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MultiplePERIM:T* TAX FOLIO NO. 3 ZOG 1.3 f 5 9d 7 .� • ` st State of Florida County of Dade NOTICE OF COMMENCEMENT THE UNDERSIGNED hereby gives notice that Improvement will be made to certain z real property, and in accordance with Chapter 713, Florida Statutes, the � following information is provided In this Notice of Commencement. 01 1. Description of P property:(legal description of the property, and street Lc, -r S ;6- w �l� O F taT it 8 �K i Z Ni. s. 5 r-C r. 1 I¢ •+. o. ! address if available) %t C'a G'� YV . c'• I D 3 LSP h/1t Ay r , OC'G,9. 2 .. Genera I descr i pt I on of i mprovement : J''P44 -4- ce -"'cw -r T-4 I. /4�4-p *16- IN ION 3. Owner information: a. Name and Address: 4NTtFasi Y O�Lb D--,7831C E- i316"L b. Interest in property: too 6 .'._ C. Name and address of fee simple titleholder (if other than owner): 4. Contractor: ( name and address) /�q. Y . 5'.*t o"-er N 1 Co., /Nc ti N 1 r S'o,S 5. Surety: 3-7.2-5- S;G. act!Q 601- a. Name and Address A6 LLY woof), I^w4. 336/ 9. b. Amount of bond $ 6. Lender:(Name and address) 7. Persons with the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes:(Name and address) 8. in addition to himself, Owner designates to receive a copy of the Lienor's Notice as provided in Section 7.13.13(1)(b), Florida Statutes. 9. ExpI rat Ion date of notice of commencement ( I year from the date of recording unless a di fe t/ l `.., IF S nature f Sworn to and subscribed before me this day of +_ Note Public May Commission Exp STATE OF FLORIDA OOUNTY OF DADE 1 HEREBY CERTIFY that this le a tq19 00PV Of ti» origins fi a in t s office o^ /B dey at WITNESS my hand and Official Seal. * r of hoghd 1 e t )ed) /1t � cI JULIOIRJWS my fission Expires y June 4. 1996 Comm. No. CC 205953 4 • MIAMI SHORES VILLAGE BUIIDMG DEPARTM 305- 795 -2204 Building Inspection R uest� Date Time Type Insp'n Permit No. Nam Address s Phone # __;, For Inspector: f Name & Date Appro " Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPA7Reque M 305 - 795 -220 Building Inspection t it Time Type Insp'n Permit No. Do Name Address =- -�_ - -- Compan Phone # For Inspector 3ame to t, Approv L D_ Correction ❑ Re- Insp'n Fee ❑ • r 'h 2`rc� posT, N Got2E t72c (. L ILI i e goer t N !r! ! I h S d at tho.+e.-1 " SKETCH OF SURVEY " ii 1e � • ofLi • °, d # +l J 9 1 Zti I a G,J ', 1 ZZ,uti 0 D rOV roil 66. tog fie J "" ZZ70 `° X90 173D a 0 0O -- _ ltioo ..1. Gr^-W- . fQ;'A-7 u SCALE: 1' _ z.� MIAMI SHORES VILLAGE ` BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein descri bed. This application is made in compliance and conformity with the Bulling Ordinance of Miami Sham 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. c y �� Date 19 Owner's Name and Address e �O /�� %� gr /�' //Q / �✓�` ®'°�°� fl No. G' Street /O3 Si Registered Architect and /or Engineer �oh ep,2T V! k, b ,44 Name and address of licensed contractor OW Location and legal description of lot to be built on: Lot_, �y Block /?— Subdivision a Street and Number where work is to be done 4 )Vet 1,43 sr A SllOLe 4 State work to be done and purpose of building (by floors): state exterior colors (submit samples) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories Tb be constructed of WD ®e� Kind of foundation e% &# At9 rAyAlse -2,x.-e Rmf Covering '— Estimated Tbtal cost of improvements 6 LPDO"` Amount of Permit $ Zone cubage required -Plan Cubage Distance to next nearest building z e? A- Size of Building Lot Maximum live load to be borne by each floor /a1 /t I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to Q/ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will t or to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to emp y suc7h on work to be performed under this permit, as are licensed by Miami Shores Village. �/ / Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. sa Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the f application, and that he did sign the same, and that all facts therein by him stated are true. b ' Permit No. /" / % Date Read, Sworn to and Subscribed before me Disapproved ; Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires Chairman Member PLANNING BOARD DATE Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 625.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. SKETCH OF SURVEY X00 �. inGo. St. rlidtiI tvviv N i3s 2270 •• �j90 f 130 a 9v, d t a'.�, r,.Ib,LL- ( o A �M Eb i ly OO o SCALE: 1' = u�' a 1 ti3 �• 3 A u 17 0 � N X00 �. inGo. St. rlidtiI tvviv N i3s 2270 •• �j90 f 130 a 9v, d t a'.�, r,.Ib,LL- ( o A �M Eb i ly OO o SCALE: 1' = u�' a 1 f f f f f L f 3 f f t MINIMUM 10' 0" SIDEYARD t SETBACK # L 3 f f T } f f f F f L f f f f ACCESORY BUILDINGS. REQUIRE 15' SETBACK PUBLIC STREET III mulls 75.0' DRflIE . 543.750 •ft" 10' •':mac.:; 10' 14' -6" 34 SINGLE FAMILN RESIDENCE 1625.750 ff [•Ylklhl140 110 • sIDEWALK•::•:: MR. JOHN Q. CITIZEN 588 N.E. 102 STREET MIAMI SHORES, FL LOT 18 & 19, BLK 94 ZONE R -18.5 # s a 1625.75 ex. residence MINIMUM 522.0 accesory bldg. 25' 0" FRpMyARD RRR n new addition a SETBACK NORTH $ SCALE . 1" = 20' -0" il 2533.75 total bldg. area 315.0 rearyard patio 4 AA-q driveway area { BUILDING ENVELOPE # DEFINED AS THE BUILDABLE 10' -6" AREA WITHIN THE 151-60 SETBACKS. ' newer nale � � 21 '•' 368.000 t.;.[ • PATIO::' �3 315.000 ft8 19' 9ft"My .- � �, ,. NIMI 15' 0" XY, 51 On - _4 --- -I-- PAVED ALLEY WITH 3' SHOULDERS 4 3 NON- CONFORMING STRUCTURE ♦� IS WHEN AN EXISTING BUILDING T 6" WAS CONSTRUCTED TO AN OLD < STANDARD NO LONGER IN EFFECT. b empower drop location a PROPOSED NEW ADDITION 6 # WITH IN CURRENT SETBALKS 10- 0" 1625.75 ex. residence 1 # 522.0 accesory bldg. I RRR n new addition a 2533.75 total bldg. area t� 8625.0 gross site area il 2533.75 total bldg. area 315.0 rearyard patio 4 AA-q driveway area #� 5232.25 open space area # 3 � newer nale TYPICAL SITE PLAN ' -- FOR MINIMUM RESIDENTIAL LOT 1. ALL PLANS DRAWN TO A MINIMUM OF 20' SCALE 2. INCLUDE LOT AND BLOCK NUMBER 3, INCLUDE ADDRESS OF RESIDENCE 4. INCLUDE NAME OF CURRENT OWNER S. SHOW ALL PROPERTY LINES AND DIMENSIONS 6. SHOW ALL EXISTING SETBACKS 7. SHOW ALL EXISTING AND PROPOSED STRUCTURES INCLUDING BUILDINGS, WALKS, DRIVES, PATIOS, POOLS, DECKS, FENCES OR SIMILAR STRUCTURES. 8. SHOW AREA CALCULATIONS FOR GROSS SITE ARE TOTAL BUILDING AREA AND OPEN SPACE. 9. SHOW UTILITIES SUCH AS OVERHEAD POWERLINES AND SEPTIC TANK 10. FOR CHANGES IN ROOFLINES SHOW TOTAL AREA CALCULATIONS OF PITCHED ROOF, FLAT ROOF AND ADDITIONAL ROOF AREAS SEPERATELY. 11. SHOW MINIMUM OF 1 REQUIRED OFF STREET PARKING SPACE WITH IN SETBACK AREA. THIS DOCUMENT IS INTENDED AS A GUIDE TO ASSIST AN APPLICANT IN PREPARING A SITE PLAN AS PART OF A PERMIT APPLICATION. SUCH DOCUMENTS ARE REQUIRED AS A PUBLIC RECORD OF ALL CONSTRUCTION FOR THE PROTECTION OF PROPERTY OWNERS 4� OJ rl&P liege, PA I e W� - / g, f: (-Too� r yIA 5 06 sf 6B N F_ I D3 s� fYli nnti S�oQFS ��� 53138 m� t -M I Fo;vi� p s IX MOP 4 J Rail End 8 Band'"^ max. Tension Band ((Z. B`ra �t Standard Residential Shop Drawirig Post tole diameter is 4 :tjn*s :rt ; _ `4)f the t6pt:' t . t a a It . a a a It . t t .. . t t . t. Top Rail Cap TERMINAL POST LINE POST. .. ... TOP RAIL . 4 )size Wt. per ft. Size Wt.aer it it Site Wt. per ft. 2 1 5/8 or 2" 1 3/8" or 1 5 " r Size -is outside dimension � ; ; ; i— Neig6t- j3 jos np. ner. lipepr, foCt "; a 4 _ _.. a. _• • • • • . L/ ! Chain Link Fabric Gouge 11� 2 3/811 esh OWNER'S NAME PRESENT ADDRESS LICENSE NO. PHONE NO. imm 9 S. 1. I Hollywood. Fla. _ JOB LOCATION (ST. OR AVE. J LOT BLOCK SU13DIVI51 E E 3 6s . lo�a t. E � 5 I � S. 1'! X. t 1 I . Seo . � i GENERAL CONTRACTOR ADDRESS PHONE Ng. III'' LICENSE NO. Otmer- Builder I Hollypoodo Fla. 3326 Q -B BUILDE ' BOND e k BUILDING PERMIT NO. -82 I DATE PERMIT FEE $ MUM NO. D TE ZONE REQUIREMENTS CU. FT. PLAN CUBE 26 CU. FT. III, EST. COST $ DATE DRAWINGS, SPEC IFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: 1H, TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION _' ( I a I 1 ae ��tQr 'Nalls - St l $ floors NEW CONSTRUCTION • DESCR IPTION LIV f. - Din - Kit - March - 2 Bed fts - 2 UYhs REPAIRS i1fLt - DESCRIPTION ALTERATION I 1' far atta"ed U ADDITION jprW PPROVED REJECTED REFERRED TO COUNCIL I REASONS I'll: SUBMITTED TO PLANNING BOARD I RE- SUBMITTED TO PLANNING BOARD I REMARKS SUBMITTED TO VILLAGE COUNCIL CERTIFICATE OF OCCUPANCY NO. 79.1 1 ISSUED 12/91491 BY 31DE TO S.K Fe=y S j BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE BUILDING INSPECTIONS INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION' l DATE FEE TEMPORARY SERVICE BEAMS &LINTELS 1Q ll llLq $ ZOO SEWER FRAMING $ SOLAR HEATER $ GAS $ F.BNAL I 1 2/9z im RE- INSPECT BY RE- INSPECT BY CLEAN -UP d PLUMBING PERMITS & INSPECTIONS CONTRACTOR Southland Plb_ & Ht • PHONE PERMIT NO. 82 DATE 1 i FEE $ 9.2 NEW BLDG.: X- 1—":TERATION . ADDITION - REPAIRS - SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK $ ZOO SEWER $ SOLAR HEATER $ GAS $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING d GAS SEWER SEPTIC TANK Z im SOLAR HEATER FIXTURES 11 2S ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR Bests Elwtric PHONE e 8 PERMIT NO. DATE 1911VO FEE $ NEW BLDG. X I ALTERATION I ADDITION RTEPAIRS SPECIAL PERMITS PERMIT NO. FEE TEMPORARY SERVICE riDATE 2Q $ 1 *00 H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE Q ROUGHING 1 O Z JDH H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL I 11/22/4b J APPROVAL TO POWER CO. FOR SERVICE DATE 11/23/49 BY JDH MIAMI SHORES VILLAGE �UILDING INSPECTION DEPARTMENT `! APPLICATION FOR BUILDING PERMIT, Application is hereby made for-the approval of the detailed statement of the plans and specifications herewith submitteior the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordina ce 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 Mi Shores Village shall be complied with, whether herein specified or not A cop of approved plans and specifications must be kept at LbI g during progress of the work. Date 19'J l Owner's Name and Address_ Registered Architect and /or Engineer Name and address of