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MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address 4143 NE 10 Registered Architect and/or Engineer Date JUI9 19 o. Street N C r iY m1 • Name and address of licensed contractor Location and legal description of lot to be built on: Street and Number where work is to be done 1-114 N@__ 1031(ci 'tirce_k__ • State work to be done and purpose of building (by floors), state exterior colors (submit samples) Fumt3 abon • and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ ®O' 4 �j 0 Amount of Permit � e R Zone cubage required Plan Cubage Distance to next nearest building cDVe✓ IO -e f_ - Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Su -,t, and has corn. ' with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be peal. . -. under /. and 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 undersign:,. : _. :: :, ..!ploy onl such <'ll::,., .rs, on work to be performed under this permit, as are licensed by Miami Shores Village Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. A Jss. gned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ° Zi LC,C to me wall known. and who, being by me ' ! duly sworn, upon oath deposes and says that he is th of the above described construction, that he has carefully read the foregoing app ation, and that he sign th r :..: ; .3 that all facts therein by hum stated are true. Building Inspector PLANNING BOARD Chairman Member My Commission Expires Notfty{irittwuRtsrnefSEllraOF FLORIDA MY COIVIMI SIJN EXPIRES: FEB. 18. 1991. BONDED THRU NOTARY aUR, .0 UNDERWRITCnn. DATE Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained frog A re-inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty o the Planning Board. materials and/or workmanship. :vi iAgcr AC:11Nig 6320 JOHNSON STREET • HOLLYWOOD, FLORIDA 33024 • PHONE 961 -2600 938 COUNTRY CLUB BLVD. • CAPE CORAL, FLORIDA 33904 • PHONE 574 -4400 PEST CONTROL To whom it may concern: This is a letter of authorization for to pull permits for Leonard M. King Pest Control. Sincerely, Leon rd M. King Presi en t NOTARY PUBLIC. STATE OF FLORIDA MY COMMISSION EXPIRES: FEB. 18. 1991. 619NDED THRU NOTARY PUBLIC UNDERWRITERS. Florida's Fastest Growing Pest Control Company POSITIVE TERMITE CONTROL MONTHLY SERVICE LAWN SPRAY TENT FUMIGATION PEST CONTROL FUMIGATION NOTIFICATION 6320 JOHNSON STREET HOLLYWOOD, FLORIDA 33024 961 -2600 LOCATION OF STRUCTURE: 414-1.3 ME )0.5 OWNER'S NAME AND ADDRESS TYPE OF STRUCTURE: .APPROXIMATE NUMBER OF CUBIC FEET NAME AND APPROX. QUANTITY OF FUMIGANT CBS FRAME STUCCO _4141 DATE AND APPROXIMATE TIME OF RELEASE 5j1I(C) LENGTH OF FUMIGATION PERIOD c4 ('lJlO ,DISTANCE TO NEAREST BUILDING VER 10 FEET n CERTIFIED OR SPECIAL I.D. FUMIGATOR IN CHARGE LEONARD M. KING PHONE 961 -2600 Day Night Fumigation shall be performed in strict adherence to the FUMIGANT'S REGISTERED LABEL AND FLORIDA STATE BOARD OF HEALTH RULE 701 -2. cc :. COUNTY HEALTH DEPARTMENT FIRE DEPARTMENT OTHER APEX 109KI STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT Permit Number %- 7 3 ION INSPECTION AND FINAL N L STS► ual mum APPROVAL Installer Proper tank legend: Yes No No Tanks watertight Yes/ /_. No Proper tank outlet device: Yes No Drainfieid Trench Langth W1 th iamb width feet feet feet feet Tank Manufacturer . .1� P, • Tank material Tank level :, Yes Tank size: gallons gallons Manhole or marker.to grade: Yes No gallons No ,Absorption Bed Length ' 0 feet x tr feet= 37312 Length feet x feet = ft2 feet feet feet feet Proper No. drainlines: Yes No feet feet feet feet Proper pipe separation: Yeses . No Total = ft2 Total = ft2 Distribution box level: Yes No Systems located as permitted: Yes No Systems including plumbing stub -outs installed at proper elevation: YesiVA No Average depth to drainpipe invert from finished grade: 3,2„ inches Maximum depth- ° / Inches Average depth of drainfield gravel: l ! inches Minimum depth of gravel- R inches Proper gravel size: Yes No Gravel is suitable quality: Yes °''. No Backfill or fill material as required: (Quality) Yes f No (Quantity) Yes "'' No Other findings: AUG I. 81987 Inspected by: Date Date PART 111 - FINAL IN TALLATION APPROVAL by: COUNTY PURL C HEAL NIT AN APPROVED INSTALLATION DOES NOT GUARANTEE PERFORMANCE Note: Completed copies of this form will be provided to the applicant, installer and the building department. HRS -H Form 4016, Jan 86 (Replaces Feb 85 edition which may be used). (Stock Number: 5744 -002- 4016.4) Page 2 of 2 MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No..:;'Zf ?