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Multiplef . .A Inspection Worksheet ' Miami Shores Village 100,50 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 128968 Permit Number: PT -11 -09 -1847 Inspection Date: January 22, 2010 Permit Type: Paint Inspector. Bruhn, Norman Inspection Type: Final Owner: ATILES- FIGUEROA, FELIX Work Classification: New Job Address: 262 NE 103 Street Miami Shores, FL 33138 -2431 Phone Number Parcel Number 1132060134870 Project: <NONE> Contractor: HOME OWNER Buildina Department Comments PRESSURE CLEAN AND PAINT EXTERIOR OF THE HOUSE Inspector Comments Passed Failed El Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspections please call: (305)762.4949 January 22, 2010 Page 1 of 1 i • k Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, Fl. Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number. INSP - 128968 Inspection Date: January 22, 2010 Inspector: Bruhn, Norman Owner: ATILES- FIGUEROA, FELIX Job Address: 262 NE 103 Street Miami Shores, FL 33138 -2431 Project: <NONE> Contractor: HOME OWNER Buildina Deoartment Commentit Permit Number: PT -11 -09 -1847 Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060134870 PRESSURE CLEAN AND PAINT EXTERIOR OF THE HOUSE Inspector Comments Passed El Failed El Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 22, 2010 For Inspections please call: (305)762 -4949 Page 1 of 1 r�r i Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 r.vjr LMUUMUO Parcel Number Applicant 262 103 Street 1132060134870 Miami Shores, FL 33138 -2431 Block: Lot: C/O STEPHEN MARGULIS (GUAI Owner Information Address Phone Cell C/O STEPHEN MARGULIS (GUARDIAN) P.O. BOX 16282 PLANTATION FL 33318- Contractor(s) Phone Cell Phone HOME OWNER of Work: Exterior Additional Info: Classification: Residential Color. Approved Color. Approved_ Fees Due Amount CCF $0.60 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee $60.00 Scanning Fee $0.00 Technology Fee $0.80 Total: $66.60 Code Comments: BEHR - WALLS - LIGHT GRAY / F Color: Denied Invoice # Total Amt Paid Amt Due PT- 1I- M36367 $ 66.60 $ 66.60 $ 0.00 Available Inspections: Inspection Type: Final 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 November 12, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy November 12, 2009 . w± r�* Yw• �isf�r. � .�tiwet•.'.wY.Y+ri•�}tr_.w3<•:1�. �?wnn:...a :.a.�+_..wrt s.. -w. -:. _.,...�_ ...- �'}h_C:: ^'•r•-w•:• Asa! A�' 4�MS. W+ �P!*. ya >i'lf..� +'h?ie.lt<+ryn?ia'!'am - 1 '11"'w4v..+a^HK' Y °•ls'7J2�;XM'�N'w'y. r.- � ..s..m a•:a+�^'�"•...a.r�ey� 1 L�+ <V• `(Z o L o ...4 DL.04L 3 � t � � T s tn ... L S_6 L: A 14.1 0 ,�. 52 0 fjtO•a LO { i j. �0.o�� zc t ;A 4 .. Wainsoote to be 4' highp Go over tube floor to be z semi - vitreous matte glazed Ule without border. Accessories in the as follows& 2 24" towel burs, 1 soap uish", 1 tumbler holder$ and 1 tooth brush holder at lavatory$ l recessed paper holder at water closet, 1 robe hooka and 1 oarnbiAiation 4j" x " soap and grab at tub. KITCH I„�3R ;B- To be 4' " x 4' cushion ed8,e Ma►tt�► gl axed tale w cove at intersections of splash and drraina i' A - "r}a be obtained and paid for by pIUMber. C - Ali codes and r egul at ioju by all authorities coAaern*4 ' be iotly adhered to. R )UC;H G 3 - Concealed in Partitions, walls or flown* ata adsx* grade, AJI Z C' - To be installed to praavent water hSAXOr. C i. - To be standard grade and wol& t f"O iraa saw holes or other derects# tarred inside and out. CL Za'T" At font Of vertical stacks Md evrrlr angular *hGAV of - or xa�►t" -run. Brass cap sor"Od la heavy ferrule. . I R T - To be galvanized► steel cif` .stood rd grade. At 1sM3 r supply all fixtures. * ; -- Provide WA install s sPlex type with 140d QOILI r urne Yegt at #Fops. 4'I a,.0O3' 3 " instatled as d rOQUA by gw mr. U :. - By Orate i:ompany Or approved equall, as foll*wx s C: 3308 so Corwith Tub C 3866ftB Bath and ahOWOr yixtuf* C 4969 -0 62" Curtain UAL$ .O 131 z2 a ia" Goveor Lavat3ry with 0 33678- 02 Hexava"l. Legs C 11125 -.T Nsuton Bowl with shelf and 0 9010 '+ hi to Seat C 19348 20 x 3U" Ali Flat Rim oink and 0 32731 -AI► OP Siring Moot one standard set of concrete i.aundiry Trays 24 x 48" Oc. d. o U apaday Page Three * C � S' a v - - l odmmou yellow pine of number shown. l" rouAd, ro��led hooks to o$oh vlosot. MZDICIU C INZ - To be aeleotod allow 610#00o To be Belea ted allow $3640o SA - TO be T"W W "Ved emu. Walla eak& Goilimp Oiat 0 all bullAosed ` **=Woo Teo ooeta ItSary Base and Ti 6W Minh 00at. Keono C at floatatinish for s im bat -end kitahen. a CC Two costa; drat *oats 1 part Gapital or appscoved other Portland �ezent# E ,parts send &ad limo putty; amoond coats Aedueee lwlatarproofod Cult. :ill, C - To be quarry the hoar„ =hoc. T. F. Gamday .page Two► : O RE S;-,. V1 L LA 13 Ef M 1A .1 H SUILDI . NGA r9Ctl'ON DEPARTMENT t-E A2v APPLICATIOWFOR ElUlLoING PERMIT 0, ' / of the detailed statement of tne'plans and specifications 'i mitted for the build Application is hereby made for the no.proyal ons herewith/u4 _L inc or other structure herein clescribed.'This application Is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Law's 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 comphQ with, whether herein specified or am. A copy of approved plans and specifications must be kept at building during ptqgress. of the work. Date Owner's Name and Address .... V, ---- --- Nom_5_1 S -------- X Registered Architect and/or Engineer ... . ...... ............................. Name and address of licensed controctor ........... I - - -1 :,, Location and legal description of lot to be built on: Z . / 11 11 Lot ........... . ..................... ......... Block ._.................._......_._ Subdivisfor Street and Number where work is to be done.—/ 5-/- State work to be done and purpose of building (by . ............ A ........ . .... . ... _ 405 777-17, 2 e 's X1_ I .,e I P ....... for no other purpose. ..... ....... . .......... . New Buflding ............................. Remodeling...... . L ........._ Addition ......_.................. Repairi ... . ......... No. of Stories........_... To be . constructed of ....... ............. Kind of foundatiom ... . . ............................................. Roof Covering ... . ................ : . ....... Estimated Total cost of improvements $.....4! 'Lv .---......Amount of Permit d .» ..._..»........... _ ................. ....................... Zone cubage required ...... ................. . ........ -----Plan Cubage .................... Distance -to next nearest building .............................. _._.------Size Of Building Lot ....... Maximum live load to be borne by each floor........ I hereby submit all the plans and spqcifications for said building. All notices with reference to the building and its con $ruction may, 7 L be sent to.. .L.k .......... Z-21�7��."� ................ 7...L.. ......... . . ............. !.� ............. (.k ............ z ........................ 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, anti has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on tbe-#ite of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su tractors. ah *ork to be pe ed under this permit, as are licensed by Miami Shores Village. j Cafe" Remarks . . . . . ............... . .. . ........ . ( Signed ).,_. STATE OF FLORIDA, 1,. ss. COUNTY OF DADE . •Before me, the undersigned authority. a note y 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 X4 Permit Date...... Read, Sworn to and Subscribed before me. Disapproved....... ............................................... . .... . ... . Notary Public, State of Florida (Signed) ... .................. ..__.................... »...... Building Inspector My Commission Expires. PLANNING BOARD .. . .. . . . ......... ............ _. ._DATE Chairman ...... .. ........ ........... . .. . .. Member Member ...................... . ........ .. Member Member .. .. . ............. Member Council Approved ..... .... ................................... .. ___-Date Disapproved . . . .................................. . * ... ... ............ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained ftwo the Plannir._ Board. . A re•impection fee of $1.00 will be charged when such minspection is made necessary by Improper notice for inspm-tion or faulty materials and/or workmanship. ZY-Liami Aores'YiYage F L O R 1 D A PLANNING BOARD AGENDA OF �OVS -NV%�to \0 , 59476 ITEM NO. Name of Owner /Applicant Phone No.'djj -io4.-- Address of Property, and /or Legal Description MA, OV—, W-S ST Nature of Request AFFR?OL- Or _PLAOS Vom G.R"6*: w4eC 99RiE. Present Zoning ,� 'A.1 Area of Present Buildin Area with Proposed Addition Parking Spaces Provided Parking Spaces Required with Addition VJ/4 Setbacks as per Code Setbacks Provided Variances /Exceptions /Zoning Chan9e Council Action Required f0 Date of Applicant Notification_ Planning Board Action AWF'' Council Action 0` a t Director of Building and Zoning PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date /Job Address 2 � Ale- %®, ��?�� Tax FolioeV 13 V Legal Description Master ��i� ,� Master Permit Owner Lessee / Tenant Owner's Address �� /�� g Phone 02—° 7�4�7 Contracting Co. e G2&u Address Qualifier SS#. State # Competency #. Architect /Engineer Address Bonding Company. Mortgagor. Permit Type Address Address (circle one) BUILDING a ELECTRICAL WORK DESCRIPTION Phone Ins. Co. PLUMBING MECHANICAL PAVING FENCE SIGN Ft. Estimated 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 se0arate 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: �c �c etc �►c �k �c 9t PERMIT FEE: APPROVED: j Zoning o� p Mechanical Fire Date: Signaturd of Contractor or finer- Builder Date: ` Xlzzz N4iary A to Contractor o er- Builder Commission Expires: /�/l'% :k �t :tc fit- ,,� ✓ xc �c Other Building Electrical Plumbing Engineering tf 7. �- r x yri' ay -- cd'f""�� r Ek rJ?i + Y! b�v!�n�� \Free �r�1x r �;�7 � ly 9•"""ur...1.,,,•dl�,aq. wChiteot analot Uhl - }£ '. r.;i a. 4 v w d,.. • -P ' rtf+p;' �+� Y+ � .!6 rf SSG tf � •tc � +'r: � �.1C1 i � + 1 R,A I iftCtiok `fl9�AR'cMCNT P MITI, y M � T" 14:. d '1y: ' ?4 . _ ✓ f 9 n '. 3. f, t t � - P� S� � �'� 1•- p ) "• -0 Y' ' _=1' v .`.'•.. r .a�:i •+/4 .. �':r • -. a +, ... ...tr it ••f.I ��r. 1 ` d sta nt of`'tlt lens'aailr ifi ono bgewithssii fitted for the build I! trade in compliance and confa nutyf�a th .Buiidingr�dfina lvljami Sta 4- .pl1ori�ia Qi►11 �cnd pan of �4li mi�S1�q ;�s Village- and ells des and shi p *�� 141F , +whet- b@ iu: pi4 noii- c*, of approved 't !ur!T, 8� ✓:. aS r t I ' o- 2x 1n -� - da 1^ 9 { �, arc,. r •« t o q .arr -,.K•. i *10 I'-- -'�Y. �t.3i°.:.�tY�Dt ^'6y'IIr%.Gt- _''.•ir ... "`•�" .. 44 + t}4 _ 7 n 4 v ,ttypip 4 r »_ Lociatibn Bela %�}esfrip "ca"' f AP � 6o�a� °i.� F r +"m i jr� a R *,«t �h,,, y s.. Lot l'an, -�Num)�,or��',rbg•tia+t! @Rte f fey?'r.A�i..a ¢C!. St 0 I o V• t� J ,,- Sd x,i y d' t t, —s-r_ �•• , ..rte @1�^ --4t , -r�� -• f • a_ .t...,...n... f 1 State)wyr ; o l alt s�.'.1� ' blii � 1iY` doorsi r r p s �►' f , , h V' 4 °i + � t"'.i.Y � ..1... � .•i......--- •'�'- '�!-�' r .Z _.._I... bn sb.. .d4.��,��"" �t _" jt j r �uY. fl l4 r�x�' 1 d,tm:YJ 6�:,'.�� r. fit j shy dq A �. 4,�.' •• /gry _� •�a Sb� a:-'r, -grsr s i H_ p�.wuJl.�.+ =F ,:,.?.w..,r --�• -= *{•� ". 9•.t '1 r ,� ^.• v �. °' --- + -•k1Et a: y�i._ �v a' '1 6(..r « fir 4 STr+_'... £+w.` -f. ', h--+ .tS -rkr� -;.di_•`` 4i?� °@ '' 8@• ,, r � "ti" »- •e4"�-, � V +� � ' E rt 's' . r.- 4_c`•a— a k ..,.e � !«�• + $P purpose. r " S �p G J rNfing- , v -i+ r A .S.i... .;ar,RQ 4 .. ., _ F� o f �'4torie$r ............. fFFF ry i Alevic� n$�•- t --_� -- _ ' y 4 Remaieli ,.. R To bed a , . 1a_ 'Kind ue� ticit► _ ' ' ; . • r ` I f, I� 4 �� _ ✓ 200 erib(iN L , 7,,,,,U��Ih{l� Fr ,r kt Q _ � Fjsti;natTOtCQSC of itrlmsvements $ ; »:_ Lt4 b£�l�xsni $ s►r. -s ' 1F9a 4 cp� �"s i g _fir �4 T� A fAne pt, b''- @)- _•', .tfucp "•'"1�� °' _a�,_. :5�} a° S, 6s a l� k , -: -{J� __ +r•r•q+'r, a " °11"• --� e "• s s ;, ��I �1F 6• a z ti 9 c+ •.r to .yt w tl •.a a J. r+s., f �+ �i- P L 'fi'q '� �!I i �,-t d� } ) Sf. r III a Distadce iA.. neat nearest Size of Suiliiiag ww Manmumb lave load'to 11e 1gae bye`° a _a �, . f �, .°r ,� r---•- �.,.. ° — - - - -• - { * e • • I hereby submit all tA� >> and �ons for lwdthng $11ott�Ces vsdth,referertce ,tp 31re buildit►g are its constctts may .. . aro�_ . _ P _ . _ __ _. Y ._x .. .......„.� _ _. ..._. bg t �i ............ be sent t �^ ' ' The tmdersi a plicant for this building permit does hereby certify that he understands pi-s his ob a iops as an a i` , er of labor finder t fie Florida Workmen s Compensation Act. being Section 8988, �Cmripiled ��en�algl wF of , loridd, P r► lent 1l �nta,; ; and hay complied with the rovi� ions thereof,,and,;will: require similar cbmpliancesfrom all contractors of �sB- contracttir`s employed by him in the Work to bb perfo� under" this'y ii8. and xyll} d cause to be posted for inspection on the site of the work such public notice or notices) as are requir by the Act The undersigned agrees to employ only such sub contra wo�lc:'ia ed under this permit, as are licso'ed by. Migmi ,Shores Village@ f, b : -,` , ry c f * • 4 l r z , + f A Remarks . _ , -- _ - ; Signed N " . • — r -- -- e -�•-••--x - ,SATE fi F FLORID, « y GCaUZ' OF DADE.; . { Befdre saej the u#derdPeA eutho W. a` notary ji4Ue6 dgIyt "� hofixeed to ttdnii aster q4ths a f k a g►owlddg e�i�g. pen n y ag 4i F peared — * — — - — _..« " 4 ire •4 J a' e 1 y .... »_. r� so a x t �e m 1za .. 1`j .�"'^ �- 6 • f � _ + � e � ._.........,«.ter +a ..._.........._ »_.....D, . � a w ,I " S �. j"-- •-- •--- -"^- -_ �.... - t� me w(ll .a r: rr : _ • a ,and who,4 by me first duly sworn, upon oath deposes and says that he,is #he-�a.�., • �1�] @hem above descxIbed construction, that he has car@lnillx rod - fii3e8�tapR�<�tibn, and�ra��'ie 'did sign °tlie same, and that all facts x`_�,.. ted are trueY . r. + s . Pertuit Ready Sworn i�o�#dgS'ub Bbl bgorZs•m° a �" a ir@d Date . a a ' Dipap , Pm . v ._.:ear �, - -_.., ,�'-- -,:.+. .- c "re- o- r y: eit �+f « IVOt81`"FabI'[Li'rate Of 7ClUDYid$ a f• .y r ',vn r +S i�+'af+ _t+ -•-- r egg. a,8 -• �� a Buffding IIISp�ctor ° i1I7,lsmisOtf Ezp • ` f r .> r BOARD,. ._._T.,..y . r. __- _----- _........:�.�..DAZ�« � , �, [, � '' ` III;. Chairman Member _____ „f. r- :r _ ___••- -- _ a. - Member + _ x n-- Member .• Member. >-^ --'^i""•---- """"'----- -e —• -- n a . li x�• _ r- •ti --+-c .ss� 1t .. �+ Council Approved _ _ " Date"" _ _ NOTE: A charge �f $100 will be made f9r maki�g'corrections orchanges to this application after appro�a�lhas been obtained from)) the.Plani Board. A ,reins action, £ee of $Y. will b chaxg ' whe* i 1c a �dc °n&tss�ty ""q, fnVzr ipe! =hoti�' fo�"- nspec�tion 7 mateilStSanU %Or WOkWaDShip." " ' . : n r a. t, �r L< ° a. .,"+ y . � 7 '. r. „} - , t- t.�T. a ,a ..,7: :., ; *t+ t , s t .,'it yY, rh' �� 'i�. .,, x •V i } T a f - r - i" w'P f jj i k�'1 a x MS J ° � r ` • �' • 1 SWy�•i- . ^. • xlJ� F oaf.:;: c, a4C}f�i9rri�a tf 7. �- r x yri' ay -- cd'f""�� r Ek rJ?i + Y! b�v!�n�� \Free �r�1x r �;�7 � ly 9•"""ur...1.,,,•dl�,aq. wChiteot analot Uhl - }£ '. r.;i a. 4 v w d,.. • -P ' rtf+p;' �+� Y+ � .!6 rf SSG tf � •tc � +'r: � �.1C1 i � + 1 R,A I iftCtiok `fl9�AR'cMCNT P MITI, y M � T" 14:. d '1y: ' ?4 . _ ✓ f 9 n '. 3. f, t t � - P� S� � �'� 1•- p ) "• -0 Y' ' _=1' v .`.'