licensed , contractor_: Location and legal description of lot to be b Lot Block— Street and Number where work is to be d State work to be done and purpose of bus (by floors). J No._— - _______ St —� -� and for no New Building Remodeling Addition Repairs No. of Stories To..be constructed of Kind of da " Roof Covering— 1' Estimated Total cost of improvements $ -amount of Permit $— Zone cubage required plan Cub age Distance to nest nearest building R, of Building Lot Maximum live load to be I borne by each fluor__ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its co i. be.sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts lids obligation's a an of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permaner Su and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors em oyl 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 sue ul or notices as are required by the Act. The t'�'ttnndersigned agrees to employ only such su �w(o to be perform i permit, as are licensed by Miami Shores V tillage. Remarks (Signed) STATE OF FLORIDA,i) ss, COUNTY OF DADE. j Before me, the undersigned authority,',a notary public, duly authorized to administer oaths and take acknowledgments, lem peared and who, bei of the above therein by by Permit No._ Disapproved (Signed) -t- purpose. may by him notice ler this II nally ap- ll to m' well kno — by first duly sworn, upon oath deposes and says that he is the —_ construction, that he has carefully read the foregoing application, and that he did sign the same, an j,that all facts tat e true ate— Read, Sworn to and Subscribed before me. - - ate Notary Public, State of Florida dI n . I ctor My Commission Expires PLANNING BO DATE Chairman Member Member Member r Member G 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 I the Planning Board. . A re- inspection fee of $1.00 will be Charged when such re- inspection is made necessary by improper notice for mspe materials and /or workmanship. i .� � ,,^ _ _�{ ' �� , , .�r N N a � ; «t, , ;fr�r ' `i ,� �z � ^: � y F 4 � '�a � � i' . v� �t r� ` , ., , , w'�:' n n � � � � ` ` . a s t ` ` � ,• I I - ,>!° e; ? ?d s . .X,.� , , .. g,.`„ ] .. ,r • ]F. ;, ' nJp .-:•., = >y ?.. � �: - ,,, ra.y�a�i. ,. Y/ t t�Iy�t s4', �' ,✓TM "S 5 5?'Y j e a �:�} �7(, � a T�• �y ' 'f 3w.,. r roT a�`��135� � �'.0 T� t t% � i 'yf >1 . .� 14 1 ':.l C ,Yi ,I fa t « ry't' � ., j j(�"i h �'1. %• 1 ' •t” j ✓ l l i }' { �� � { , �_ � r.' -^• + r' � ,,Y :. 1 b {t�f- 1 1 ,;ft �:': ,1sF • •Y ,1:1�P � � :{' ^''�1 ' '4 k, f — y �: :i'�'P.;F r .E Xl ¢F7"?� +i - -14�' 9 - ,t � �7,3 ' N �� . � tf'- i ,� t � � N ` �'L. T ���.r:: 'Y�`�„�r`h, , ,rl ; +N�4,�4,� + \.�_l�N � 9 r �.h. ✓ 1 1 i i . %y ;'T'b r r t^" 'r. _,:.. 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A , ^.' b;1..F r rkt r r rr` 4 4 , 1 a,: „•k ✓. � �'�s y y � g .F+ { �',� . .rf � � 3 ;�t�±j"'�. r r �.. f f� , ,i��j�:: }�. .�x ? .rs: I I���;t R RdJ � ��a a r � �:�.r� ;,.rl��.n�y < <� „•! �,N�. at.,� � �:.:.. �pp Fr P P. 0 0 4y. w wt t " " ' ' ; ;_�.. q q3� 9;i ++ k k k kl I I'a �„; .�:?"n{7 r7i Ei -i'I r rkV r rtr r(llt F F+ i q q !}h,S4a i i} : :h, ' 7� A A ^':' 1 1f H '!� � H T Thy`_ ' 'Y ' � a 'r^ ). �� 7 >; t tl x 7, � x d dt,.�3 r � : ��,,.. '� ?• F� ` W � �, :4y `� I i�« •- U :. ' ' f d d 4 r. si i i -�� � a � �j, J•'... . ..q�.�1' ^ ^ 6� r,7`�'t ✓ ✓ . jrr;, } r.�l � :�y.° "� " , ,� *� «i : :: r »r'Y�'t F' f fl'�t�t,, 4 4�; .. K)1Sk „' M My— a`ar,r v ,,t vi 'yr n:tf� - -l'ee. : i...".y., Lyra e ,�rP 7 7 r r s sr�'z - -v I I't d d:•w-. e r f fy�l q MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT c V `� '2--7-,4 PermitNo..... . . % .............. Date................................ ............................,.. Application is hereby made for the approval of the detailed statement of the p ans and specifications herewith submitted for the building or other structure herein described This application is made in compha :, and conformity with the Building Ordinance of Miami Shores Village, Florida, and all vro.isions of the Laws of the State of Florwa, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shor::j Village shill be complied with, whether herein apecttied or not. A copy of approved plans and specifications must be kept at building during r_ rogress of wor. -. Owners Name and Address ... .... .. -v I ._.. ......_......No..... Ar —_ .. .— ( ....... ..Street. 9 1,5'/Alv?.._ .......... Registered Architect and /or! Engineer Employing Electrician -s Name. S.j°!` .� ;%^.�i, ,?�_ ............No..A!�.. -_ _....... Street- .�.�p //.�°...I,�1..j�/° Location and Legal Descriptiol. Lot ---- -. -. ........ _- -_ ........ ..... Block... ...... Subdivision.... ................ ........ ...... - Street and Number where work is to be performed—No. J�4yn e— .. ......... Street.,....... .. ................ ... .. .... .... ...... _....... . . . State work to be performed and purpose of building (By Floors) - -- -. J..._- �% ._ ..,® e............ ....................... .. ... New Building ............ .... ...... Remodeling ..... . ... .... ... .......... Addition. ... ..... _.................. Repairs...... ...... .... ........ No. of Stories.................... Service Overhead Underground Size Feeders Type of Installation — Conduit. . ........ .....Conduit. .........Main Sew... ... ......... ........_. .... Amps ...... . --._....... _.Main uses . ...... ... ............... Amps ...Tubing.. ... .B.X L. _ - Metal Moulding..._-......__.. -..._ _...... _ .... .. ............. ............... .. �. Amount of Permit $ St ned _...... , .. .............�. s etri:al Inspector, The undersigned applicant for tl i^ building permit does hereby certify that he understands and accep s obligations as an employer of iabo and -r the Florida Workmen's Compensation Act being Section 5966, Compiled General Laws of orida Permanent Supplement, and has - .ompl;A v:ith the provisions thereof, and will require similar compliance from all contractors or su -contractors employed by him in the work to be performed under this permit; and will post oa_ cause to he posted for inspection on the site of the wo. -k succ, public notice or notices as are requtr.,d b, the Act The understandd agrees to : ,(ploy only such sub contractors, on work to be F,"rfora.ed under this permit, as are !icensed by Miami Shores Village (Signed). ... .� `�4.: e.... .......... Electrician. STATE OF FLORIDA, COUNTY OF DADE. Before me the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared.. _...... .... .... ._ .. _... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _ .............................. ............................... of the above described construction, and he h4 carefully read the foregotn application, and that he did sign the same, and that all facts therein by him stated are true. . ..... ........ ....................... ..............._..............I ............... ... _. .................... ... ....., ... ..................................................... My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will he made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workma -aship. SWITCH Liaw. PLUG FIXTURES REPRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP 'TOTAL OUTLETS OUTLE -6 REC"P•T's No LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST CHECK ENT. DIST. SE °V,GE SERVRCE MOTORS MOTORS Ncom R ^.D10 TOTAL, Ss CAS. TrMP. PERM 0.1 HP 1 -3 HP TRANS. CONTi. LI T CHE K Service Overhead Underground Size Feeders Type of Installation — Conduit. . ........ .....Conduit. .........Main Sew... ... ......... ........_. .... Amps ...... . --._....... _.Main uses . ...... ... ............... Amps ...Tubing.. ... .B.X L. _ - Metal Moulding..._-......__.. -..._ _...... _ .... .. ............. ............... .. �. Amount of Permit $ St ned _...... , .. .............�. s etri:al Inspector, The undersigned applicant for tl i^ building permit does hereby certify that he understands and accep s obligations as an employer of iabo and -r the Florida Workmen's Compensation Act being Section 5966, Compiled General Laws of orida Permanent Supplement, and has - .ompl;A v:ith the provisions thereof, and will require similar compliance from all contractors or su -contractors employed by him in the work to be performed under this permit; and will post oa_ cause to he posted for inspection on the site of the wo. -k succ, public notice or notices as are requtr.,d b, the Act The understandd agrees to : ,(ploy only such sub contractors, on work to be F,"rfora.ed under this permit, as are !icensed by Miami Shores Village (Signed). ... .� `�4.: e.... .......... Electrician. STATE OF FLORIDA, COUNTY OF DADE. Before me the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared.. _...... .... .... ._ .. _... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the _ .............................. ............................... of the above described construction, and he h4 carefully read the foregotn application, and that he did sign the same, and that all facts therein by him stated are true. . ..... ........ ....................... ..............._..............I ............... ... _. .................... ... ....., ... ..................................................... My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will he made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workma -aship. MIAMI SHORE. BUILDING INSPECTION 41-LLAG E APPLICATION FOR BUILDING PERMIT or Application Is hereby made for the approyal of the detailed statement of the plans -and specifications- herewith submitted for the build- ing or 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 too of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved Plans and specifications must be kept at building during progress of the work. Date.19-..-. Owner's Name and Address-__'' ----------- - - Regiaered Architect and/or Engineer--- - - - --- - -------- - - ----- -- - - - ------ ... ........... ........... � �-� ty. Name and address of licensed contractor - - - -- She t- _2V_e_,b It 7- ---- - -- Location and legal description of lot to be built on: Block.