& Date .dug • 5.0 19$7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building 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 S eQ u i lla Registered Architect and /or Engineer Emplg P19ber's Nape North. pade $eptiq Street and Number where work is to be performed —No 3 NE 103 St. State work to be performed and purpose of building (By Floors) _... New Building Remodeling— Addition No 443 NE 1 J sue, M. Shores 31138 Street..-_ J.. ..33.16 8 .,.... subdivisoaii4,1446, Miami Shores 33138 Size Septic Twit Type of TanIr Feet of Drain Tile 3 0 0 sA . ft. t)ist. Feet of Tank or Drain Field from Well Nature of Water Supply: City Well. Size of Soakage Pit....... ... _Capacity Cals. Amount of Permit $ 1;'66 (Signed) I t101OR%_ D T Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the woe,- to be performed under this permit; and will post or cause to be posted for inspection on the site 9 the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on to be perf a under 4;pertnit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, t ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared aster Plumber. 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 cones, that he has carefully read the foregoing application, and that he did sign the same, and that all fads 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 each rrispaotins is arado.aaoasaary by a pepper notice for impaction, or faulty materials and/or workmanship. CLOSETS BATH TO SS SHOWERS LAVA. TORIES SINKS SLOP SINKS LAUNDRY TOSS URINALS CATCH BASIN PLOOR DRAIN DRINKING FOUNT' PIS TOTAL FIXTURES Ceram. LAST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRELR. SYSTEM SW IM'G POOL CONTR. LIST -� CHECK ,- Size Septic Twit Type of TanIr Feet of Drain Tile 3 0 0 sA . ft. t)ist. Feet of Tank or Drain Field from Well Nature of Water Supply: City Well. Size of Soakage Pit....... ... _Capacity Cals. Amount of Permit $ 1;'66 (Signed) I t101OR%_ D T Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the woe,- to be performed under this permit; and will post or cause to be posted for inspection on the site 9 the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on to be perf a under 4;pertnit, as are licensed by Miami Shores Village. (Signed) STATE OF FLORIDA, t ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared aster Plumber. 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 cones, that he has carefully read the foregoing application, and that he did sign the same, and that all fads 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 each rrispaotins is arado.aaoasaary by a pepper notice for impaction, or faulty materials and/or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date MARCH 22, 1989 19 Owner's Name and AddressGEZGE LETAKIS 443 N.E. 103 STREET. MIAMI SHORES, FLORITIPA• Street Registered Architect and/or Engineer SECURITY WINDOWS. Name and address of licensed contractor SEYMOILRCXi1EIELF. 5100 N.W. 72 AVENUE, MIAMI, FLORIDA 33166 Location and legal description of lot to be built on: Subdivision .4# 4 ) /4Z-• ibzio" � .1.7-57/ p/1/ 7 Lot Block Street and Number where work is to be done State work to be done and purpose of building (by floors), state exterior colors (submit samples) REPLACING 18 JAL WDWS AMID 7 PW WITH 3 HR, 8 PW AND 7 A1W IN EXISTING OPENINGS. NO STRUCTURAL CHANGES. -Kerala Wi and for no other purpose. New Building Remodeling Addition Repairs No. of Stories lb be constructed of Kind of foundation �j�Roof Covering Estimated Total cost of improvements $ 3000.00 Amount of Permit $ /r °5#6 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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or caw. • to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned - _' ; to employ only such = on work to be performed under this permit, as are licensed by Miami Shores Village. % '. ,ii l _ Remarks (Si STATE OF FLORIDA COUNTY OF DADE. ss. Before me, the undrigned authority, a notary public, duly authorized to administer oaths and take acknowledgments , personally appeared ' ►•narc. '- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the E N[9•caIUJ 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 Na cif 11.