indirect Wastes Renew - Temp Service Relay Repair Vacuum Pump Demolition Low -volt, Intercom/Teleph. Repair Circuits Roof Inlet Dishwasher Low -volt, Television Domestic Well Service, Number of Amps Laundry Tray Septic Connection MECHANICAL Minimum Fee Condensate Drain Generator Refrigeration, Tons A/C Central, Tons Cooling Tower Q'I'Y. Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Bath Tub Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Miscellaneous Repairs Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Bidet Process/Pressure Piping Bath Fan - Vented, # Fireplaces, Number of Pool Piping Pressure Vessel PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof Q'I'Y. TYPE Miscellaneous Fixture Q'1-1'. TYPE Q-1Y-. Soakage Pit Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re-pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply RECEIVED AND REVIEWED BY DATE: Page 4 PERMIT APPLICATION OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) (Attach) (Attach) ❑ FIRE DEPARTMENT ❑ HRS / DERM APPROVAL ❑ BPR APPROVAL (Restaurants) APPROVAL (Commercial / (Septic / Sewer) multi- family) ❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New Construction) (On File) ❑ OTHER ❑ OTHER (Specify & Attach) (Specify & Attach) $3.00 per page (Scanning Fee) $ Miami Shores Village $ Bond $ Metropolitan Dade County (C.C.F.) $ C3 (sq.ft. = x/1000 x 4.60) Inspector State Educational Fund $ (4.005isq.ft.) State DCA (Radon) $ (4.01/sq.ft.) Code Enforcement Fine $ Zoning Review $ TOTAL $ �f'�b REVIEWED AND PREPARED BY DATE: SECTION BY DATE Zoninga Electrical Mechanical Plumbing Fire Public Works Structural r Building Official c Revised July 2001 10050 N.E. 2- AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Miami Shores Village Building Department a - 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 2 , ..1 ia 'PM 3)3) P-zp Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 WAR 2 8 2905 Permit No. 02—(k(- Master Permit No. Permit Type (circle): Building Electrical Plumbing Owner's Name (Fee Simple Titleholder) Z re l 0 Co I? Yz<=C- Owner's Address cD?— q 6 `n C, / 0 3 --s City t,C A04 t S` M -State Tenant/Lessee Name L.. Mechanical Roofing Phone # -305 _ 576 —,F700 Zip '3-3 1 .? Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip (3S FOLIO / PARCEL # Is Building Historically Designated YES NO. Contractor's Company Name Phone # 3 0 S Contractor's Address City Qualifier Name State Certificate or Registration No. Architect/Engineer's Name (if applicable) State Phone # Certificate of Competency No. Phone # Value of Work For this Permit $ 1 000 1 W Square / Linear Footage Of Work: Type of Work: ❑Addition Describe Work: ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition rf Submittal Fee $ Permit Fee $ �DU -� CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Structural Review. $ Code Enforcement $ Double Fee $ Total Fee Now Due $ See Reverse ` � ` C—>/'� Bonding Company's Name, (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip. r Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Sign atu Signature Owner or Agent Contractor The foregoing instrument was ac owledged before this day of , 20 by , who is personally known to me or who has produced As identification and Who 'V take an oath. APPLICATION APPROVED BY: (Revised 02/08/06) The foregoing instrument was acknowledged before me this day of 120 _, by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: 3/3 ()/0,(- Plans Examiner Engineer Zoning