-__ Street and Number where work is to be State work to be done and purpose of building (by floors) - -_ —_and for no other purpose. New Building -------. ---- - ----- Remodeling--- ----- _------ - - - - -- Addition-------- ------ _- - -_.__ Repairs -------_--- - No. of Stories--_. To be constructed of - - ---------- --- - __ Kind of Roof Covering-- -_ - - -- ---------------------------- 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 home by each floor- r I hereby submit all the plans and specifications fox said building. All notices with reference to the building and its construction may be sent to--.- - -------- - -- ------- --- ------- The d ed applicant for this building permit doc, hereby certify that he understands and accepts his obligations as an employer of labor Zed,rthe Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sur vleinent, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employe 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 required by the Act. The undersigned agrees to employ only such subcontractors, on work be pe orm under this permit, as are licensed by Miami Shores Village. Remarks- (Signed) STATE OF FLORIDA, COUNTY OF DADE. I ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared - --------- ------.to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the..- __..... -------- --- - -------- - _ - --- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No._Z�25- Date---'7- 7- Read, Sworn to and Subscribed before me. Disapproved Date � y -S--t-ate (Signd) ---j &� _ - Building Inspector - - ---- --- My Commission Expires.---------- --- ------ ---- -- BOARD-- P NING —_-_---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. I A re-inspection fee of $1.00 will be charged When such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. i MIAMi SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING. PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of. Miami Shores 'Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during piggress of the work. n Date..._..._.. rt I /.� ....._ .. ,1926 Owner's Name and Address ... ! && �... 99 (; G _......_.._..... ......._......._. No.L,36Q......_.. Street.Wt..�.. �l.%. - ._....._. Registered Architect and /or Engineer......... . ...... .... ..... y ..... .•ranee.•mf!•nn!:n:m:!eeex!!mnmt r... •.......••.......• Name and addrest of licensed eontroctor.... r -g ... �Q is .. .- .... ---s 1� .r ► .. �:.�.: ........................» .._. Location and legal description of lot to be built on: Lot— ....._. _ .............................. Block .................. _._........... Subdivision -_ . ».. - - - -• �.» .._... ».._ ..... ....... .._.._._.... Street and Number where work is to be done.-- _ - - --a. s _... .......»»._._.. -. _.._. _....... __ . State work to be done and purpose of b i ding (by floors). l 19L _.__ - -.... _ ••. eq2_°� -..f � --•- -- �at 'AN ..Iaotay�.1 ...� .ta �f. �o.!b , _. e n 11..._ .3nIJ, Zt-tlt ..... _ ... _.... - ------------ - - - - -- ---------------------- ---- •- ........._.._.._....r . »....._. � � � - ........and for no other New Building .............................. Remodeling l....Cw... n.15. Addition .......................... Repairs .......................... No. of Stories ...... ......._ ...... _. To be constructed of ............................ Kind of foundation .... —_ .... .. ................................. .. ........... ». Roof Covering ........ .. ............................. _.._. Estimated Total cost of improvements — ------- __- _ ..... Amount of Permit ............... Zonecubage required ------_---..__.._ .......... _ ............ __....__ ___ . __plan Cubage .................. .._..__ ._.---- ._..._ .. . _.................___._ Distance to next nearest building ................................... _ ...... ...... _Size of Building Lot.......... _.. »_- -_. ---- __ ------ - _ ---------------- __ ----- Maximum live load to be borne by each floor ........................ ----- ........... _ ........................ _ ... .. ....... _._ .....__..._... ......................... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to------- ------------------------------------------ - ------------------------------------------------- ---------------------------------------------------- ---.--_--------•-----_--- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for 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 au actors, on k to be performed u der 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, persortally ap- peared - •-- ------ -- --------- — ----------- -- -_ - - - --------- _- Y... -- •- _---------------- - - ---- . ............. __ .... ..._... _ __ ....to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the . ............................ _ ................... ....... ....._ ........ .. ... _-----_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. .... Date ...... eV-11 Y . Read, Sworn to and Subscribed before me. Disapproved-- Da _... _ _._. _ ....... ........... - ................ - `� Notary Public, State of Florida (Signed) -- _. ... _ -- ------ _..._...... _ ......... Building In for My Commission Expires ........... » .............. »....... Chairman ..... _. ... ........ _..... Mcrnber ... _...................... PLANNING BOARD _._._._ ............. .............. _...._.__...DATE Member... - .._.......... .. ». ». ._._..._......_� _...._- - Member........... _» . »...._. _ . _ ...._.. _ __..._...._...__ .._ _ Member .. ... ............... _ --- _---- Member CouncilApproved ...... _. .............................. I _- __.— ___.......__. -Date Disapproved ............ __.. ». .................... ................................... Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT PermitNo..... � Date ........... .................... _........ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity, with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building, Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at g progress work. building duan ro rasa of i Owners Name and Ad dres .:.................:.: ..Na:................. Street _.... .......... .... �............ ®......fir ........ ....... RegisteredArchitect and /or Enginee ....................................................... .._..._._._......_...........:. ........................................_......_....._.... ....._.._,....:- ......_........ Employing Electrician's N me... .. . ............. . .. ..................... :............ No ......... ..� Street.....:: `........... Locationand Legal Description Lot ....... .. ....................... .................. ................p... Block .... . ..................................... Subdivision .................... ,........ ................... Street and Number where work is to be performed— No ..................... �.11.. .... ......... :............ _ ............. Street .... .. °®_�...3..__;- _- -:.........._ ° ...._. Statework to be performed and purpose. of building (By Floors) ......... ................ .. ................................................................. _..... _.................................... New Building ..................... .......... Remodeling ................................ Addition ....... :::� ................ Repairs ...................................... No. of Stories.................:.. Overhead Service Overhead Size) Feeders ..................Conduit ............... Sw ........................ _ ..... Amps .......................... 14ain Fuses ..... . .................... Amps Typeof Installation—Conduit. ....................... Tubing ....................... XXL ......................... 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 5466, Compiled_ General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance rom all cont ctors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be poste for inspection o the site of the work such public notice lces as are required by the Act. The undersigned agrees to employ only such s b1contractors, o work to be perform un this Pe are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADS: Before me, tha un ersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally` appeared................... - ....... ..... » ...... _ . ....... .. .... _ .................. .... A .......... .. .............. .......... ...... .. .......... ___. ........................ .................. .... _ .... _ .................. ........... to me well known, and w o, being by me first duly sworn, upon oath deposes and says that he is the .................................... .. ... _ ............................... of the above described nstruction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts,,,, therein by him stated are ..... .............................My + - mmfssion .Eap ires Notary. ....................................... ........ ..................Public. State of Florida ....................._........ NOTE: A re-inspecion fee of $1.00 will be made when such rem inspection is made necessary by improper notice for inspection, or faulty materials and /or workm& tshiP. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON - RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE•P•T•s NO. LAMPS OUTLET OUTLET - OUTLET CONN: HEATER CONN. HEATER HEATER CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE - MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1.3 HP TRANS. CONTR. LS --J /i D CHECK Overhead Service Overhead Size) Feeders ..................Conduit ............... Sw ........................ _ ..... Amps .......................... 14ain Fuses ..... . .................... Amps Typeof Installation—Conduit. ....................... Tubing ....................... XXL ......................... 