#7 9-3 C- Date 3/ E Disapproved '' a /- Date Notary Public, State of Florida 1 ' (Signed) NOTARY PUBLIC STATE OF FORMA NY COsMrssrnN EXP JULY 25.1991 PLANNING BOARD DATE BONDED THRU GENERAL INS. UNO. Chairman Member Read, ern to and Subscribed before me. Building Inspector My Commission Expires Member Member Member Member Date Disapproved Date Council Approved NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. __J_ 4.1 Date_ 24"9/1- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is Made in compliance and conformity with the Building Ordinance of M : Shores Village, Florida and all provisions of the Laws of the State of orida, all ordinances of Miami Shores Village and all rules and regula • of the Building Divisior of Miami Shores Village shall be complied wits, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address ' L • P .H ff No 143 Street ' . :. 19.1 St Registered Arm and /or Engineer f T� -.15.12.1? �1 Fcat�. �f"c�� No 1�;29 street ��o��u• 7th Pve ®g Employing Fliiiiilali s Name t - -.-.d - ee r---- Location and Legal Description Lot_.._ Bloc Subdivisio Street and Number where work is to be performed —No. b•11 H T ° . Street. ___1 ° 3 S b ® 9 II State work to be performed and purpose of bi IIdiag (By Floors) 1i-" sup ® well & 2" dr a i ri well for air r cf1dt-oning New Building Remodelia Addition. Repairs__ __.____ No. of Stories__.______._ ..... _ -_ Amount of Permit $ (Se) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor 'I 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 an licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare S () 6 5. (I (// wt,v - ° Master Plumber. 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 lac 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 pre - inspection is made necessary by improper notice for inspection, or foul materials and /or workmanship. FLOOR DRAIN DRINK IMO FOUNT 'Ni . TOTAL FIETURIG CLOSETS BATH TUBS $HOWERO LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUea (78INALS CATCH BASIN comm. LIST C HECK ,Li SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP - WELL SPRKLR. SYSTEM SWIM '0 POOL 1 CONTR. LIST CHECK 1 I I Septic Tank Type of Tank Capacity Cali.__ _._ Feet of Tank or Drain Field from WelL _- ____ ... _ _ Size ii Feet of Drain Tile --___ ... ---- - ----- Nature of Water Supply: City -Well. .Dist. Size of Soakage Pit_ . Amount of Permit $ (Se) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor 'I 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 an licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare S () 6 5. (I (// wt,v - ° Master Plumber. 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 lac 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 pre - inspection is made necessary by improper notice for inspection, or foul materials and /or workmanship. MIAMI SHORES VILLAGE UILDIN - INSPECTION DEPARTMENT APPLIAT1ON FOR BUILDING PERMIT Application is hereby made for the ap roval of the detailed statemen' of the plans and specifications herewith submitted for the build- ing or o ht•r structure her u, described. Ti cs 'tpplicaticr. is made in compliance and coniorm•ty w,th the Building Ordinance of Miami Shores Village, 1T or:da, and all pro.-isions f the Laws rf the State of Florid all o d-nances Mi :ni Shores Village and all rules and regulations of the Building Div ,;, i of ' Shoi ' Wage b 1 ,e ^o* ipl.ed with, whether herein specified or not. A copy of approved plans and specificati .ns must be kepi at b tding durine, progress of tl.e wcrk. c� Owner'_ Name and Address_ Registered Architect and /or Engineer__ _� Name and address of licensed contractor ! e.,N.J�/!/✓t ?+_• l Location and legal description of lot to be built on: Lot_ _ __ _ ___ _ _ Block -- _. - -. Subdivision '3 _ / A . Date_ No. Street Street and Number where work is to be done State work to be done and purpose of building (by floors) and for no other purpose. New Building- _ . _ Remode ' . g_ — _ - -. -____ Addition_ ___ ___ Repairs. - _ No. of Stories. To be constructed of_ _ _. 1{in. of fo Roa Covering_- Estimated T)tal cost of improvements $_. _ __ Amount of Permit $_._ - Zone rubage required_ _ _Plan Cubage__- Distance to next nearest building_ _Size of Building Lot__,_ _ -._ _-_,._.__ Maximum live load to be borne by each fl' or_ .____ hereby submit all the plans and speciiications for said building. All notices with reference to the building and its construction may be sent to ___ _ _ -- -- _ __..