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Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Job Address: 290103 Street NE Miami Shores, FL 33138 -2431 Phone Number Parcel Number Project: <NONE> Block: Lot: 1132060134850 Contractor: HENRY'S FENCE INC Phone: (305) 669 -0180 Buildina Deaartment Comments 40 LF X 5 HGH PT WOOD FENCE & GATE FM 15 2007 Inspector Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Tuesday, February 13, 2007 Page 1 of 1 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 113012007 Expires: 07/2912007 Permit Number: FW -1-07 -168 Owner's Name: CLYDIA FRAZIER Phone: Permit Type: Fence/Wall Work Classification: Wood Fence Job Address: 290 103 Street NE Miami Shores, FL 33138 -2431 Contractor(s) Phone Primary Contractor HENRY'S FENCE INC (305) 669 -0180 Yes Additional Information Type of Construction: Wood Fence Additional Info: Classification: Residential In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Parcel P Block: 1132060134850 Lot, Section: PB: Total Square Feet: 0 Foundation Final Total Valuation: $ 1,500.00 Fees Due Amount Invoice Number Amt Due Amt Paid CCF $0.90 FW -1 -07 -27348 $109.70 Education Surcharge $0.30 Total: Permit Fee - Wire & Wood Scanning Fee $100.00 $6.00 grn ` 0I ND Technology Fee $2.50 �� Total: $109.70 4 Building Department File Copy NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Applicant Signature STATE OF FLORIDA) COUNTY OF DADE) 94 VeAm"eae 10050 NE 2 ^d Ave Miami Shores, FI 33138 Phone 305.795.2204; Fax 305.756.8972 www.miamishoresvillage.com AFFIDAVIT The undersigned Affiant, geog ( Fes/ ae, , does hereby attest that (property owner) r The attached survey, performed by L A M f1 j F S �� c�t � /A t / A (:2-- (name of surve or's company) for address: �� ® L /b 3 -S performed on (date of survey) is an accurate represen tion of the existing conditions and 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, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The 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. ff Property Owner Signature Property Owner Print Name SWORN TO AND S SCRIBED before me this ;0 day of U-Ars go o Affiant is _personally known to me, produced �' WAL7M lAt(OM * * MYWAMMDD40 9% EMRE8. May 5, 20 as identification. Notary i t 3b ALLel ( ` t1I 21 22 23 , V �o, o' h2.21 • .� 1 ALE I too 7 LODZ 6: a Ndr 1 I a g f `0� � 1 n 1,A / . . ... Page 1 of 2 . ....... .... This property described as: • Lots. 1 apd•Z., Block 36, :: •: AN AREMED PLAT OF MIAMI SHORES according to the Plat •• tjhep�eof,,, sra recorded in %: Fxa.t :Bbrok'.10, Page 70 ohe;uji.�ic Records of Dade County, Florida. [PERIMIT : - Miami Shores Villa e APPRCw>=n $.. t i - uo >jL Fan [, pF �. :•i:.i• .U' `�(e'k�� �'• ply _ -(ti in I •3 f,3od r; 4. 1�.00, . W 24 • 2vla� .; 40 %D IL 'a Go'�ICQ�fC' 1 • a/ 0 CAP• ,��Sp7a VL . r ..�,�� �i 16.Zo Si i i � 1 I i • I I +� 1 i. �F I E +r� 1 i 1 r ®t �- • C�)� Nnialh Frazier, Benny H. and Clydia, PROPERTY OF _ _::.;..; ' _. 290 NE 103rd Street,' Miami Shores, Florida. 33138 NOT VALID UNLESS L 1 hereby certify that•therla EMBOSSED WITH attached sketch represents A BOUNDARY SWEY SURVEYOR'S SEAL. )a recent survey made under LAN NES and GARCIA INC. my direction, and is true-: f�L -B• #2098 ,ERNE$TQ. E, -'-tS.RINOSA #294 Meets minimum tech- and correct to the best of f ENGINEERS -LAN0 SURVEYORS - LARD PLANNERS ni cal standards set my knowledge and belief, - 359' Alc!azar' Avenue;• Coral ' Gables, ' FL forth by the Board and that there are no en -- P.O. Box 661131 of Land Surveyors croachments on said land - Miami. Florida; 3,3166 pursuant to Sec, other n ary s ..here- 472.027, .F1a�, on. �.GL,!" (305) 666 -7909, 177 -3048 Statutes. �"n^pt' Fl e9• Surveyor o• % DATE ISCALE DRAWN BY =G.. NO. Fi 1 G 17 - 6 J , � 0 24L 8 0 '�„ aj + . ., CT. .c,�' � 2 -07 -00 "Recertified ", Name revised; Certified To, Flood Zone, and rAjkq Flood Iif , p o e d aded. o < 386 -557'' 1'11'386 ri . . ... . . . ••• . . . . .... . . . .. .•• . . . . ••• LLglHa all tf �!@1lMM1101113 Pad is C It r nmwarri County Rrcronls Ilt IN: a Ilulldhop A a Ara Oiatance a Calculated A/C C D, a Air Conditioning n Caleb Ilasin (' 11 r Canctrin Ilinckifiruchrie l: 11 • a Chord Illslance C) Co. a Cleat t=p• a CrnIM l Me 171H n: r l[r+oerrrn • • • • , : 1'mnld • • • ttanslounrr 1 ad 1 I► 11 ri • d' 11 • i+1lljalnao%tlogenleltC cr. rite blydannk • @►IC ■ Gneroaehmrnl C: 1 P a rlrchonie Iron Rtd ht r hlrauard • • • 1.l t: It AIlallmtaM:e�/rlrAlr: Yedlral I,atum • • r oil ■ Found bon more r I It U R D. a round or 0111cal Recmrds Books (I if l - O`.Ahead I1biilKfalurl;c • P i • • •ti�lal • i off III) • Oveshang a plat [look P.0 n Point of Curvahnr 1' 1' t: - Potnt ill t.'nnopntind Curvn PO P N C r Papa �+ Pulnl nl Ilrvatce (:urvalete P4 ■ Prop•dy l Into fool). r Pohl of D•pltudop P to C = 1'nhd of Cnrrmlrncmnrul U P a Wily Polo W M. r Water Melt Cenlial Atlple •• • • • •• ••• •• • ••• • • • • •• as Notes a) All Cleo itudhir enermicIt 111cnis sholvil Isercon :Ire or:Ipp:u•t-nf Ila Ito re. Ile fire ownership iiy visunl nic:uts. i,mossl ownership of reRces fool lictersnincd. Iloge 2 of 2 R r H.dlutt RAD, a Radial II/NY • Rlold of Way FCC. - Settlers fictt. ■ seteened S.1 I'. ■ Set Imn Pipe SWK or Shlertraik 111:. • Utility Coloonenl b) The issue (Bf Ihis survey is (Bill)' fur the eNcinsire :pool specific list- (if those persons, p:n•lics or hlslitnlions shown in file certificolinn. ARy Ilse %I ill rc41 11ire 1%riIfell ui►provai front the eerlifyh►1; soorccpor nt• firm. C) (:ode restrictions flood lltle scorch arc not rellected till this mil-VC1. d) llullcrt;rounll unities sold encroachments if slily, nut it c:lielI c) The flood 111fornooUion shower hereon duet not imply 111:11 the refert-nt-cd property will or will not he free from flottifint; or da11111t;e Bond does 11411 creak 1111111111)• fill the 11111.1 of the firm, ally officer fit- eolpl41vee thereof, for silty dfi1111lt;e 111:11 . results from refinuce on said litliormnliou. 1) Tlie holds depicled hereon were surveyed per the 1cP (B1 descriplh►n rind no claims its to owiterswit or numbes of lisle fire made fir implicd. FLOOD ZONE: X FLOOD INF0It111ATION: Cumuttmily number: 120652 1a11ncl nmuher: 93 suffix: J • P.I.R.M. Dale: 3 -02 -94 • 1111se Elevfilioa: Not Available Ucatrint,s, if fifty si owis imsed on CI?ItTIFIKI) TO: Rapid Title Services Company; Frazier, Benny H. and Clydia, its successors and /or assigns, Attorneys' Title Insurance Fund, Inc.; and Chase Manhattan Mortgage Corporation, as their interests may appear. PROPERTY OF: Frazer, Benny H. and Clydia, 290 N.E. - 103rd Street, Miami Shores, NII I 1 11.1111/'I'1 lllllrl "1for SIGNA Alai: AND 1111' II111CINA1. RAISED SI:A1.11F FI.s /a111A I. UDISCIS SUas'i:V011 ANO a1.IMI _ A 130- MARalL.._.... M IR M I hereh% cerhly that the sane% Irptr- senled hereon meets lisp mmur.un► technical standards set lurth tot the Board of land Surveyors in chapter 61617.6 'Florida Administrative Code pursuant kl Section 472,027, Its. Sutures. there are nn Florid, , 33138 LANNES AND (.'Alt( IA, INC.' 1..11. N 2098 tiUltV l- 'YOItS- 111A1'1'I ?ltS -I.AND 1'I.ANNI {ItS ERNESTO E. ESPINOSA #2946 encroacIsmen • overlaps, easements appearin n the PIa1, other than as /� (litter address: 359 Alcn7ar Avcnac, ('oral Calrlcs, hlnridp 33 I3•1 •hewn roil (.1115) 666.79418 (115.1) ,12,1 -1166,1 1'II':LD DA•1.1{ SCACI", DRAWN RV NO t. ►a11I. a1taV /VnII AN top ►a Ntal. !� Z-7-6 0 11116M. .111486 , M El ° ° III 2'-011 a I _ ° III - -II a . • • ••• . • • ••• •. i.r.. -i . .. .. • .•. .. ..... . • . . ... . ....... .... WOOD FENCES ••• .... .... .. . . .. . . ...... . . ... ..... . . '•'..:.:::..:: • 41' X•411 -blond Post • . ...•.:: : . 2" X 4" Wood Red I "X6"orI "X8" Wood rldwb caia'C% °a° °Iilll I -I I I a ° III vlo Wood Posts 4' -0" High or Less = 6' -0° O.C. 5' -0' High or Less = 5' -0° O.C. 2915 Fences 2915.1 Wood fences," so located on a property that by zoning regulations they cannot be used as a wall of a building, shall be constructed to meet the following minimum specifications. (a) Fences not exceeding 5 feet in height shall be constructed to. meet the following minimum requirements: from nominal 4 inch by 4 inch by 8 feet -0 inch long posts spaced 5 fee: -0 inches on centers, having a fiber stress of 1200 p.s.i. in bending, and shall be embedded 2 feet -0 inches into a concrete footing 1 foot -0 inches in diameter and 3 feet -0 inches deep. " Other components shall be designed to comply with the provisiogs of. this Chapter and Chapter 23. (b) Fences not exceeding 5 feet and 4 feet in height respectively shall be constructed as provided in paragraph 2915.1 (a) herein. except that the spacing of posts may be increased to 5 feet 0 Inches and 6 . feet 0 _ inches on centers.for these. heights. ° ° V 1 1 1— ° IlI111 Wood Posts 4' -0" High or Less = 6' -0° O.C. 5' -0' High or Less = 5' -0° O.C. 2915 Fences 2915.1 Wood fences," so located on a property that by zoning regulations they cannot be used as a wall of a building, shall be constructed to meet the following minimum specifications. (a) Fences not exceeding 5 feet in height shall be constructed to. meet the following minimum requirements: from nominal 4 inch by 4 inch by 8 feet -0 inch long posts spaced 5 fee: -0 inches on centers, having a fiber stress of 1200 p.s.i. in bending, and shall be embedded 2 feet -0 inches into a concrete footing 1 foot -0 inches in diameter and 3 feet -0 inches deep. " Other components shall be designed to comply with the provisiogs of. this Chapter and Chapter 23. (b) Fences not exceeding 5 feet and 4 feet in height respectively shall be constructed as provided in paragraph 2915.1 (a) herein. except that the spacing of posts may be increased to 5 feet 0 Inches and 6 . feet 0 _ inches on centers.for these. heights. r-lul I U-U ouiiuir ly. �-()Ue _r 0: 9:0 • • 0 •0•• 0 S 0 0 W66d Fence' 0 Sec. 1611.2.1 Fences. Fences not exceeding S'-(r In heldht frbMx gMdldl MIN #e designed for 75 MP (33 rrj/s)- fastest wired spqed pr 90 mo. 140 m/s) ,second gust. r c), r r r r rr SOO ♦ 0 SO" of: See. 1611.2. 1,1 Wood Fehebs, Wced shat tie - is Isno6ifleiJbi 130. • ••• •••* ••. . • Sec. X238 SDac 2, Post ho 000 so see -.00 U,;2t�— nqlm, ^110.08# 0 - .. ; Fences < = 5ft. High - 5 ft. 0 M CenCenter "• Fences <_ 4 ft, High - 6 ft. On Center A Ir .r- MD .12 aU N. 2C4 HorIzontal Wo' o'd.M'e m.+ bers - Seic. 2324.2 Nags, bolts+ .0nd-other-0ohnectors; thaj are used In locations exposed ed to the weather shag 1:6 gqlvanlz6d or otherwise corrosive resistant Sec. 2324.3 In general, nails shall penetrate the second.member a dstan( equal to the thickness of the member being nailed thereto. !here shall be not less than two nails in any connection. Nall• SIz6s: 4d,. 1-1/2"long 6d: 2" long 80: 2-1/2" long 31' long 12d..:_ r ✓ ° p S Ill on 23 ec. 20+2: W-Philhall AAA pits 16d: 4° long rp iu I a ? . - -Na2 Grad6+4r + *bedcI60 �2i Into concrete footing "f6inch.s 9 diameter. and *2 feet dbepx-- Sec :.2326.2.10 Poles and colulr`046m� d- In cbr Crete�5 ch L'isn contact with ground and supporting permanent structures shall be approved pressure trkftd'wood suitable for ground contact use except naturally durable wood may be used for posis,',-poles and embedded In surfaces 1 1. in structures mnse concrete for structures other .than buildings. and walking Cos or Mere wood Is above ground level and not exposed to the weather. Sec. 2326.2.6 the expression "naturally durable wood" refers to the heartwood of the folloWng Species...: 1: Decay resistant- Redwooct, Cedars, Black Locust. 2. Termite resistant - Redwood, Eastern Red Cedar. a Final Inspection . . .... . �:r G �r, c To be made afir haMah aid dcileton of l eloiief • • • • pr :r r• f , r• r• rrr, r, r The following items vAl.(•be chocked at final inspection: Wood f • ee s all. truc r r r' qn � � }�• •- t�.q� decay andter�:e��is�iit;i��teri�l u.Sroecified -ig Section. . 2344:2:1 oaf the.Fiofidk Build CbA (FBC). ; , ••• i • •. • 0 t o Wood fences shall be designed according to the loads as specified. in Section 2328 of the Florida Building Code t✓)A • • . .. t t. G r. r: r rt n r r• r• , EXCEPTION: U&es�.ddsijr ed bay rational anatys ss rwc l fems root pupil six feet in height ma 6e constructed to meet. 'the following minimum requirements: 1. Vertical post of P.T. 4" x 4" spaced according to Section. 2328.2.4 FBC. See detail on front page, 2. Posts shall be embedded two (2) feet into a concrete footing ton '(TO) inches in diameter; 3: Horizontal framing shall consist of a minimum of three (3) horizontal rails 'of 2" x 4" Pressure Tretted "(PT)'iumbgr,, 4. All lumber shall be a minimum of #2 grade "better; S. All-fasteners shell-be cor esief'resistadL. WARNING:' Premanufactured sections may not comply with this code, and Produce Approval may be re rA r° G (] Stockade Miami Shores Village 4o Building Department R`s 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 Wq=T,F�20Ii! IN DATE: 1 200 � TIME: a NAME OF PERSON REQUESTING FILE: —B C/� PHONE #: , ) YOUR ADDRESS: ADDRESS OF FILE REQUESTED: '/ INFORMATION REQUESTED: I understand that all documents in this file are property of Miami Shores Village and that NO documents may be removed from this file. You may get 4 complementary copies (8x11) size, additional copies will be furnished at 0.15 cents per page, not including any blue prints. If blue prints are order please be aware that we are not responsible for the quality of the printed documents. Acknowledged by: FILE RETURNED TO: INITIAL • v SWATS OF FLORIDA DEPARTMENT OF REA148 " ONSITE SEWAGE DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [ Now System [ I Existing Syatm [ I Holding Tank [ ] Innovative [ ] ° Repair [ ] Abando:mseat [ D TesporarY [ ] APPLICANTS 6 je !. L VIVA f, A p� AGENTS • .•J g�°�°� •+.� . — H t ° T8iaSPH�t ' MAILING, ADDRESS t tom% Cep ° ." ..�_ PROPERTY ID #: / - 3 21) 1. `°p( - Yoo,S6.