•.. r .a�:i •+/4 .. �':r • -. a +, ... ...tr it ••f.I ��r. 1 ` d sta nt of`'tlt lens'aailr ifi ono bgewithssii fitted for the build I! trade in compliance and confa nutyf�a th .Buiidingr�dfina lvljami Sta 4- .pl1ori�ia Qi►11 �cnd pan of �4li mi�S1�q ;�s Village- and ells des and shi p *�� 141F , +whet- b@ iu: pi4 noii- c*, of approved 't !ur!T, 8� ✓:. aS r t I ' o- 2x 1n -� - da 1^ 9 { �, arc,. r •« t o q .arr -,.K•. i *10 I'-- -'�Y. �t.3i°.:.�tY�Dt ^'6y'IIr%.Gt- _''.•ir ... "`•�" .. 44 + t}4 _ 7 n 4 v ,ttypip 4 r »_ Lociatibn Bela %�}esfrip "ca"' f AP � 6o�a� °i.� F r +"m i jr� a R *,«t �h,,, y s.. Lot l'an, -�Num)�,or��',rbg•tia+t! @Rte f fey?'r.A�i..a ¢C!. St 0 I o V• t� J ,,- Sd x,i y d' t t, —s-r_ �•• , ..rte @1�^ --4t , -r�� -• f • a_ .t...,...n... f 1 State)wyr ; o l alt s�.'.1� ' blii � 1iY` doorsi r r p s �►' f , , h V' 4 °i + � t"'.i.Y � ..1... � .•i......--- •'�'- '�!-�' r .Z _.._I... bn sb.. .d4.��,��"" �t _" jt j r �uY. fl l4 r�x�' 1 d,tm:YJ 6�:,'.�� r. fit j shy dq A �. 4,�.' •• /gry _� •�a Sb� a:-'r, -grsr s i H_ p�.wuJl.�.+ =F ,:,.?.w..,r --�• -= *{•� ". 9•.t '1 r ,� ^.• v �. °' --- + -•k1Et a: y�i._ �v a' '1 6(..r « fir 4 STr+_'... £+w.` -f. ', h--+ .tS -rkr� -;.di_•`` 4i?� °@ '' 8@• ,, r � "ti" »- •e4"�-, � V +� � ' E rt 's' . r.- 4_c`•a— a k ..,.e � !«�• + $P purpose. r " S �p G J rNfing- , v -i+ r A .S.i... .;ar,RQ 4 .. ., _ F� o f �'4torie$r ............. fFFF ry i Alevic� n$�•- t --_� -- _ ' y 4 Remaieli ,.. R To bed a , . 1a_ 'Kind ue� ticit► _ ' ' ; . • r ` I f, I� 4 �� _ ✓ 200 erib(iN L , 7,,,,,U��Ih{l� Fr ,r kt Q _ � Fjsti;natTOtCQSC of itrlmsvements $ ; »:_ Lt4 b£�l�xsni $ s►r. -s ' 1F9a 4 cp� �"s i g _fir �4 T� A fAne pt, b''- @)- _•', .tfucp "•'"1�� °' _a�,_. :5�} a° S, 6s a l� k , -: -{J� __ +r•r•q+'r, a " °11"• --� e "• s s ;, ��I �1F 6• a z ti 9 c+ •.r to .yt w tl •.a a J. r+s., f �+ �i- P L 'fi'q '� �!I i �,-t d� } ) Sf. r III a Distadce iA.. neat nearest Size of Suiliiiag ww Manmumb lave load'to 11e 1gae bye`° a _a �, . f �, .°r ,� r---•- �.,.. ° — - - - -• - { * e • • I hereby submit all tA� >> and �ons for lwdthng $11ott�Ces vsdth,referertce ,tp 31re buildit►g are its constctts may .. . aro�_ . _ P _ . _ __ _. Y ._x .. .......„.� _ _. ..._. bg t �i ............ be sent t �^ ' ' The tmdersi a plicant for this building permit does hereby certify that he understands pi-s his ob a iops as an a i` , er of labor finder t fie Florida Workmen s Compensation Act. being Section 8988, �Cmripiled ��en�algl wF of , loridd, P r► lent 1l �nta,; ; and hay complied with the rovi� ions thereof,,and,;will: require similar cbmpliancesfrom all contractors of �sB- contracttir`s employed by him in the Work to bb perfo� under" this'y ii8. and xyll} d cause to be posted for inspection on the site of the work such public notice or notices) as are requir by the Act The undersigned agrees to employ only such sub contra wo�lc:'ia ed under this permit, as are licso'ed by. Migmi ,Shores Village@ f, b : -,` , ry c f * • 4 l r z , + f A Remarks . _ , -- _ - ; Signed N " . • — r -- -- e -�•-••--x - ,SATE fi F FLORID, « y GCaUZ' OF DADE.; . { Befdre saej the u#derdPeA eutho W. a` notary ji4Ue6 dgIyt "� hofixeed to ttdnii aster q4ths a f k a g►owlddg e�i�g. pen n y ag 4i F peared — * — — - — _..« " 4 ire •4 J a' e 1 y .... »_. r� so a x t �e m 1za .. 1`j .�"'^ �- 6 • f � _ + � e � ._.........,«.ter +a ..._.........._ »_.....D, . � a w ,I " S �. j"-- •-- •--- -"^- -_ �.... - t� me w(ll .a r: rr : _ • a ,and who,4 by me first duly sworn, upon oath deposes and says that he,is #he-�a.�., • �1�] @hem above descxIbed construction, that he has car@lnillx rod - fii3e8�tapR�<�tibn, and�ra��'ie 'did sign °tlie same, and that all facts x`_�,.. ted are trueY . r. + s . Pertuit Ready Sworn i�o�#dgS'ub Bbl bgorZs•m° a �" a ir@d Date . a a ' Dipap , Pm . v ._.:ear �, - -_.., ,�'-- -,:.+. .- c "re- o- r y: eit �+f « IVOt81`"FabI'[Li'rate Of 7ClUDYid$ a f• .y r ',vn r +S i�+'af+ _t+ -•-- r egg. a,8 -• �� a Buffding IIISp�ctor ° i1I7,lsmisOtf Ezp • ` f r .> r BOARD,. ._._T.,..y . r. __- _----- _........:�.�..DAZ�« � , �, [, � '' ` III;. Chairman Member _____ „f. r- :r _ ___••- -- _ a. - Member + _ x n-- Member .• Member. >-^ --'^i""•---- """"'----- -e —• -- n a . li x�• _ r- •ti --+-c .ss� 1t .. �+ Council Approved _ _ " Date"" _ _ NOTE: A charge �f $100 will be made f9r maki�g'corrections orchanges to this application after appro�a�lhas been obtained from)) the.Plani Board. A ,reins action, £ee of $Y. will b chaxg ' whe* i 1c a �dc °n&tss�ty ""q, fnVzr ipe! =hoti�' fo�"- nspec�tion 7 mateilStSanU %Or WOkWaDShip." " ' . : n r a. t, �r L< ° a. .,"+ y . � 7 '. r. „} - , t- t.�T. a ,a ..,7: :., ; *t+ t , s t .,'it yY, rh' �� 'i�. .,, x •V i } T a f - r - i" w'P f jj i k�'1 a x MS J ° � r ` • �' • LICENSE.NO. , PHONE NO ' dWNER'S.NAME PRESENT ADDRESS 'IBLE I 262 NE 103rd St •, JOB LOCATION (ST. OR AVE.) E1214a.OT B,..`CK �..� -.. _ SUBDIVISION 20 NE 103rd tt } - 4 Lot 5 36_ '"'PJ section #� ,�. GENERAL CONTRACTOR �_ ADDRF�SS _ �Y PHONF NO. LICENSE N4)- a�` � Day Labor - � ' M Young I i I ",48'-6165-* 48' -6165" * { �; B�U}ILDER'S BOND ' ry /� BUILDING PERMIT NO, 5750 ^ ry DATE 10/13/4( C PERMIT FEE $ 2.50 l• NO. 628 DATE 1p/13/r{7 8OQ-00 ZONE PEQUIREMENTS CU. FT. PLAN CUBE CU. FT. EST. COST $ DATE DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION I CBS I Z.. I Tile NEW CONSTRUCTION _ DESCRIPTION REPAIRS DESCRIPTION ALTERATION Enlarging existing 1 car garage to 2 car garage X ADDITION APPROVED REJECTED REFERRED TO COUNCIL REASONS SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD I _ REMARKS SUBMITTED TO VILLAGE COUNCIL CERTIFICATE OF OCCUPANCY NO. I ISSUED BY I TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE t� BUILDING INSPFCTInNS INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 10 17 it S TEM ORARY SERVICE $ SEPTIC TANK $ BEAMS &LINTELS FRAMING 3-Q 15u SEWER b /f' 1/ i RANGE CONN. $ SOLAR HEATER $ MOTORS $ GAS $ FIXTURES $ $ FINAL INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT CLEAN -UP ROUGHING BY TEMP. SERVICE PLUMBING PERMITS & INSPECTIONS CONTRACTOR PERMIT NO. DATE FEE $ NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE FEE TEM ORARY SERVICE $ SEPTIC TANK $ H. W. HEATER CONN. $ SEWER $ RANGE CONN. $ SOLAR HEATER $ MOTORS $ GAS $ FIXTURES $ $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING BY TEMP. SERVICE GAS ROUGHING SEWER H. W. HEATER CONN SEPTIC TANK RANGE CONN. SOLApc HEATER FIXTURES FIXTURES & FINAL ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR AN-)nt.t. rl nrt.r i n nn nnnv q_A70/. PERMIT NO. DATE FEES 1.00 � NE%% BLDG. ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEM ORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL APPROVAL TO POWER CO. FOR SERVICE DATE BY MIAMI SH0FRESe' V1L1LX i BUI�DING INSPECTION DEPARTMENT APPLICA`T'ION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida; all ordinances of Miami Shores Village and all rules and regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be', kept '',at building during progress of the work. tj u Date— 2— 19 Owner's Name and Address - - -- - `"' ® "`�' 1 �� No. Street Registered Architect and /or Ea Name and address of licensed contractor De, b_D Location and legal description of lot t9 be built on: Lo �' Bloc_ Subdivision Street au Number where !work li %is to be dote_ '� f ' C �- � 7s S to work to be done and purpose of bnil%g (by flpors) for no other purpose. New Building- Remodeling Addition- POO' Repaint— No. 0 ..St99ries To be constructed of _ Kind of f undation_ OF k Roof Estimated Total ,cost of improvements $ k Amount of Permit $ � .4 Zone cubage require Plan: Cubage Distance to nest nearest �g _�Af Size of Building Lot Maximum live load to be bornech floor _- I hereby submit all the p and specifications for said building. All notices with reference to the building and its construction may be sent to J lQL %A, ,-- --*- -- The undersigned applicant !,Ifor this builFaudei0will prmit dose hereby certify that he understands and accepts his obligations as an employer of labor under the Florida. Wcfrkmeti's Cgan Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the' provisions thereo 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. Before me, the undersigned authority,; a notary public, duly authorized to administer oaths asi take acknowl gmenm personally appeared �. 1 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 6-7 "�_ Dated Read, Sworn to and Subscribed before me. Disapproved !1 Date'' j_ Notary Public, State of Florida (Signed) Building Commission E� fires 8 g Inspector My C.o p PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approv r ate Disapproved ate NOTE: A charge of $1,00 will he made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re -' tion fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. I/ MIAMI SHORES VILLAGE PLUMBING INSPECION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Q u F'AAP Permit No.-!I() _ , Date /v'// I,. 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 'a Name and Address 0 �r &1,4 A/R»5 No Ale /-05 ST o. Af t. Stree__._._..._._._ ._ Registered Architect and /or Engineer Employing Plumber's NameAle s Okp✓ly 3 /.OV° _ No Z 4 9 street �l � 14-7 _- Lncatlon and Legal Description i �+* glonlc Subdivision- Street and Number where work is to be performed—No State work to be performeS and purpose of building (By Floors)--- __._.__._ _ .----------- - - - -__ -_ New Building Remodeling Addition____ -- Repairs_ _-- __ - -_- _- No. of Stories.__ Size Septic Tank . Type of Tank Feet of Drain Tile—_ DI Feet of Tank or Drain Field from Well Nature of Water Supply: City Wall _Size of Soakage Pit- ____ - -- Amount of Permit The undersigned applicant for thin building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Worlonen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit, and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shares Village. / . (Signed) � _ _ ��Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly andwrized to administer oaths and take acknowledgments, personally appeared to me well lmwwn, and who, being by me first duly sworn, upon' oath deposes and. says that he is of the above described Construction, that he has carefully read the foregoing application, and that he did sign the same, and that an facts thin by him stated are true. MY won Expires Notary Public, State of Florida NOTE: A r&-hisipwtion fee of $1.00 will be made when such re- inspection is made -necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY URIW1►I.8 CATCH FLOOR DRINKING Ei a TOTAL TUBS BASIN DRAIN FOUNT•NB FIXTURES CON" �p'P d.IST CN[cK SEPTIC SEWER DRAIN .SOAKAGE GREASE' SOLAR DEEP SPRKLR. SWIM•G TANK CONN. FIELD FIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank . Type of Tank Feet of Drain Tile—_ DI Feet of Tank or Drain Field from Well Nature of Water Supply: City Wall _Size of Soakage Pit- ____ - -- Amount of Permit The undersigned applicant for thin building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Worlonen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit, and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shares Village. / . (Signed) � _ _ ��Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly andwrized to administer oaths and take acknowledgments, personally appeared to me well lmwwn, and who, being by me first duly sworn, upon' oath deposes and. says that he is of the above described Construction, that he has carefully read the foregoing application, and that he did sign the same, and that an facts thin by him stated are true. MY won Expires Notary Public, State of Florida NOTE: A r&-hisipwtion 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. I < Application is hereby made for the approval of the detailed statement, of the plans and specifications herewith submitted for the 141ding 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 ordinance 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. ,--)I _ Owner's Name and Address_ 'A3 s " d 1-'i' I A A`" No. � `° � Street ]registered Architect and /or Engineer_ Employing Plumber's Name. P p,i 17 6 Stream j r 6 Location and Legal Description Lot Block Subdivision— Street and Number where work is to be pmfomaed —No Stabs work to be performed and purpose of building (By Floors) _ ¢2_6 lt),3 %S. New Building ___ -_ Remodeling Addition--- _____.....____. -_ No. of Stories.--- •- .---- _-- .. -..__ Size Septic Tank — Type of Tank —_. --- __.____._.._------- __- _Capacit3' Gals .- - - - - -_ ____. _.. - .. „ -__ -- Feat of Drain Tile Dist. Feet of Tank or Drain Field from Well-- Nature of Water Supply: City We1L _Size of Soakage Pit—_— Amount of Permit ( Signed The undersigned applicant for this building permit does hereby certify that he understands and adepts his o g or as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled Cenral Laws of Florida P . t Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em yed )by him in the work to be performed under this permit; and will post or cause to be poster)' for inspection on the site of the work su publi, notice or notices as are required by t& Act The undersigned agrees to employ only such sub - contractors, on be ormed- "under this permit, as are licensed by Miami Ewa Village. c� � Plumber. STATE OF FLORIDA, COUNTY OF DADE. J ' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared w to me well ]mown, and who, being by me first duly sworn, np,.oath oses and. says that he is the _ _. ___ _ �. . _ -- - r....... - -- �h above hm desmibed are won, that he has carefully read the foregoing application, and that he did sign the same, add- thad facts c 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-necessery by improper notice for inspection, or° faulty materials and /or workmanship. CLOSETS BATH TUBE SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY URINALS TUBS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB TOTAL FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN .SOAKAGE GREASE• SOLAR DEEP SPRKLR. SWIM'O TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST + CHECK `�' ; -.. .1�,t, •B Ok Size Septic Tank — Type of Tank —_. --- __.____._.._------- __- _Capacit3' Gals .- - - - - -_ ____. _.. - .. „ -__ -- Feat of Drain Tile Dist. Feet of Tank or Drain Field from Well-- Nature of Water Supply: City We1L _Size of Soakage Pit—_— Amount of Permit ( Signed The undersigned applicant for this building permit does hereby certify that he understands and adepts his o g or as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled Cenral Laws of Florida P . t Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em yed )by him in the work to be performed under this permit; and will post or cause to be poster)' for inspection on the site of the work su publi, notice or notices as are required by t& Act The undersigned agrees to employ only such sub - contractors, on be ormed- "under this permit, as are licensed by Miami Ewa Village. c� � Plumber. STATE OF FLORIDA, COUNTY OF DADE. J ' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally appeared w to me well ]mown, and who, being by me first duly sworn, np,.oath oses and. says that he is the _ _. ___ _ �. . _ -- - r....... - -- �h above hm desmibed are won, that he has carefully read the foregoing application, and that he did sign the same, add- thad facts c MY Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made-necessery by improper notice for inspection, or° faulty materials and /or workmanship. MIAMI SHORES VILLAQE BUILDIN11-1- INSPECTION DEPARTMEN7P APPLICAT113N FOR BUILDING PERMIT Application is here ir�,ad for the approval of the- detailed statement- of the plans and specifications herewith submitted for the build- ing " o hr Structure h�,,.. 