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 5466, Compiled_ General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance rom all cont ctors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be poste for inspection o the site of the work such public notice lces as are required by the Act. The undersigned agrees to employ only such s b1contractors, o work to be perform un this Pe are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADS: Before me, tha un ersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally` appeared................... - ....... ..... » ...... _ . ....... .. .... _ .................. .... A .......... .. .............. .......... ...... .. .......... ___. ........................ .................. .... _ .... _ .................. ........... to me well known, and w o, being by me first duly sworn, upon oath deposes and says that he is the .................................... .. ... _ ............................... of the above described nstruction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts,,,, therein by him stated are ..... .............................My + - mmfssion .Eap ires Notary. ....................................... ........ ..................Public. State of Florida ....................._........ NOTE: A re-inspecion fee of $1.00 will be made when such rem inspection is made necessary by improper notice for inspection, or faulty materials and /or workm& tshiP. - Issu ` X19 aiami cJ bores ) li We - 7n�'�y V da F L O. & D A N® V® O Amour FFFF�����,„ No. Houses BUILDER'S BOND _ KNOW AL L �VIEN;Y THESE PRESENTS, that I ___ _ in consideration of the isslce to me by Miami Shores Village, Florida, of a permit or permits td construct or repair a ♦b asses: �+► 0 do hereby deposit with Miami Shores Village, Florida, the sum of jgl and I agree with said Village that, when such construction shall have been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me, used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the completion of such consftuz2n withi the meaning of such ordinances, the Village may clear. and repair the same and pay the costs of such clearance and repairs out of the aforesai, and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then said shall be returned to me. WITNESS MY HAND and Seal at Miami Shores Village, Florida, this day of �`4'r".r ► (Seal) INSTRUCTIONS TO BUILDER —When above mentioned construction is completed and the premises are cleared and repaired take this bond to the Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your money in accordance with the above agreement. VILLAGE BUILDING INSPECTOR'S APPROVAL I hereby certify that the construction contemplated under this Bond, has been completed and that the builder thereof has caused the surrounding premises to be cleared and repaired in as good condition as they were before commencing said construction. WHEN CLEARED AND REPAIRED BY THE VILLAGEn p Amount of Bond. . . . . . $ V r s illage Building Inspector, Miaip's Village Balance due Builder . . . . . . . . . . $ Cancelled MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date_ Apphmtion is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or; other structure herein describe& This application Is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the', awsl of the State of Florida, all ordinances of Miami Shores Village end-all rules :Lind regulations of the Building DiAsion of Miami Shores Village shalt .be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. a a A - Ownes Name and Address—,,-A& 93e3 Registered Architect and/or Agi"Aar 49 Oq A Employing Plumber's Name. 1 I Location and. Legal Description- Lot Street and Number where work is to be perfortned—No- No- Subdivision__ State work to be performell and purpose, of building (By Moon)— — ----- Now Bui1&g_ Remodeling Addition—_... Repairs - - - ------- __ No. of Stories.-......____ Size Septic Tg Feet Of Drain Gals.__. at Drain PW from Well— . . . . ....... Nature of water Supply: City well. —_Size of Soakage A,jt'�Jj,j 2V NN-MEMMU ____ __ )1P I I The undersigned applicant for this building permit does hereby certify that he understands and accepts his g"'gations as an employer of labor under the Florida Workmen s Compensation " being Section 5988. Compiled General Laws of Florida Pe Supplement, and has cam- e lo plied with the provisions thereof, and will require similar compliance from all contractors or i�� by him in the work to be perfix under this paruft land will post or cause to be posted for inspection on the site of the work public notice or notices as - are nqWred by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit. as are licemsed by Mhwd Show Village. 14( t .1 (Signed) --- L--YF' Master Plumber. STATE OF FLORIDA, l S& COUNTf OF DADE. Before me, the undersigned authority, a notary rMcj duly authorized to administer oaths and take acknowledgments, personally appeared CLOSVTS 0 TU ERG LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUGS URINALS CATCH BASIN FLOOR DRAIN DRINKING FoUNT'NS TOTAL FIXTURRS COM. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN. FIELD SOAKAGE PIT GREASE' TRAP SOLAR HEATER DEEP SPRKLR. WELL SYSTIkN SWING POOL CONTIR. LIST CHECK Size Septic Tg Feet Of Drain Gals.__. at Drain PW from Well— . . . . ....... Nature of water Supply: City well. —_Size of Soakage A,jt'�Jj,j 2V NN-MEMMU ____ __ )1P I I The undersigned applicant for this building permit does hereby certify that he understands and accepts his g"'gations as an employer of labor under the Florida Workmen s Compensation " being Section 5988. Compiled General Laws of Florida Pe Supplement, and has cam- e lo plied with the provisions thereof, and will require similar compliance from all contractors or i�� by him in the work to be perfix under this paruft land will post or cause to be posted for inspection on the site of the work public notice or notices as - are nqWred by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit. as are licemsed by Mhwd Show Village. 14( t .1 (Signed) --- L--YF' Master Plumber. STATE OF FLORIDA, l S& COUNTf OF DADE. Before me, the undersigned authority, a notary rMcj duly authorized to administer oaths and take acknowledgments, personally appeared r MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING rN MIT Permit No.------------ --, -- -- ---- -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sLitted for the building or other structure herein described. Thii application is made in compliance and conformity with the Building Ordinance of Miami Shares Village, Florida, and all provisions of the w$ the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of w 1c. Owner's Name and Address, L-41,0 �/ �% No. Registered Architect Employing Plumber's Namme._. No Location and Legal Desbriptiob 7-n+ ...... .... Su Street and Number where work is to be performed—No State work to be performe8 and purpose of building (By Floors) . - - -- New Building -_ a_ __ Remodel ng_____.._ Addition Repairs __..-- - - -_ -- . No. of Stories........._..._....___ Size Septic To Feet of Drain Tile d " "*' Dist -f eet of Tlink or Drain Field from Well__ Nature of Water Supply,: City - Well .Size of Soakage Pit _— 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 5958, Compiled General Laws of Florida Pennanent Supplement; and has comm- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the ork to be performed under this permit; and will post or cause to be posted for inspection on the site work such public or n as are reggfred by the Act. The undersigned agrees to employ only such sub - contractors, on be performed this t, as licensed by Miami Shares Vfllage. Master Plumber.) STATE OF FLORIDA,; l 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 we ffirst duly sworn, upon oeth deposes and. says that he is the _.- ___. -.._.. _ . ._............ of the above dam' constl'uction, 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 Comnnission B'vkw 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 vmship li I CLOSETS BATM TUSS 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 SPRKLR. WELL SYSTEM SWIM'G POOL CONTR. LIST CHECK i. _ ... .. .. Size Septic To Feet of Drain Tile d " "*' Dist -f eet of Tlink or Drain Field from Well__ Nature of Water Supply,: City - Well .Size of Soakage Pit _— 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 5958, Compiled General Laws of Florida Pennanent Supplement; and has comm- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the ork to be performed under this permit; and will post or cause to be posted for inspection on the site work such public or n as are reggfred by the Act. The undersigned agrees to employ only such sub - contractors, on be performed this t, as licensed by Miami Shares Vfllage. Master Plumber.) STATE OF FLORIDA,; l 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 we ffirst duly sworn, upon oeth deposes and. says that he is the _.- ___. -.._.. _ . ._............ of the above dam' constl'uction, 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 Comnnission B'vkw 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 vmship li I MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BU LBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein descri bed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Q O k " k a Registered Architect and/or Engineer / Name and address of licensed contractor Location and legal description of lot to be built on: pSubdivision _ Street and Number whore work is to be State work to be done and purpose of building (by floors), state exterior colors (submit samples) Date✓ 1 3 19 No. Street and for no other purpose. New Building Remodeling Addition Repairs No.00f; Stories J t " lb be constructed of ` Kind of foundation j� Roof Covering— Estimated 'dotal cost of improvements $ ` Amount of Permit $ °' . to Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor Cubage of Building I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this perm: will poet 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 such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer/oath take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the f . application, rgolfg and that he did sign the same, and that all facts therein by him stated are true. Permit No. 114/4 A:we Date Read, Sworn to and Subscribed before me. r Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairmen Member Member Member Member Member _ Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. C 1cf i MIAMI SHORES VILLAGE, FLA. N2 1 2 2 JOB- '�a�;�.. A� G r .