- ZOKM1 I/M OR EQUIVALEI TS [ Y / N ] PROPERY SIZES 1.1 ACRES M= 8UPPLYt [ ] PRIVATE =1LIC (AJ - 2000APD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0068, PS? [ Y /c)I DISTANCE TO SSW=$ FT PROPERTY ADDRESS* 90 !J C • 10 -3 7 % a DIRECTIONS TO PROPERTYt v w • to `3 s,"4 ,CA .S T nk 'P6 /7Jf & Unit Type of No. of No Establishment Bedrooms 1 5-. r. a Bandit" /Institutional Systea Design Area Sgft Table 1, Obapter 648 -6, PAC / RVi t-' l k , 3 4 [ ] Floor /EWi Drains [ ] Other (Spsaify) V DH 4015, 10/97 — page 1 (Previous editions may be used) Stock Number. 5744001 - 40.15 -1 page N i MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bui ding Inspection Request Date Type Insp'n F 1 o Lo ! -)G Permit No. 1 04 Sib Name 4- Address 90 NF 10.3 5 Company_ `C�� — Phone # Inspection Date Approve( Correctic Re- Insp'n Fee ❑ f CONSTRUCTION PERMIT FOR: [ ]New System [ ]Existing System [ ]Holding Tank I ] Innovative Other [ X ]Repair [ ]Abandonment [ ]Temporary [ NA 7 APPLICANT: Frazier, Bennie a Clydia AGENT: SR0931119, PROPERTY STREET ADDRESS: 290 NE 103 St Miami FL 33138 LOT: 1 BLOCK: 36 SUBDIVISION: Miami Shores [Section Tounship /Range /Parcel No.] PROPERTY ID #: 11- 3206 - 013 -4850 [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CIiAPTER 64E -6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ] Gallons SEPTIC TANK A [ 0 ]Gallons N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 MULTI - CHAMBERED /IN SERIES: [Y ] MULTI- CHAMBERED /IN SERIES: [Y l ]GALLONS ® [0 ]DOSES PER 24 HRS # PUMPS[ 0 ] D [ 200 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ 0 ]SQUARE FEET SYSTEM A TYPE SYSTEM: [ N ]STANDARD [ N ]FILLED [ N ]MOUND [ N ] I CONFIGURATION: [ N ]TRENCH I N IBED [ N l N F LOCATION TO BENCHMARK; Ff E/R :.2.513%avd I ELEVATION OF PROPOSED SYSTEM SITE [ 1.8 ] [ FEET I [ BELOW)BENCHMARK/REFERENCE POINT 9 BOTTOM OF DRAINFIELD TO BE [ 4.5 ] [ FEET ] [ below]BENCHMARK /REFERENCE POINT u D FILL REQUIRED:[ 0.0 ]INCHES EXCAVATION REQUIRED: [ 32.0 I INCHES OTHER. REMARKS: [CP] Existing 900 gal. septic tank to be inspected for an appropriate pump -out and a solid vertical deflector installed on the outlet device. The pump -out receipt shall be provided prior to the granting of the final approval. Install no lass than 200 Invert elevation of drainfield to be no less than 8.531 NGVD. Bottom of drainfield elevation to be no less than 8.031 NGVD. $ PECIFICATIONS BY APPROVED BY: DATE ISSUED: 10/20/04 TITLE: TITLE: Engineer I Dade CHD EXPIRATION DATE: 1/18/05 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of tne 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 compliQ with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during prqgrm of the work. Date. 19 Owner's Name and Address ....... 14� No.— cX Registered Architect and/or Engineer.... .... .»...»».«... .._ .................... •••••.•••.•••.•••.••••.••... Name Arid Address of licensed contractor...... AA�F_ W44k=dg,". ..Aae ........ 444�* Location and legal description of lot to be built on: c 11-3 06 - /3 Lot... . . ................... Block........ Subdivision ...... I&,--.. _'c' Street and Number where work is to be done.__,.2Y.JQ__.&_C_,2,Z2- 3 14 State work to be done and purpose of building (by )1::E ....................... . .......... . .. . ..... . ....................... . .. . ........and for no other purpose. New Buil ding ............. . .............. Remodeling ........................ Addition ...... ....... Repairs... ........ . ........ No. of Stories............._....._ .F_Kind of foundation�...-C-COCegF.79 ......... . ....—'Roof CoverinTo -b constructed of fk6 g....== ....... ............ ... Esdmated Total cost of improvements $-It.-OPP . ..... —_.—_._Amount of Permit . .............. . Zone cubage required......... .............. ............. ...... —_.._--_Plan Cubage ............ . ..... . . . ............. . ....... . Distance .to next nearest building .............................. Size of Building . ......_............... ».._...._ Maximum live load to be borne by each f1oor..JK;1.1.A ......... . .......................................... .. . . .... . ....... ..................... ......................... .... 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 \%ith the irovisions 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) 6=4.0 STATE OF FLORIDA. COUNTY OF DADE. I SS. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, perw"ally 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 lie has carefully read the foregoing application, and that he did sip the same, and that all facts therein by him stated are true.. ..-I 1��- 1�� iV Permit No.______T____ ------- Date ....... --------- Read, Sworn to and Subscribed before me. Date_-- ------ _.._..»._ -- ....... ........................................................... 'Disapproved Notary Public, State of Florida (Signed) . ..... �._ Building Inspector My Commission Expires...— PLANNING BOARD . . . . .. . ........ .............. . . ..__._DATZ Chairman ...... .. ........ . ......... . ..... Member Member....... ............... . ............... Member Member .. .. . ............. Member CouncilApproved ...... .. . .................................. . .. . . ........ . . —.-Date Disapproved . . . . . .................................. .... ... ............ Date NUI*E: A charge of $1.00 will be made for making corrections or changes to this application after approval has hern obtained from the Plannir._ Board. A re-insp•ction fee of $1.00 will be charged when such re-inspection Is =do necessary by improper notice for inspection or faulty materials and/or workmanship. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11 /4/2004 Applicant: BENNIE Owner: FWIER JOB ADDRESS: 290 NE 103 Contractor MR C'S SEPTIC TANK Local Phone: 305 - 651 -7859 Plumbing Permit Permit Number: PL2004 -318 FRAZIER BENNIE ST Contractor's Address: P O BOX 693239 Page 1 of 1 Parcel # 1132060134850 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 1 &2 BLK 36 LOT SIZE 102.020 X 115 Fees: Description Amount FEE2004 -10842 Building Fee $175.00 FEE2004 -10843 CCF Total Fees: $489.77 $1.80 FEE2004 -10844 Notary Fee $5.00 Total Receipts: $489.77 FEE2004 -10845 Training and Education Fee $0.60 FEE2004 -10846 Technology Fee $4,37 FEE2004 -10847 Scanning Fee $3.00 FEE2004 -10848 Builders Bond $300.00 Total Fees: $489.77 Permit Status: APPROVED Permit Expiration: 5/3/2005 Construction Value: $2,200.00 Work: TO REPLACE DRAINFIELD Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11 /4/2004 Applicant: BENNIE Owner: FWIER JOB ADDRESS: 290 NE 103 Contractor MR C'S SEPTIC TANK Local Phone: 305 - 651 -7859 Parcel# 1132060134850 Plumbing Permit Permit Number: PL2004 -318 Page 1 of 1 7.A:T'�� BENNIE ST Contractor's Address: P O BOX 693239 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 1 &2 BLK 36 LOT SIZE 102.020 X 115 Fees: Description Amount FEE2004 -10842 Building Fee $175.00 FEE2004 -10843 CCF $1.80 FEE2004 -10844 Notary Fee $5.00 FEE2004 -10845 Training and Education Fee $0.60 FEE2004 -10846 Technology Fee $4,37 FEE2004 -10847 Sunning Fee $3.00 FEE2004 -10848 Builders Bond $300.00 Total Fees: $489.77 Permit Status: APPROVED Permit Expiration: Work: TO REPLACE DRAINFIELD Signed: 5/3/2005 Construction Value: $2,200.00 (INSPECTOR) Total Fees: $489.77 Total Receipts: $489.77 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/4 /2004 Applicant: BENNIE Owner: FRAZIER JOB ADDRESS: 290 NE 103 Contractor MR C'S SEPTIC TANK Local Phone: 305 - 651 -7859 Plumbing Permit Permit Number: PL2004 -318 FRAZIER BENNIE ST Contractor's Address: P O BOX 693239 Page 1 of 1 Parcel # 1132060134850 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 1 &2 BLK 36 LOT SIZE 102.020 X 115 Fees: Description Amount FEE2004 -10842 Building Fee $175.00 Total Fees: $489.77 FEE2004 -10843 CCF $1.80 FEE2004 -10844 Notary Fee $5.00 Total Receipts: $489.77 FEE2004 -10845 Training and Education Fee $0.60 FEE2004 -10846 Technology Fee $4.37 FEE2004 -10847 Scanning Fee $3.00 FEE2004 -10848 Builders Bond $300.00 Total Fees: $489.77 Permit Status: APPROVED Permit Expiration: 5/3/2005 Construction Value: $2,200.00 Work: TO REPLACE DRAINFIELD Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: jo, V A 4 " `0o�`psgrv. cqc P, STATE OF FLORIDA 4ao COUNTY OF DADE b' I HEREBY CERTIFY that this is a tale ys� original filefi in this office on A. D. m WITNES y hand and Official Seal. Clerk Circuit Court W D.0.. PERMIT # 3Z -I&:7 Tax Folio No. Il 3Ze(e NOTICE OF COMMENCEMENT State of Florida County of Dade 92R2249 19 1992 JOIN 12 11 =21 THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 7139 Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: (legal description of the property, and street address if • avai 1ab1e) Wr 2.T �i„ i,uc,%. 3 L , OLK- eo-Ij S�-gmg . 4 2. General descri.ption of improvements O K6 C GD'VGr Iro pVGY" eXiSt�'t,i�.o, n�u �- �?'N�tev'a.e�e.� a. reo,�,,L 3. Owner information: a. Name and, Address: �i�E+1�0► I b. Interest in property: 0tMV\e1r' C. Name and address of fee simple titleholder(if other than owner): /Ok 4. Contractor: (name and address) &V- Lits,'T N l-jC. "74 &E_lLi_�_.__ 5. Surety: a. Name and Address b. Amount of bond$ 6. Lender: ( name and address) & hk 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)7.9 Florida Statutes: (name and address) to/g, S. In addition to himself, Owner designates _)''ALA► of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) -pree i.ri �D%vo 1 oa* CookC 14�� L��S't• �,�] VAja.V:l S�olrC+� .33X. S 'gnature of Owner orn to and subscribed before me this day of N , 199. My M ; " E %III EX-7.7-1-747': t.. 199& tary Publi My Commission Expires: u�:.1,v .::�_�..k r4.^c5•rsW ,y ..._ 1 s . _ 9 THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT ❑ WITH NO VARIANCES ❑ WITH VARIANCE(S) LISTED IN "REMARKS" NO OTHER DEVIATIONS FROM THE MIAMI SHORES BUILDING AND ZONING ORDINANCES WILL BE PERMITTED, UNLESS SPECIFICALLY LISTED BELOW. ALL OTHER APPLICABLE STATE AND COUNTY LAWS MUST BE COMPLIED WITH BY ALL PARTIES. Authorized Signature Date FIRE DEPARTMENT PUBLIC WORKS POLICE DEPARTMENT F BUILDING DIRECTOR PLANNING & ZONING BOARD VILLAGE COUNCIL APPROVAL PRELIMINARY: ~� FINAL: REMARKS. COMPLIANCE WITH THE SOUTH FLORIDA BUI'.DI.:G "ODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQU -R D. T• E ARCHITEf7, BUILDER & SUBCONTRACTORS +tRF ^ ' " n. ` "E �r P1 ! a'1lD ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING r�I�IT Permit No. °,-- -- 't -Date._.... x1/60 __ _ _- ---- -- 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.11is application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Lauri of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of iwwk. Owner's Name and Address Mrs. G.H. Stannard No. 290 NE -- Street Ste Registered Architect and/or lEngineer gooks Sprinkler 0'O -pan _ - -- Employing Plumber's Name:.__ -_____ No. Location and Legal Description I i- Bloch Su Street and Number where fork is to be performed—No 290 N Street_ State work to be perfintmefi lnd purpose of building (By Floors)—._.�-- • -. - -- New Building Remodeling —. Addition -.. Repahs:-----..._-___ No. of Stories.._ ......_.___._._ .. Size Septic T Type of TA++ -- •-- .__ - -- Feet of Drain Tile_ n+R►- Feet of Tank or Drain Field from Well__ Nature of Water Supply: of Soakage Pit Amount of Permit $ -- (Signed) -- _ _.._...._._..� 1'lumbiag Inspector. The undersigned appli t for this building permit does hereby certify that he understands and accepts his obligations u an enplo�yer of labor under the Florida Woithnen Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com, plied with the provisions th and will require similar compliance from all contractors or sub- contractors employed by bin in the work to be performed under .this permi •and will post or cause to be posted for inspection on the site of the work such public n qr notices as are rwp*ed by rile Act. The , dersigned agrees to employ only such sub - contractors, on to bey ormed permit, as are licensed by Miimsi Shores Village. (Signed) C _ ___ c ....... _ ...... _ Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undamigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and win, being by me first duly sworn, upon oath oses and says that he is of the above described construction, that he has carefully read theregoing 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-itinIectI4 fee of $1.00 will be made when sueh re'inspection is made-neoessary by improper notice for inspection, or faulty materials and /or woriiixtanship. BATH LAVA- SLOP LAUNDRY CATCH FLOOR. .DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT'NS FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE' SOLAR Dump SPRKLR. SWING " TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL x , LIST - - - -- - - - --- - - - - - -- - - �.- -' - -- -- - -- - - - -- CHECK Size Septic T Type of TA++ -- •-- .__ - -- Feet of Drain Tile_ n+R►- Feet of Tank or Drain Field from Well__ Nature of Water Supply: of Soakage Pit Amount of Permit $ -- (Signed) -- _ _.._...._._..� 1'lumbiag Inspector. The undersigned appli t for this building permit does hereby certify that he understands and accepts his obligations u an enplo�yer of labor under the Florida Woithnen Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com, plied with the provisions th and will require similar compliance from all contractors or sub- contractors employed by bin in the work to be performed under .this permi •and will post or cause to be posted for inspection on the site of the work such public n qr notices as are rwp*ed by rile Act. The , dersigned agrees to employ only such sub - contractors, on to bey ormed permit, as are licensed by Miimsi Shores Village. (Signed) C _ ___ c ....... _ ...... _ Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undamigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and win, being by me first duly sworn, upon oath oses and says that he is of the above described construction, that he has carefully read theregoing 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-itinIectI4 fee of $1.00 will be made when sueh re'inspection is made-neoessary by improper notice for inspection, or faulty materials and /or woriiixtanship. C.C.C. Permit No....:...... _. Li c? 3 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 979 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance ad conformity with the Building Ordinance of Miami Shoran Village, Florida. and all provisions of the Laws of the State of Florida, all oardinences of Miami Shares Village and all rules and regulations of the Building. Division of Miami Shores Village shaD be complied with, whether 'halo spedfied or sot. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ Es_ No. %BRA N.E, Street 103 .$�6_ Registered Architect and /sac EmAlaying Plumnbs o Wine.__„ D,@d® Gas Co. 09 ZUs Loaatlon and Legal D63010tion Lot A1oo)r SnbdivWt►n Street and Number where work is to be performed —No 229 Street .......�.�..a�+.ts� ._...._..._. . State work to be performed and purpose of building (By Pbm) _ .__ _ _._. _._. ..._.__ ....._..._.. _ ......... New Building Size Septic Tank_ --Type of T"k _ _...._._._Capacity Feet of Drain Tile. Dist. Fed of Tank or Drain Field from Well_ -. Nature of Water Supply: City Well. of Soakage M- Amount —_ ---.- -- Amount of Permit $ 5.00 The undersigned applicant for this building permit does bereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988. Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or u&contraictors employed by him in the work to be performed under this permit;i and will post or cause to be posted for inspection on the site of the work such public notice or notices an are required by the Act. The undwsigned agrees to emploY onlY Such sub-ocatradors, op work to be performed under this permit, as are homsed by Miami Share Village. (Sim) va _ 01�8r16 -G Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, d* authorized to administer oaths and take ae]mowledgments, permusilly appeared to me well known, and who, being by me first dilly sworn, upon oathds�oses alrld.ays that he is the_.._.._.__.._. _ _... of the above described construction, that he has cairefully read the Ioaegeing n1Nys t �ola4, and that he did slip the same, and that all facb therein by him stated are true. My Co NGWY PubBc► Sbte of Florida NOTE: A re4nspection fee of $LW will be .node whoa a & n upedi m U made•aoonaar3 by fm loopectloa, or fankY materials and/or wodomonship. CLOSRa BATH TUBS $NowsRS LAVA' TORIES SINKS SLOP SINKS LAUNDRY Tues URINALS CATCH BASIN FLOOR DRAIN DRINKING FOYNT'NS TOTAL FIKTYRKS CONTR. LIST CHECK SEPTIC SEMIER DRAIN SOAKAGE DREASC SOLAR Da@ SPRKLR. SWIMIO TANK CONN. FIELD PIT TRAP NEATER WLLL SYSTEM POOL Dryer �+ CONTR. LIST CHECK Size Septic Tank_ --Type of T"k _ _...._._._Capacity Feet of Drain Tile. Dist. Fed of Tank or Drain Field from Well_ -. Nature of Water Supply: City Well. of Soakage M- Amount —_ ---.- -- Amount of Permit $ 5.00 The undersigned applicant for this building permit does bereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988. Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or u&contraictors employed by him in the work to be performed under this permit;i and will post or cause to be posted for inspection on the site of the work such public notice or notices an are required by the Act. The undwsigned agrees to emploY onlY Such sub-ocatradors, op work to be performed under this permit, as are homsed by Miami Share Village. (Sim) va _ 01�8r16 -G Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, d* authorized to administer oaths and take ae]mowledgments, permusilly appeared to me well known, and who, being by me first dilly sworn, upon oathds�oses alrld.ays that he is the_.._.._.__.._. _ _... of the above described construction, that he has cairefully read the Ioaegeing n1Nys t �ola4, and that he did slip the same, and that all facb therein by him stated are true. My Co NGWY PubBc► Sbte of Florida NOTE: A re4nspection fee of $LW will be .node whoa a & n upedi m U made•aoonaar3 by fm loopectloa, or fankY materials and/or wodomonship. q . , THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT ❑ WITH NO VARIANCES ❑ WITH VARIANCE(S) LISTED IN "REMARKS" NO OTHER DEVIATIONS FROM THE MIAMI SHORES BUILDING AND ZONING ORDINANCES WILL BE PERMITTED, UNLESS SPECIFICALLY LISTED BELOW. ALL OTHER APPLICABLE STATE AND COUNTY LAWS MUST BE COMPLIED WITH BY ALL PARTIES. Authorhed.Signature Date FIRE DEPARTMENT PUBLIC WORKS POLICE DEPARTMENT BUILDING DIRECTOR PLANNING & ZONING BOARD VILLAGE COUNCIL. APPROVAL. PRELIMINARY: Apr REMARKS: COMPLIANCE WITH THE SOUTH F►.ORID:! BUILDI ,,G CODE AS ADOPTED BY MIAMI SHORES VIL!.AGE IS RFi7U:Rrp. T:.E ARCHITECT, BUII.DFR & SUB CONTRACTORS A; r 11� F•�r;F nt • °?!!Il p. ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. ....r�rs.as fJ' �'• .r/ MIAMI SHORES VILLAGE �i BUILDING INSPECTION DEPARTMENT *- �y 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 ar 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 s 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 --- - - - - -- - -------------- -- eIY14- Owner's Name and Address - _ 1+ � �D �1? D AIaP TG �[ No Street - - - - -- --- - - - - -- - _------ - - - - -- Registered Architect and /or Engineer__ __-4AL _xe.4l- ___- LLT -77 — -- -_ Name and address of licensed contractor --- --- - - - - -- Location and legal description of lot to be built on Lot_ ,Z. _ _ -•_ -- -- __ -� -- Block_. -.aa_ G _ - -_ Subdiv on __ Street and Number where work is to be done - -_ - ___.�!�,___� State work to be done and purpose of building (by -- - -- ----------------- - - - - -- - -- --- -- - - - --- - - - - - -- -- - - - - -- - - -- - --- --- -- - - -- ----------- - -- --- - -- - - -- -- - --- - -- — - - — - - - - - - - - -- ----- - - - - -- -and for no other purpose. New Building__ _ Remodeling Addition__ _ - -- Repairs ---------------------- - -- No. of Stories - - -- -_ - - -- To be constructed of ---- J! --- _ __ - -- -- Bind of foundation_ - -_- eLv_,t; iF_- - -d -Ai 1'__•_ -- -- -- - - - --- Roof Covering ----- 'r_J_vo ---------- - ------- -�- .� O Estimated Total cost:. of improvements $__��'�� _:_ _Amount of Permit. $______ Zone cubage required -__ -. � s�2 l.Z----- -------- �- -�--- -_ Plan Cu e -. -j �� --------------- -- - ---- - - - - -- - -- - - ; Distance to nest nearest building_ - - -- _ -- ------- -_- _ °- °.____ - -- -Size of Building -- _ -_ --- - ------- — ----------------- - Maximum live load to be borne by each floor ----- -- <?.�------ - - - -•- _-- -_�- --- _- - -- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent 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 5986, 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 ):- Q-^- - - - - -- -r_e� - - - - -- STATE OIT FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared- - - - - ----------------------- -- - - - - -- -- - - - - -- — -------- -- - - - - - - -- --- - - - - -- -- - - - - -- -- - - - - -- --- - - - - -- — - - - -- - - - - - -- ----- ---- ------- -- -- -- --- ---- -- -- - - - - -- --- - ----- �_� - -- -- - -- - -- --------------------------- --------- --- --- - - - - -- - - - - - -- -to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the--------------------------------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true Permit No ------ __ `_ 7_ >_— __-m Date ___ v _____ -3 ------ - _____:___ Read, Sworn to and Subscribed before me. Disapproved -- - - - ------------------- - ------- Date- - -- - - - - - -- -- -- - - ' (Signed) - - - - -- --- - - - - -- - - - - - - -- - - -- -- -- --- - - - - -- -- - - - - -- --- - - - - -- - - - -- Notary Public, State of Florida Building Inspector My Commission Expires-- - -- --- -- - -- ---- -------- - ---- — ----- - --- - ----- _ PLANNING BOARD--------- - - - - -- --- - - - - -- --------- - - - - -- --DATE Chairman - - - -- -------------- - - - - - - -- - - - - - -- -- - - - - -- Member Member -- - - - - -- --- - - - - -- - - - -- - - - - -- - - - - - -- -- Member Member - - - - - -- -------------- - - - - --- - - - - - - -- -- - - - - -- -- -- -- --- --------- - - - - -- Member Council Approved ------------ - - -- -- --- - - - - -- -- - - -- - ---------- - - - - -- Date Disapproved -- -- -- - - - --- -- - - - - - -- - - - -- --- - - - - -- - - - -- - - - -- -Date NOTE: A charge of $1,00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection flee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. . to 3 ,S ' 3 s\ s �yy 3A s b• f MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept a building during progress of the work. _. Date. -- . -- ---- •- --•. Owner's Name and Address�s. -_ - J1--C�22r.:s2r ;�3►.. - - -- Street .... I Z Registered Architect and /or Engineer ...., n ........... ;, -. ------------ --...... - - - -- --- - ------ -- ----------------------------------- - - - - -• Name and address of licensed contractor_ . 412_11Z_'__ ---- fy '.. .... •._... . C� o------ >� Location and legal description of lot to be built on: Lot-------------------------------- - -- -- - - - - -- Bl ock------------ --- --- -- --- -- -- - -- - - -- Subdivision ----------------- -------------------------------------------------- - --- Street and Number where work is to be done_ -X /f✓,rC"_ - -' State work _,o be do�anpurose of building (by floors )..�a and for no other purpose. New Building .......... ••--................ Remodeling ---------- - - - - -- - - - - - - -- Addition__ ------------ -------- Repairs -------------------------- No. of Stories ....... ................... To be constructed of_ __ ___ __ __ ___ __ _ ___ ___•_ Kind of foundation .__- _- _---- __._ -_. -- ----- Roof Covering - •.------ _- _. -. - - -. . Estimated Total cost of improvements $_j % ;)__ . .. .. .... .........Amount of Permit $..r G� Zone cubage required ------------------------------------------------------- ........................ 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 Sup lement, 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 )_Id __ STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared me well known, and who, being by me first duly sworn; upon oath deposes and says that he is the - ________________________________-_ __-- __.__- ._____-------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No..___7 �o.-_7____ ____ ___ _______ Date__ .._ Read, Sworn to and Subscribed before me. Disapprove (Signed) - -------------------------------------------------------------------------------- Public, State of Florida Expires----- ---- ---- - - - - -- --- - -- PLANNING BOARD .......... . . . . .. -- .------------------- - - - - -. -DATE Chairman---------- ------ --------------------------------------------- •-•---- •---- -- ---•-- ---- --- -- -- Member .--------- •--------- - -• -__ •- Member----------- •------- •------ - - - - -- •----------------•-----------•----------------------------- - - - - -- Member - - -- - - - - -- Member-- ------ -------------------------•-------------- •-- •------------- - - - - -- ------- - - - - -- --- - - - -.— Member ---------------------------------------------------------- . .... - - -- -------- Council Approved ------------------------------------------------------------------------- Date Disapproved -------- - - - - -- ------------------------------------ :--- _--- - - - - -- -Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. I '4 1 C Tax Folio �I-3Z � 013 -YXS. )ate �-� Job Address 2,04 0 «, regal Descriptioa �.�..fi ��C d Master Permit, I �ner / Lessee 7wner's Address / Tenant ,) � E ', L A S �k a m �-)- C1 D N l C Phone contracting Co. ��� Address So /.L� �: �ualifie �� _ � /rte d� ; Phone � _�� `Z2 State #Z plC -'ry Z&y 7 Competency Ins. Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECBANICAL PAVING FENCE WORN DESCRIPTION 4- Square Ft. Estimated ' Cost WARNING TO OWNER: YOU MUST RECORD A NOTICE OF AND YOUR FAILURE DO s0 MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF INTEND TO OBTAIN FINANCING, CONSULT wITR 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, on the attached addendum (if applicable). I certify that all cork will be performed to meet standards of all lava regulating construction in this.jurisdiction. I understand that sepa permits are required for ELECTRICAL. PLUMBING, SIGNS, POOLS, ROOFING, and bECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all will be done in compliance with all applicable lays regulating construction and zon Furthermore, I_authorite the above -named contractor to do the work stated. Notary -fac ao.1 My Commission PERMIT F=x C-C-1K �` wmypwm IstOe 4- NVcamExphM Fdo er'd /or Condo President f�iresx: AP!PL OtiED: Fire. Signature of Contractor or Oimer- Builder Data:_ - � X-0 Notary as to trace SgBuilder My Commiss i ires ar coN s:s 7, 5 >it � ea�o Other Zoning Building Mechanical lumbing tot= ra n 0 Electrical Engineering #237 Rev 11/79 ci 0 e-w Lo -t rr� A rn vi 6 r e p A 0, lk A SECTION DATE �~ FeQpleS GAS SYSTEM ,Inc. ``� � ��� I SCALE iF to 3 SHEET L.P. J of I K. PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date 'j �� —, Job Address � � Tax Folio Legal Description_ 2) Master Permit # k Owner / Lessee / Tenant Owner's Address _�q�;� ,� e � _f Phone Contracting Co. / � /)j,6 Address % Qualifier _�� /,1 1,1 SSSf� State# CC -" V3 )' Competency ���� 5-/ Ins. Co. Architect /Engineer Address Bonding Company Address Mortgagor Permit Type (circle one): BUILDING ELECTRIC Address AL PLUMBING" WORK DESCRIPTION �/i MECHANICAL PAVING FENCE SIG :,�Q4 ' Square Ft. y Estimated Costj_Q� WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE T( DO SO MAY RESULT'IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF Y01 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, an( 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 separat( 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 will' be done in compliance with all applicable laws regulating construction Furthermore, I authorize the above -named contract do the Mate Signature of Owner and /or Condo President Signature of tractor or Owner- Builder Date: Date: that all wort and zoning. Notary as to Owner and /or Condo President My Commission Expires: PERMIT FEE: APPROVED: Fire Notary as to Contractor or Owner- Builder My Commission Expir t,HRI�TtNAPORRA,� C't'Othe •.° ®i3ENC.Y tee: in�n�c,E Zoning Buildpig Electrical C C-F If i Mechanical Plumb in -4A_� A End g gineer4n9 PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) `Date �L Job Address.