'L.,died. This application is made in compliance and con-onn,ty w,th the Building rdinance of Miami Shores Village, Flor da d all Provision$ of the Laws cf the State of Flricl, all o dmances 4 MI ni Shores Village and all rules and regulations of the Buil g Div...;.j,,,i of N 4am: Shox,• ',111age , I 'I ',e -ot ipLed with, whether herein specified or not. A copy of approved plans and specificati -ns i ust be kept at building auxiiij, progress of the wcrk. Date �_ess ------- ----- --- Owner's, Name and Ad -V—e- Street-Y, ------ __ No. V& Registered Architect and/or Engineer_ Name >md address of hi�emed contractor.. ri Location and legal description of lot to be built on: Lot Block__ —Subdivision — - - -- ------ - - ---- Street and Number where work is to be done - ____1Wi9d9W=11 State work to be done ad purpose of building (by ----------------- and for no other purpose.. CA - New Building-- Remodeling_ Addition_ jepairs. No. of Stories- To be constructed of Kind of four t1�W,.___.__ Roo VkLr ve Estimated 7- otal cost of improvements I Amount of Permit Zone cubage required - _--Plan Cubage--- Distance to next nearest building - - - - -- —Size of Budding Lot- - - - -_. __ . ...... ...... . Maximum live load to be borne by each floor- — --- - --------------_ 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 unde �signed ap lif.arit for this building permit does hereby certify that he underita'rids and accepts his obligations as an employer ,ijof 1-bor under '-he Flori Workmen's Compensation Act, being Se, -lion 5966, Cori pied Gen al Laws of Florida, P.-r,.anon. Stipple nent, and has compl;ed with the provi.;ions thereof, and will require similar coniviiance from all contractors or sub-contractors employ ed by him in the work to be Pf.:jrff-,) d under this permit; and will, post or cause to be posted for inspection on the site of the work such public noti, e 'Fe un, LAeict or notices as are reqi by the . The undersigned agrees to employ only such �iubcontr- ctors, on work to be perform, d der this permit as are licensed y Miami Shores Vil!.-�ge. Remarks__.. (Signed)._. STATE OF FLORIDA COUNTY OF DADE.'J� ss. It Before me, the undersigned authority, a notary public, duly peared — ----- - --- and who, being by me st duly �n ego of the, abov: lustructio a 1. h c f therein by hif Permit No - ------- Disapproved e_ (Signed) -- - ---- --- I Building c orized to administer oaths . and take acknowledgments, personally op- - -- ---- -to me well known, thathe is the... -- __ __ -, __ __ — - — -------------- --_------_-_ --- - ------- poog application, and that he did sign the same, and that all facts Sworn to and Subscribed before me. Notary Public State of Florida Commission Expires. - - - - -- PLANNING BOARD- ------- - DATE an Chairm — ------------- Member in er I -- — ---- Member — ------- Mem Council Approved- -Date Disapproved -- - ------ Date NOTE: A charge c f $1.00 will be made for making corrections or: to this application ifter approva. . I h•is been obtdined from the Planning Board. A re -in fee! of $1.00 will be charged when such re-inspection is ma-le necessary by improper notice for inspet•vor or fatity materials and/or workin ship. Permit No.. - -_.._ L ctr% Application is hereby mad struetlue herein described. and all provisions of the La of Miami Shores Village sl building during progress of Ownees Name and Registered Architect I Employing Plumber's Location and Legal I I MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT l; I APPLICATION POR PLUMBING PERMIT 9° 2, Ir the approval of the detailed statement of the plans and specifications herewith submitted for the building or othei s application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior be.eomplied with, whedw herein specified or not. A copy of approved plans and specifications must be kept 41 ric: Street and Number when work is to be performed—No- state work to New Building No. Street — and purpose of building (By F oors) __ - - -- . - -.— _Remodeling Addition —__ - Repairs -- _ -___ —_ No. of Stories__--_---- -_ _ .- _ter Size Septic Ta Feet of Drain Nature of Water Supply: 1 sa_" Amount of Permit The undersigned app under the Florida Worlm plied with the provisions performed under this, pes required by the Act. 77 licensed by Miami Share pe of Tank_ — Capacity Cab ------ �_ -- - - -_ . Feet of Tank or Drain Field from Well.._- ___.— _ _ _� - - - -- . ............ i (ze of Soakage Pit is ant for this building permit does'hereby certify that he understands and accepts his obligations as an -employer of labor des Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has cot o hereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be It, and will post or cause to be posted for Inspection on the site of the work such public notice or notices as are I undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as an Wage. STATE OF FLORIDA,,,` COUNTY \OF DADE. r- Before me, the undero U (Signed) f / aster Plumber. V authority,, a notary public, duly authorizeal to administer oaths and take acknowledgments, personally `appearIr to me well known, and who, being by me first duly sworn, now oath deposes and says that he is the of the above described ction, t* he has carefully read the foregoing application, and that he did sign, the same, and that all faf therein by him stated are My commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re4nspection is made necessary by improper notice for inspection, or faul materials and/or workmap. I L' CLOSETS, BATH TU ®8 I' SHOWERS LAVA TOR }ES SINKS' SLOP SINKS' LAUNDRY TUBS' URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIX:'u E! CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE OREASS' SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP- HEATER WELL SYSTEM POOL- . CLIST TR. CHECK Size Septic Ta Feet of Drain Nature of Water Supply: 1 sa_" Amount of Permit The undersigned app under the Florida Worlm plied with the provisions performed under this, pes required by the Act. 77 licensed by Miami Share pe of Tank_ — Capacity Cab ------ �_ -- - - -_ . Feet of Tank or Drain Field from Well.._- ___.— _ _ _� - - - -- . ............ i (ze of Soakage Pit is ant for this building permit does'hereby certify that he understands and accepts his obligations as an -employer of labor des Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has cot o hereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be It, and will post or cause to be posted for Inspection on the site of the work such public notice or notices as are I undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as an Wage. STATE OF FLORIDA,,,` COUNTY \OF DADE. r- Before me, the undero U (Signed) f / aster Plumber. V authority,, a notary public, duly authorizeal to administer oaths and take acknowledgments, personally `appearIr to me well known, and who, being by me first duly sworn, now oath deposes and says that he is the of the above described ction, t* he has carefully read the foregoing application, and that he did sign, the same, and that all faf therein by him stated are My commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re4nspection is made necessary by improper notice for inspection, or faul materials and/or workmap. I L' ICI I , MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMgNT 1,PPLIC4TION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein escribed. This pplication is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and provisions of a Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Di ' -on of M%ami I Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at boil g during progress of the work. Date V Owner's Name and Address_._.__.. Registered Architect and /or Engineer Name and address of licensed: , X 4- ( ) ed," contractor � � Location.and legal description 'f lot to be ;built,'lon: Lot. -- i3lock Subdivision Street and Number wh ere work is to be A State work to be done and purpose of building (by floo and for no other purpose. New Building Remodeling- Additiom Repairs No. o£' Stories To be constructed of i Sind ofll foundation Roof Covering Estimated Total cost of ' roVements �P Amount' of Permit $ Zone cubage required Plan Cuba e g Distance to next nearest building Size of Building Lot Ir ' 'Maximum live load to be,'borde by each floor t 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 a U for tbis,b permit does hereby ce the understands and accepts his obligations as gn P cad g P Y Stan ccep an employer of labor under' the Florida: W Men's , G mponsation A being Section 5966 Com iled General Laws of Florida, ermanent Su plen p et, euig p La da, P p and has complied with the provisions thereof,' and will require similar compliance from all contractors or sub - contractors em loyed -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 subcon ctors, on work to he perform under this ,permit, as are licensed by Miami Shores Village. Remarks ( Signed) :STATE OF FLORIDA, COUNTY.-OF :DADE. Before me the undersigned authority, a rotary public, duly authorized to administer, oaths and take' acknowledgments, personally ap- peared and who, being by me fi of the above described c therein by him stated are Permit Disappr (Signed �I _tome well known, sworn, upon oath deposes, and says that he is the an, that he .has carefully read the foregoing application, and that he -did sign the same, and that all facts � P j Date �� Read, Sw= to and Subscribed before me. Notary Public, State of Florida ig Insp or _ My Commission Expires PLANNING BOARD- HATE Chairman Member. Member Member Member Member Council Approved j _dater Disapproved Date NOTE: A charge o f $1.00 will be made for making corrections or changes .to this application after approval has -been obtained from the Planning Board A re �'ns�ection fee (of $1.00 will be charged when such re-inspection- is made necessary by improper notice for inspection or faulty materials and /or workmanship. i i it ii MIAMI SHORES VILLAGE! .BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application b hereby„ made for the approval of the detailed statement of the plans and specifications herewith submitted for the build - ing or other structure herein described. This 'application is made in compliance and conformity with the Building Ordinance of Miami Sires 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 11 plans and specifications 'must be kept at building during progress of the work. / `�� ® Owner's Name and Address _ L l L.l (!L � C. III Nmme and address of licensed contractor, ^ ® or Engineer— Location and legal description of lot to b6 built on: /_ Q� e Lot Block Subdivision Street and Number where work is to be done State work to be done d PAIMOse of b' ding (b �fl ) _ 7 110" vv A and for no other purpose. To be constructed of Remodeling o foundation ___ _ _ _ _ Roof Covering _ - -- _ __- - - - -__ - - -____ New $uilding *..__�_ _ g.�________ ___ Addition Repairs ___ ---- _ _.._�_ No. of Stories -___ Estimated Total cost of improvements` D ® Amount of Permit Tone cubage requires plan Cubage _ I Distance to next nearest l 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 tithe building and i ,construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, ermanent Supplenient, and has complied with the previsions thereof and will require similar compliance from all contractors or sub -contr etors employe him in the work to be performed under this permit ; 'and will post or cause to be posted for fiction on the site of the work such ubl, noti ce or notices as are required' by the Act. The undersigned agrees to employ only such subcontractors, on work to be perform under this permit, as are licensed by Miami Shores Village. / Remarks (Signed-) 0' i $TATE 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, foregoing PP_ µ -- ---- --- - -- - -- and who, beiuug by me first duly sworn, yon; oath deposes and says that he is the - -___ -_ - - -- _ of the above described construction, t]iaf' a has carefully read the fore 'oin application, and that he did si the game, and that -all facts therein by him stated are 'true. _ Permit No °� Date Read, Sworn to and Subscribed before me'. Disapproved Date Notary Public, State of Florida (Signed) Bdfldink Inspector My Commission Expires PLANNING BOARD _ _DATE j 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- on fee of $i:.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. I� MIAMI SHORES VILLAGE OUILDIN< INSPECTION DePARTMEN APPLICATION FOR BUILDING PERMIT Application is here made for the approval of the det<iled statemen of the plans and specifications herewith submitted for the build- ing or o h� ructure h i described. This ri•licatic is made m compliance and con,om•ty w.th the Building Ordinance of Mia ii Shores Village, or.da, d all pro - isions of the Laws c.f the State, of Fh.rid. all o d•nances .,f Mi .rn Shores Village and all rules and regu•a ion, of the B ding Div. i of yam Shoi illage .1' '1 ,e ^o- ipl.ed with, whether herein specified or not. A copy of approved plans ..nd speciiicati n� }trust be kel, at building durint progress of tl.e wcrk. ,19_ O Architect and ess__ ,� _ ----- - ------- - _ __.... _ . Street..._ Owner' Name and Addy Registered. %or Engineer_ _ - _ - - - - - — - - I AA Name nd address of li sed ecntractor. Location and legal descrion of lot to be built on: Lot' _ _ _._ _ Block_ - . _ _._ _ Su Street and Number whereI, work is to be done. _ _ - 6 12 __ State wor be done d p Zbuil o f flo _ y�. -- f 104t A i -�._ and for no other purpose. New Building_. _ _ . Remodeling ___ Addition_._._._ _ _� __ _ Repairs- - - No. of Stories. To be constructed of_ Kind un of dtion__ _ . _. _ Roof •ring. Estimated 7 -Aal cost of Improvements $_'/ a� -_ Amount of Permit $�. - � . ; - _..... - - - -- Zone ^ubage required _. — _ _._ _ _ .. Plan Cubage__- Distance to next neares� building_ _ . _ - _ - -.Size of Building Lot-- - -.._. ..- _ _- .. _. -.._ -- - ------ - - - - -- - Maximum live load to be bottle by each floor- -- •------- - - - - -- hereby L Y submit all the plans and spechications for said building. All notices with reference to the building and its construction may be sent to ..._..._... ......... - The unde signed ap h -ant for th's building permit does hereby certify that he understands and accepts his .obligations as an employer of 1- bor under he Floriila. Workmen s Compensation Act being S. -tion 5988 Coi p led Cen al Laws of Florida P r anon. Sup it nent, and h s compf ed w-th rov" :ions thereof, and will require similar comp -lance from all contractors or subcontractors emplo •ed by him in the wo k to be p rf : ned under th s pern it and ill post or cause to bo posted for inspeohon on the site of the work su :h public noti• •e or •otic. es as are requu d by the Act. The u. d,r.ign.•d agrees to employ only such sbeontr• ors on work to be perform d .. der this permit as are licensed by M am. Shores `& ge. Remarks- (Sig'ied)- - - -'` - STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized. to administer oaths 4nd take acknowledgments, personally ap- peared -lo me well known, and who, being by me f$rst d. ly sworn, upon oath depo--es and says that he is the �. - -- ._ ._ _ ___.._..._._.__ ._ __ -• - -- - -- _ - -_ -- _ therein re abov. e.a ed a I'..,struction. t... h has careially read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tr t Permit No._ _: .