______ _- -__ -_. -- The unde signed appli -ant for this budding permit does hereby certify that he understands and accepts his ,•bligations as an employer of l: bor under he Florida Workmen's Compensation Act being S. -rition 5988, Cm pled Gen al Laws of Florida P. r.,,anen. Supple nent, and his complied with the provisions thertqoof, and will require similar compliance from all contractors or sub- contractors empplo -'ed by him in the work to be pr•rfr}imed under this permit- and • 'ill post or cause to be posted for inspection on the site of the work such public noti•-e or notices as are required by the Act. The �eJi�u, dcr,ignad agrees to employ only such ;a. ,tr. ctors, on work to be perform d der this . permit. as are licensed by Miami Shores %'ilhge. Remarks_ . _____. ___ _ _._. _ _- ( Signed)._ - ;• .. -s ., ®°� 104,554 _ STATE OF FLORIDA, COUNTY OF DADE. ss • Before me, the undersigned authority, peared _ -- -- notary public, duly authorized to administer oaths and take acknowledgments, personally ap= to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_:__ of th abov. de,c,ibed - -,struction tlar h ' has careially read the foregoing application, and that he did sign the same, and that all facts therem by him stated are tr ie. Permit No.../ . 7 S S Dat . _ _ `_L�r � Read, Sworn to and Subscribed before r e. Disapproved ____ (Signed) — _ _ -- _ Notary Public State of Florida My Commission Expires_ ._a.______ ___..__-_.,_-_- PLANNING BOARD_—___.__ _ _ ___ -._DATE Chairman __ -_ __ Member __. _ _ _ _ - _ Member ._ _- . _ Council Approved. Member; , Member _ Member _ _ _ _Date Disapproved ___ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application .ifttr approval h -is been obtained from the Planr:ng Board. A re- inspection fee of $1.00 will be charged when such re- inspection is male necessary by improper notice for inspe :Ton or fa, ity materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 15 gr., Date- lizA. / 6 ._. / f 01 • Application is hereby d 7 e 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 speicifications must be kept at building during progress of work. Owner's Name and Address 41'4._ I-1 il 6 F , 4'13 No, ig, e. ii7-3eistreet Registered Architect and/or Engineer No. il 7 AZ 142 SA; Employing Electrician's Name . r.41-"kMet414-1, 4 4-01.7trit 7 i Subdivision..i Street__ ................ .-. ...... _______.__ .. _ ........... State work to be performed and purpose, of building (By Floors) /44P .1 i'2. ‹. —‘ ,11" ka 4 * t 0 r New Building Remodeling ' emodeling , Addition. ) .Repairs No of Stories. Location and Legal Description Lot ,.Blor.k Street and Number where work is to be performed—No ,i SWITCH OUTLETS •LIGHT OUTLETS PLUG RECE'P'T'B FIXTURES NO. LAMPS REIMS. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. 1 LIST CHECK ........ , ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS .04 HP MOTORS 141 HP NEON TRANS. • RADIO ToTAI. Corm. LIST• - CHECK • I 1 15 a . . Service Size Feeders. Overkzird Conduit .Main Sw .Amps. .Main Puses....... Underground Tubing B.X L ..Metal Moulding „ Type of Installation—Conduit. $ u 1---- - _ A IT V' Amount of Permit $. .1c3iL5 , -. . (Signed) .'"almilk Niiiiw* ''''''i'%' ...., ' 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 deneral Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contractora 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. STATE OF FLORIDA, ' Amps • COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally (Signed) Master Electrician. appeared ••• to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is ... 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 reinspection 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 rUILDIN INSPECTION DEPARTMEN* • APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the cletled statemerr of the plans and specifications herewit submitted for the build- ing or o h, rructine her i described. us rilicatic is made in compliance and corrcrin.ty w.th the Buil ' g Ordinance of Mia ii Shores Villarte, .or.da, and all pro. isions of the Laws c f the State of I. krid all o d'nances of Mi :ni Shores Village and all rules and regu.e ion. of the Building Div.. i of iam Shot illage 1' 1 ,e ^o. ipLed with, whether herein specified o not. A copy of approved plans tnd specificati .nr must be kej at building durin, progress of tie wcr14 - I Owner' Name and Address _DIAJI No. JYT Street_ / i9 3 Registered Architect and/or Engineer 4, —_ALC-4■01 Name nd address of licensed contractor. frOielle-ci 4 Cr isiells Ver' . Co Location and legal description of lot to be built on: Lot _ ____ Block_ _. __ ___ Subdivision Street and Number where work is to be done State work be done and purpose of Wilding (by floors) 2.-. New Building_ and for no other purpose. _ Remodeling- — _ Addition__ _ _ Repairs. _ No of Stories. _ _ To be constructed of _ _ Kind of foundation_ ........ Cowing_ Estimated T atal cost of improvements $_. _ Amount of Permit $_ Zone 'ubage required_ _ Cubage_. . . Distance to next nearest building_ _ _ Size of Building Lot._ Maximum live load to be borne by each floor_ _ , . • hereby submit „the plans and spechications for said building. All notices with reference to the building and its construction may A be sent to _.....