— ® /03 ,. Tax Folio / /v?�� Legal Descriptionj_�N ,�2&iS/0' Master Permit d -ter / Lessee / Tenant_ 3Ad ee &"V / W O a Owner's Address_ ��++�2 0 �'' ��� S� .. Phone __7_J Contracting Co. Jed ej C',Th Pf��tct® if Address -- 73-5 �F S cj , Llr sz, Qualifier 11 / cl Phone 241 -- ®�° /� Stated__ / �- z Competencyd Cj G' D Z 29 (Ins. Co. 4 ©D 9 ©a &.6 Architect /En inee 40 q ePP v s' 32 414Al. Architect/Engineer r Address Bonding Company__ y,,_ Address Mortgagor 'T Address Permit Type (circle one): BUILDING WORK DESCRIPTION �� � o� ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIC td® Square Ft. Estimated Cost.# /Y'S -C) WARNING TO OWNER: .YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE T, DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YO' INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE IECORDING YOUR NOTICE OF COMMENCEMENT). • B ►pplication is hereby made to obtain a permit to do work and installation as indicated above, anc )n 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 jermits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. WNER'S AFFIDAVIT: I certify that all the foregoing information is accurate -and that all work -ill be done: compliance wi h all applicable laws regulating construction and. Baning., 'urthee, I u ®ior ze he }e -named contractor to 'do the work stated. ignatuke of D ate: President ata as o Owner and /or Condo President F Commission Expires: �(Ie6/v�z • * �Ic sic :k EMIT FEE Signatui of Contractor or Owner- BYi r: lde Date: ,sl��j Notary as to Contractor or Owner -Bg ii1dd My Commission Expires,:.�NaIOyTARY PUBLIC STA Xd?6R99AA - BONDED TH IOGEM ENS. U : APPROVED Fire Other r 37,5 Zoning_ Buildin g Electrical �Mechanical Plumbing Engineering � at5a MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village. Florida. and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be compliQ with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during piggress of the work. Owner's Name and Address......... ....... . Registered Architect and/or Engincer ...... ............ ...... I .......... . . ............. — Name kind address of licensed contrgetor..... Z ... !�L . . ... ».. ..... Location and legal description of lot to be built on: ................ Block .. ...... Subdivision. . . ......... Street and Number where work- is to be done._41,20_40"' - - Y? 42 State W9r k to be done and, purpose of building (by floors)--- le L'� ....._ ... »_..- ............ ». ».w_ »...» . . ........ . .. . .... . .... . ................................. —....and for no other purpose. New Building ............................ Remodeling ......................._ Addition .......................... Repairs .......................... No. of To be constructed of.....C�............. Kind of foundation . . . . .. ................................... ....... — Roof Covering ........... . ................... .... . . .. Estimated Total cost of improvements La..__.__.._Amount of Permit ..._.... .._» ............... Zone cubage required ............._..._.....................__»» -----.Plan Cubage . . ......... Distance to next nearest building ... ........................... -. »_ of Building Lot___ . . . . . . . ..... . ...... . . ................ ....... :Maximum live load to be bdrne 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 Stippleillent, 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 �ion site of thew k h public notice or -suc pu ) Ic or notices as are required by the Act. The undersigned agrees to employ only such 7/penormed 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 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 a. Permit No_ Date. 1, C Read. Sworn to and Subscribed before me. Disapproved _102 Date— ...... . ........................ .............. ... » ».._..._ »..._ Notary Public, State of Florida (Signed) . ............ . ...... . . .. . ....... e) -V T Building Inspector My Commission Expires... PLANNING BOARD ._.. »_ ....... ........... . Chairman .......... ........ . ......... Member Member Member Member .. ... .. ........... Member CouncilApproved......_.- ........._. —.—Date Disapproved _»._. ». »._» » ..._......_........... » ........ ........................... Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plannin.- Board. A re-inspection fee of $1.00 will be charged when such minspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. �/� /03 -� �. { '+"",'�f' M'?F6iu •,'�ii�..., r*. taY s "tip .: >i,'�- : * " =:i3 .o-s ''�r+R� 'sir �. -- - - D }$ld'=,t= a*�,.a"„°�';::' .: ►.� .I/±a tla This property described as: Lots '1 And T Block 36� LAT OF MIAMI SHbR1rS' SECTION NO.� .19 { ! accordiii to the � Plat thereof ; a s['recorded in w... .. �► ,:r�,.�'. D Plat Book 10, edge 70 `_ ':;; �:•`.I r ;....Of the .rdblic. Records of �. =w : `•; ,. , , Dade County';, • flor ida Y / ,�, 1 g�,.��, ' Y :�1 �rf s��i.n ; '.►•fir. i i i rti��pll�i.�`r.� i�i��.• F r1+. + • ?i! k a. t a i. • r 17 '1 i Avg .r 1 hereby tort i fy that the- ,• attached sketch represents LA"Hii eed •'CARCIA 1140, a recoot survey made under my direction, and Is true- ENQINEBR9 • LAN6 :tMVEY0119 *' IANQ PLAN410i and earreet-to the bast of ''• my knealedje and belief,*- <. ,'' and, that there are no ah -• -P 1' i.O: tto>e 681181 cropehtAMtla on said land' - �1Nihi�.Florlda. 331",:., .other n ata shown er+i- i ,.: s on.. akfd4w6 ! ila. Rliy: Surveyot No.�'ZQ�j DATE SCALE. CpAwh 811 tlltlrai 1Y W. .�' ' la. Rs 'B inner o. p Y,,� •`:. o4 ,�,. . i°�' 1�ar>�.J��� •:' t.9'.Prtil;rie„� � ' • • cr • �� . / , �, PROP RT -Y'OF' : Martini, Edc#ie, 290 NE 101r Street, Miaftii'Shores; F�orili *, 1 hereby tort i fy that the- ,• attached sketch represents LA"Hii eed •'CARCIA 1140, a recoot survey made under my direction, and Is true- ENQINEBR9 • LAN6 :tMVEY0119 *' IANQ PLAN410i and earreet-to the bast of ''• my knealedje and belief,*- <. ,'' and, that there are no ah -• -P 1' i.O: tto>e 681181 cropehtAMtla on said land' - �1Nihi�.Florlda. 331",:., .other n ata shown er+i- i ,.: s on.. akfd4w6 ! ila. Rliy: Surveyot No.�'ZQ�j DATE SCALE. CpAwh 811 tlltlrai 1Y W. .�' ' la. Rs 'B inner o. p Y,,� •`:. METRO�DADE METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING PRODUCT CONTROL NOTICE OF ACCEPTANCE Simpson Door Company 400 Simpson Avenue IVIcCIeary WA 98557 BUILDING CODE COMPLIANCE OFFICE SUITE jr,03 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130 -1563 (305 3751 FAX (305) 375.2908 PRODUCT CONTROL SECTION FAX {30S) 376-29 305} 372-6339 02 Your application for Product A pro al of, d .� a ��'��`�Irn. , a,'Pirel;,li�'i�lti r� •s- ;� .. _ Patro:•Door' r''t`` ' ', r, under Cha �tcr .- ......, P r of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted b, Applicant, For listing see Sectioll 3 of this 1Votice of Acceptance. has been recommended for acceptance b County, Florida under the Specific Conditions Betlforth an paeesn?petasee. and office to be used in Dade on Page 3 for glazed products. q the Standard Conditions This approval shall be valid for a period of four years. The Office of Code Compliance reserves a.... the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Code Compliance Department may revoke, modify, or suspend the use of such product or material immediately. The Buildin Code Compliance Department reserves the right to req!�ire retesting of this product or material should an amendments to the South Florida Building Code be enacted affecting this product or material. y The expense of such testing will be incurred by the manufacturer. Acceptance No. :94- 1212.07 Expires: 08/3 1/98 4-aulRoqdiguez Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIor C AND GENERAL CONDITIONS BUILDING CODE COMMITTEE i'his application for Product Approval has been reviewed by the Metropolitan Dade County Buildin g Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. 4TE- THE I NMLLATION OF Tills uYrr IVILI, REQUIRE A I(URRIC'ANS pRUT$C1'IVE SYSrk:1L Approved: 02 /09/95 i 1 s anger, , Director Building Code Compliance Depi Metropolitan Dade County d-. itn to a - ACCEPTANCE No.: 94- 1212.07 APPROVED FEB Q 9 1995 EXPIRES Aug,ust 31. 1998 - NOTI ~ . OF ACCEPT IFI T 1. DESCRIPTION OF UNIT 1 -1 This approves a multi -lite wood patio door entry system designed to comply with the South Florid: Building Code and ASCE 7 -88 "Minimum Design Loads for Buildings and Other Structures ". 1.2_�de1 Deli= ati n Series "1518" Dual Panel Multi- Lite Double Wood Inswing Patio Door Entry System. (18 Lites) 1.3 Overall. Sire 6' 3 1/4" wide by 8` 2 -3/4" high 1.4 _C4 _Uf_+g%rlti n OX 1.5 No. & ize of Panels: Two panels inswing wood true divided lite french patio door system, consisting of a wood style and rail door panel each employing an eighteen lite muntin system. Both panel: measure 3' 0" wide by 8'0" by 1 3/4" thick. 2.0 MATERIAL CHARACTERISTICS 2.1 Frame and Sash Material: 2.2 Glazing 2.2.1 lazing Material. Both panels are interior glazed using a true divided 18 lite glazing system employing 1/8" thick clear tempered glass. 2.2.2 laziing_Mlethod : The glass is glazed using an adhesive bedding and a nail in place interior wood bead stop. 2.23 a light Qp&nijr g ire• Each lite provides a viewing area of 8" %vide by 12 3/4" high. 2.3 Hardwrg_ The active panel employs four (4) 4" butt hinges. One (1) cylindrical lock set is located at 36" from the bottom edge at the active panel with the dead bolt security lock 42 ". A secondary 9" slide bolt is located at 1 -1/2" from the top left hand interior comer of the active panel with the keeper double screwed to the head at lock positions. 2.4 'Wrath rs ri ins: A single strip of dual durometer weatherseal is used at the head, hinge jamb and fixed jamb frame. A dual durometer sweep is triple sealed and continuously stapled to the bottom of the active panel. Vinyl wrapped foam dust pads are used at the hinge jamb /sill comer and the jamb frame/sill corner. 2.5 Lanel Constri cti n: The fixed panel is interior adhered directly to the main frame using an adhesive bond and interior wood stops stapled -in -place on 12" centers. The jamb /sill corners are of triple screw corner construction. Panel top rail /stile comers are of glued double dowel rabbeted corner construction. The panel bottom rail/stile corner are of quadruple dowel rabbeted corner construction. The fixed jamb frame is double lag (1/4" x 3 ") bolted at the head and sill. 2.6 F-r The main frame jamb /head corners are of six (6) staple coped comer construction. 2.7Inte i F�cteri r,'urfzc Finish: Clear sealed wood. 18 eal nt:. The main frame is triple siliconed sealed at the perimeter to the buck. A small joint sealant is applied to the jamb /sill corners at the dust pad locations. Man I Perez, P.E. Product Control Division Plans Examiner r s�tn1p�Q� QYXa terrnark ACCEPTANCE No.: 94- _1212.07 APPROVED FEB 9 1995 EXPIRES Akigust 31.1995 NS�_TT�F�OF ACCEPTANCE: .�P�CIRIC CONDiTI i�IS 9. COMPARATIVE AINALYSIS: None 10. TYPICAL ELEVATION: AV H Ll 0 [1 F0 ,�2 6/0 Ma uel Perez, P.E. Product Control Division Plans Examiner -2c- -_1 htETAO•DADE METROPOLITAN DADE COUNTY. FLORIDA METRO•DADE FLAGI_ER BUILDING NQTTCr, OF ACCEPTANCE: STANDARD CONDITIONS FOR AZFI) i. For multiple window installations, approved ntullion drawings and calculations must be riled with Product Control. ?. This Acceptance will qualify smaller units of the same design and as the unit tested. 3. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Dade County Product Control Approved." 4. Extension of Acceptance may be considered after a new application has been filed and the supporting data, for test reports less than four (4) years old, has been re- evaluated. S. Any revision or change In materials, use or manufacture of the product shall automatically be cause for temiinakn, unless prior approval is granted for revision or change. 6. Any unsatisfactory performance of this product or a change in Code provisions shall be grounds for re- evaluation. 7. This Acceptance shall not be used as an endorsement of any product sales or advertising purposes. S. Aluminum windows and sliding doors have been tested in accordance with ANSI /AA+MA 101 -93 or for wood window unit by ANSINWWDA E.S. 3 -93 and sliding doors ANSUN1VWDa I.S. 3 -SS and swing doors ANSI/NWWDA I.S. S -SS. �. Swinging doors shall be tested for positive and n ,ative wind pressures as per Chapter 33 of the South C'lorida Building code. Hardware for all windows and doors shall conform to Security and Forced Entry Prevention, Chapter 36 of the South Florida Building-Code. 11. The spacing of fasteners shall be as tested or 24" whichever is less. 13 The first fastener shall be located a maximum of 6" from each corner and mullion or stile. Minimum penetration CC fastener shall be as tested or 3/:1" whichever is higher. No wood or plastic shields or pins shall be used. Unless othei -wise noted in the test report, minimum size of screws shall be No. S for first and second floor installation and No. 10 for all other floors above the lrst and second floors. Y h/ (Raul Itodristie? Y Product Control Supervisor h ..•.v. r.Il rrPu/,,.%" ial %ni ` 4 ,�_. r• . , ..r. •. rr rri. M IX"', -a- SiM12- sQn_/Mn s term a rk ACCEPTANCE No.: 94- 1212.07 APPROVED FEB 0 9 1995 EXPIRES Augc_tst 31 1994 NOTT .F OF A EPT$iYt;I:._^ P IFI tr1nN r r1 r� 6.2 A copy of this approval as well as the manufacturer's installation instructions shall be provided to the permit applicant by the manufacturer or his distributors and shall be available for inspections at the jobsite at all time. 6.3 The Building Official shall ensure the adequacy of door to meet the pressure requirement of the opening in which it is to,be installed. 6.4 Note:: The installation of this unit Nvill require a hurricane protective system. - 7. TESTS PERTORMED TEST RESULTS DESIGN LOADS L MFILTRATION a 1.57 PSF 0.02 CF,�I //FT= M 1~283 {0.20" CFM/FT=) - - - - -- FORM STATIC LOADS +64.8 PSF + , DESIGN LOADS PA 202 -94 POSITIVE 4�._ PSF UNIFORM STATIC LOADS 2- -85.5 PSF -57,0 PSF DESIGN LOADS PA 2 94 fl_ NEGATIVE WATER RESISTANCE (PSF) ASTM E547/E33I 6.3 PSF FORCED -ENTRY RESISTANCE (FER) SFBC 36 " NCTL- 210 - 1642.1,2,3 {F) -- ----- -- -- -- Design Pressure Rating (Positive) +43.2 PSF Design Pressure Rating (Negative) -57.0 PS F _j 8- EVIDENCE SUBMITTED 8.1 Tests: 8.1.1 Test reports on 1) Air Infiltration Test, per ASTM E 283 -91 and PA 202 -94. 