__ Date_ _ Read, Sworn to and Subscribed before me. Disapproved _- - - Date_. Notary public State of Flortda ( Signed) _ Buildin g Inspector - � My Commission Expires_ ..._:..._.. __..-- -•_ - -. .........___ _ ......__.___, PLANNING BOARD_ .- _ _ ___DATE Chairman M -_ _ ember - • - - -- _._. _.. .......__..._ - -- - - - - - -- Member -. _ _ -- _ -- _ . Member . __. _ ._ - - -- -... ....... — - r -- - -- 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 Ms been obtained from the Planr ng Board A re-irispection fee bf $1.00 will be charged when such re- inspection is rn < e necessary by improper notice for inspe:•t,an or fa, ity materials and /or workmanship. } X MIAMI SHORES V1L`LA0E PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Alov. .. Application is hereby spade 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 spade is compliance and conformity with the Buildiug: Ordinance of Miami Shores Village, Florida, a 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 d or not. A copy of approved plans and specifications must be kept at building attiring progress of work. Y V °s Name and Address ._. _f -S_ No- 4 Registered Architect and /or Engineer 0=4 -- Employing Plumber's Name A 44 1 OZ A11ANo. S �y _ e Location and• Legal Descrript�on B Subdividon -.... Street and Number where wo& is to be performed —No S 4S,70 _- State work to be performed and purpose of building (By Floors) _ New.BuilcLd -- _ Remodeling Addition---- Repairs-_ _. No. of tos4eg___ __ - -- - - - - -- -- Sine Septic Tank....__.__.._. Feet of Drain Tile-_— Nature of Water Supply: -Type of l w .. ___ _..._.._Capacity Gals.__. st. Feet of Taak'or Drain Field from WA__ of Soalcige Pit 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 W 1;med Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, . and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be perfumed 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 by the Act. The undersigned agrees to employ only such sub - contractors, k to be performed under this permit, as are licensed by Miami Shores Village. cj 4 STATE OF FLORIDA, l COUNTY OF DAVE. Before me, the undadgud authority, a notary - public, daly suffimiza to administer and take aclmowledgments, personally appeared NOTE: A.mbis fee of $1:00 will be tnsde a►ben sudfi':e~inspaotion is made-aeoesssry. by improper notice for inspection, or faulty meteriafls and /or wozlmrBnsidjp. e , CLOf:T!$ . ®ATM TUBS SHOWERS LAVA. - TORIES SINKS SLOP SINKS LAUNDRY URIIVALB TUBS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL- FIXTURES CONTR- LIST CHECK SEPTIC TANK SEWER. CONN.' DRAIN. FIELD .SOAKAGE PIT GREASa' TRAP SOLAR HEATER DEEP SPRKLR. WELL SYSTEM SWIM'O POOL CONTR. LIST CHECK Sine Septic Tank....__.__.._. Feet of Drain Tile-_— Nature of Water Supply: -Type of l w .. ___ _..._.._Capacity Gals.__. st. Feet of Taak'or Drain Field from WA__ of Soalcige Pit 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 W 1;med Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, . and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be perfumed 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 by the Act. The undersigned agrees to employ only such sub - contractors, k to be performed under this permit, as are licensed by Miami Shores Village. cj 4 STATE OF FLORIDA, l COUNTY OF DAVE. Before me, the undadgud authority, a notary - public, daly suffimiza to administer and take aclmowledgments, personally appeared NOTE: A.mbis fee of $1:00 will be tnsde a►ben sudfi':e~inspaotion is made-aeoesssry. by improper notice for inspection, or faulty meteriafls and /or wozlmrBnsidjp. e , '�R Issued to aiami =fbores=ilIage F L O A I D A PLUMBING PERMIT OWNER LOT BLOCK SUBDIVISION F to i stall the following described plumbing, in accordance with the laws, statutes and regu• lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a_story , +tFJ�di building at ,s Fixtures Fixtures Z $ , — ,, Sewer_ $ Z tic Tank Total Village Plumbing Received Payment Inspector by Issued to d d Miami Aorescillage F L O R Y D A LUMBING PERMIT N° 955 OWNER r LOT BLOCK SUBDIVIS N a f t6 install the following described.4lumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a —/story building at o - Fixtures Fixtures $ Sewer #'� $— _�,.�- tic Tank $_ Total $_ ? Village Plumbing Inspector - t Received Payment by , roojM - -m-ps of ali z)otoiAss 4wul. be ievel with natural vad** Atlas or o ther aqprave4 ii *tjarA ma 4p, 1004 AA MXVUM dI FV*a rro;zi heavy rust a WE 700%14980 Uebema's etc. Is t tfiaerwriter to label or appr4 V a d a q:V.A I* I F U040$4 to attia SP44300 dotallad# W-11. too aubus shop 4=Vup' • Po on* aiami Jhores�=illage F L O A I D A PLUMBING PERMIT Date Issued to +�, 7 N° 955 OWNER I LOT BLOCK SUBDIVISION to install the following described plumbing, in accordance with the laws, statutes and regu. lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. Fora story building at Fixtures Fixtures $�� Sewer $ f Septic Tank $ Total $ Village Plumbing Inspector Received Payment by -i Y RIC WIRING CODES Mi 'D 0Pj) INANC 4 To to strictly adliered- t*Qa o rrth avenue, ' 'furni�ilaed by FIXTURES - To be name as, at 99,1a j� contractor. B=, 'v-i!RS -,!G Bell for front door and buzzer for serviQe door, both located. in t.ae kitchen. ZLijG'"R11C S-KiNVICE - To be overheard to O-L�Iside Penel b,-kr6 -wiliere dir,-'-oted by a-viner# INSULATION4 OF 'iIR'33 w To ba at least 30" 0. 3R i %JH CIRCUITS Y6t less than X14 'vi X e; each oircuit -laving its Own neutral. SWITCH33 To be toggle typej RE Q 2 P I.r A i xP3 To be .duplex type. PI To be -,�atiii finisli brEzsa ex(;e-t in bath aad kitolien to e -4 6-7 be c ar omium plate• i P,411M I--; G PRLAQ'TG--- B&Oks, of all wood fra.,aes to be pritaed heavy IR I il beicr 1 e ereotioni MCT:S- AIM ',Y0CD'401RK -, Three coats; first: jv.or ew,'ai te primer; second.: can ifl,,4t-* � thln",d; and third-, best grade hl)u3tj paint, not thinned. LCT IOR STUCCO � one coat line vtLs.i witja additon of color pigment, waterproofing, salt and white ce-aent as directed by arciii.tecto This to be mixed on tae job just before usings QVAL TO be one coat quick crying enamel4o INT! -2 I01q 'W �OQDWORK - Three coats: first: Primer- Sealer; second: Sani:Uat, tlain,ned; and third: 6:aAiflat, unt-hiAned# Kitchen and.. Bathroom, tare -o' *oats; first: white Zcamel Underbody taianedo as d4ree ' ted on contaijaer i seooad i Xnaiael . Underbody, unth4nned; and thir4�4High GlAss Enamel* CATHEDRAL CZILLM To be stained. &ad v&rniaaed two coats. IF TZR I OR W In kitchen and bat"aroom use sa*'ae specifications as for woodwork in tAeae rooms; belance ofWalls to have colored Plaster* SoLiR 11&0. M'' 301a,R H Furnish and set avning tVe solar heater with an 66 gallon tank, Solar Water Heater 0o.,apany or eclual- ah*4 be install,ed.- Mr. J. I',, Oanaday Page zour aiami Jhorescillage F L O R 1 D A PLUMBING PERMIT Date Issued to N° 940 to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story building at J Fixtures rk Fixtures Sewer $ Septic Tank $ Total $ Village Plumbing Inspector Received Payment by OWNER LOT BLOCK SUBDIVISION } to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a story building at J Fixtures rk Fixtures Sewer $ Septic Tank $ Total $ Village Plumbing Inspector Received Payment by This property described as: r ; the Test # of Lot 4, all of Lot 5, and,the East. 12.4 feet of Lot 6, Block 36, f ' -AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1 accordin to th -._ P1 f !� thereof, as recorded in , ,.- Plat Book 10, Page 70 of the. Public Records of Da R e. . C 9 s pP f i' "af a y t y a ^ ;e ��nn N tl': ♦ •r �p : •r `yq, e.f• +s�..''.ti vi,.Yn , 7 '� 9..a ..& � 7+•R►`.'6e{s1,k. w.,,w� �a � .. � .ti, r9y,:F %q r iii,• -' �r� z � - �.' .w. g`�a...,j..:..E � .. �. - .a.. - .i..�w+$ f- b9.=.µ ^� �. .'!d. � to s..- :..y�4 `�5'` -w t d .•'a+rs�i+};.at%: �e�a�.•s ',§�- r"4•arnt. _ ..n rare. -rs; '•'„gn^�- •�= •'.!>,u.. y . 'Gyn.e: p .} �k*i^+'_ �"f P., "<g+y jf �3 WN OMAN, a to , v .r��`+�tit.S�U: '� r 3i�9" • '1 "' :, F ,' _�'.' • • a .rr. -./ 1/' Ci TF•Y.d lLi. " " �. - T s+ ..'� a _ t �` - -= "s` •i � »+i E'Z< -�tf � " ,t„ � F ?a �;t ( t i � ;� "'pmt .... +� ,?.� r � ? � i�a�i� -� ' �� fir' 3' i3: o ' . , . t' �' ' �.14�•�k ` ' 12. �ti y+ r:.�.�, �,► Cow' a' i . 4' �4an' �2 b' in NhP FLOW MAPS .PAVE DESIGNATED Z , fHE HEREIN KAORl®eo D t0 8z ai A' C11 �, 3- I _ -�°�'' l , .��-•g,�',� =s.. -�' �41i�t Vii? PROPERTY OF. F i gueraa Felixt 262 NE 103rd.` Street'. Miami- Florida. " I HEREBY CERTIFY that the survey L A N N E S and G A R C I A, INC. , z, . `i. represented hereon meets the mini mum. requirements adopted by the ' F.S.P.L.S. and the F.L.T.A. and ENGINEERS = LAND SURVEYORS .,LAND PLANNERS rn ` there are not encroachments, over- 0 laps, easements appearing on the plat or visible easements other than as sh en3an. P. O. Box 561131 N • C e Miami, Florida 33156 d z k FL. Rag. Surveyor No.2243 DATE p� S �1LE DVN BY D WG. NO. z F L. Reg. Engineer No. �r �y e } , 1 -465 m • 4 , f !� thereof, as recorded in , ,.- Plat Book 10, Page 70 of the. Public Records of Da R e. . C 9 s pP f i' "af a y t y a ^ ;e ��nn N tl': ♦ •r �p : •r `yq, e.f• +s�..''.ti vi,.Yn , 7 '� 9..a ..& � 7+•R►`.'6e{s1,k. w.,,w� �a � .. � .ti, r9y,:F %q r iii,• -' �r� z � - �.' .w. g`�a...,j..:..E � .. �. - .a.. - .i..�w+$ f- b9.=.µ ^� �. .'!d. � to s..- :..y�4 `�5'` -w t d .•'a+rs�i+};.at%: �e�a�.•s ',§�- r"4•arnt. _ ..n rare. -rs; '•'„gn^�- •�= •'.!>,u.. y . 'Gyn.e: p .} �k*i^+'_ �"f P., "<g+y jf �3 WN OMAN, a to , v .r��`+�tit.S�U: '� r 3i�9" • '1 "' :, F ,' _�'.' • • a .rr. -./ 1/' Ci TF•Y.d lLi. " " �. - T s+ ..'� a _ t �` - -= "s` •i � »+i E'Z< -�tf � " ,t„ � F ?a �;t ( t i � ;� "'pmt .... +� ,?.� r � ? � i�a�i� -� ' �� fir' 3' i3: o ' . , . t' �' ' �.14�•�k ` ' 12. �ti y+ r:.�.�, �,► Cow' a' i . 4' �4an' �2 b' in NhP FLOW MAPS .PAVE DESIGNATED Z , fHE HEREIN KAORl®eo D t0 8z ai A' C11 �, 3- I _ -�°�'' l , .��-•g,�',� =s.. -�' �41i�t Vii? PROPERTY OF. F i gueraa Felixt 262 NE 103rd.` Street'. Miami- Florida. " I HEREBY CERTIFY that the survey L A N N E S and G A R C I A, INC. , z, . `i. represented hereon meets the mini mum. requirements adopted by the ' F.S.P.L.S. and the F.L.T.A. and ENGINEERS = LAND SURVEYORS .,LAND PLANNERS rn ` there are not encroachments, over- 0 laps, easements appearing on the plat or visible easements other than as sh en3an. P. O. Box 561131 N • C e Miami, Florida 33156 d z k FL. Rag. Surveyor No.2243 DATE p� S �1LE DVN BY D WG. NO. z F L. Reg. Engineer No. �r �y e } , 1 -465 m • NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA: COUNTY OF DADE: TAX F=OLIO NO. 0OR308955 2000 JUN 27 11113 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street. address: 262 N . E . 103 Street Miami Shores, Florida 33138 2. Description of improvement: Reroof to anew Tile roof. 3.Owner(s) name and address: Felix Atiles 262 N.E. 103 Street Miami Shores Florida 33138 Interest in property: Owner Name and address of fee simple titleholder: N/A 4. Contractor's name and address: Quality Roof ing Contractor, Inc. _ 1 800 N W 1st Avenue Miami, Florida 33168 5. Surety:(Payment bond required by owner from contractor, if EMATE OF FLORIDA, COUNTY OF DADE �u Gouy� Name and address: N/A I HEREBY CERTIFY that this is a tru co y of the 0 r. ngrn filed in this office on day of G Amount of bond $ .� AD 20 U n t 6. Lender's name and address' WITNESS my hand and Official Seal. � ' �s " •r , o Circuit and County Courts n �IA� _ _ oN _Dp 7. Persons within the State of Florida designated by Owner upon whom noticis or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: N/A 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: N/A 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a differentRate Is specified) _ Print &Mrs 7 Lame Sworn to and subscribed before me this day of , twa L-009 A Notary Public Print Not 07 ' ' I,RYL HERNMDEZ Notary's Name .•'`'" "'_ '�_ °UPI11ES` OCWW It. 2001 My Commission Expires: Op`�. Prepared by: Carlos Arocho Quality Roofing Contractor, Address: 13800 N. W. 1st Avenue Miami, Florida 33168 M01 -s2 In" J Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's NameL!�,l�d'4, -� CLLL{«-" I tJob Address: ,�& t-1. E B0') — :)+( = '+ ❑ (Low Slope Application) ❑ (Asphalt/Fiberglass Shingles) ❑ New Roof l7 Re- roofing ROOF CATEGORY ❑ (Nail -On Tile) ❑ ( Metal Roofs \Wood Shingles & Shakes) ROOF TYPE P/(Mortar4 esive Set Tilej ❑ (Other) ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft')� '' Sloped Roof Area (ft') 5 a Total (ft) Master Permit No. Exposure category ASCE 7 -88): e- Building Classification category (per ASCE 7 -88 table 1): .a; Ft. type: ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) ATTACHMENT ROOF PLAN ' r----- -- ---- --------------- i 1 --- -- ------- - - - - -- - - - - - - , Fastener Type: SPACING ' , M , i � � - ---- Field: • ----- - - - - -- ' Perimeter: Corner: ' �I � -------------- - - - - -' '----------------- - - - - -' , 1 , , , ' '---- --- ------ ---------- - - ---' , , , DETAIL 1 & 2 ' ---------------------------- -- - I ' '----------------------------- - - - - -' , ' , ' -- --------- - - - - -- ---------------- - - - - -' 123.01 -76 40 Page -1 Rid V IMAla Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. SLOPED SYSTEM DESCRIPTION w G0.-see11s�OZ A, Drip ed$e:I m2Y.L , Y A V- e c ee 500r—ft'. z,ti a i—e ATTACHMENTS REOU1RED 1) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals TILE CALCULATIONS a (Pmaxl: W- x % (Aerody aun►c Multiplier) �) - Mg: =Mil: PCA: . (Pmax2: "1 x %b (dynamic Multiplier): , ) Mg: = MrZ :I.' ,Uq PCA: (Pmax3: ,`1 x %, (Aerodynamic Multiplier): .i _`t a1) M a — ,� = M r3 % CA: (0(0 6b / Page -2 APPENDIX c7l REQUIRED OWNERS NOTIFICATION' FOR ROOFING CO\SIDERATIONS As i t pertains t o t his Appendix 'T", it is the responsibility of the rooting contractor to provide tite owner with t}tc required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this fgrt.i. The provisions of CF.apter 34 of the South Florida Building Code (SFBC) govern all ilia minina::iu requirements and standards of the industry for roofing system installations. Additionally, the follo+win; items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in' the dj. ;.eat box indicates that the item has been explained. `/ A. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmawship provisions. Aesthetic issues such as color or architectural appearance, that are not part of it zoning code, should be addressed as part of tine agmmient between the owner and the contractor. 2. Renaliling Wood Decks: When replacing roofing, the existing wood roof deck may linwe to be rennHed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to r mot ing the existing roof system) 3. Common Roofs.: Common roofs are those which have no visible delineation between nei�,hborim, units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and /or owner should notify the occupants of adjacent units of roofing \vQrk to be performed. ., 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may \wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the option of ma intninim, this appearance. 