__ _ _ .. e,r...1 C 4. Al . ,.._ eq.di.. _ The unde signed appli ant for ths building permit does hereby certify nat he understands and accepts his of 1 bor under he Florida Workmen's Compensation Act being S. lion 5966 Col p led Gen al Laws of Flori and h s compl ed w:th he prov'uons thereof, and will require smiler coma lance from all contractors or sub-co in the wo k to be p rt med under th s pern it and ill post or cause to be posted for inspection on the site of or .otit es as are requfr d by the Act. The u. d r ign d agrees to employ only such abeontr. ctors, on work to permit as are hcensed by M am, Shores N il ge. Remarks _ - - (Signed) _ .bligations as an employer a P r anen. Supple nent, tractors emplo 'ed by him ie work su :h public non e be perforn, d der this STATE OF FLORIDA, COUNTY OF DADE. ss• Before me, the undersigned authority, a notary public, duly authorized to administer oaths t.nd take acknowledgments, personally ap- peared _ _ 1 and who, being by me first d. ly cwom, Upon oath depo'es and says that he is the ._ .. _ ___ _ __ of th abo de a. ibed . Istruction ta . li has carefully read the foregoing application, and that he did sign he same, and that all facts therein by Trim state tleAor lei 6. /460"4" Permit No.__/ .6_..4. T_ Date_ _ Read, Sworn to and Subscribed before me. Disapproved __ Date_ ( Signed ) _ to me well known, Member _ - _ Member _ Member Council Approved _ _ _Date Disapproved -- NOTE: A charge of $1.00 will be made for making corrections or changes to this application ifter appro the Planr ng Board. A re-inspection fee of $1.00 will be charged when such re-inspection is me de necessary by 'improper n matenals and/or workmanship. 7--Notary Public State of Florii My Cominission Expires_ PLANNING _ - __DATE Member Date al his been obtained from ce for inspet.tor or fa. Ity MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date. 15° 05 Application is hereby ma& $& the approval of the detailed statement of the plans and specifications herewith submitted for the building or other ucture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, d all provisions of the Laws of the Stater of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division f Miami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at ding during progress of work. r w 1 wner s Name and Address Registered Architect and /or Engin Employing Electrician's Name .No Street... Location and Legal Description Lot Block Subdivision. Street. " ► C f° No; Street Street and Number where work is to be performed—No /State work to be performed and purpose. of building (By Floors) New Buildings ... Remodeling .Addition. Repairs. No. of Stories. d Size Feeders stallation- Conduit. Amount of Permit $ .Main Sw .Amps Main j Fuses .Amps B X.L .Metal Mouldin �iectri ector. The undersigned applicant for this building permit does hereby T erstands and accepts his obligatio an employer .'labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 1#ermanent 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 uch public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performe4 under this permit, as are licensed by Miami Shores Village. • (Signed)...—...— I. STATE' OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to . administer : oaths and take acknowledgments, personally Master Electrician. 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 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 /or workmanship. SWITCH OUTLETS LIGHT OUTLETS' PLUG 'RECE'P'T'S FIXTURES NO. LAMPS RERRIO. OUTLET ' IRON OUTLET RANGE OUTLET RANGE 'CONN. WATER. HEATER W. HEAT. - CONN. SPACE HEATER STRIP HEATER TOTAL NTR. i !'_ p L / 1 2-6 /9 ECK r r ! C Sr ENT. SW. • T. CAD. SERVICE TEMP. SERVICE PERM. - MOTORS 04 XP MOTORS 1.1 HP - NEON TRANS. RADIO. TOTAL. kel /60 d Size Feeders stallation- Conduit. Amount of Permit $ .Main Sw .Amps Main j Fuses .Amps B X.L .Metal Mouldin �iectri ector. The undersigned applicant for this building permit does hereby T erstands and accepts his obligatio an employer .'labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida 1#ermanent 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 uch public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performe4 under this permit, as are licensed by Miami Shores Village. • (Signed)...—...— I. STATE' OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to . administer : oaths and take acknowledgments, personally Master Electrician. 