� (�� A--"t �- i I, AbDRESS I INSPECTION TIME READY REMARKS: I I I v� INSPECTOR DATE 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 building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address n, Registered Architect and/or Engineer fiallt / A2111 4rf t/ Name and address of licensed contractor Location and legal description of lot to be built on: Lot v7 7 Block l Subdivision Si Street and Number where work is to be Date , k No. of St&tE- /y3 State work to be done and purpose of building (by floors), state exterior colas (submit samples) v c.A -war i v r- �- • -- - ,T t and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of l'i%�d' Kind of foundation ��� �r R ® Covering Estimated Total cost of improvements $ %.ro Amount of Permit $ Zone cubage required Plan Cubage _ Distance to next nearest building 1S /We✓`T ^ �`f" M17- Size of Building Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The ubeersigned applicant for this building permit does hereby certify that he understands and accepts his obldgatons 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 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 wij post se 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 only alft su tractors, on work to be performed under this permit, as are licensed by Miami Shores Village. / !/ Remarks (Signed) l /- STATE OF FLORIDA COUNTY OF DADE. } sa- 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 o application, and that he did sign the same, and that all facts therein by him stated are true. Lit Permit No. Date Read, Sworn to and Subscribed before me. Disapproved C7 Date q Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 625.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. • � a ���� � abet 5rk u ,41 7YWle,� �ee7 Al it ley I �r�1 ay Gar SKETCH OF SURVEY 4: • Tit AFGi 7yOv y' ��xtt , D1J �• d ! a 9t wiv 4y I t�.►ti o � . v° Soo r top Plf in r.�. sr. ;i IAM s tv v � �- � �'• rt. �'LIG'I -tai G:.. 3r��$ � ' y M. J II 2270 •' a ' °l9lop, 1130 �o � C'3• i O 249 a� Tti vo 0 SCALE: 1 z v' CERTMC ATE OF RE- OCCL- PANTCy On behalf of Ntiami Shores Vtilage, Florida. the undersigned certifies that the property described in the above application has bee inspected for purposes of re-occupancy pursuant to Sections 901 and 902 of the Maori Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single- family residential purposes. NffAW SHORES VILLAGE, FLORIDA BY Date of Certification: 10/25/99 THIS CERTIFICATE VERIFIES THAT THE REFER -ENMD PROPERTY HAS BEEN INSPECTED BY MI AM SHORES VILLAGE AND HAS BEEN DET] WRgED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE- FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTnUU ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTM STRUCTURES ON THE PREMISES DESCRIBED H MEIrT, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MADE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMM THE CONDMON, THEREOF. RAGE 2 OF') APPLICATION FOR CERTIFICATE OF RE -OCCLT ANCY hereby apply for a certificate to re- occupy the single family residence mown as : (address) 6 c � �- •-� , Mami Shores, Florida. Legal Description: Lot: Block PB & PG: I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than cae family to reside therein. I al—so understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. , Applicant—"U— N��� -z (=� Date I C CI Print Name �► hd e � � � r a4'�01 For purposes of conducting the inspection required by Section 902 of the b4ami Shores Land Development and Zoning Code, please contact: l Ce i (3�5�} Contact Name:. L, `���'`''�'�� Telephone: Buyer Seller Realtor V . Company Name Application Fee (S50) paid: Cash Check No. Inspected by: F. LUB I EN ! Approved x Derue:? Dare 10/25199 Comm. ents: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/6/2003 Applicant: DELIA Owner: STACY JOB ADDRESS: 68 NE 103 } Contractor Local Phone: rJ Building Permit Permit Number: BP2003 -357 STACY DELIA ST Contractor's Address: Page 1 of 1 Parcel # 1132060131590 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 5 &W1/2 LOT 4 BLK .12 LOT SIZE Fees: Description Amount FEE2003 -1309 Building Permit Application Fee $60.00 Total Fees: $366.80 FEE2003 -1310 CCF $1.80 Total Receipts: $0.00 FEE2003 -1311 Notary Fee $5.00 FEE2003 -1376 Buildier's Bond $300.00 Total Fees: $366.80 Permit Status: APPROVED Permit Ex iration: 8/31/2003 Con!Ft!r* Ion Value: $2,200.00 t Work: REPAVE DRIVEWAY / ASPHALT TO IST"��"I", �� pi verify, there will be no inspections. Re- inspection r pection. g3140149` O -gin zbo3 . . ... .... . .. . . V: . . ... . . . . ... . ... . . . as • . • .. ........ . . . ... ... ... .. . . . .. ... .. e •s•.• ♦ r ♦ «♦ s• • •• r � •w • � � � • 4� • • R • • + • •e. +�► it +�A ��s r •t• R • + � i•• � s � isi •'• • +� • • • • • i •�� t�% •• a•+� •♦ � • • •• - _ _..�_ � !� -t- rr- �- �_— .s ----i P • •� ♦ • � i 'sr jai � s is� i � _•� I jF I i 31 PiitOP 11DDR88S LOCATION.. VA. P b m L. 4012"" 5-r 7 8 N.E. 103rd Street, Miami Shores, Florida 3138. LEGAL IPTION* Lot 5 and West half of Lot 4, Block 12, "MIAMI E�ORES ", a- lLrding to the plat thereof, as recorded in Plat B k 10, at P'ge 70, of the Public Records of Dade County, FloridaL It FOR :LE4 STACY AND CERTIFY; TO: LEE ST i UNION STEWAR' SOVEREI as thel DELIA STACY. kCY AND DELIA STACY. TITLE SERVICES, INC. P TITLE GUARANTY COMPANY, INC. 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'f1 A'tJ�ar011r I YW r Nt44KMfrba F>bwao kv t , S 4312 %so of Floo 1?1 rt7 rlVrr • na ,w ve dw"/O r" ft a a "Atu —cwraa lard Sur wx rte • lw w t ron.ol aor4q u tw •tla.• -naafi! +N� roar artcrr Nat ata 8wv' (A &.910% ae 00 ohavesa word �a sy and av*a m iM twr d ny w o�+a4pa raanr s tarw,ae Fl- pw"a urYr .e d»aofan. 440 oral awn t o vwwn s + rsUrnar igneara4 pr n Chopw f• 4 t>Npa iOR oua,SIR 40 9ao0 0� 4 Nj 0 r •.1raM tjlaMtsa -25 - /°hxJ (9' • / 3�G8 ! //P49 I F•Ts T •, is PW4iD Y1' ._9&N= 9FAM�M9 two A tii�tAtR7N9 six $ • rpW *"NAM +h WON. "Mm )PP 61 � M• (Mr In (Sr. 1.4 In. now ram a'o. ft, gF s4mu � 9l' r .40810M r, K . � r .rr• • .rode• (it RQ A400 JW t,) OR. RICAR.: CRn1 > Sf ?9 PRIX t S%JONA. . ANC S: nW( YOP t VAPF,ry i>A +1 p —'W-J4 •:0 :0 • • 0• .. : 0 0 00 ••• • • • • ••• WWI SHORES VILLAGE BY CTU R PL B � , D C-. ri ATE AND COLIM CCU - F RACY g R .S OR A mK PS A 0 OPM D BY C("-T, MalozR & SUB THE XR T fil IHE MW.#',WvE X ILI pa� rATED HEFEIR. CW A k Miamts---Aar¢�'3 vil� , . • ... • ..: • 000 •: Goo *00 . • • • • • •• • • . • • . . • .. .. . . ...... The undersigned Affiant, ae t `5 , does hereby attest that the (pro rty owner) attached survey, performed by ,,--� (name of surveyor's company) performed on . is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the Property without first providing a survey less than six (6) months old. The Affiant, as property owner, father agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me th day :� ®03 Affiant is personally known to me, �oduced /� .�� D -S - idE l- &n. M • •• My (iw" Njobn DD150046 yp .d�' Exom November 15, 2006 -�.ialeprforN;(ju.T jy--odGu/ :......p.�x (31 756r8W2 COVENANT OF CONSTR'11C�'lblj( 4/4411 N RIGIjT OF WAY WHEREAS, D L' k 1% hereinafter referred to as the Owner of the (owner) following described property: Legal description/folio#: Lot Block Subdivision Tax Folio #• requests permission to install: Asphalt, concrete, brick pavers [] Landscaping [ ] Other within the public road right of way IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: I . To maintain and repair, when necessary, the above - mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida by the Village Manager of Miami Shores Village (or his fully authorized representative). SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this day of SIGNED. SEALED AND DELIVERED in the ADDRESS 68 M. E. 103rd. St. LEGALZlrJy 5_ RECORD GARBAGE TAX PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER. - - - S H Fe Sr o 1949--.. 12,00 12-31-49 12 -12- 9 13464 a n n a 1950 " 12-31-50 12.00 12- 12-49 13465 (o / -4-0 it t t UILDING LECTRICAL LUMBING MIAMI SHORES VILLAGE, FLORIDA DATE 194 PERMIT N° 8505 Contractor's License No. Work to be performed under this Permit owner of uilding 7t7 I '' rchitect _ ontractor r Builder _ egal ►escription .ddress of Lot Bl. Subdi- vision Value of ": _` _ i1 Amt. of 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- ttion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any fans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked : 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 °rmit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and �gulations pertaining to the work covered hereby whether shown on the plans or drawi gs or in the s men or specifications and that he assumes respon- bility for work done by his agents, servants or employees. 4_1 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 - rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. t 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 UILDING LECTRICAL PERMIT N° 8455 LUMBING Work to be performed under this Permi owner of uilding — rchitect — ontractor r Builder �— .Lot 131. Subdi- vision DATE 194— Contractor's License No._ ti ;Ss of Value of Amt. of j I1g Project Permit r This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked 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 is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and ions pertaining to the work covered hereby whether shown, on the plans. or drawings or in the statements or specifications and that he assumes respon- for work done by his agents, servants or employees. r , ,, f Signed: t,..