5. Ponding 1Vnter: The current roof system and /or deck of the building cony not drain wall and may ca rse water to pond (accumulate) in low -lying 'areas of the roof. Ponding cnn be nn indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident tunil the original roof ng system is removed. Ponding conditions should be corrected. G. Overflow Scuppers (tiwnll outlets): It is required that rainwater now off so that ilia roof is no: overloaded from a build tip of water. Perimeter /edge walls or other roof extensions may block this di;cl:; rge i` overflow scuppers (wall outlets) arc not provided. It may be necessary to install overflow scuppers in accordance with Chnptcr 33 of the SFBC. 7. Ventilntion: t<•fost roof structures should have some ability to went natural airflow through tiac i:.tcri•.: of the structural assembly (tile building itself). The existing amount of attic ventilation shall not be rcd::ccd. l: nany be bcnef icial to consider additional venting which can result in cxtendim, the service life of the roof. i= S. The owner may contact the h•lianti -Dade County Consumer Services Department for furwicr informaOon regarding the above. r O +incr's /A,cnt's Sianaturc Date Contractor's Sionaaturc M� DE MANtI -DADE COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE :METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI. 33130-1563 PRODUCT CONTROL NOTICE OF ACCEPTANCE (305) 375-2901 FL 30s ) 375.2901L FAX (05) 375.2908 Almar (USA), Inc. CONTRACTOR LICENSING SECTION 6643 NW 77 Ave. (305).375 -2527 FAX (305) 375 -2558 Miami FL 33166 CONTRACTOR ENFORCEMENT SECTION (305) 375 -2966 FAX (305) 375 -2909 Your application for Product Approval of PRODUCT CONTROL DIVISION Altura "Sri Tile (305) 375 - 2902 FAX (305) 372.6339 under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO 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, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.: 99-1102.04 (Revises No.: 97- 0918.02) Expires: 12 /16/2002 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. m,.A. Director l of 8 Miami -Dade County Approved: l2 /16/1999 Building Code Compliancc OffiL c AVVIAR (USA), INC. ACCEPTANCE No.: 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS L SCOPE This revises a roofing system using Almar `One Piece S' Clay Roof Tile, as manufactured Almar (USA), Inc. described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. Category: Prepared Roofing Sub Category: High Profile Tile 2. PRODUCT DESCRIPTION Manufactured by I Test Product Anne Dimensions Specifications Description One Piece 'S' Tire 1= 18 W, PA 112 High profile clay roof tile. For direct deck or W= 10" batten nail -on, mortar set or adhesive set :' thick nominal applications. Trim Pieces I = varies PA 112 Accessory trim, clay roof pieces for use at hips, w = varies rakes, ridges and valley terminations. varying thickness Manufactured for each the profile. 2.1 Components or products manufactured by others Product #30 Felt #43 Coated Base Sheet Test Product Dimensions Specifications Description Manufacturer N/A ASTM D 226 Saturated organic felt to generic type II be used as a nailed anchor sheet. N/A ASTM D 2626 Saturated and coated ,eneric organic base sheet for single or double ply underla Frank Zuloaga, RRC Roofing Product Control Examiner 2 * � r AL�IAR (USA), INC. ACCEPTANCE No.: 99- 1102.01 APPROVED :December 16,1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Product Dimensions Test Specifications Product Desc� Manufacturer Mineral Surface N/A ASTM D 249 Mineral surfaced asphalt Cap Sheet roll roofing for use as a generic top ply in a double ply underlayment system. Rainproof II 30" x 75' roll . PA 104 Single ply, nail -on Protect -O -Wrap, 36" x 75' roll underlayment with 2" Inc. or self - adhering top edge. with current NOA 60" x 75' roll Ice and Water Shield 36" x 75' roll PA 103 Self - adhering W.R. Grace Co. underlayment for use as with current NOA a top ply in a two ply underlayment system with Approved #30 or #43 as the base layer. Wood Battens vertical Wood Preservers Salt pressure treated or generic min. I" x 4" Institute LP - 2 decay resistant lumber horizontal battens min. I" x 4" for use with vertical battens or min. 1" x 2" for use alone Tile Nails Min. IOd x 3" PA 114 Corrosion resistant, generic Appendix E smooth, screw or annular ring shank nail. Tile Screws #8 x 2 W long PA 114 Corrosion resistand coated, generic 0.335" head dia. Appendix E square drive, galvanized, 0.131" shank dia. coarse thread wood screw 0.175" sctrew thread diameter Roof Tile Mortar N/A PA 123 Prepared mortar mix Bermuda Roof ( "TileTiter "r ") designed for mortar set Company, Inc. roof tile applications. (with current NOA) Frank uloaga, RRC Roofing Product Control Examiner 3 ' + R ALMAR (USA), INC. ACCEPTANCE No.: 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar. or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with PA 112, appendix W. Such testing shall be submitted" to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with chapter 29 of the SFBC. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 Almar `One Piece S' Clay Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standards RAS 118, RAS 119, and RAS 120. Frank Zuloaga, RRC Roofing Product Control Examiner 4 Test Product Product Dimensions Specifications Description Manufacturer Quickcrete Roof N/A . PA 123 Prepared mortar mix Quickrete Mortar Tile Mortar designed for mortar set (with current roof tile applications. NOA) Roof Tile N/A See PCA Two component Polyfoam Adhesive polyurethane adhesive Products, Inc. ( "Polypro4b designed for adhesive set (with current AH 160 ") roof tile applications. NOA) Tile -Bond Factory premixed See PCA Single component Flexible Products canisters polyurethane foam roof (with current the adhesive NOA) 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar. or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with PA 112, appendix W. Such testing shall be submitted" to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with chapter 29 of the SFBC. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 Almar `One Piece S' Clay Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standards RAS 118, RAS 119, and RAS 120. Frank Zuloaga, RRC Roofing Product Control Examiner 4 ALIVIAR (USA), INC. ACCEPTANCE No.: 99- 1102.01 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE-OF ACCEPTANCE: STANDARD CONDITIONS 4.2 Data For Attachment Calculations Table 1: Aerodynamic Multipliers - X (W) Tile Profile Batten Application Direct Deck Application One Piece 'S' Tile 0.253 0.274 3 able 2: Restoring 12Moments due to Gravity - M ft -Ibf Tile 5 .12 6 ":12" 7 "12" or Profile or less greater One Piece 'S' Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Tile Deck Deck Deck Deck Deck 4.47 5.35 4.40 5.27 4.31 5.16 4.20 5.03 4.08 4.89 Table 3: Attachment Resistance Expressed as a Moment - Mr (ft -Ibf) for Nail -On Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile (min 15/32" (min. 19132" plywood) plywood) One Piece 'S' 2 -10d Ring Shank Nails 28.6 41.2 19.4 Tile 1 -10d Smooth or Screw 5.1 6.8 2.8 Shank Nail 2 -10d Smooth or Screw 6.9 9.2 7.3 Shank Nails 148 Screw 28.7 28.7 N/A 2 48 Screws 58.2 58.2 26.8 1 -10d Smooth or Screw 23.1 23.1 19.0.,. Shank Nail (Field Clip) 1 -10d Smooth or Screw 29.3 29.3 24.0 Shank Nail (Eave Clip) 2 -10d Smooth or Screw 27.6 27.6 38.6 Shank Nails Field Clip) 2 -10d Smooth or Screw 38.1 38.1 41.8 Shank Nails (Eave Clip) 2 -10d Ring Shank Nails 33.1 48.1 45.2 I Installation with a•4° file headiap and fasteners are located a min. of 2 %a' from head of tile. Frank Zuloaga, RRC Roofing Product Control Examiner 5 ALMAR (USA), INC. ACCEPTANCE No.: 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Table 4: Attachment Resistance Expi for Two Pa Adhesiv Tile Profile Tile Application One Piece 'S' Adhesive Tile 2 See manufactures component approval for installation requ 3 Flexible Products Company TileBond Average weight per p Polyfoam Product, Inc Average weight per patty 8 grams. Table 4A: for Sinale Tile _F Profile essea as a Moment M, (ft -lbf) a Set Systems Minimum Attachment Resistance 29.3 rements. Iffy 10.7 grams. nce Express Adhesive ; �plication n PolyProT" n PolyProrm nu red as a Moment - M, (ft -lbf) iet Systems Minimum Attachment Resistance 66.54 38.7 413: Attachment Resistance Expressed as a Moment - M,(ft -lbf) for Mortar Set Systems Tile Att Profile achment Resistance 5. LABELING Al! tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any' other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. Frank Zuloaga, RRC Roofing Product Control Examiner 6 ALiVIAR (USA), INC. ACCEPTANCE No.: 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS PROFILE DRAWINGS LOC1C5 u s 1 10-1/2 7 , ONE PIECE'S' CLAY ROOF TILE Frank Zuloaga, RRC Roofing Product Control Examiner 7 ' ALLNIAR (USA), INC. ACCEPTANCE No.: 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS I. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Cgntrol Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if- a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. C. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. �. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami -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. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. Failure to comply'with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages l through 7 and this last page & END OF THIS ACCEPTANC F Zuloaga, RRC Roofing Product Control Examiner 0 U.S. SOUTH Project Engineering & Testing Lab., Inc. 6065 N.W. 167th Street, Suite B -23 • Miami, Florida 33015 Telephone: (305) 558 -2588 a Fax: (305) 362 -4669 ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE I PROTOCOL PA 106 ------------------ J -------------------------------------------------------------------- il SITE SPECIFIC INFORMATION Owner's Name: 11 IF- L t Permit #: 41 V& 4 Job Address: 4.(A? Z- M L-- IV �) '" L I IBC i , 1 `� t 'tT7 L Roofing Contractor: �� t°tom ®fit "!{ J -'✓ `�' �' Type of Tile: &:C0 S A. S — V-70 #A* t-A !'E� - Date Installed: k L I® ' 00 Ca E&F kr-nsm Approximate Roof Height:Xk-feet Roof Pitch: 1AA % 7. Type of Access to Roof: Scaffolds ✓ Ladder Other Approximate Square Footage of Roof: 7449 0 ft, Required Testing Force: 35 lbs. Testing Equipment: Chatillion 100 Date Tested: I ! ° 15 • C;D TEST RESULTS P = PASS, F = FAIL Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) 1 26 51 76 2 27 1 52 77 3 28 53 4 29 1 54 5 30 55 80 6 31 56 7 32 57 8 33 58 9 34 59 84 10 35 60 11 36 61 12 1 37 62 13 38 63 88 14 39 64 89 15 40 65 16 41 66 17 42 67 92 18 43 68 19 44 69 20 45 70 95 21 46 71 96 22 47 72 97 23 48 73 24 1 1 49 74 99 25 50 75 100 IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS REPORT SUBAWED BY: // l P. E. Civil Engineer: Lab Certification # 98-0608.04 State of FL Certificate Authorization # 4100 NOTES: CVVTrU AF RAAF CONTRAUCIR CHECKED BY DATE This property described as: _ the West i of Lot 4, all of Lot 5, and the East 12..4 feet of Lot 6, Block 36, AN AMENDED PLAT OF MIAMI SHORES SECTION NO 1 accordi n t h -" - -- g o t e Plat d�. �.:�;..• thereof, as recorded An Plat Book 10, Page 0 t- 9 � of the Public Records Da 1' °{p..ty �y•T 'v' �' • t { a`i"ib; "'x i 4- .a a �5 'y� z ` - 1 •., • ^. '`.*.. t 1s'��'y�'�!;va'.+PsS.M•6 ' r3. 7 _ ''a°' B' *'a AMU°}. ' a��yy¢r •�"7b .# - , �, yy �d'9y_� N Y� t S s 4 -. - Y a •� . -Z. :' a 3s , .«�.>- .- !ra..rt+,I.� kl.a +j +Am ea• ..t np.,�'°•rc4 +,i _.i Y.. Out: '0�,''< t�r:�. �.. at+aA«- ^;- yq,�s,,;_ .. pill L`� L r, 1 '+E.• ' -c •�.t - . �r � e ! °'Ld�lf '� i •, '� aa"".�y'Y'• ..d a � �t� "a ?: w e � ' pq ,x ,7. Fp .•"rye' zy � idlL � - . -4 J ♦� }' �, i qty s}ej s` Y ! ^{; •t'TH N`'►�+` t i r. iF. �,.,- � , � "• s % a k..if , _ dv1 f t °.k° -.a �� r.3.� '� "e .. N�?':i'. • i � 1�t� � s 1 U 4 ,e -.. _ � rn� Jht � ��,�, , n � � t , .p• a -��t °f� t .'�s r�"f�fri�_, -y� � 5, row �' a till, 4 a' 12' f flk NhP FLOoo MAPS .iAVE DESIGNATED, tHE NlikEiN Z � �A@Ri ®ED D TO BQ }}� §ItiJAf�@ IN N PROPERTY OF: Fi ueroa Felix 262 NE 103rd eet. Miami. Florida. 1 HEREBY CERTIFY that the survey L A N N E S and G A R C 1 A, INC. represented hereon meets the mini- mum requirements adopted by the `l. F.S:P.L.S. and the F.L.T,A. and ENGINEERS - LAND SURVEYORS - LAND PLANNERS there are not encroachments•: over- laps, easements appearing on the plat or visible easements other than P.O. Box 561131 as sh arson. ^+ Miami, Florida 33156. z FL. Reg. Surveyor No. 2243 DATE S LE D N BY :- D W NO... FL. R Engineer No. t. Reg 1 — �A �►jN 1 8� 65 � ) �Zt? 1`x+1• �• m S T� • 1 g o t e Plat d�. �.:�;..• thereof, as recorded An Plat Book 10, Page 0 t- 9 � of the Public Records Da 1' °{p..ty �y•T 'v' �' • t { a`i"ib; "'x i 4- .a a �5 'y� z ` - 1 •., • ^. '`.*.. t 1s'��'y�'�!;va'.+PsS.M•6 ' r3. 7 _ ''a°' B' *'a AMU°}. ' a��yy¢r •�"7b .# - , �, yy �d'9y_� N Y� t S s 4 -. - Y a •� . -Z. :' a 3s , .«�.>- .- !ra..rt+,I.� kl.a +j +Am ea• ..t np.,�'°•rc4 +,i _.i Y.. Out: '0�,''< t�r:�. �.. at+aA«- ^;- yq,�s,,;_ .. pill L`� L r, 1 '+E.• ' -c •�.t - . �r � e ! °'Ld�lf '� i •, '� aa"".�y'Y'• ..d a � �t� "a ?: w e � ' pq ,x ,7. Fp .•"rye' zy � idlL � - . -4 J ♦� }' �, i qty s}ej s` Y ! ^{; •t'TH N`'►�+` t i r. iF. �,.,- � , � "• s % a k..if , _ dv1 f t °.k° -.a �� r.3.� '� "e .. N�?':i'. • i � 1�t� � s 1 U 4 ,e -.. _ � rn� Jht � ��,�, , n � � t , .p• a -��t °f� t .'�s r�"f�fri�_, -y� � 5, row �' a till, 4 a' 12' f flk NhP FLOoo MAPS .iAVE DESIGNATED, tHE NlikEiN Z � �A@Ri ®ED D TO BQ }}� §ItiJAf�@ IN N PROPERTY OF: Fi ueroa Felix 262 NE 103rd eet. Miami. Florida. 1 HEREBY CERTIFY that the survey L A N N E S and G A R C 1 A, INC. represented hereon meets the mini- mum requirements adopted by the `l. F.S:P.L.S. and the F.L.T,A. and ENGINEERS - LAND SURVEYORS - LAND PLANNERS there are not encroachments•: over- laps, easements appearing on the plat or visible easements other than P.O. Box 561131 as sh arson. ^+ Miami, Florida 33156. z FL. Reg. Surveyor No. 2243 DATE S LE D N BY :- D W NO... FL. R Engineer No. t. Reg 1 — �A �►jN 1 8� 65 � ) �Zt? 1`x+1• �• m .5p . ic,1,4 PREPOW-MIORR Lai zz t (P 7d rill, lirSio* 1-0 m �FE • . ic,1,4 PREPOW-MIORR Lai zz 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. Autorind Signature Date FIRE DEPARTMENT PUBLIC WORKS POLICE DEPARTMENT 1 BUILDING DIRECTOR PLANNING & ZONING BOARD VILLAGE COUNCIL APPROVAL PRELIMINARY: FINAL: REMARKS: COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQU!R-:.D. THE ARCHITECT, BUILDER & SUB CONTRACTORS ARE �t�r.R,F_n ,,rt K O`• n F —F nF :11 ! t!II D- ING, REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. 3 t Milk ;XI .. -, b Address Ape for `f=' '04 _T`e" owner, and occupied as has been inspected and current is au orized to be turned on, until otherwise notified, for: ` Size of Service Number of Lighting Circuits PO(,a. Range �_"e.1009 watts. Water Heater watts `'. ' Power: Connected load " H. P. Space Heaters watts Other Apparatus s IT r " ELEC TAI C ►R . , LACATION J262 N. E, 103rd.:Stre ®tyyjy�� - ,��1 _ t?el,, /_zi,,C"GAREAGE TAX RECOIL® - - AMOUNT PAID %.mom.' R . ` ri n ME r 1/ ENE 7TYY.,iNf k,. t +TT TP �F,7'7%7771-77 �a. e d I. {� � _. .i.a A .. J,' 0.Y+.xr+M � .YMdw .ery. ��: 'fRLL4a �i 'C "��4 ifiY"� `Ya,3.