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 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 /or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. ___./61.016k Date_ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami and all provisions of the Laws of the State of Florida, ' all ordinances of Miami Shores Village and all rules and regulations of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and building during progress of work. Owner's Name and Address je"" Registered Architect and/or Engineer Employing Plumber's Name / Location and Legal Description Lot / Block u • Street and Number where work is to be performed —No ✓ 9 ' State work to be performed and purpose of building (By Mors) for the building or othea Shores. Village, Florida of the Building Divirior cations must be kept at No Street New Building - Remodeling Addition Repairs._ -- No. of Stories Size Septic Tank Feet of Drain Tile Nature of Water _Type of Tank _._. Dist- Feet of Tank or Drain Field from WelL Well. d Size of Soakage Pit.-- ._..._.. Capacity Gals Amount of Permit $ � ( Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perinea* t Supplement, and has !^.Qaan- 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 pudic notice or notices as are required by the Act The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. .� (Signed) STATE OF FLORIDA, t as. COUNTY OF DADE. 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare Master Plumber. to me well known, 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 sit•. the same, and that all fac therein by him stated are true. My Commission Expires Notary Public, S ., to of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper otice for inspection, or foul materials and /or workmanship. FLOOR DRAIN TOTAL FIXTURE! DRINKING. FOUNT *N ,,J ®D I CLOSETS BATH TUBS SHOWERS LAVA. TORIES ' SINKS SLOP SINKS LAUNDRY TUBS URINAL. CATCH BASIN CONTR. Q� / r^ % l CHECK SWIM '0 POOL SEPTIC TANK 'SEWER CONN. T ----T- DRAIN FIELD SOAKAGE PIT GREASE TRAP HEATER / DEEP WELL SPRKLR. SYSTEM CLI IST i �t) - _ _ j� °' �/ • CHECK Size Septic Tank Feet of Drain Tile Nature of Water _Type of Tank _._. Dist- Feet of Tank or Drain Field from WelL Well. d Size of Soakage Pit.-- ._..._.. Capacity Gals Amount of Permit $ � ( Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Perinea* t Supplement, and has !^.Qaan- 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 pudic notice or notices as are required by the Act The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. .� (Signed) STATE OF FLORIDA, t as. COUNTY OF DADE. 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare Master Plumber. to me well known, 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 sit•. the same, and that all fac therein by him stated are true. My Commission Expires Notary Public, S ., to of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper otice for inspection, or foul materials and /or workmanship. ±7i Permit No. _A I ._s __ Application is hereby made for the approval structure herein described. This application and all provisions of the Laws of the State of Miami Shores Village shall be complied bnildtng during progress of work. Owner's Name and Address Registered Architect and /or Engine' Employing Plumber's Name 1123 Location and Legal Description Lo't��_QQ-1114 Street and Number where work is to State work to be performed and purpose New Building Remodeeirg 4 of MIAMI SHORES V4LAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date. of the detailed statement of the plans and specifications herewith made in compliance and conformity with the Building Ordinance Florida, all ordinances of Miami Shores Village and all rules and with, whether herein specified or not. A copy of approved plans /j F h F '�/ O.»' -4- No sub of regu and Str • k.�C itted for the building or other Miami Shores Village, Florida ations of the Building Divisior specifications must be kept al SEPTIC TANK CO, INC. E. 23rd ST., HIALEAH No Street %‘ °?•4 ^55 Bloch Subdi o be performed of building -No '1'/ 3 Street.._LeJ )1 X.. (By Floors) Addition__—_ Repairs____.______________ No. of Stories—._ - -__. _ ..... _._. CL OSETS BATH TUBS SHOWERS LAYA� TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINK FOUNT'NS HG TOTAL FIXTURE! CONTR. LIST_ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•O POOL CONTR. LIST • - CHECK Size Septic Feet of Nature Tank_ Tile G of Tank 414 _Capacity Gals G a' —Type Dist Feet of Tank or Drain Field Size from Well_... of Soakage Pit_ -- Drain __.iv° of Water Supply: City —Well. _ — _________-______...