�. By- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations Ling .thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. -pting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY —' BUILDING ❑ ELECTRICAL ❑ PLUMBING ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Lot Description — MIAMI SHORES VILLAGE. FLORIDA DATE 195 PERMIT N° 6265 IC Work to be performed under this Subdi- vision Contractor's License No. — Address of 4R , Value of Amount of ' Building Project Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. � INSPECTOR In cons' eration of the issuance to a this mit I agree to perform the work covered hereunder in compliance with all or nances and regulations pertainfn'g''�tt[trth to and in strict corfiformit it they` pl n„ drawings, statements or specifications subotted to the proper authorities of Miami Shores Village. In ac- cepting t pgfmit I assume regpo ity r all work .4one by either, myself, my agent, servarX or employee. CONTRACTCR OR BUILDER BY AUTHORITY 6 .�rx�xy."rti CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION 10TH - '79 Miami Shores Village, Fla., Owner, Agent or Tenant of Building Lo i Block Subdivision 'f r` Street Address Approved use by occupancy Remarks: This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of, Miami Shores Village pertaining to, the erection, construction, alteration or remodeling of bui dings or. structures,„ �,_— .,- -- BUILDING DIVISION MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE X-2 194 ELECTRIT;AL PERMIT N? 8213 Contractor's License No. PLUMBING Work to be performed under this Permit__ Owner of - Building Architect Contractor f Y or Builder Legal Lot ,;"` BI. Description Address of 1 k Subdi- vision Value of J o *s Amt. of+ Project / ti.* ° '" 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 &tements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. - Signed:. By { INSPECTOR r. i In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with ��hl�QQrdinances a�}d g�la��gnsR pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper author i s of Miami 9ho s•�ill ge In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. OR-BUILI)PER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE -6' �- Z 194 ELECTRICAL PERMIT N° 8220 Contractor's PLUMBING lnsPLUMBING �:,.. Work to be performed under this Permit ,-. (,/, ° Owner of Building Architect _ _ _ r � � ��./G.C.�:'�`✓"'�/,,� Contractor or Builder _ Legal Description Address of Lot Bl. Subdi- vision Value of Amt. � f d . Permit t / 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 st9ktements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. 011 C-0 Signed: 1' 1 ,C -'I INSPECTOR In consi$eratio of i6lssuance to me of this permit I agree to perform t ork covered hereunder in compliance pertaining they formity with the plans, drawings, statement dr specifications submitted to the proper In accgpting ` it I assupre, risibility for all work done by either myse f, my agent, servant or employee. CONTRACTOR OR BII,Ij,DER BY By ff with all t{lin�€hces and regulpc®s authorities of.: iami Shores i age AUTHORITY BUILDING ELECTRICAL t PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA / DATE. 194 ` R PERMIT �T 1.\I :i 8236 Contractoo r's License No. Work to be performed under this Permit Bl. f'r Subdi- vision Buldingo Value of II Amt. of i; Project ect Permit l 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 'state}nents or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: °.fay t By INSPECTOR tM�1'i"z In considerati on of the issuance to me of this ermit I a ee to erform a ork covered hereunder in com liance with aes and r�ultns pertaining thereto and in strict conformity with the plans, dragwings, tatemen specifications submitted to the proper a#horitmi Shor2� Viille` In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE x` 194 %% ELECTRICAL PERMIT NO 8248 Contractor's PLUMBINS L�*cegse No. Work to be performed under this Permi ! ; n T� Owner of Building Architect — Contractor or Builder Legal Lot II Bl. Description Address of Building C� t' ✓ .,".� ° #,. °` Subdi- vision Value of Amt. of Permit '705�� 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 s tements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. , Signed: , »�,t,.. /"» "�L By Ror I SP CTOR In consideration of the issuance to me of this permit I agree to perform work covered hereunder in compliance with a rdin es and rggud�t�1s pertaining thereto and in strict conformity with the plans, drawings, stateme specifications submitted to the proper authoritie of iami Shores i lage r In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. F j d r' tt CONTCTOR OR BUILDER �pSJ BY AUTHORITY PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date II 9 yv Job Address �$ N.E: /0 3-&°s'r- Tax Folio 32d6 13 Ida Legal Description 07- 19- IV ! /may- of -40-r Z �Rfin.l S[ftJ+.rr7 Sr�'t./ �A Owner / EressEe / Tenan �NTN -e N i /dri+1 age i ��g e2 Master Permit #�/2 Owner's Address 6 S )IJ -f / d 3 tz � $T�• Phone % S-8 - b v wz,-r-*t-s—,S I 3 3 l y Contracting Co. 5* 1J Dt-lre- apsk-e4l-, `a., t�vc. Address 3725 c$o. 6c-srtN bJA- /7tD«t4-'pwo0 0 Qualifier <A"l SS# Phone 130 g-) ¢S'S. -O 6.3 -z- State # 990-416199 Municipal # Competency # Ins.Co. PA- r -coy.! w ® c Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN W d- lrf Co LO,. , to?- u s tl WORK DESCRIPTION i= PA--r C rw e• N %i « 2bo e=. tec -r°•4 , .� Dn-1-1 W h L--L- t 104 , w . Square Ft. 3 $-7:7 Estimated Cost(value) ;it/Z,000.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AF VIT: I certify that all he foregoing information is accurate and that all work will be do i p nva h all p is b e laws regulating construction a g. Furthermore, I au prize co or t do the work stated. Signature of owner Date: Notary as to Owner and My Commission Expires: '• I IAL SEAL : Si natur of Contrg e-0 '� Date '} JULIO ROBLES ,� JULib ilai►s My Commission Expires My Commission Expires June 4. 1996 June 4. 1996 o. CC 205953 Notary as to Cont My Commission Expires: FEES: PERMIT ®® RADON C.C.F. NOTARY TOTAL DUE % /•D APPROVED: Fire Other Zoning ildin K Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE <7- Date �UA Job Address 1'� ( _�; > Tax Folio Legal Description Historically Designated: Yes Owner/Lessee / Tenant rl?iV I' �C Master Permit # Owner's Address Phone d t.�_ s � r� - - '•/' i 1'a �oi't�!�, it • i Co. `- s 1 ,• _ °® ,� Nom. ) .:1 �„Ii�. o�i.�!j.G i ♦. . J ' • •i�1. L� Qualifier Aone Municipal State # 4 • •' - Co. Architect/Engineer �O L ' Address Bonding Company. Mortgagor Permit Type (circle one . BUILDING WORK DESCRIP'T'ION ib7A -' Hec Square Ft. 1l+ s 1 Address Address No PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN ­15670 � V J Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be perfunlled 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. laws egulating can, Signature / er Not as to Owner My'Commission & VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable ruction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. and/or Condo President Date o ndo Prisident Date - - GL ADYS 1 vILtAR NOTARY PUBLIC STATE OF FLORPA FEES: PERMIT 4 0, 0 0 RADON C.C.F Sigy6ure o Contractor or Owner - Builder Date Notary s to Contractor or Owner - Builder Date My C4nmission Expires: F &0 NOTARY S�, ©d BOND TOTAL DUE `CG ; 60 APPROVED: Zming Building lectrical Mechanical Plumbing Engineering Date Legal Description Owner/Lessee / Ti PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address �C Tax Folio 11.3!t 06.6 f 3 - /S J'b 2 Historically Designated: Yes 4 312 No ; r Owner's Address Contracting Co. Ill cK. �(' Address Queer State # Architect/Engineer Bonding Company Mortgagor Municipal # SS# - _ Competency # Address Address Address Master Permit Phone Phone Ins. Co. Permit TVDe (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Square Ft. Estimated Cost (value) ®2 U y 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 A certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate laws regulating construction and zoning. Furthermore, I authorize the above -nam Signature of owner and/or Condo President Date Signa Notary as to Owner and/or Condo President Date My Commission Expires: work will be done in compliance with all applicable r to do the work stated. Notary as to C6ntf My Commission Expires: e. Date J VILLA, R .0Fi L(Y l -a3 -5 �A.1n rr79elm 4 MAK 1,2002A Date 00 FEES: PERMIT v I--- RADON C.C.F. —y'r NOTARY BOND Ob TOTAL DUE 4%% APPROVED: Zoning Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE R gg Date �O , 10 % ' Tax Folio — I- , t f 4 Legal Description / Historically Designated: Yes No _ Owner/Lessee / Tenant 'S Master Permit #/ Q o� Owner's Address Phone Contracting Co. /C% k. Address Qualifier SS# - - Phone State # Municipal # Competency # Ins. Co. Architect/F,ngineer. Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost (value) L t WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the 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 or will bed in mpliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named con fort o the wor stet Signature of owner and/or Condo President Date Signa actor or Own—er-'Ilf Ider ate Notary as to Owner and/or Condo President Date No , as to Contractor or Owner- Builder Date My Commission Expires: My Commissio - ! "?C;TARI SEAL FEES: PERMIT ®• RADON C.C.F._. �� NOTARY - BOND TOTAL DUE APPROVED: Zoning Building d Electrical Mechanical Plumbing Engineering RIEs D • i • • J%C. •��� .... PERMIT APPLICATION .••• ° °I?" Master Permit la1o.• • • �.3 - 3 y�FN 0 0 �ubsi�lia Jerlpit;N �c re oRtvp► . • . INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Sbores Village: Step 1. Complete the attached permit application which must be sigma % • r est iium► n nd Maloffier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of yourdppli :atjpn; Itroofing work wi lbe done, a roofing application must be submit- 0 ted along with this permit application. 00 • ; ; ' .' ; : ; .. .. 