•.. /V ,fL f bye Year annual tax period used ' amount paid I� . M. Wible` . of OWNER'S NA ADDRESSw LICENSE NO. PHONE NO. AM- IW5 , bl; ._ ° d</e /E YOl $ ,,PRESENT d 1 2e. z //r F d�� r� I (. JJOB LOCATION (ST. OR AVE..) LOT BLOCK SUBDIVISION -26-z GENERAL CONTRI CTOR j ADDRESS PHONE NO. I LICENSE NO. /x C� fD jj I I BUILDER'S BOND I N BUILDING PERMIT NO. DATES PERMIT FEE S �� NO. DATE A®® /Tf -Al two .. ZONE REQUIREMENTS,; CU. FT. I PLAN CUBE Ace -z' CU. FT. I EST. COSTS ®� DATE DRAWINGS. SPECIFICATIONS. RE STRICTIONS AND CUBE CHECKED BY: C- °" I � �'�e -- v "d0 NEW CONSTRUCTION I TYPE STORIES I ROOF CONSTRUCTION I INTERIOR CONSTRUCTION I DESCRIPTION REPAIRS /� /:°dDr ®4E c.O �� /� ® ®02 Aog Re. c -& ®e& ALTERATION gfif I DESCRIPTION --+% e2 Av 5 /1 W., - .r' e S ADDITION I APPROVED I REJECTED (REFERRED TO COUNCILI REASONS SUBMITTED TO PLANNING BOAR RE- SUBMITTED TO PLANNING BOARD I I I I I'. REMARKS SUBMITTED TO VILLAGE COUNCIL I I CERTIFICATE OF OCCUPANCY N ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE BUILDING INSPECTIONS INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION REPAIRS SPECIALS PERMITS ROOF DATE FEE BEAMS & LINTELS I I POOL SEPTIC TANK FRAMING $ SEWER AIR COND. $ FINAL MOTORS CLEAN UP GAS $ SLAB $ $ Is SLAB DATE I BY RE- INSPECT BY RE- INSPECT PLUMBING PERMITS & INSPECTIONS CONTRACTOR PHONE PERMIT NO. I DATE FEE S NEW BLDG. I ALTERATION I ADDITION PERMIT NO. REPAIRS SPECIALS PERMITS I PERMIT NO. DATE FEE TEMPORARY SERVICE I I I L$ SEPTIC TANK $ SEWER $ SOLAR HEATER MOTORS $ GAS $ FIXTURES $ $ Is INSPECTIONS DATE I BY RE- INSPECT BY RE- INSPECT BY ROUGHING BY RE-INSPECT—By TEMP. SERVICE TUB & TOP OUT ROUGHING SEWER H. W. HEATER CONN SEPTIC TANK I RANGE CONN. SOLAR HEATER FIXTURES FIXTURES & FINAL I GAS ELECTRICAL PERMITS & INSPECTIONS NEW BLDG. I ALTERATION I ADDITION 1 REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ s INSPECTIONS DATE BY RE- INSPECTI BY RE-INSPECT—By TEMP. SERVICE ROUGHING H. W. HEATER CONN I RANGE CONN. FIXTURES & FINAL I APPROVAL TO POWER CO. FOR SERVICE DATE BY � :r a �r; A WAL R.00FMG Owner of Architect MIAMI SHORES VILLAGE, FLORIDA ❑ DATE ❑ PERMIT N? 14892 Contractors ❑ License No. E Work to be performed under this Permit 95 - ontractor' or Builder Legal Lot - - - - - -- - — II Bl. - -- Subdi- Description. vision Address of Value of Amt. of ` Building Project $ Permit �.. $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed._ —. —° t BY ` INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195 ELECTRICAL ❑ PERMIT W? 12791 Contractor's PLUMBING ❑ License No ROOFING ❑ Work to be performed under this Permit Owner Buildin Archite _ontrac or Build Legal Descrip Addres s Buildin of q ct for�1. er -- r Lot II Bl. Subdi- tion vision of Value of I Amt. of a Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195 ELECTRICAL ❑ PERMIT 1X? 12934 Contractor s PLUMING ❑ License No. ROOFING ❑ Work to be performed under this Permit Owner Buildinc Architec - ontrac or Build Legal Descripl Address Buildinc Df r ;t for er Lot II Bl. Subdi- :ion. vision t of Value of Project $ Amt. of I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY Architect - ontractor s or Builder_ s - -` Legal Lot II BI. Subdi- Description vision Address of Value of Building s ar Prdlect $ 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: a 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 F BUILDING ❑ _ DATE `� 195 ELECTRICAL ❑ PERMIT N° 15177 Contractor's PLUMBING ❑ License No. ROOFING _ ❑ Work to be performed under this Permit_ —__ Owner of Building -- Architect - ontractor s or Builder_ s - -` Legal Lot II BI. Subdi- Description vision Address of Value of Building s ar Prdlect $ 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: a BY_ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR- BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 194._._. ELECTRICAL PERMIT Nn 5750 Contractor's L PLUMBING License No.�T Work to he performed under this Permit Owner of Building GFY`r t t Architect Contractor or Builder T —ral 11 cription Lot � �%1 /2.- `t e+:.r .i�'E'E! a Z't Bl. v Address of Rnilrlino r 0 Q 7! Subdi- vision / Value of J G a, r Amt. of Project a� 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 21.0rK%ings or statements or specifications afd tlAt he assurpes respon- sibility for work done by his agents, servants or employees. Signed: , i ' ' ' �► ' ' ✓l.`T" �' By `-j• INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with aNcordinances 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 acceing is permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER AUTHORITY T- BY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE 194 ELECTRICAL IiZKPERMIT N° 5902 Contractor's PLUMBING License No. Work to be performed under this Permit Owner of Building r t t� t i + l .� Architect Contractor or tBuilder Legal Lot II Bl. Description Address of Subdi- vision Value of Amt of J 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- catdon 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 aze changed without authorization. A further condition upon which this perrhit 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 stat cents or specifications ant he assumes respon- sibility for work done by his agents, servants or employees. ti'" Signed: \ C By ri INS cro In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all wdinances 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, rev agent, servant or employee. AUTHORITY CONTRACTOR OR BUILDER —� BY MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ELECTRICAL PERMIT N° 1812 Contractor's PLUMBING License No._ Work to be performed under this Permit Owner of Building Architect Contract( or Builde Legal Descripti Address Building 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY )r r Lot On Bl. Subdi- vision Of Value of Project 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE 194_ PERMIT N° 8049 Contractors License 1\'0. Work to be performed under this Permit 0�5 Owner of - 1 -' Building,. oe Architect Contractor or Builder Legal Lot I Bl. ° Description Address of Subdi- vision Value of Amt. of " A Permit ? s r' This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. gn �+ ` r r, k y Signed: INSPECTOR B In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with als�,o,�d�nances and r�g ul1�tipp{{��s pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorikofof Miami Shorek �'iilabe. ''S In accepting this permit I aSshme responsibility for all work done by either myself, my agent, servant or employee. 1 ;fir CONTRACTOR OR BUILDER ''r BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL ❑ PLUMBING F1 PERMIT XQ 6822 ROOFING ❑ ❑ Work to be performed under this Owner of Building qtr` Architect — Contractor or Builder Legal Description . Lot 41 _*� ,; t� d " Subdi- vision J DATE 195 Contractor's License No. sir Address of Value of Amount of Building Project $ Permit $ _ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. 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 s. MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL PERMIT N° 5902 PLUMBING Work to be performed under this Perm! Owner of II— Building Architect Contractor or Builder Legal Lot ( Bl. Description Of Subdi- vision Value of Prniaet DATE 194_ Contractor's License No._ Amt. of Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and :ions pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- for work done by his agents, servants or employees. Signed: — BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations Ling thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. epting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE -k 195 ELECTRICAL PERMIT 1N? 13455 Contractor's PLUMBING ❑ License No ROOFING ❑ Work to be performed under this Permit Owner Buildin Archite ontrac or Build Legal Descrip Address Buildin_ tion. vision _ i _. .._.. ....._ .. of 1 Value of _ �. ^•. -. Pert. otf,.s t! of Q, Project $ a d Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. ... Signed: BY- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY for er Lot I I� B Bl. S Subdi- This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. ... Signed: BY- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE ELECTRICAL ❑ PERMIT N° 13469 Contractor's PLUMBING ❑ License No- ROOFMG ❑ Work to be performed under this Permit Owner of II Architect - ontractor or Builder Legal Lot II Bl. Description. Subdi- vision Address of (I Value of II Amt. of Building Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ❑ ELECTRICAL. ❑ PLUMBING ROOFING ❑ Owner of Architect - ontractor or Builder Legal Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT 1N? 13513 Work to be performed under this Permit Bl. Subdi- vision DATE 195 Contractor's License No Address of Value of Amt. of Buildinct Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE_ ' 9 ELECTRICAL �T r� c� PLUMBING (❑ PERMIT 1� Y 10 2 J Contractor's License No.. F' ROOFING ❑ ❑ Work to be performed under this Permit _________ _— Owner of « Building Architect _ - Contractor ' or Builder ~°' ---- -- t Legal Lot ( Subdi- Description Bl. vision Address of Value of Amount of Building Project Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordi'i aiices and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ABBOT BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA DATE 19 PERMIT '7189 Work to be performed under this Bl. Subdi- vision Contractor's License No. Address of Value of 11 Amount of Building Project $— 11 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities, This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: _ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• cepting this permit I assume responsibility for all work done by eitJ er, mysgif, my agent, servant or employee. 1�g CONTRACTOR OR BUILDER BY AUTHORITY Weser v' ELECTRICAL PERMIT. ZWiawi =fhores=Yillage B. —This Permit must be on display on the premises during F L o a t n n the construction. OFFICE OF ELECTRICAL DEPARTMENT U 550 ner of Building Miami Shores Village, Fla., 19 ntractor or Electrician LOCATION NO. STREET PART OF LOT LOT BL'K SUBDIVISION DESCRIPTION OF WORK NUMBER OF Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time on the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by is Department. Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the to of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami res Village. Dated 19 (Seal) ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises the ,fonstruction. Owner of r aiami Jhores7illage F L O R I D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla., 19 Cosactor or Electrician LOCATION N° 550 1� NO. STREET PART OF LOT LOT BL'K SUBDIVISION Signs Billboards Other Apparatus Permit Fee Z L4 �3 DESCRIPTION OF WORK NUMBER OF Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee This Permit is granted upon the express condition that all facts stated in the Application are true and t at the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may ,,be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon ny chang in the p sand sp fications unauthorized by this Department. f Ak , Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and 11 rul and regulations of the Electrical Department of Miami Shores Village. i Dated ...� 19 (Seal) BUILDING PERMIT l� MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR Miami Shores Village, Florida, , 19 Owner of Building Architect N ® 346 Contractor or Builder PROPOSED LOCATION NO. STREET PART OF LOT I LOT I BLOCK SUBDIVISION DESCRIPTION OF BUILDING FRONT DEPTH HEIGHT STORIES TYPE OF CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE Frame Tile Concrete Stucco Residence Apts., Stores Hotel This permit is issued to To the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. In consideration of the issuance to me of this building pe and plans and specifications thereof heretofore by me submit building ordinances and zoning laws of Miami Shores Village Dated BUILDING INSPECTOR I hereby agree to do the proposed construction in strict conformity with the application and in compliance with all provisions of all building laws of the State of Florida, all the all rules and regulations of the building department of Miami Shores Village. (SEAL) BUILDING DING PERK IT MIAMI SHORES VILLAGE j L jv lVl OFFICE OF BUILDING INSPECTOR Miami Shores Village, Florida, Owner of Building f a' Architect 346 • Contractor or Builder PROPOSED LOCATION NO. STREET X�-r-� PART OF LOT LOT BLOCK SUBDIVISI ROOF 2ZZ PERMIT FEE DESCRIPTION OF BUILDING FRONT DEPTH HEIGHT STORIES TYPE OF CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE dd FraTne ,3'ile Concrete. Stucco Residence A ts. totes H el This permit is issued to " a 1-04 To the building above described, as per application tans a Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are tru and tha the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and W llations of the building department of Miami Shores Village. This permit may be revoked at any time the violation of any provisions of said , ordinances or rules and regulations, or upon any change in the plans and specifications unatyrhoiiz h building inspector. t . '( 3UIUWi4G INSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building deeArunent of Miami Shores Village. 19 ��/ (SEAL) PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 6-8-00 J o b Address 262 N. E . 1 0 3 Street Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Felix A t i l e s Master Permit # Owner's Address 262 N.E. 103 Street Miami Shores Phone 757 -0566 ContractingCoQuality Roofing Contractor, Inc. Qualifier Carlos Arocho SS# State# Rc0058627 Architect/Engineer Bonding Company Mortgagor Address 13800 N.W. 1st Avenue Phone 751-0382 Municipal # Competency # 17889 Ins. Co. Address Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Tear off old roof to wood deck, tin can 301h- ASTM fPl t ` instal l galvanized eave drip metal and valley metals where required, mop on with type III asphalt one laver of 901b felt, install Spanish s clay Color-Mr-1-3 the W}th polyfoam adhesive setting. Square Ft. 2 4�-, cr Estimated Cost (value) $ 9,500.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S FIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws re onstructionyand zoning. Furthermore, I authorize the above -named contractor to do the work stated. r Signature of owner and/or Condo President Date Signature of Contractor or Owner- Builder Date JV� r Z Oca Notary as to 6Amer and/or Condo Pre ent 1) , Notary as to C actor or O - 'lder Date My Commission Expires: {' • .' MARYLOU NERNA�+OFZ My Commission Expires: `� MARYLOU iiERNANOEZ i .6N. ry rte , i = : .', MY COMMISSION # CC 6 iO474 :�: k -_ MY COMMISSia # CC 680474 �.:. EXPIRES: October 10, 2001 EXPIRES' O,tobar 10, 2001 Bonded Thru Notary Pubk Underwriters p;; „ ; °•° Bonded Thna Nc ;y Pt ;Nc Underrtiters :. FEES: PERMIT 7 RADON C.C.F. NOTARY BOND TOTAL DUES APPROVED: / Zoning Building G' Electrical Mechanical Plumbing Engineering MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT PermitNo.- l--__4--------------- ---- - - - - -- Date ------- -------------------------------------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ------------ __m ---------------- _____ Registered Architect and /or Engineer ------------ _ -------- ` ------- Employing Plumber's Name ----------------- _ ----- — ___— ---- _-------- Ir No------- '._--- - ------- --- ----- -------- Street ---- - - -- - - - - - -- ------ - No. Location and Legal Description Lot --------------------------------- _— ___ --------------- Block_______ Subdivision -___- Street and Number where work is to be performed —No------ — - _______� ____ ,T_ __________ Street LX- State work to be performed and purpose of building (By Floors) --- °�°� ____.____�:__�� New Building -------------------------- ------- Remodeling-------- --- ----------- - - - - -- Addition------- ----- ---- ---- - - - - -- Repairs ------------------------- - --- No. of Stories-/ -------- Size Septic Tank----------- ------ ------- ------ ------ - -- - -- Type of Tank ---------------------- --- ---- ------ -------- - - -- -- Capacity Feet of Drain Tile ---- _ ----- ______---- ..