2) Uniform Static Air Pressure Test, Loading per ASTM E 330 -90 and PA 202 -94. 3) Water Resistance Test, per ASTM E331/E547and PA 202 -94. 4) Forced Entry Resistance Test, per SFBC.2 (b)(5). along with installation diagram of an full lite double wood patio door, prepared by National Certified Testing Laboratory Test Report No NCTL - 210 - 1642 -1 NCTL -2 I 0- 1642- 1,2,3(F). Both tests are signed and sealed by Barry D. Portnoy 1 p and Test Report No. 8.2 Drawing: 8.2.1 Manufacturer's die drawings and door elevation. Man 1 Perez, P.E. Product Control Division Plans Examiner METROi) E METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET PRODUCT CONTROL NOTICE OF ACCEPTANCE MIAMI, FLORIDA 33130.1563 (305 375 2901 Clearshield Manufacturing 4900 Dyer Boulevard Riviera Beach FL 33407 FAX (305) 375 -2908 Your application for product Approval of: Polycarbonate Storm Panels under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: Applicant, along n4th Dralping No. GI, C -2, A -1 thru A -8 and AIA thru A4A, dated 5123194 and 7107194, all signed and sealed by Lisa Anne Trop epe, P.E.; Hurricane Test Lab Test Reports No. HTL -94 -0411 and HTL-94 0502 dated May 6,1994, signed and sealed by Richard Boyette, P.E. has been recommended for acceptance by the Building Code Compliance office to be used in Dade County, Florida under the specific conditions set forth on pages 2 et. seq. and the Standard Conditions on page 3. This approval shall be valid for a period of three years. The Office of Code Compliance reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Code Compliance Department may revoke, modify, or suspend the use of such product or material immediately. The Building Code Compliance Department reserves the right to require retesting of this product or material should any amendments to the South Florida Building Code be enacted affecting this product or material. The expense of such testing will be incurred by the manufacturer. Acceptance No.: 94-0531.05 1/lu� Expires: 07/25/97 i Dia n , P.E. r roduct Control Division Supervisor THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department -and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. 1 anger, . Director Building Code Compliance Dept. Annroved:07 /25/94 -1- Metropolitan Dade County - .0earshield Manufacturing ACCEPTANCE NO.: 94- 0531.05 APPROVED July 25, 1994 EXPIRES July 25, 1997 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. DESCRIPTION 1.1 This approves a corrugated transparent polycarbonate storm panel designed to comply with the South Florida Building Code Impact Test Requirement and ASCE 7 -88 "Minimum Design Loads for Buildings and Other Structures ", for the following locations: a.) Non - coastal building. zone. b.) Coastal building zone. 2. MATERIAL CHARACTERISTICS 2.1. The storm panels shall be constructed as indicated on approved drawing No. A -5, using CALIBRE 302 -E Polycarbonate Resin by Dow Plastics or Makrolon polycarbonate grade 3103 color 1112, to meet ISO. 9002, panel thickness is 093 ". 2.2 Panels have a nominal width of 12.00" and a total width of 13.00 ", forming 2.00" deep ribs with punched slots at every valley, at top and bottom. 2.3 Components shall be aluminum alloy 6063 -T5, 2" x 2" x 1/8" inset bar, 1 1/4" x 1 1 /4" x 1/8" mullion bar and 4" x 2" x 1/8" inset bar; and an 18 ga. galvanized steel 3" x 3" x 1 1/2" Z bar. 3. LIMITATIONS 3.1. The design will be-dependent on the maximum panel high of 8'- 4" or 100 ", to.be installed only as outlined on drawings No. C -1, C -2, A -1 thru A -8 and Al thru A4A. 3.2 Minimum separation to existing glass to protect shall be 3.00 ". 3.3 Special Requirement: Reinforcing mullion bars, consisting of 1 1 /4" x 1 1/4" x 1/8" .angles of aluminum alloy 6063 -T5 must be used across all intermediate panels within the openings, shall cross every panel web and lip, including the first and last lip, fastened with a 1/4" -20 x 3/4" press studs Nv /polycarbonate washer and 1/4" wing nut spaced at a max. distance of 6" on center. a.) For Projected and Inset Mount: Use two bars, dividing the span in three equal parts, spaced at not more than 33 1/4" o.c. and b.) For Flush Mount: Use four bars, two spaced at 12" from each end, and two more spaced at 20" from the first, with the remaining span of not more than 33 ". 4. INSTALLATION 4.1 The panels shall be installed only in the following condition: a.) Projected Mount The panels are fastened to a 3" x 3" x 1 1/2" galvanized steel Z bar around the full perimeter, which in turn is anchored to the wall, giving a maximum separation of 3" from wall, two horizontal mullion bars are attached to the vertical Z bars, each at 1/3 the panel span, as shown on approved detailed drawin No. A -2 and A2A, bearing the Dade County Product Control stamp.. / ,? Gil Diamond, P.E.- Supervisor Product Control Division -2- "Clearshield Manufacturing ACCEPTANCE NO.: 94- 0531.05 APPROVED July 25, 1994 EXPIRES July 25, 1997 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS b.) Inset Mount The panels are fastened to a 2" x 4" x 1/8" aluminum angle (inset bar) at the head and sill, which in turn is anchored to the wall, and to two horizontal mullion bars which are anchored to the wall, each at 1/3 the panel span, as shown on approved detailed 'drawing No. A -3 and MA, bearing the Dade County Product Control stamp. c.) Flush Mount The panels are fastened directly to the wall at the head and sill, and to four horizontal mullion bars which are anchored to the wall, two at 12" from the top and bottom and two more, each at 20" from the first bar, as shown on approved detailed drawing No. A -4 and MA, bearing the Dade County Product Control stamp. d.) Any combination of the above. 4.2 Anchorage of the galvanized steel Z -bars or aluminum angles shall be to concrete, masonry and/or wood framing and shall consist of only the anchors, embedment and spacing specified on Drawings No. C -1, C -2, 1A.-1 thru A -8 and AlA thru MA. Substitution of anchor type or indicated embedment is unacceptable and requires to be engineered separately. Fasteners must have their own Notice of Acceptance. 4.3 ... Permanent set fastener components, embedded anchor bolts, threaded cones or metal shields, not in use, must be protected against corrosion, contamination and damage at all time. 5. IDENTIFICATION 5.1- Each unit shall. bear a permanent label- with the manufacturer's name or logo, city, state and following statement: "Dade County Product Control Approved": Also a Warning Note shall be permanently stamped in each panel advising the home owner or tenant that the storm panels will not offer hurricane protection unless all reinforcing bars are properly installed. See Drawing No. C -2 for markings and location. 6. USE 6.1 Application for building permit shall be accompanied by two copies of the following: a. This Notice of Acceptance. b. Completely dimensioned drawing showing size and location, including height above grade, of openings to receive shutters; mean roof height, length and width of building. C. Duplicate prints of approved Drawings No. C -1, C -2, A -1 thru A -8 and AlA thru MA, bearing the approval stamp, Notice of Acceptance number and date by Dade'County Product Control Section, clearly marked to show the components selected for the ,proposed installation. i - Gil Diamond, P.E. Supervisor Product Control Division -2a- Clearshield Manufacturing ACCEPTANCE NO.: 94- 0531.05 APPROVED July 25. 1994 EXPIRES July 25, 1997 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 7. TESTS PERFORMED TESTS: RESULTS: TEST TEST LOAD DESIGN LOAD Deflection LARGE MISSILE IMPACT TEST SFBC PA 201 -94 SATISFACTORY HTL -94 70502 Max.. 23/811 CYCLIC WIND PRESSURE TEST SFBC PA 203 -94 POSITIVE +110.5 PSF HTL -94 -0502 +85.0 PSF HTL -94 -0502 CYCLIC WIND PRESSURE TEST SFBC PA 203 -94 NEGATIVE -110.5 PSF HTL -94 -0502 -85.0 PSF HTL -94 -0502 UNIFORM STATIC AIR PRESSURE TEST SFBC PA 202 -94 POSITIVE +127.5 PSF HTL -94 -0411 +85.0 PSF HTL -94 -0411 Max.. 13/411 UNIFORM STATIC AIR PRESSURE TEST SFBC PA 202 -94 NEGATIVE -127.5 PSF HTL -94 -0411 -85.0 PSF HTL -94 -0411 DESIGN PRESSURE RATING +85.0 PSF . =85.0 PSF 8. EVIDENCE SUBMITTED 8.1 Tests: 8.1.1 Test report on Large Missile Impact Test and Pressure Cycling Spectrum Test of Polycarbonate storm panels, prepared by Hurricane Test Lab, Report No.HTL -94 -0502, dated May 6, 1994, signed and sealed by Richard Boyette, P.E. 8.1.2 Test report on Uniform Static Air Pressure Test of Polycarbonate storm panels, prepared by Hurricane Test Lab, Report No.HTL -94 -0411, dated May 6, 1994, signed and sealed by Richard Boyette, P.E. 8.2 Drawing: 8.2.1 Drawings No. C -1, C -2, A -1 thru A -8 and AlA thru MA, prepared by Clearshield, Inc., dated May 23, 1994 and July 7,1994, all signed and sealed by Lisa Anne Tropepe, P.E. 8.3 Material certification: 8.3.1 Specification Sheet, prepared by The Dow Chemical Co. Product #14655 dated June 6, 1994 for CALIBRE 302 -6 transparent Bisphenol A Polycarbonate. 8.3.2 Specification Sheet, prepared by Miles, Inc. Polymers Division, dated June 6, 1994 for Makrolon polycarbonate grade 3103, color 1112, ISO 9002 certified. fGit amond , P.Eisor Product Control Division -2b- Clearshield Manufacturing 4 ♦ � ACCEPTANCE NO.: 94- 0531.05 APPROVED July 25, 1994 EXPIRES July 25, 1997 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. Extension of Acceptance may be considered after a new application has been filed and the supporting data, test report no older than ten (10) years, have been re- evaluated. All reports of re- testing shall bear the seal, signature and date of an engineer registered in the State of Florida. 2. Any revision or change in the materials, use, or manufacture of the product or process shall automatically be cause for termination, unless prior approval is granted for revisions or change. 3. Any unsatisfactory performance of this product or process or a change in Code provisions shall be ground for re- evaluation. 4. This acceptance shall not be used as an endorsement of any product for sales or advertising purposes. 5. The Notice of Acceptance number preceded by the words Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 6: A copy of this approval as well as approved drawings and other documents shall be provided to the permit applicant by the manufacturer or his distributors and shall be available for inspection at the job site at all time. The prints.need not be re- sealed by the engineer. 7.' Failure to comply with Standard Conditions shall be cause for termination of Approval. r4/90z4 Gil Diamond, PE. _ Supervisor Product Control Division CERTIFICATE OF RE-OCCUPANCY On behalf of Miami Shores Village, Florida, the undamped certifies tba the property desmibed in the application has been inspected for the purposes of re-ocmpancy pmwm to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and tar mch property maybe, re-occupied by the applicant for single - family residential purposes. Date ofCert&cadm 2/9/00', THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BYNII AVVII SHORES VIIJAGK RIND HAS BEEN DETERLMINED TO PRESENTLY COMPLY WITH TIRE SCMDULE OF REGULATIONS OF THE WAINII SHORES LAND A M DEVELOPMENT" CODE PERTAINING SOLELY TO THE REQUIREK0T THAT EACH ONE-FAIMILY DWELLING IS USED AND INTV4DED TO BE USED.FOR A ONE-FAMLMY DWELLING PURPOSE ONLY; HOWEV CERTIFICATE DOES NOT CONS TU ANY REPRESEN rATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING DR • MEOER STRUCTURES ON THE PREMISES DESCRIBED EMRIZWOR ANY ASPECT OF SUCH CONDITION, AND INT PARTIES ARK ADVISED AND ENCOURAGED TO IMAKE THEIR OVRK INSPECTION,:, OF THE PREMISES IN ORDER TO DETEILMINE THE C(W-DM0N THEREOF. APPLICATION FOR CERTIFICATE OF RE- OCCUP. -UNCY hereby apply for a certificate to re- occupy the sin& famgy residence tmawn as: (address) ,1► firm Shores, FloiddL Legal description Lot: ,BtocL- B&PG 0-7c) I hereby certify that I understand that the zoning of the pmperrv. is forsim*- family residential use; and that it is unlawful for more than one fatmly to reside I alS understand that any Certificate of Re -Occupancy that may be rued by Am Shores. VUWA Florida. ceranes OdY that the referenced property is being used for si*e4mnly purposes and that such Cartifi= dio not constitute any representation, warranty or certification as to de coa&on of the dwelling or other structures on such property. Applicim: 21k=::24 Date: Print Name: r For the purposes of conducting the iWection required by Secdw 902 aftbe Vnimi Shores Development and Zoning Code, contact: 3 CAS-- "7 7- f 700 Contact Name: 1,,Qv0�&V2hTetqh=e-- Buyer. Seiler: Realtor. t/Company Name: r �� Application Fee (SSo) Paid Cash: Chedc�iumher: ,3 %1, Inspection: Bv. F. LUB I EN roved: X Denied. Date: 2/9/00 P .. Comments: Miami Shores Village Building Department IQ 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 DATE: TIME: NAME OF PERSON REQUESTING FILE: c) ill PHONE #: —� YOUR ADDRESS: ADDRESS OF FILE REQUESTED: INFORMATION REQUESTED: I �-� v / I understand that all documents in this file are property of Miami Shores Village and that NO documents may be removed from this file. You may get 4 complementary copies (8x11) size, additional copies will be furnished at 0.15 cents per page, not including any blue prints. If blue prints are order please be aware that we are not responsible for the quality of the printed documents. Acknowledged b�'y f FILE RETURNED TO: INITIAL A� MiAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT, APPLICATION FOR BUILDING PERMIT Application is hereby made for the approvai of the detailed statv.,e•nt us site plans and specifications herewith submitted for the build inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall too complied with, whether herein spedfied or no. A copy of approved plans and specifications must be kept at building during piogress of the work. Date. Owner's Dame and Address .. r`@ ...,... » »....._. No..aa»».....».. Street...) �»........... Registered Architect and /or Engineer...... .......». .. ....»