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. Block Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Wo ©D Bldg Value Tenant Information Tax Assessed/Appraised Value PERMIT TYPE (✓ ) Building New Construction Electrical Enclosure Mechanical Alteration Exterior Plumbing Repair LPGX Alteration Interior Roofing Demolish Fence Relocation of Structure Other Shell Only ARCHITECT Name License No. Address Telephone Fax Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) Ch g. Contractor Renewal Revision Extension PROPERTY W NER { ame zD' ; Address Home Telephone Business Telephone ^ go/ 2 y-. Fax .3 TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'1 Attachment Other Add'I Detachment Other ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 PERMIT APPLICATION IMPORTANT 1. DO NOT BEGIN ANY WORK WITHOU T HAVlr4G REEEIVED YOUR N pNLIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are smite (ftb:' 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 $ , MAitITAIW IN.A C�E^,1: EAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIPS SH4A:.L'-BE:K;P1:FRE&FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM VEING D,-AM?t19El: Bi BQWIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewallc • **9 • • • • • • • - 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT Please Application > is'hereby made to obtain a permit to do work a0d installation as indicated. I, the OWNER of the property, certify that all work will be perfo ed to meet,the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELEC*IRICAL, 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, 11 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. S ATE OF FLORIDA, COUNTY OF MIAMI -DADE ignature of Owner f /ems 6- ,4 c. /° Print Name �Swomm to and subscribed before me this day of Wature of Notary Public'.State of Ihorida SEAL: ° Angela M Becker My Commission DD150048 v d� Expires November 15, 2006 STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: Personally known OR, Produced Identification_ Personally known OR, Produced Identification '-'1 Type of Identification Produced: .? V � ,17�� �,pe of Identification Produced: . ... Page 3 • • • • • " ' PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being ptrforn4q anZ�quantily(igs� in the space provided below. ELECTRICAL Minimum Fee Condensate Drain Dryer Refrigeration, Tons • Outlet, 1 itnCe ;.. ..' Cooling Tower Service Repair Vent Hood, Cost A/C Central 1 -3 Ton A/C Wall/Win. Tons Fan Paint Booth Outlet, Wall Service, Temporary Ductwork, Cost of A/C Central 4 -7 Ton Periodic Inspections Fire Pump Barbecue I Outlet, Switch Process/Pressure Piping Signs A/C Central 8 -15 Ton I Fireplaces, Number of Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL Minimum Fee Condensate Drain Generator Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost Bath Tub A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Filter Replace Barbecue I I Fire Sprinkler System Process/Pressure Piping Sprinkler Repair Bath Fan - Vented, # I I Fireplaces, Number of Pressure Vessel Pump and Abandon PLUNIBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture Soakage Pit Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Ca - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Ca - 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" TilelRes. 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: REVIEWED AND PREPARED BY DATE: SECTION ... . DATE Page 4 : : • : :': • ; Electrical • • • •... PERMIT APPLICATION OFFICE USE ONLY see Plumbing • CHECKLIST ❑ OWNER -BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) (� ttach) (Attach) ❑ FIRE DEPARTMENT • • • • • . . . . . . : • ❑ �$Sy I,:ErMftZOVAL ❑ BPR APPROVAL (Restaurants) APPROVAL (Commercial ! •' "' (Settic7 SeWdt) •• multi - family) _42 ❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New Construction) (On File) ❑ OTHER ❑ OTHER (Specify & Attach) (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) $ Miami Shores Village $ 40 Bond $ / 0 Metropolitan Dade County (C.C.F.) $ -� C (sq.ft. = x/1000 x 0.60) Inspector State Educational Fund $ (0.005/sq.ft.) State DCA (Radon) $ (¢.01isq.ft.) Code Enforcement Fine $ Zoning Review $ Notary $ 0 TOTAL REVIEWED AND PREPARED BY DATE: SECTION BY DATE Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official _42 I 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 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. -- - - - - - Date - --- 6 -7- - ,er---- -- - - - - -- 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 Registered Architect Employing Electricial Location and Legal Description Street and Number where work is to be performed —N ­#­t ---- ------- ------'�- -__ _---- - -- Street------------------------------------- ---- ---- -- --------- - - - - -- - State work to be performed and purpose of building (By Floors).--- --------- - ----------- --------------------------------------------------- --------------------------- - ------ ------ - --- - ------ New Building ------------------- - --------------- Remodeling ----------------------------- Addition ---------------------------------- Repairs ---------------------------------- No. of Stories------------ --- - - -- Overhead d• Service Size Feeders__- .�_Q_----- Conduit_________ Main ---- Amps -------- _ ----------------- Main Fuses -------------------------- Amps wain Type of Installation—Conduit --------- `/ -- Tubing------- - ----- ----- ___ ----- Metal Moulding--------------------------------------------------------------- --- ---- ------- - - - --- Amount of Permit $ 1= - -------------------- -- ------------- --- -- -- ---- ---- (Sign - _— _ - - - - - -- ' E ectri'al Inspector. The undersigned applicant for this building permit does hereby certify th a understands and accepts h��ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, piled General Laws of Flor Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. i Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the________________________________________ _______________________________ of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T'S NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST � t�j� JL(� -f /- CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1.5 HP TRANS. GONTR. LIST CHECK Overhead d• Service Size Feeders__- .�_Q_----- Conduit_________ Main ---- Amps -------- _ ----------------- Main Fuses -------------------------- Amps wain Type of Installation—Conduit --------- `/ -- Tubing------- - ----- ----- ___ ----- Metal Moulding--------------------------------------------------------------- --- ---- ------- - - - --- Amount of Permit $ 1= - -------------------- -- ------------- --- -- -- ---- ---- (Sign - _— _ - - - - - -- ' E ectri'al Inspector. The undersigned applicant for this building permit does hereby certify th a understands and accepts h��ligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, piled General Laws of Flor Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. i Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the________________________________________ _______________________________ of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMI Permit No.__ 6? -- - - - -- Date_-- _ - _- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub itted 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 Registered Architect Employing Electricial Location and Legal Description Lot ___ -____ 1"' ------ L_---- _ - _J . Street and Number where work is to be performed-No ._______ -2? I State work to be performed and purpose of building (By Floors) New Building ------------------- - --------------- Remodeling ------- - -------------------- Addition --- ---- ------------------- ----- Repairs ---------------------------------- No. of Stories------------- - - -- -- Service Overhead Size Feeders__- _- _-- _____ -_____ Conduit _______________ _Main Sw.__- ___- _ -__._ Underground fps Main Fuses - GPs Type of Installation-Conduit ___---- --- _ ------ Tubing ---- _ -------------- .X.L.- _- __- --------- Metal Moulding ------------------ _----------------------- __�_�_ ----- -- - -- Amountof Permit $- --- - -{ v - - ------------ - ----- - ------------------ --------- ( Signed) - - - - /---- -- - ----. '� - ------------------------------- Electrical Inspector. The undersigned applicant for this building permit does hereby certify that h derstands and accepts his igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - 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. 1 (Signed) ----- - ---------------- - - - - - -- --- °n-1 +� --- -- 1------ - - ---- - -- - - - - - -- STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_________________________________________ _____ _____ ____________ __ _______ of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH 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 RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1.5 HP TRANS. CONTR. LIST CHECK Service Overhead Size Feeders__- _- _-- _____ -_____ Conduit _______________ _Main Sw.__- ___- _ -__._ Underground fps Main Fuses - GPs Type of Installation-Conduit ___---- --- _ ------ Tubing ---- _ -------------- .X.L.- _- __- --------- Metal Moulding ------------------ _----------------------- __�_�_ ----- -- - -- Amountof Permit $- --- - -{ v - - ------------ - ----- - ------------------ --------- ( Signed) - - - - /---- -- - ----. '� - ------------------------------- Electrical Inspector. The undersigned applicant for this building permit does hereby certify that h derstands and accepts his igations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - 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. 1 (Signed) ----- - ---------------- - - - - - -- --- °n-1 +� --- -- 1------ - - ---- - -- - - - - - -- STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_________________________________________ _____ _____ ____________ __ _______ of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit N.. y 2.� -7, Date = -�=a ` -X- A Application is hereby m for h approval specifications herewith su�d for the building or other pp y ade the appro a of the detailed statement of the plans and spec cat g 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 con lied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. 14 e Owner's Name and Address -'' - No--------------------------- - Street - -- - -- -- I Registered Architect and /or Engineer - -- - - - -- ------------------------------------------------------------------------------- IfN /' Employing Plumber's Name ------ - - - --- - ---`=`------- �==- '-=--------- ------ ------- --- - -- ---- - - - - -- No.