__.... 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 Pe u ent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp oyed by him in the work to be performed under this permit; and will post Or cause to be posted for inspection on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be perform '. under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. f Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmi ledgments, personally appeare ss. (Signed) Master Plumber. 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 sin the same, and that all far therein by him stated are true. My Commission Ezpir NOTE: A materials and /or workmanship. o $1.00 ee of $1: Notary Public ' tate of Florida be made when such re- inspection is de necessary by imprope notice for inspection, or faul MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereb made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure h ein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, , d all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Buil . . g Division of Miami Shores Village shall be complied' with, whether herein specified or not. A copy of approved plans and specifications . ust be kept at building during progress of the work. Owner's Name and A Registered Architect and Name and address of li Location and le : descri Lot Street and Number wher State work to be done s Date /°` No. _ Street__________- or Engineer__ used contractor Lion of lot to be built on: Block Subdivision work is to be done 1.3 d purpose of building (by floors) ¥41 ,19 New Building To be constructed of Estimated Total cost of Zone cubage requir Distance to next nearest Maximum live load to be I hereby submit all be sent to The undersigned ap of labor under the Flori and has complied with in the work to be perfo or notices as are required permit, as are licensed b Remarks and for no other purpose. `� Remodeling_ Addition Repairs._ , No. of t• -...S Roof Coverin _ ! Kind of foundation_ provements $__� S d 0 Amount of Permit $_ P- 9 building borne by each floor Plan Cubage_ Size of Building Lot e plans and specifications Ifgr said building. All notices with reference to the building and its construction may licant for this building permit does hereby certify that he understands and accepts his obligations as an employer a Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, e provisions thereof and will require similar compliance from all contractors or sub-contractors employed by him ed under this permit; and will post or cause to be posted for inspection on the site e work ' h public notice by the Act. The undersigned agrees to employ only d. subcontracto wo ,.<j o be perf ed under this Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. Before me, the unde peered �ss. signed authority, a notary public, duly authorized to administer oaths knd take acknowledgments, personally ap- and who, being by me of the above described therein by him stated are Permit No Disapproved (Signed) Chairman Member to me well known, st duly sworn, upon oath deposes and says that he is the struction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts e. �, �■ Date Date PLANNING BOARD Member Council Approved_. NOTE: A charge o the Planning Board. A re- inspection fee Of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires_ DATE Member __ Member Member Date Disapproved Y_. _ Date $1.00 will be made for making corrections or changes to this, application after approval has been obtained from OWNER'S NAME Mirror Lake Homes PRESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATIOYV (ST. OR AVE.) 3 N.E. 193rd St. LOT 16 . ;ADDRESS BLOC SUBDIVISION Mirror Lalte GENERAL CONTRACT O R Yohn Myers PHONE NO. LICENSE NO. �[ 9 r� BUILDING PERMIT NO. T3�° r ( DATE2-2�53 C PE MIT FEE $ � COQ BUILDER'S NO. ] BOND DATE IZONE REQUIREMENTS CU. FT. PLAN CUB 0,932 CU. FT. EST. COST $ 15,000 NGS, SPECIFICATIONS, RESTRICTIONS AND 1 CUBE CHECKED BYt DATE IDRAW I X NEW CONSTRUCTION TYPE CBS STORIES I 1 ',I CONSTRUCTION ROdF COle tile INTERIOR CONSTRUCTION I terrazzo floors, plaster mall REPAIRS 3 bdrm. -* baths - living DESCRIPTION and ceilings room - dining area - kitchen - garage ALTERATION DESCRIPTION ADDITION ' SUBMITTED TO PLANNING BOARD APPROVED REJECTED EFERRED TO COUN IL REA -ONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS ^ CERTIFICATE OF OCCUPANCY NO. 'T +5 \y� "° 5, BY ISSUED BY ///(����'J 'R��°� II-7 BUILDING PERMIT AND INSPECTION REPO D —MIAMI 1 SHORES VILLAGE t." =. Pik �I1 BUILDING NSPECTIONS INSPECTIONS DATE BY , RE- INSPECT BY RE- INSPECT BY FOUNDATION ,1 24' ' ,. BEAMS & LINTELS -3.1 113 91`c17` FRAMING �.