___________ _ _ __ __ Dist. Feet of Tank or Drain Field from Well ----------------------------- Nature of Water Supply: City —Well. 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 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) --------------------------------------------------------- -- - - -- ----------------- --�. R�a,ter 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. �. CLOSETS BATH TUBS SHOWERS) LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS CATCH FLOOR URINALS CATCH DRAIN DRINKING FOUNT , NS TOTAL FIXTURES I y} LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank----------- ------ ------- ------ ------ - -- - -- Type of Tank ---------------------- --- ---- ------ -------- - - -- -- Capacity Feet of Drain Tile ---- _ ----- ______---- ..___________ _ _ __ __ Dist. Feet of Tank or Drain Field from Well ----------------------------- Nature of Water Supply: City —Well. 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 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) --------------------------------------------------------- -- - - -- ----------------- --�. R�a,ter 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 ------ C - - -- Date ------ -1/__vwy- -- - -lg-- 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 ------------- Cl/ l_ ��- C__ ------------------ — ----- -------------------- No ------- Street--Z , 'rL ___ RegisteredArchitect and /or Engineer------------------------------------------------------------------------------------------------------- ------ - - - - -- -------- --- -------------- /--- - - - - -- - -- - ----- --- - - - - -- Employing Plumber's Name____ �. �1�__ 4 sP_________ No.______1za _______ 14 Street________XLQ'__Sly_____ Location and Legal Description Lot-------------------------- — ____________________ —___ Block ____________--------------------------------- Subdivision_______— ___________ _ _____ _ ___ _ - -- -- /� /j40 Street and Number where work is to be performed - No ------------ -- gz-z - -- �- ___________________ Street _____ 1Q. 3_= i`__--- _________________________ Stale work to be performed ar_d purpose of building (By Floors) ------------------ _______ A11_ X':__ i11YP-- 1AAAJ ---------------------------------- ..---- New Buildm g------------------------------------ Remodeling -------- _---------------------- Addition __________________________ Repairs --------- No. of Stories___________ Size Septic Tank ------------------ -------- �----- C- --- ,T- -- '------- - ------ -Type of Tank -- -- ��_ r---------------- - - - - -- Capacity Gals -------- Feet of Drain Tile____________!____ y 7[- /— ----- - - - - -- -Dist. Feet of Tank or Drain Field from Well________________________________________________________ _____________________________ __ Nature of Water Supply: City—Well ---------------------------------------------------- — ------- Size of Soakage Amountof Permit $ — ---- - - - - -- ------------------------------- ------------------ - - - - -- ( Signed) -- - - ? ----- ----- - - - - -- -- --- ----------- - - - - -- ----- -- - - -- '2L Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that hdufiderstands and accepts his X66 'gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) -- - - - —_--- — - -- ----_ -- -- _- --- ----- --- -- -- -r -------- faster Plumber. STATE OF FLORIDA, 1 r 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- S LOP LAUNDRY CATCH FLOOR DRINKINGI TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT'Ns FIXTURES CONTR. LIST CHECK ' SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. — LIST CHECK Size Septic Tank ------------------ -------- �----- C- --- ,T- -- '------- - ------ -Type of Tank -- -- ��_ r---------------- - - - - -- Capacity Gals -------- Feet of Drain Tile____________!____ y 7[- /— ----- - - - - -- -Dist. Feet of Tank or Drain Field from Well________________________________________________________ _____________________________ __ Nature of Water Supply: City—Well ---------------------------------------------------- — ------- Size of Soakage Amountof Permit $ — ---- - - - - -- ------------------------------- ------------------ - - - - -- ( Signed) -- - - ? ----- ----- - - - - -- -- --- ----------- - - - - -- ----- -- - - -- '2L Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that hdufiderstands and accepts his X66 'gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) -- - - - —_--- — - -- ----_ -- -- _- --- ----- --- -- -- -r -------- faster Plumber. STATE OF FLORIDA, 1 r 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. REQUEST FOR INSPECTION �- Company PHONE �. a Job Address 47 ! Inspection C"2-zfl, r !' r i Time Ready A.M P.M. -' Date Ready. REQUEST FOR INSPECTION Company P E Job Address Inspection Time Ready A. � PM 6' Date Ready MIAMI SH13RES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. — -- - -- Date -- ------------- --------- - --- ---------- -- -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. - .- -------------------------- - � ' j Owner's Name and Address_____ _ _�_ ______No.___:___ __ __ ________ ______Street_k __ Registered Architect and /or Employing Electrician's Locationand Legal Description Lot----------------------------------------------------------- Block--------------------- -- -------------- - - - - -- Subdivision------------ ------------ ------------ - - - - -- Street and Number where work is to be performed—No --------- — ----- — ------------------------------------------- — ---------- Street --- — ------------ — ----- — ------------- ----------------------------- State work to be performed and purpose of building (By Floors)----------------------------------------------------------------------------------------------------------------------------- New Building ------------------------------------ Remodeling ----------------------------- Addition ----------------------------- — --- Repairs ----- A ---------------------- No. of Stories-- ---- --- -- -- - - - - -- Service Overhead Size Feeders____________________ ----------- — Amps Conduit Main Sw - - -- -Main Fuses __________________________Amps Type of Installation — Conduit------- -- - - - --- ---- Tubing -------------------- .X.L.---------- - - - - -- -Metal Moulding---------- --------- - - - - -- ----------------------- — ------ - -------------------------- 5 ----- - - - - -- — — -- — ------------------------------------------------------------------------------------------------------------------------------------------------------------------------- - ------------------- --------- - - - - -- - -- — - -- — — -- — — — — — — — ------------ -- - - -- — Amountof Permit --------------------------------- ----------------- - -- - -- ( Signed ...w. - -- - - -- - -- - - - ---- oA2*lectrical Inspector. The undersigned applicant for this building permit does hereby certify that understands and accepts his obligofions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, iled General Laws of Florida ''eimanent Supplement, and has complied with the provisions thereof, and will require similar compliant ,from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. . (Signed) ------- �------ _� -------------------------- Master Electrician. STATE OF FLORIDA, l ss. COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the________________ ______—_____ _______________________________ of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP [[['''''^'' /// +�',,FF TOTAL OUTLETS OUTLETS RECE'P'T'S NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER COST LIST CHECK ENT. DIST. SERVICE SERVICE - MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1.5 HP TRANS. CONTR. LIST CHECK Service Overhead Size Feeders____________________ ----------- — Amps Conduit Main Sw - - -- -Main Fuses __________________________Amps Type of Installation — Conduit------- -- - - - --- ---- Tubing -------------------- .X.L.---------- - - - - -- -Metal Moulding---------- --------- - - - - -- ----------------------- — ------ - -------------------------- 5 ----- - - - - -- — — -- — ------------------------------------------------------------------------------------------------------------------------------------------------------------------------- - ------------------- --------- - - - - -- - -- — - -- — — -- — — — — — — — ------------ -- - - -- — Amountof Permit --------------------------------- ----------------- - -- - -- ( Signed ...w. - -- - - -- - -- - - - ---- oA2*lectrical Inspector. The undersigned applicant for this building permit does hereby certify that understands and accepts his obligofions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, iled General Laws of Florida ''eimanent Supplement, and has complied with the provisions thereof, and will require similar compliant ,from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. . (Signed) ------- �------ _� -------------------------- Master Electrician. STATE OF FLORIDA, l ss. COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the________________ ______—_____ _______________________________ of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. ?tlTr�'l ye,�t MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No...... . . _. .. ........... Date... ..:1:!:_ ..."'. L. °r--- ----------- Application is hereby made for the approval of the detailed statement of the plans and specifications her with submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address------- - -- - -- .................. No .............. PR.!G'?._ ............ Street.... /I!... .. D. ...'S1f.' ........... Registered Architect and /or Engineer Employing Electrician's Name ----- -: ..... __ No ............. �•� T ...........:Stre�F`:._ . ............. _ ..•-- Location and Legal Description Lot .......................••----........ .............__........_....... Block ------- .................................. Subdivision .... ........................................... Street and Number where work is to be performed— No ........................................ ...•-- --........................... f Street .... .... .................. .................................. .._. State work to be performed and purpose of building (By Floors ).44- M.sL.". ......... r....::' e......:t f f..��'! . <.::: New Building .......................... ..... Remodeling ................................ Addition .- .. .......................... Repairs ............................... ..... No. of Stories ................. ... Overhead 7-... r'.. .Main Sw .. .............................Am Amps. Service t3�deund Srze Feeders.4 ..... . `� :.....Conduit ._........ ps ...........................Main Fuses ........._._................ Type of Installation—Conduit .........h!. ........... Tubing ........... ............. B. X. L ......................... Metal Moulding......................................... ............................... ..........................•--......................•................................................................_...................................................---............................................. ...................,........... s - 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 complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. r (Signed) ....... ................. : .......... .... ....... ............ ......... Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. I ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared..............•--•----•............................................................................................._._.................................................................................. ............................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ........................................... ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ................................................. .............. ............................................... ........._ •••........................._.. ------............---.....---.._.._... ............................... My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T's No. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER — CONTR. LIST CHECK ENT. I DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. O.1 HP 1•S HP TRANS. C ,,,PERM. --�� LIST LIST 1 CHECK d v Overhead 7-... r'.. .Main Sw .. .............................Am Amps. Service t3�deund Srze Feeders.4 ..... . `� :.....Conduit ._........ ps ...........................Main Fuses ........._._................ Type of Installation—Conduit .........h!. ........... Tubing ........... ............. B. X. L ......................... Metal Moulding......................................... ............................... ..........................•--......................•................................................................_...................................................---............................................. ...................,........... s - 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 complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. r (Signed) ....... ................. : .......... .... ....... ............ ......... Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. I ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared..............•--•----•............................................................................................._._.................................................................................. ............................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ........................................... ............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ................................................. .............. ............................................... ........._ •••........................._.. ------............---.....---.._.._... ............................... 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 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT I Permit No ------ Date------V Oy/.i�.�%' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ------------------------ - --------------------------------------------- — --------- ------- No-------- - 6 __!tt2n ---------- Street --------- ------------------------------------ - Registered Architect and /or Employing Electrician's N 4: Location and Legal Description Lot ---------------------- - ----------- - ----- - _.___ --------- — ------- Block -------------------------------------------- �Slu�bdivision- ________ -------------------------------------------- 07 Street and Number where work is to be performed—No ----------- — ------- - ---------------------------- _- 0--- "�----- Street_____1!!34� ___ ! __ ------------ 0 State work to be performed and purpose of building (By Floors)-------------------------------------------------------------------------------------------------------------------------------------- New Building --------- - ------------------------- Remodeling -------------- - --- - -------- Addition --- - ------------------------ - --- Repairs ---------------------------------- No. of Stories------------ - - - - -- Overhead S Conduit------ - - - - -- --Main Sw ----------------------------- Amps ------------ — ------------ Main Fuses-------------- ----- - - - - -- -Amps Service Underground >ze Feeders _ _ Type of Installation—Conduit -------------------- Tubing -------------------- .X.L ---- - ------------- Metal Moulding------------------------------------------------------------- ---------------- --- - - - --- Amountof Permit $---------------------------------------------------- ------ ----- ---------- ---- - - - - -- ( Signed) ----------------- ------ ----------- ------- - - - - -- ------------------------- Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5566, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. s i (Signed) - - --r1' -- = �'..