......»...»» ...» ....................»»,., ... . _ ............... ..,.. Name and address of licensed contrgctor..A.:... .....AA'...:.... »..»G... Location and legal description of lot to be built on: Lot........... . .............................. Block ...... .......... ... » » ».. ».» Street and Number where work is to be done...6.9.1.U, �..... �.�»...d �.�- •�- ...:._- ..•»»- .-- «- „ -«-,.- «.. «. «...» Statework to be done and purpoose ooef buil(d^ingg (by f�l ®oors).., ...!5�h p���'°.. .......... ._JAL' `� .......».. New Buil ding ............................ Remodeling... _ ............ ...... _ Addition .......................... »....and for no other purpose. No. of Stories ...... .C... .._ To -be constructed of ......................... Kind of foundation _.._. ... .«........................................... oo ering...................... ..... .......... Estimated Total cost of improvements $... «: °?�. �...._.._ .._...»» .Amount of Permit �... i ...»...... ._»«......._ ................... _......, Tonecubage 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 Iabur under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup pleu►ent, and has complied with the rrovisions 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. j $5• Before me, the undersigned authority. a notary public, duly authorised 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 tonne. and that all fact: therein by him state((d� ar true.. Permit No- ....» Date...b.�. _.... Read, Sworn to and Subscribed before the. Disapproved... ». Date.._.. «. «..« ...... «..... ........ ...................... µNotary Pulc, tate of Florida (Signed) .__ ... »._. ».� .........._ «_ ............... «. «....... utkhng Inspector My Commission Expires.».....,.»..,.... .» .............._ PLANNING BOARD «» .......... ...............:.._.... _DATE Chairman...... .. ........ . ..... ...._.. «.. »»... ........»....»_..... _........ Member ......._.. «........._. »... ..«.«,.... ....»»...,._..«..._...... »». «.. Member................... .. «.. «. »_ » ........ .... ».......... ». ....._. Member _..........»..._......»_»« «.,«..»..._»._»..» ............. ...._._ :Member ..... ........... ..._.......... _......_....._.._ ._ ... «.».._ Member _ r.......,_.. .». «. _......»._. . ».«.. ... . Council Approved ......... .. Disapproved ..« .».._.._..... ....,. ................................. . ... ... ............ Date NUT E: A charge of $1.00 will be made for making correctlons or changes to this application after approval has heen obtained from the Plannir._ Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice for innMAinn or faulty materials and /or workmanship. /'t\ o 41 t or � T� MAigh AMROVP ZOA Mec. t�a#.csi P1ua�iAs a � J � t n aiami J w � orr 'Yl age 1 PLANNING BOARD AGEMDA OF ITEM NO. Name of Owner /Appl i cant 5h E/41- ,91S%149R Phone No. Address of Property, and /or Legal Description Nature of Request2 &,—P& 1' 0'—e-'%4 j//-&*/ Present Zoning Area of Present Building Area Proposed Addition Parking Spaces Provided Parking Spaces Required with Addition Setbacks as per Code Setbacks Provided Variances I o 94� T /L 6 -164 V,--' Council Action Required Date of Applicant Notification Planning Board Action WA. 1-11519%, Council Action ?41 Director of Building and Zoning iJ 4' X 8' X 1/r ' SMWL ANaX 5-1ler N I LAG V/. 2-1 4!*IK %CLZM GUSSET PLATES, 2- 1 2"i Tr1RiJ DOLTS FOR %A= DEAR. - S &O�8"i ANCHOR t C.T3 S" L FOR NG REAM CONK t 24, 13 7 4" X g•. X 11r SILL ANGLE 7 -1/2" 4 •� , NEb LANG V/. 2- 1/4'Ttt %TL= GUSSET t FOC PLATES` 2- ij r• inw DOL.T3 FOR voce WAP4 2 S # AL'Va1OR DOLTS e" _FOR CANG W ft ANG IMP �." . %i i • x 5, 24" C. G (�c►oa. .�E,I�N1 x i km. am* o-0 -� �i if_ _ ii+fi wi �% V Y •r, � 4.4 2' e IMSMG TV now � t" raw SOUTH RLEVAor ON _ 1/40 I ��� �>E It JRWV v vo ce rasaA� ll�/,.,.. ` U p057M BULONG . _ PIGF✓ 97lTL COLLI'1N _ CY1S7tJG PA'no MAb� API'I�C 0037t1C GRAD SST MOVA ""ION 1/4 n Ylp I n -Ty?. toss DN. Ou 4 - -rILP-b -rlu=p I -=;U4 RSM�XJCZEP FLAT Lr TYR C-RCCVS SF-C-710,z A �!S- MIAMI SHORES VII -CAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Drov -f ( w Date1ll 1 ,T ,n Type Insp' n jJ Permit No. 7 ® Name TQ Of Address Company �� r CJ Phone # Inspection Date Approved Correction Re- Insp'n Fee C3 a oow / i rA i N Vii/ i lol MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bu' diin�g Inspection Request Date 8 Type Insp'n�L�`� �n Permit No. Name -fro `X Address Company Phone # Inspectioi Approvec Correctic Re -Insp' n Fee ❑ ,a MIAMI SHORES VILLAGE, FLORIDA B.JILDING DATE > 7 'Z- 1942— ,r-ELECTRICAL PERMIT N? 5618 Contractor's PLUMBING License No. Work to be performed under this Permit Owner of Building 1' o,., ' t." / *nA -dm Architect Contractor or Builder�rri- Legal Lot Bl. I Description I Y` Address of `fs Subdi- ; `" 3 1. (- 0/ vision E1 • ►1 , Value of Amt. !� ` Project P,= This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications d that hssumes respon- sibility for work done by his agents, servants or employees. Signed: — By,� INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance wit rdinances an c redµ ons pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autho s of Miami Shares Vage. In accep this permit I assume responsibility for all work done by either MA self, my agent, servant or employee. NTRACTOR OR BUILDER �j� BY AUTHORITY � V ,BUILDING EI,�CTRICAL PLUMBING 4 Owner of Building Architect MIAMI SHORES VILLAGE, FLORIDA DATE f 1947 PERMIT N° 5573 Contractor's License No._ Work to be performed under this Permit-_ Contractor or Builder - a.3�'�'` Legal Lot II Bl. t '� Description Address of u,,I,7:. 0) r Subdi- C x / vision 16 ZI rr Value of a Amt. of1 L G Project /L! Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown -on the plans or drawings or in the statements or specifications and that h?lMumes respon- sibility for work done by his agents, servants or employees.w 1, Signed: By �. /;.. C:2 INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in ict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permi assume responsibility fora work done by ether myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING r Owner of Building Y Architect Contractor` or Builder Legal Description Address of MIAMI SHORES VILLAGE, FLORIDA PERMIT Work to be perf04 Lot ` `j -1 1 9G ' , e t,7 -CV Bl. ` DATE` 6 194 N? 5764 Contractor's License No. 6 Ender this Permit L a Subdi- vision Value of Amt. of �� *,v Permit 40 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 wiIl 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_c wings or in the statements or specifications and at he agivnes respon- sibility for work done by his agents, servants or employees. Signed-, L By. .► INSPECTOR In nsideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with l rdinances and 4yguVa_trns pertaining thereto and in strict conformity...fvith the flans, drawings, statements or specifications submitted to the proper authonti of Miami Shoresr i ge. In accepting this permit assume respo ility fora work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHOR kA MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ' 194_ ELECTRICAL PERMIT N° 5782 Contractor's %1?` PLUMBING License No. Owner of Building Architect Contractor or Builder _ Legal Description Address of Work to be performed under this Permit Lot 0 Bl. Subdi- vision Value of Amt. of Permit This p er ranted 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 witill 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 upo rich thw permit is granted is the understanding that the contractor or builder named abov �wsumes the ponsibility for a thorough. knowledge of the or&Aq�.s and regulations pertaining to the work covered hereby whether shown on the plans �cWa rigs a statements or specifications and that he assumes #espon- sibility for work done by his agents, servants or employees. j1 r ; Signed: By eA- 44 INSPEC7iOR In consideration of the issuance to me of this permit I agree to perform the work covered herednder in compliance with dl- ordinances agd Vglatfpns pertaining thereto and in strict conformity with the glans, drawings, statements or specifications submitted to the proper authorities of Miami Shores ilrage. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ELECTRICAL PERMIT ZIT° 5574 Contractor's & PLUMBING License No. Work to be performed under this Permi G dC. Owner of 1 �r Building Ile., ... Architect Contractor or Builder "V' « al Lot Bl. o-` Description + vision- (/ •�„3, �,,i s Address of ( Value of Amt. of j4 (/ Building! '291, �,� �' Project Permit,,�•ww/•..• 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 plan awings or.in the statements or specificatio �pd,that he rstlmes respon- sibility for work done by his agents, servants or employees. , Signed: . 1. • �` — — BY r'` !/ 1 INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the Vans, drawings, statements or specifications submitted to the proper authorities of Miami Shfres Village. In accepting this permit I�5t��ne responsibility for work done by either myself, my agent, servant or employee. 22 1.. / A OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 194'_ ELECTRICAL PERMIT N° 5598 Contractor's , �� --� PLUMBING License No. Work to be performed under this Permit`R. Owner of r -�-- Bgilding Architect Contractor P or Builder r, Legal Lot II Bl. Description Address of Building X Subdi- vision Value of Amt. oit t 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 statements or specifications and that he as §umes respon- sibility for work done by his agents, servants or employees. Signed{.? ' .�, ti .i°'�. ;.: #� . — By INSP CTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with -all prdinances and -jegula$ons pertaining thereto and in strict., conformity with the -plans, drawings, statements or specifications submitted to the proper authoriti4§ of Miami Shores ViIlage. In accepting. thigpea Tit e "responsibility for work done by either myself, my agent, servant or employee. 1 �- CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ILECTRICAL PERMIT N" 5573 Contractor's 'LUMBING License loo._ Work to be performed under this Permit - )wner of wilding ►rchitect A , ontractor r Builder ,egal Lot Bl. )escription tddress of hii1dinar Subdi- vision Value of IIAmt. of Permit 194_ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any Mans, drawings, statements or specifications that m`ay have been submitted to and approved by the proper municipal authorities. This Permit may be revoked t 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 ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and agulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- ibility for work done by his agents, servants or employees. Signed: INSPECTOR By In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility fo3 all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA WILDING DATE 194— :LECTRICAL PERMIT N° 5618 Contractor's PLUMBING License No. Work to be performed under this Permit )weer of 3uilding Lrchitect , ontractor it Builder egal Lot I Bl. Subdi- )escription vision address of Value of I Amt. of j building I 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- :ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any Mans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked .t 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 >ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- ibility for work done by his agents, servants or employees. Signed: — By INSPECTOR , In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. C07STRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA WILDING DATE 194_ `LECTRICAL PERMIT N® 5598 Contractor's License No. )LUMBING —.. Work to be performed under this Permit jwner of II 5uilding robitent Builder pal Lot I Bl. scription dress of Subdi- vision Value of Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- ation herefor in strict compliance -vyith all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any Tans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked t 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 nit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and [ egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- ibility for work done by his agents, servants or employees. f Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. p accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ELECTRICAL PERMIT N° 5782 Contractor's PLUMBING License No._ Work to be performed under this Permit 194 Owner of 4 Building Architect Contractor or Builder Legal Lot Bl. Subdi- Desscription vision Address of , ` Value of II Amt. of Building 1 a Project Permit This permit is ranted 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 wki ch this permit is granted is the understanding that the contractor or builder named above, assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: — By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL PERMIT N° 5764 PLUMBING Work to be performed under this Permi Owner of Building Architect Contractor or Builder Legal Lot II Bl. Description Address of f, Subdi- vision Value of DAT Contractor's License No._ Amt. of Permit 194— This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described i ,the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In acceptii g this permit I assume responsibility for all work done by either myself, my agent, servant or employee. p g CONTRACTOR OR BUILDER BY AUTHOR MIAMI SHORES VILLAGE, FLORIDA BUILDING ;LECTRICAL y PERMIT N° 5574 'LUMBING Work to be-performed under this Permi )wner of wilding architect : ontractor r Builder egal Lot I) Bl. )escription° ,ddress of - -1 _3__ _ Subdi- vision Value of i DATE Contractor's License No._ Amt. of u Permit 194— This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any Mans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked t 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 ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- ibilify for work done by his agents, servants or employees. �� B Signed: INSPECTOR y In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. a accepting this permit I rume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE ' 195 PLUMBING ❑ PERMIT N° 7487 Contractor's License No. ROOFING ❑ 4- sc ❑ Work to be performed under this Permit.