------------------------------- - - - - -- Street------------------------------------- ------------ --------- - - - - -- Location and Legal Description Street and Number where work is to be performed— No_________________ State work to be p formed and purpose of building (By Floors) New Building--- ---------- -- ---- -------- - - - - -- Remodeling--- - -- - -- -- - - -- Block------------ ----- ------ - - - - -- Subdivision-- -- ------- - - - - -- r------------------- �,J'-- r - �------ ---- ---- -------------------- Street ---- ��- '-- ` = = -•- � �'" Addition------------- - - - - -- . - - - -- Repairs --------------------- ------ No. of Stories..---------------- - - - - -- Size Septic inaTile__________/ 4_ p_ ________________________DistyFe Feet of Tank or Drain Field from Well____ __ Capacity Gals.=------_ CI_= '_- '---- --- ----- -_-- _ ----__ P Feet of Drain - Nature of Water Supply: City— Well ------------- - ----------------- _ --------------------------- Size of Soakage Amount of Permit $___/'__ (Signed) The undersigned applicant for this building permit does hereby certify that he'und under the Florida Workmen's Compensation Act, being Section 5966, Compiled Genen plied with the provisions thereof, and will require similar compliance from all c ct performed under this permit; and will post or cause to be posted for inspection n the required by the Act. The undersigned agrees to employ only such sub -co ractors, licensed by Miami Shores Village. STATE OF FLORIDA, ss. COUNTY OF DADE. Plumbing Inspector. ;rstands and accepts his oblifakions as an employer of labor rmanent Supplement, and has com- bs or sub - contractors emp, by him in the work to be site of the ork such public tice or notices as are Lw�e performed u de this permit, as are ------------------------ --- ------------ -- -------- --r= -- ------------------------------- •, / Master Plumber. 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 lie is the ----------------------------------------------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship, CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SI NK5 LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN I DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SW IM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. L15T CHECK Size Septic inaTile__________/ 4_ p_ ________________________DistyFe Feet of Tank or Drain Field from Well____ __ Capacity Gals.=------_ CI_= '_- '---- --- ----- -_-- _ ----__ P Feet of Drain - Nature of Water Supply: City— Well ------------- - ----------------- _ --------------------------- Size of Soakage Amount of Permit $___/'__ (Signed) The undersigned applicant for this building permit does hereby certify that he'und under the Florida Workmen's Compensation Act, being Section 5966, Compiled Genen plied with the provisions thereof, and will require similar compliance from all c ct performed under this permit; and will post or cause to be posted for inspection n the required by the Act. The undersigned agrees to employ only such sub -co ractors, licensed by Miami Shores Village. STATE OF FLORIDA, ss. COUNTY OF DADE. Plumbing Inspector. ;rstands and accepts his oblifakions as an employer of labor rmanent Supplement, and has com- bs or sub - contractors emp, by him in the work to be site of the ork such public tice or notices as are Lw�e performed u de this permit, as are ------------------------ --- ------------ -- -------- --r= -- ------------------------------- •, / Master Plumber. 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 lie 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, MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Q Permit No. / -.!r! — Date - - -- —/— --------------- -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith su nutted 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 - - - -W_ ----------- — ---- — ----------------------------- No -------------------- -------------------- Street---------------------------------------------------- Registered Architect and /or Engi er -. - - -- - -- ----------------------------- ------- --------- - - - - -- ---------------- ------------------- — ----- Employing Plumber's Name- -- - - --- -- --- - - - -�� !� t - --- � 't'- -__4 N - I--------- - - - - -- Street '_ �!>"?�� F - -- ------ - - - - - -- Block ----------- Location and Legal Description ____ Subdivision___��j!� �!e Street and Number where work is to be performed— No_______________ —! _!'_-___________ ______________________- ________ Street- ___%__�___/ -- _3 State work to be performed and purpose of building (By Floors)____________________ __ _______________________________ L— ______ __ Addition__- _-- _________________ Repairs _____________— ____- -_____ No. of Stories ------ _______- _ - - -_- _ -- New Building----- - - - - -- Remodelin g SizeSeptic Tank---------- - - - - -- ------------- ----- ------------ - - - - -- -Type of Tank--------------------------------------------------------- - - - - -- Capacity Feet of Drain Tile_______________ --------------------- Dist, Feet of Tank or Drain Field from W Nature of Water Supply: Cit ell --------------------------------------------------- -- ----- Size of Soakage ----------- Amount of Permit $- - - - --( , f---= 2=— ------------ --------- — ------- — ----- — --- --- -- ------- ---- (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ---- - - - - -- --- - - -- -- — -------- -------------- - - - - -- - - - - - --------- - - - - -- Master Plumber. STATE OF FLORIDA, 1 ss. 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 deposes and says that he is the ____________________----__-________________________- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. --------------- ------------- ----------- --- ---------- -- - --- ----------------------------------------- -------- ---------------•------------------------------------------------------------------------------------------------ My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BATH LAVA- SINKS SLOP LAUNDRY URINALS CATCH FLOOR DRINKING IN �•j�rr TOTAL CLOSETS TUBS SHOWERS TORIES SINKS TUBS BASIN FOUNT'NS (� n ( /� FIXTURES CONTR. LIST - CHECK SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G SEPTIC TANK SEWER CONN. DRAIN FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK SizeSeptic Tank---------- - - - - -- ------------- ----- ------------ - - - - -- -Type of Tank--------------------------------------------------------- - - - - -- Capacity Feet of Drain Tile_______________ --------------------- Dist, Feet of Tank or Drain Field from W Nature of Water Supply: Cit ell --------------------------------------------------- -- ----- Size of Soakage ----------- Amount of Permit $- - - - --( , f---= 2=— ------------ --------- — ------- — ----- — --- --- -- ------- ---- (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ---- - - - - -- --- - - -- -- — -------- -------------- - - - - -- - - - - - --------- - - - - -- Master Plumber. STATE OF FLORIDA, 1 ss. 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 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. ,% MIAMI SHORES VILLAG BUILDING INSPECTION DEPARTMENT ... ZC -� APPLICATION FOR BUILDING PERMIT C� .3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted fo 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 aril 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 --- - -a___ L'� � ---------------- - (- ,r�•� - � 9 Owner's Name and Address --------- - - -5�' V� . __1_____1+_1C iC a_ �+- - - - - -_ No.__- _TtQ_il_ �c - - Registered Architect and/or Engineer -- iAWV�.e�---- A_ -. -- --- - --------- � Name and address of licensed contractor----------------- -_ ___ i _-------------------------------------------------------------------- Loca,ti''o``n d le al description of lot to be built on W- _¢_T Block- ____ -_ - - -__- __ - -- Subdivisi n___ -- Lot le ) _+- - - -- - - - - - - - -- - - - - --- - - - - -- -------------- - Street and Number where work is to be done_______ ____�- ____ — - - -- -- -- -- - -- - . a State work to be done and purpose of building (by floors)— _________ _ 1 _N___________ t - - ----------- ------------------------ - -- - -- -and for no other purpose. New Building _______ - Remodeling-------------------------- Addition_ __ epairs-------------------------- No of Stories_____ ------- - - - - -- To be constructed of__ -- Kind of foundation __�t _ Roof Covering ' t-1-. Cho Estimated Total cost of improvements $ ____© ___ -__ _Amount f Permit $ -_ __ _ 50(a­­ - -- Zone cubage required - - -- 1_� J ----- ------ .----- - --Plan Cubage - --- --- -- 1 _q --- - - - - Distance to next nearest building --------- - Size of Building Lot_____,_�_s /-N_1_ 5-_- ________ —__ -_ ______- r Maximum live load to be home by each floor____ -____� I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to — -- -- - - - - — -- ----- - - - --- - -- - -- - - - - -- ------------ - - - - -- ----- - - - - -- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance 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, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared---- - - - - -- --------------- - - - - -- - - - -- - - -- --- - - - - -- - - -- - ----- - - - - -- - - - -- -- - - - - -- -- --- --- ---- ---- -- -- - - - - -- -- - - - - -- ------ - - - - -- - - - - - -- - - - - - -- -------- - - - -to me well known, and who, bein by me first duly sworn, upon oath deposes and says that he is the____ _ __ _ ____ __ ___ ___ ______ __________- _- __ -____ of the above des d n etion, that h efully read the foregoing application, and that be did sign the same, and that all facts thereim by him sta d true Permit No----------- ___ __ __ _ ___ ___ Date_ 12 f ead, Sworn to and Subscribed before me. Disapproved - - - -- - --- - - -- -- - - ------------- • - - - - -- - -- --- --- ----------------------------------------- - - - - -- -- - -- -- - - - - -- - 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 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.