�.e'S l �e1�' t 4` g - Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. 1? Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ------------------------------------------------------------------------ of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. - - - -- -- - -- --- ----- -- - - -- - - — - My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T's NO. LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST CHECK ENT. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. C;13. CAB. TEMP. PERM. 0.1 HP 1.5 HP TRANS. CONTR. �. LIST CHECK Overhead S Conduit------ - - - - -- --Main Sw ----------------------------- Amps ------------ — ------------ Main Fuses-------------- ----- - - - - -- -Amps Service Underground >ze Feeders _ _ Type of Installation—Conduit -------------------- Tubing -------------------- .X.L ---- - ------------- Metal Moulding------------------------------------------------------------- ---------------- --- - - - --- Amountof Permit $---------------------------------------------------- ------ ----- ---------- ---- - - - - -- ( Signed) ----------------- ------ ----------- ------- - - - - -- ------------------------- Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5566, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. s i (Signed) - - --r1' -- = �'..�.e'S l �e1�' t 4` g - Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. 1? Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ------------------------------------------------------------------------ of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. - - - -- -- - -- --- ----- -- - - -- - - — - My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address ---- ------- ---- --- --------- -------------- No------------- -__ __- ___----- __ - -__. Street- Registered Architect and/or Eng'neer ________ - -- _ - - - - — ---- --- ------ ---- ------ - - - --- - -- Employing Plumber's Name - -- < V` C - lC- - -- - -- No.10_-___2 a--- - - - - -- --- - --- -- Street --- --- --- ----- �`—� -- - Location and Legal Description Lot ------- — ---------------------------- , ------- -_ - --- Block ------------------------------------------ Subdivision________ -�____ Street and Number where work is to be performed—No ------ - _K?_Z____- ___ ____------ Street_f / _ �/ 0 3_r __ State work to be performed and purpose of building (By Floors) --- ��'__- -_- - New Building ---------- ----------------------- Remodeling--------- -- ---- ------ - - - - - -- Addition---- ------ --------- - - - --- Repairs ----- ------------- --- - - - - -- No. of Stories -- --__- APPLICATION FOR PLUMBING PERMIT Permit No.. A /. 7 Date -- -- - - - / — - -- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address ---- ------- ---- --- --------- -------------- No------------- -__ __- ___----- __ - -__. Street- Registered Architect and/or Eng'neer ________ - -- _ - - - - — ---- --- ------ ---- ------ - - - --- - -- Employing Plumber's Name - -- < V` C - lC- - -- - -- No.10_-___2 a--- - - - - -- --- - --- -- Street --- --- --- ----- �`—� -- - Location and Legal Description Lot ------- — ---------------------------- , ------- -_ - --- Block ------------------------------------------ Subdivision________ -�____ Street and Number where work is to be performed—No ------ - _K?_Z____- ___ ____------ Street_f / _ �/ 0 3_r __ State work to be performed and purpose of building (By Floors) --- ��'__- -_- - New Building ---------- ----------------------- 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 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,; onn work to be performed under this permit, as are licensed by Miami Shores Village. ) (Signed) - - - _ =_ -- - — ---------------------------------- Master Plumber. 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. CLOSETS BATH SHOWERS LAVA- SINKS SLOP LAUNDRY URINALS CATCH FLOOR DRINKING I TOTAL TUBS TORIES SINKS TUBS BASIN DRAIN FOUNT . NS FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank-------------- -- ------ ---------- ------- - - - - -- 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 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,; onn work to be performed under this permit, as are licensed by Miami Shores Village. ) (Signed) - - - _ =_ -- - — ---------------------------------- Master Plumber. 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. a J J' ^� iami hones iliagA F L O R I D A APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for issuance of permit for electrical installation as described below, and for inspection o same after installation: Date 193 / ,¢ j Owner e aa, -o�� - s nc . Building Contractor Electrical Contractor + Location of proposed work: Building: Old or new Description of proposed work IT d1 � ;1n.; -n '. I Number of stories Used as Details of proposed work: Number of Motors H. P. Volts Amps. Phase OUTLETS MOTORS RECEPTACLES GENERATORS STOVES WATER H'TERS SIGNS BILLBOARDS OTHER APPARATUS MAIN SUB BRANCH Basement 0 X' First go FLOOR NUMBER OF SIZES OF INSULATION OPEN OR CONCEAL'D NUMBER OF CIRCUITS OUTLETS MOTOR GEN. MAIN SUB BRANCH Basement First go Second Third y Fourth Other Floors r Additional Information Signature of Applicant j Address (if other than owner or contractor) l (SPACE BELOW FOR INSPECTOR'S USE ONLY) Work begun f . ' io f" ' �- Inspected j Work finished Final inspection — ,Inspector MIAMI SHOREs°VIULAGE 1 ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL rP,Z MIT / y — Permit, No.__J�_�_`�_.__. -___ -_ Date------ -_ -_II ..• %.. _, Application is hereby made for the approval of the detailed statement of the plans specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformit ith the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami res Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein Zspecifi A copy of approved plans and specifications must be kept at building during progress of work. A / /� � Owner's Name and Address �!q �_ J y'�! Street__ —___�0 Registered Architect and /or Engineer ----- – -- - -- Employing Electrician's Name �_____- __- -____– No _a____6_Z ___ Street ---- – ------------ –__--_ --------------- --- Location and Legal Description Lot____ ______ __ ____ ________-------- --------- Block ----------- -- ---------- M-------------- Subdivision__ __– _ --- – -------- _---- Street and Number where work is to be erformed— No ---------------- Street -------------- ___–_ ------- - ------ State work to be performed and purpose of building (By Floors) ----------------------- – ---- –_ _-______ --------------- _---------------------------------------- g---- -- ----------- ------ - - - - -- g-------- ------- -- --- - - - - -- Addition..----- - ---- - - - -_- Repairs------------------ - - - - -- New Building ___ Remodeling __ _ ____ No. of Stories________________ Service Overhead Size Feeders.. --- NIConduit .______ ----- Main Sw ------------ _------ Amps. . Underground Type of Installation — Conduit____-- ___ –___ Tubing _ - - - -- Z 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 perfo ed under this permit, as are licensed by Miami Shores Village. �\ 7 A .0 � Main Fuses ------------------------ Amps. (Signed): c.L Master Electrican. STATE OF FLORIDA, / COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared------------------------------------------------- ------ -- -- -- ----- ----- -- --- -- -- - - - --- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -------- ---_ ---- -- --- w ---------------------- – ---- ------ 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 WATER W. HEAT. SPACE STRIP OUTLETS OUTLETS RECE'P'T'S No.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER TOTAL CONTR. `� % T LIST Jf`. CHECK ENT. DIET. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1 -3 HP TRANS. CONTR. LIST CHECK Service Overhead Size Feeders.. --- NIConduit .______ ----- Main Sw ------------ _------ Amps. . Underground Type of Installation — Conduit____-- ___ –___ Tubing _ - - - -- Z 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 perfo ed under this permit, as are licensed by Miami Shores Village. �\ 7 A .0 � Main Fuses ------------------------ Amps. (Signed): c.L Master Electrican. STATE OF FLORIDA, / COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared------------------------------------------------- ------ -- -- -- ----- ----- -- --- -- -- - - - --- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -------- ---_ ---- -- --- w ---------------------- – ---- ------ 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. � Pl'lMiami Shores Village j ��T7 M 11 l/, Building Department I NOV o 9. 2009 10050 N.1 - (, ;.2nd AVI1110. Miami Shores.. Florida 331 3 BY- -------------•------ Tel: (305) 795.2204 Fax: (305) 756.8971 BUILDING Permit No90q V"A-1 PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type: PAINT PERMIT Owner's Name (Fee Simple Titleholder) _ t�s t,t(flone # Owner's Address ; t& ;%— /L) L City l�,f��? State Zip 3 Tenant /Lessee Name Phone # E -MAIL: Job Address (where the work is being done) 1 ► ` t, R City ___ Miami Shores Villa <gTe County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name _ Contractor's Address City -- .. - -- - -- -- Qualifier Na1ne State Certificate or Registration No. OWNER BUILDER: NO State r Phone # Z.ip _ Phone # _ Certificate of Competency No. Value of Work For this Permit MAJ Type of Work: ❑ Addition / El Alteration / ❑New / ❑ Repair /Replace Describe Work: 1 Q S I A -Q_ uo t \ 6--e l�-- / Application is hereby made to obtain it hermit to do the work and instal Ions as in aled. I certify (hat no wort: or installation has commenced prior to the issuance 0('a permit and that all work will be per(brnxd to sleet the standards ofall laws regulating constniction In this jurisdiction. I understand that a separate permit 111rISt be SM11 -C'd lot" EL CTRIC'AI WORK. PLUMBING, SIGNS. WEI,I,S. POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS. ETC "WARNING TO OWNER: YOUR FAILURE. TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMEN'rs TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY DEhOR[ RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to .I pplicant: As it condition to the issuance ofo building hermit with an estimated value exceeding $2500. the applicant must promise in good ,lanh that a copy of ihe� notice of commencement and construction lien lain brochure hill be delivered to the person whose properly is subject to attachment Also. a certified copy of the rec urded notice of cornmencenre:nt nurst he posted al the joh sire for the firs! inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice. the inspection Trill not he approved and a reinspeclion fee will he charged. r. is r /�c�r .c T`x�,>t„r.�: r. xie icxi.• *artr.a'c �Y is is is i aYxxaY�'r.1(00 'xx 9),,xFeesrric�:� *�'ea<F t is xic F i:xzxx *xic a'e is is is is ia:fr aFz� *e ak do ie i; r,xx9.•i: Permit Fee CCF j $ Lp�,( 1 I $ Technology Fee: Training /Education Fee '$ U" I JJ Notary $ �`�x) _ Code Enforcement $ Double Fee $ Zoning $ Total Fee Now Due $ See Reverse side —> PAINT COLOR APPROVAL AND AGREEMENT All elements on the site must be listed and indicate the color to be painted Directions: Please circle corresponding number to appropriate color sample. Walls: 4 Attach < samples with name and Fascia: I 2 3 4 Drip Cap /Drip Edge: 1 2 3_ 4 Soffit. 1 ? 3 4 Roof: 3 4 Flower Bins: I 2 4 /�� Shutters: I �' - - -- � -- - 4 -- Awnings: I ION rt 3 4 2 C Ce— C�r 1�—j Chimney: 1 / 3 4 Doors and Door .lams: 1 2 3 4 Garage Doors: I 2 3 4 Railings: 1 2 3 4 3 Fences: I (� 2 3 4 All brick (simulated or 1 2 3 4 Stucco Banding: I 2 3 4 0_5 Any other Stucco Features: 1 2 3 4 Accessory f3L1ild(ngs Other: T-YlAyflIYNI OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance w l applicable Iaw//egu�ting COnStrUction and Zoning. SignatuwN li' Signature Owner or Agent Contractor The 1261 n in, rum was acknowl ged ht or e this The foregoing instrument was acknowledged before me this day M by ay of 20 by Who i1 , 1 ersonall .nM if�or \who has induced_ io is personally known to me or who has produced 4 /� ldu %{il cation //and ho did take oath as identification and who did fake an oath. NOT A Y U L/ I ll _ ��c NOTARY PUBLIC: Sign: _ Print: My Commission Expires: APPLICATION APPROVED BY: fir n t: My Commission Expires: LL Plans Examiner Preservation Board Code E,n6orcement (Revised 04/24/0 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ,�_ i' �- Job Address Tax Folio Legal Description y��+ ,�_ Owner / Lessee / Tensnt % s Master Permit #� r Owner's Address Zf/ %,z t Contracting Co. elt Address Qualifier % SS4 - - Phone State # Municipal # Competency # Ins.Co Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING ENCE GN WORK DESCRIPTION Square Ft. Estimated Cost(value) WARNING TO OWNER:I!�YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO 60 - 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 herebir 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 required1for 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!,thnabove-oameO.pontractor to do the work stated. Signature/°f o r a or Condo President Signature of Contractor or er der Date: ` elf- Date: r XURM asm -4 N ,ary to Owner 31 Notary as to Contractor or owner-Builder My Commission Expir 'Nicci w My Commission Expires: FEES: PERMIT RADON C.C.F. + © NOTARY Jam` TOTAL DU_ APPROVED: Fire Other Zoning, uildin Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI " SHORES VILLAGE Date %�/ Job Address 9w c V46F A23 S7—Tax Folio �Z 222� /c7 �927___2__ Legal Description 471-1 L✓ /� � �r � � � %�i � � 6�7 BI-" er Lessee / Tenant s / i< �� S Master Permit # Owner's Address v AJAE7 J 03, S-7- Phone Contracting Co. N Address Qualifier ss# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type( ircle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING F E S WORK DESCRIPTION A /y� �i Square Ft. Estimated Cost(value) S� 'Ire, 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. "_� R _. Signature of owner and /or Condo President S' ature ojocontracior o er- uild Date: Date: Notary as to Owner and /or Condo President Notary as to, r ivoobiktm r 'COMMSS10N Nuge� My Commission Expires: My Commnissi CC255Z37 + oommssloft UP. A1�7 2fi 1957 FEES: PERMIT/ RADON C.C.F. NOTARY TOTAL DUE__ APPROVED: Fire A Other Zoning Building Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE -�� Date ° Yb Address Z [o Z / d J/1 ax Folio t Legal Description `` Historically Designated: Y40 No Owner/Lessee / Tenant r0 Ott a .4 L.E a Master Permit # 4-2 Owner's Address c� a /U=152 AD S-- s Contracting Co. Address Queer SS# - - Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN�n ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU 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 ccactor to do the work stated Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT —RADON of Contractodlor Owner - Builder Notary as to Contractor or Owner- Builder My Commission Expires: "�' L-,-- C.C.F. 4.60 NOTARY APPROVED: (�Pr�-(7 � Zoning Building Electrical S< BOND Mechanical Plumbing Engineering Date t Date TOTAL DUE ZlZ ,