— Owner of Cr Building,, ,al — Architect _ Contractor or Builder ,, ., ,- y T �;: ,�, -• Legal Lot Subdi- Description Bl. vision r` Address of , Value of Amount of Building 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY: - -- - INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY a--,.. ADDRESS 290 iS� 103rd st LEGALLots 1&2 Slk.�36 MS S#1 RECORD GARBAGE TAX PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER H D Stanna,rd Jr o 1945 _o o rz -3 /- / `. J�.r / -� - ti �9 2 -9a- 4/P /ago / / 7R;�' --5 /447C I OWNER'S NAME PRESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) LOT BLOCK SUBDIVISION GENERAL CONTRACTOR ADDRESS PHONE NO. LICENSE NO. BOND �rJ �O /B�U�IILDER'S �f �V4i BUILDING PERMIT NO. !� DATE V / PERMIT FEE $ I�� NO. DATE �(p -ao / ZONE PEOUIREMENTS ! ,5 CU. FT. PLAN CUBE !� ff CU. FT. EST. COST $ / Ap E ��%(/� I �/" DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCT ON NEW CONSTRUCTION /TYPE I v '✓ I I ��'�� �f / /d0�O�.S DESCRIPTION I �E.O.[.�YS REPAIRS F.�l�..- yL./0.6C� /� /TGfi� -.2 •.3�.OTiYS ___. _ DESCRIPTION ALTERATION I /a A7A- � ADDITION 4fiiefoy APPROVED REJECTED REFERRED TO COUNCIL REASONS �y SUBMITTED TO PLANNING BOAT -R-D RE- SUBMITTED TO PLANNING BOARD REMARKS SUBMITTED TO VILLAGE COUNCIL CERTIFICATE OF OCCUPANCY NO. �I dam/ ( ISSUED y�/ BY `/V✓ ( TO ✓ //7!J/l 54 BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE 9UILDING INSPECTIONS INSPECTIONS PHONE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION QDATE a S SPECIAL PERMITS PERMIT NO. DATE FEE BEAMS &LINTELS - ,S $ SEPTIC TANK RANGE CONN. FRAMING �� SEWER $ $ SOLAR HEATER ry (6 $ C 10/15/47 / t7 $ 2sO0GAS FINAL 4 -O �'AJ.5 $ RE- INSPECT BY RE- INSPECT CLEAN -UP TEMP. SERVICE INSPECTIONS DATE RE- INSPECT BY PLUMBING PERMITS & INSPECTIONS CONTRACTOR Q PHONE / a PERMIT NO. I DATE 4 FEE S!9&0 NEW BLDG. ALTERATION REPAIRS I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE H. W. HEATER CONN. $ SEPTIC TANK RANGE CONN. $ BO SEWER $ $ SOLAR HEATER ry (6 $ C 10/15/47 / t7 $ 2sO0GAS INSPECTIONS DATE $ RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE INSPECTIONS DATE RE- INSPECT BY RE- INSPECT BY ROUGHING ��^^BY Avs H. W. HEATER CONN GAS /4<. RANGE CONN. SEWER " SEPTIC TANK •44IXTUREZ& FINAL SOLAR HEATER. Ews FIXTURES ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR HU-- t Eje C CO / PHONE ` 46 PERMIT NO. p DATE 10/20/47 FEE $ 13.30 NEW BLDG.>< I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICNJr H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ INSPECTIONS DATE RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE yB�Y /y S, ROUGHING H. W. HEATER CONN /4<. RANGE CONN. •44IXTUREZ& FINAL ? %J APPROVAL TO POWER CO. FOR SERVICE DATEl i 2r8 BY EWS Issued f 19 c, Amount /15-� No. Houses- �k� ' NOW ALL MEN BY THESE Addreg — 5 , -,). v aiami Jhores9lHage T L a A f D A BUILDER'S BOND PRESENTS, that I, 6'•c�l�1r6�Ytn?C �7� ?iG��? N? 604 in consideration of the issuance to the by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or buildings at t_heo awing addresses: , do hereby deposit with Miami Shores Village, Florida, the sum of tss? �' 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 conscrueWn w t4in 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 aforesaid _, 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. > y WITNESS MY HAND and Seal at Miami Shores Village, Florida, this �k� da -offer (Seal) -= INSTRUCTIONS TO BUILDER -- -When above mentioned construction is completed and the premises re cleared and repaired take this bond to the Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your m ney 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 VILLAGE � �-- Amount of Bond $ Villa a Buil __ _ • • • g g iami Shores Village. Cost of clearing and repairs done by Village $ �,, G Balance due Builder . . . . . . . . . . . $ � Cancelled Mf S 50.00 - -- --- - - - - - -- - - - -19- — By J MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No.___j___ -- '__►!____ Date- 1-A Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address __ n.�. No._ L _ Street____ Registered Architect and /or E i eer _______ Employing Electrician's Name _ No. — 11S1 !+k- _ Street — Location and Legal Description Lot_il___1_1--- __ ________ _____Block______ __ ---- - -------------- Subdivision_ -- Street and Number where work is to be performed — No------ -y_-3__D Ir _ f �__ — ___---- S et___— �___�___ State work to be performe and purpose of building (By Floors) - - - -_� New Building ---- - -- - - -- Remodeling------- ------------- - - - --- Addition .- --- ---- ----- ------ - - - - -- Repairs----- - - - - -- --- No. of Stories.. - 1- - - - --- Service Unnder�groound Size Feedersk//1_______ Conduit.- /__! /Y___ Main Sw.�_�_ . Amps. Type of Installation — Conduit---- l'____ Tubing__!_______ — B.X.L._______________ -Metal oulding Amount of Permit (Signed) Main Fuses ------------------------ Amps. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) — — - �/L — — - - - -- -- ---- - - - --- - — Master Electrican. STATE OF FLORIDA, COUNTY OF DADE, ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared--------------- — ---- — --------------------------- -- --------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -------- _ -------- -- --- _ ------------------ — --- _----------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ---------------------------------------------------------- ---------------------°-----° -- -- ----- °-- °------.........--- °-......---- _......-- -• My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG REC E'P'T's FIXTURES NO.LAMP REFRIG. .- OUTLET IRON RANGE OUTLET OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST � – — '�J/ =i / 1 4'1 CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON SW. CAB. TEMP. PERM. 0-1 HP 1 -S HP TRANS. RADIO TOTAL CONTR. LIST CHECK Service Unnder�groound Size Feedersk//1_______ Conduit.- /__! /Y___ Main Sw.�_�_ . Amps. Type of Installation — Conduit---- l'____ Tubing__!_______ — B.X.L._______________ -Metal oulding Amount of Permit (Signed) Main Fuses ------------------------ Amps. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) — — - �/L — — - - - -- -- ---- - - - --- - — Master Electrican. STATE OF FLORIDA, COUNTY OF DADE, ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared--------------- — ---- — --------------------------- -- --------------------------------------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -------- _ -------- -- --- _ ------------------ — --- _----------- of the above described construction, 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. �f: � d Arn -- = 2.� 40". V,14 MIAMI SHORES VILLAGE� PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ��' Permit No.- -�---- 1-- �- �---- - - - - -- Date------------- - - / - -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitte for t e 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 spe ified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address - -- - - --- -- 2_!2L_-1V_ —Il^ No----------------------------------- - - - - -- Street-------- - -- - -- ------- ------------------------ - - - - -- Registered Architect and /or Fmnl___ng-P lumber's N v Location and Legal Description Lot_______�f _ - / ---------------------------------------- Street and Number where work is to be performed—No -------- �'_�� ` N.._-32S-,21Y `j ------ J Subdivision___ _s'____ C _ --------- __ State work to be performed and purpose of building (By Floors)--------------------------------------------------------------------------------------------------------------------------------------- New Building ---------- �f------------- -- - - - - -- Remodeling----------------------- -- - -- - -- Addition ..----- - - - - -- ---- - - - - -- Repairs--- - - - - -- ---- - - - - -- No. of Stories------------------ - - - - -- Size Septic Tank — Type of Tank - ------------------------------------------------------------ Capacity Gals.---- _ Feet of Drain Tile ------------------------------------------------ Dist. Feet of Tank or Drain Field from Well -------------------------------------------------------------------------------------------- Nature of Water Supply: City—Well ------------------------------------------------------------- Size of Soakage Amount of Permit ( Signed Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or: - 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 sit a the work such public notice notices r� 'Or required by the Act. The undersigned agrees to employ only such sub - contractors, o -work to b rfoa -under ,t are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ----------------------------------------------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT'NS FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SW IM'G TANK CONN. - FIELD - PIT TRAP - HEATER WELL SYSTEM POOL - CONTR. LIST L CHECK Size Septic Tank — Type of Tank - ------------------------------------------------------------ Capacity Gals.---- _ Feet of Drain Tile ------------------------------------------------ Dist. Feet of Tank or Drain Field from Well -------------------------------------------------------------------------------------------- Nature of Water Supply: City—Well ------------------------------------------------------------- Size of Soakage Amount of Permit ( Signed Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or: - 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 sit a the work such public notice notices r� 'Or required by the Act. The undersigned agrees to employ only such sub - contractors, o -work to b rfoa -under ,t are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ----------------------------------------------------------------------------- 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. • • A _r MIAMI SHORES VILLAGE • ELECTRICAL INSPECTION DEPARTMENT V APPLICATION FOR ELECTRICAL PERMIT Permit No ------ � -7 — ------- Date -------- — 4_1Z _ ._ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted fot`' 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 ___ ___ .d! ' "' Registered Architect and /or Engineer Employing Electrician's Name ----- - - - - -- - - - -- ---- -- - - - -- No ------- — -------------- ----------------- Street- -- ------------- --- - -- -- - - - -- ----- -- - - - - - -- Location and Legal Description Lot ------------ —_� ;_�__ __________..___Block______ -3_ —�_ _______ Subdivision ___._A___:_�__, Street and Number where work is to be performed—No ------------------------------------------- _____ Street ------------ --_—_ _— ----- -- _— --- — --------------- L State work to be performed and purpose of building (By Floors) --------------- - __-_—_—____—____—____—________--___—_______________—_________ _______________________________ New Building------------ ----- ---------- - - - - -- Remodeling--------- -------- -- ---- - - - -- Addition ---------- --- ------ - - - - -- Repairs------- -- ---- ------- --- - - -- No. of Stories.---------- - - - - -- Overhead r Service Underground Size Feeders ----------------- Conduit______________ Main Sw ------------ _ --- ___i Amps . _- --------------- Main Fuses ------------------------ Amps. Type of Insta llation— Conduit__________ _ _ ____ Tubing -------------- — B.X.L ----------------- Metal Moulding ----- ------------------- — ------------- — ------- — -------- ----- Amount of Permit (Signed) . -- -- - - -- - — - - -- — — -- - - - - -- Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ----- -- — — =— --------------- �� Master STATE OF FLORIDA, lectrican. COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared--------------- ----- --------------------------- — ------ — — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the —_— ---------- —_--_____ ____— --------------- — --- - ------ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE_ RANGE I WATER W. HEAT. SPACE STRIP OUTLETS OUTLETS REC E'P'T'S No.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER TOTAL CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON SW. CAB. TEMP. PERM. 0-1 HP 1 -5 HP TRANS. RADIO TOTAL CONTR. LIST CHECK Overhead r Service Underground Size Feeders ----------------- Conduit______________ Main Sw ------------ _ --- ___i Amps . _- --------------- Main Fuses ------------------------ Amps. Type of Insta llation— Conduit__________ _ _ ____ Tubing -------------- — B.X.L ----------------- Metal Moulding ----- ------------------- — ------------- — ------- — -------- ----- Amount of Permit (Signed) . -- -- - - -- - — - - -- — — -- - - - - -- Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ----- -- — — =— --------------- �� Master STATE OF FLORIDA, lectrican. COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared--------------- ----- --------------------------- — ------ — — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the —_— ---------- —_--_____ ____— --------------- — --- - ------ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public. State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. .♦ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT r��S. Permit No. ------ - - - - -- Date - - - - -- -- - -- her Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subm' ed for the building o other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami'Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address _____!_l___ _ �_/_ t�_ �_ _��____�_______________________ No._______�___J 0_____ Street_A-6___ /® Registered Architect and /or Engineer______ _ - -- ----------------- - _ - - --- -- Employing Plumber's Name_ �.�„r___� �!'►c_ ,________ _ No.__ - 14M Street__ Location and Legal Description Lot-------- - - - - -- - ------------------------ - - ---- -Bloc ----- _2 6,------------------------------ Subdivviision-- l-`"��'+— `fit--- '- --- T---- / ------------ -- Street and Number where work is to be performed—No ------- ____ - --- �------ -_______ S eet_____1_� _3________?�! _____________________________ State work to be erfo d and purpose of building B Floors S v - -- ! - - - -- -e-- ------------- New Building - - -- -- -- --- - - - - - -- .............. Remodeling------ --- ---------- ------- -- - - -- Addition-------- -- -- ----- --- - -- - -- Repairs------- --- - - - --- No. of Stories------- ------------ - - - - -- Size Septic Tank --------- Type of Tank_____ __ _ ____________________Capacity Gals ------ Feet of Drain Tile -------- _1____---------------------------- Dist. Feet of Tank or Drain Field from Well ------------------------------------------------- ____________ _- _______---------------------- Nature of Water Supply: City—Well ------------------------------------------------------------- Size of Soakage Amount of Permit ( Signed ) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation's 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 pmmt, as 4 e licensed by Miami Shores Village. ! (Signed) -- (:::;Lr -- ------ --------------- -- Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ---------------------------------------------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT'NS FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SW IM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank --------- Type of Tank_____ __ _ ____________________Capacity Gals ------ Feet of Drain Tile -------- _1____---------------------------- Dist. Feet of Tank or Drain Field from Well ------------------------------------------------- ____________ _- _______---------------------- Nature of Water Supply: City—Well ------------------------------------------------------------- Size of Soakage Amount of Permit ( Signed ) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation's 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 pmmt, as 4 e licensed by Miami Shores Village. ! (Signed) -- (:::;Lr -- ------ --------------- -- Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ---------------------------------------------------------------------------- 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 Permit No .-- _`----- S___L_A------------ Date--- - -- !____ --------- -------- _ /____ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submi ed 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 Addre- __ f_ _ -_- _ - - - - - -- No l!4 - - - -- Street-` -5- ---------------------- --- _ Registered Architect and /or Employing Plumber's Name e Location and Legal Description Lot_ ___________________________ Street and Number where work is to be performed— n Block-------------------------------- -------- - - - - -- Subdivision-------------- --------------------- -- -- - - - - -- State work to be performed and purpose of building (By Floors) --------------------- _----------------------------------------------------- New Building _----= ------------------- Remodeling-------- ---- -------------- - - - - -- Addition--------- ----------- - - - - -- Repairs - --------- - - - - -- _ No. of Stories -------------------------- r SizeSeptic Tank------------------------- ---------------------- - - ---- --Type of Tank------------------------------------- -- - -- - -- Capacity Feet of Drain Tile ------------------------------------------------ Dist. Feet of Tank or Drain Field from Well -_ Nature of Water Supply: City—Well -------------------------- - --------------------------------- Size of Soakage 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 Campensation 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) STATE OF FLORIDA, 1 j ss. COUNTY OF DADE. 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 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- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT'NS FIXTURES LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIw G SIL:i TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL F/f1C;. GoN CONTR. LIST CHECK SizeSeptic Tank------------------------- ---------------------- - - ---- --Type of Tank------------------------------------- -- - -- - -- Capacity Feet of Drain Tile ------------------------------------------------ Dist. Feet of Tank or Drain Field from Well -_ Nature of Water Supply: City—Well -------------------------- - --------------------------------- Size of Soakage 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 Campensation 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) STATE OF FLORIDA, 1 j ss. COUNTY OF DADE. 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 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. 4 U� D V 4 r ` PERMIT APPLICATION FOR MIAMI SHORES VILA LAGE Date h -d-f _ � Job Address A? 0 /t/& r/'9 > % j • Tax Folio Legal Description Historically Designated: Yes No "er ssee / Tenant / V I S / (• / `7 A-k._l ? Master Permit # or C/ Owner's Address '6 / Ste` - Phon 3® Contracting Co. Address Qualifier SS# State # Municipal # Competency # Architect/Engineer Address _ Bonding Company Address Mortgagor Address Phone Ins. Co. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION / /�-% �f7`e 9/5 E Square Ft. Estimated Cost (value) 4 3 0 C9 , 0 -a WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President My Commission Expires: FEES: PERMIT ' `k'll RADON APPROVED: Zoning Date Signature of Contractor 6k Owner- wilder Date Notary as to Contractor or Owner - Builder Date My Camnaassion F ? 11 n e� "'� 9" 5%4 a sJ 2 to 9A MONTIEL 16100 NUMBER C401251 EXP. C 6. 17 1gr$ Gr' C.C.F. NOTARY J�> TOTAL DUE Building Electrical Mechanical Plumbing Engineering Tz, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date , 9-/%1 Job Address a2 %O ^'& /03 Ste- Tax Folio Legal Description Historically Designated: Yes. er ,essee/ Tenant L. V i S /� / v + IA ?' /. Al E Master Permit # —4/a/ r, Owner's Address e�=- % O 1-6 O 3 S Phone r_)& S .� 2. Contracting Co. j�! Z Address �^ No Queer' SS# - - Phone State # Architect/Erigineer Bonding Company Municipal # Competency # Address Address Mortgagor Address Ins. Co. Permit Type (circle one): BUILDING ,ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ! N,S� � j e,� p t�G C 4{ N0k 5 Square Ft. Estimated Cost (value) D , a Q WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. v ,+� Signature of owner and/or Condo President Date Signature of Contracto or O r- Builder Date s? Notary as to Owner and/or Condo President My Commission Expires: rW) FEES: PERMIWtC` RADON APPROVED: f�fs'TST Date Notary as to Contractor or Owner- Builder My C lssion rd-TARY SKAL ;1)3a M VONTIEL bhl5 w� 6 NUMLER 01 ,51 My EXP.1 7 1 4 , C.C.F. NOTARY - TOTAL DUE % Building Electrical Mechanical Plumbing Engineering Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 2-�O N E `0 3 SST Tax Folio Legal Description Historically Designated: Yes Owner/Lessee /Tenant /tv/s, f" yf�/� /Fr, /�i4l� T om✓ Z Master Permit # Owner's Address Z 9O /O 3 S T Phone Contracting Co. ) Address State # Architect/Engineer Bonding Company Mortgagor Municipal # SS# - _ Competency # Address Address Address Phone Ins. Co. No Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTIONc°/Xode £jc� Si �G /� %��'y F��L /'' °!� Tro.� 1-M9 6/ e <T ,eo!'T*. Square Ft. Estimated Cost (value) 100 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -name contractor to do the ork stated. Signature of owner and/or Condo President Date Si g'a e of Contracto r 'Owner -builder Date f Notary as to Owner and/or Condo President Date Notary as to Contractor or am Date_ My Commission Expires: My Commission Expires: �P�Y POO OFFICIAL NOTARY s€ , _? 7"i �� BARBARA ANN FUGAZzi N �41's COMMISSION NUMEE 4 O CC3G ®191 �2� MY COMMISSION EXP. OF �V MAR 29.1998 FEES: PERMIT RADON C.C.F. r NOTARY TOTAL DUE + APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering PERMIT APPLICATION -FOR' MIAMI SHORES VILLAGE Date-?� /7��v� Job Address �� i' Tax Folio //- 32,04 Legal Description S:eC- I � E`7S � � 2- Pl'e Qmaez/ Lessee / Tenant ' � Master Permit # r� Owner's Address' ' � % l' l Si Phone ( - 'aAa -1 Contracting Co. �/ / / Address / � Qualifier `--J`" �`" �C=,�-" Phone 4 `-6 j 6 65 State # /� `�°�C Municipal # ��S i'� 3 7Competency #/ /W 74v- Ins.Co. /�/ Architect /Engineer Address Bonding Company Permit Type(circle one): BUILDING ELE( WORK DESCRIPTION 111T r"I Addres Address CAL ROOFING PAVING FENCE SIGN ,-L...c c Square Ft. Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: -I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulatin construction and zoning. Furthermore, I authorise the abovq-named contractor to do the work tatt Signature of owner d or Date: �A ?� HA. PEI Notary /fo 01D0$�My Commi xh' res ()anew ident or Owner - Builder •esident Notary as to Contractor or Owner- Builder My Commission Expires: my r FEES: PERMIT RADON C.C.F. NOTARY TOTAL DUE C, APPROVED: Fire Other. Zoning Building Electrical �� tr r✓ Mechanical Plumbin e { ` � i engineering PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN,COPY) Job Address 7.50 A►,t 103 Sfi e-r-k Tax Folio Legal Description L b A sow-*A A Master Permit # Z.74a i ! Owner Lessee / Tenant C 11C. 1A &jD Owner's Address j-'10 NZ. to 3 ra,. S +Y'Gc* phone { S1 - OSs Contracting Co. tb Ok CbkS1kYJ&C1 •�+� i L.9C. Address E I 1\-S-t , Qualifier % COdk phone Iss'q =i State #_C S C -039t04 Competency# Z S?. el M — D Ins. Co. Architect /Engineer e'�id" �G YSo� Address P / P Bonding Company_ N �� Address Mortgagor alp► Address Permit Type (circle one): UILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION . %I Square Ft. �b0 S.. Estimated Cost Q ,'� pa. °O 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. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the -work stated.` Signature of Owner and /or Condo, resident Signa ure of Contractor or Owner- Builder Date: Date Notary as to Owner and /or Condo President Notary as to Contractor or Owner Bu�� My Commission Exp i re NOTARY PUMM, STATE Or�ArP A. My Commission Expires: I�P�T CTII PUBLIC ' � Ei 9, 4&'S. 1 II ���� r�� ( r t �. PERMIT FEE: t APPROVED: Fire [[ Zoning Buildintltk W Other Electrical Mechanical Plumbing Engineering Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) _ Owner''//s��A��ddress_ 1 ,10 AJ �- City /� W,4 Tenant/Lessee Name RECEIVED NOV 0 4 z, 094 —tA Permit No. 2 � N - 31� Master Permit No. Electrical lumbing Mechanical Roofing i Phone # State � Zip 3,71 ;? 8 Phone # Job Address (where the work is being done) 21p 04/� . M,3! STS / City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name , e"Pfs (Gw—J Phone # Contractor's Address _ I f f -z ) .rim • 2 z0gt-c A,-e-a- cityQ Qualifier, State Certificate or Registration No. State 7jj Io zqGyy- Architect/Engineer's Name (if applicable) $ Value of Work For this Permit lt Z2�. Type of Work: ❑Addition Describe Work: u.- ZipJ�� Certificate of Competency No. Phone # Square Footage Of Work: ;,7 Cra I& ❑Newepair/Replace s r�� o.✓ /y . ❑ Demolition Submittal Fee $ Permit Fee $ S SL!r CCF $ `' 2CO /CC Notary $ S •00 Training/Education Fee $ ' l Technology Fee $ `t S-4- r Scanning $ ,--� 00 Radon $ Zoning Bond $ ' Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IlVIPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." ' Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good.faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site .for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a remspection fee will be charged. FIFW Owner or Agent Contractor The forego g sttrument was acknowledged before me this/0 The foregoing instrument was ackno ledged before me this day of ���, 20P Z, by 04i`° Aul " day of , 20 _, by�� who is personally known to me or who has produced who is personally known tome or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: TARY PUBLIC: Y P�•. STEPHEN E. COCKING Sign: COMMIS SION # DD 031747 Sign: a XPIRES: June 20, 2005 Print: 1F.101 S;g Thru Notary Public Underwriters Print; My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: f�/� / /° 5"7 -c/ 'el Plans Examiner Engineer Zoning Chc 05/13/03 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING 'AN 2 g PERMIT APPLICATION FBC 2004 Ol1�l1 Permit Type (circle) Building Elea ical Plumbing Mechanical Roofing (Fee Sim le Titleholder) 0 00 C 1 0 � Permit No. F 17 I &b Master Permit No. :,igs Tenant/Lessee Name Phone 4 Job Address (where the work is being done) No ! y f; lb3rot 517rf/2t ' City Miami Shores Village County Miami -Dade Zip 30/ ao G FOLIO / PARCEL # Is Building Historically Designated Contractor's Company Name 14. Contractor's Address City Qualifier Name ru 10 State Certificate or Registration No._ YES NO V Architect/Engineer's Name (if applicable) Value of Work For this Permit $ I JDD Certificate of Competency No. Phone # Square / Linear Footage Of Work: 40 (, r Type of Work: ❑Addition AlteratioJJn}} []New!! Describe Work: AT-) 1 �- of 1 h ,"n 1 4 U Demolition e Submittal Fee $ Permit Fee $ V CCF $ 0 CO /CC Notary $ Training/Education Fee $ �'� Technology Fee $ Scanning $ �2 kA l _- Bond $ Structural Review. $ Radon $ Code Enforcement $ DPBR $ Zoning $ Double Fee $ Total Fee Now Due $ See Reverse side --> Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Zip Mortgage Lender's Address r �J G'`& I CC City,< -i /?1�j State Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO R'E'CORD A NOTICE OF COMMENCEMENT ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature '� Signature Owner or Agent Contractor Q(� The foregoing instrument was acknowledged before me this The fore instrument was ckno 1 dged before me thiAA day of`_, 20 , bynlnJt day of , 20(/ , by 1 lb�-fe ! who is personally known to me or who has produced rid <<S "G?vPvho is personally known to me or who has pro used As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Aila�fos Rodriguez fr ICDi ssion #DD3081$$ Sign: r�- � =x.x.� / bC1 Sign: _ . W V J `� ur�r - u�• :oz, XpATes. T Print: �lJ �— Lam'• � ��� Print: �''°�oF Fro? ` P��11�de� 7iliU C. YYALTEI� Jr, MY COMMISSION I DO 401955 My Commission Expires * * My Commission Expires: EXPIRES: May 5, 2009 APPLICATION APPROVED BY: (Revised 02/08/06) Plans Examiner Engineer Zoning