�P '' k. FINAL 4' b'S./ CLEAN -UP et U PLUMBING pERMITS & INSPECTIONS CONTRACTOR PHONE PERMIT NO /4A p DATE 216C-"S. FEE $ ( -..... . NEW BLDG. I' ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE P SEPTIC TANK (.d� °ct_. /14®4-6 - ,(fie ®d $ SEWER $ SOLAR HEATER $ GAS $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING �j ®° .iii ��4 GAS SEWER SEPTIC TANK SOLAR HEATER FIXTURES .® °153 G g 'I "g ELECTRICAL PERMITS a INSPECTIONS CONTRACTOR J PHONE PERMIT NO. i DATE ° S �.. ' 3 FEE $, NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP.. SERVICE ROUGHING 0.4 H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL APPROVAL TO POWER CO. POE SERVICE DATE MIAMI SHORES VILLAGE - ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. ».!.. &..` 11. Date. 9L Application is hereby made for the approval o the detailed statement of the plans and specifications herewith submitt d for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mimi Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name No..... Street Location and Legal Description Lot Block Subdivision. ..No;g51 1 ...Street. Street and Number where work is to be performed —No. State work to be performed and purpose of building (By Floors) New Building Remodeling .Addition Street Repairs.. No. of Stories... Service Overhead Size Feeders. Conduit. .Main Sw .Amps .Main Underground Type of Installation :ondait. Tubing..... Fuses..._........... »...:.....Amps BXL r .Metal Moulding ».... »...... ............. ...g.... Amount of Permit $. • , (Signed) Electrical Inspector. The undersigned applicant for this buildu g permit does hereby certify that he understands and accepts his ob gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P rmanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontracto employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed' under this permit, as are licensed by Miami Shores Village. • (Signed) STATE . OF FLORIDA, COUNTY OF DADE. aa. Before me, the undersigned authority, f a notary public, duly authorized to administer oaths and take a knowledgments, 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 f Florida NOTE: A re inspection fee of $1.00 will be made when such re-inspection is made necessary by improper no ce for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'TS FIXTURES NO. LAMPS r REFRIG. OUTLET • IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER - TOTAL . LIST - f CHECK ENT. SW.. -DIST. CAB. SERVICE TEMP. SERVICE PERM. - MOTORS 0.1 HP MOTORS ' . 141 HP NEON TRANS. RADIO' TOTAL. ,� CkINTR. LIST CHECK Service Overhead Size Feeders. Conduit. .Main Sw .Amps .Main Underground Type of Installation :ondait. Tubing..... Fuses..._........... »...:.....Amps BXL r .Metal Moulding ».... »...... ............. ...g.... Amount of Permit $. • , (Signed) Electrical Inspector. The undersigned applicant for this buildu g permit does hereby certify that he understands and accepts his ob gations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P rmanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontracto employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed' under this permit, as are licensed by Miami Shores Village. • (Signed) STATE . OF FLORIDA, COUNTY OF DADE. aa. Before me, the undersigned authority, f a notary public, duly authorized to administer oaths and take a knowledgments, 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 f Florida NOTE: A re inspection fee of $1.00 will be made when such re-inspection is made necessary by improper no ce for inspection, or faulty materials and /or workmanship. 9I-Z' MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLIDATION FOR BUILDING PERMIT Application is hereby made for the apProyal of the detailed stall:mem or sue plans and specifications herewith submitted for the build. in or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address .m.a.p.a.i..n.o....S.934.,1.1a No.... 413 ........ St Registered Architect and/or Engineer . tO••• • • •rt• 00 NM WOO Name and address of licensed contractor......B.porne4.- Location and legal description of lot to be built on: a ••••ttelit.• .11111•••tlIf!tftITTIVIRIN0,11111fItSIIITIrrt111. 2448—rrea-11--E,13--grattr4-.1-1e4artoe4-r-F1 Lot_ Block. Subdivision....Ma414/- Street and Number where work is to be done ..44 3 1..C133.r-cl—S.treet State work to be done and purpose of building (by floors).----- ••■ •••••■•■■••••••••■•••••••••••18 New Building RemodCiing - Addition To be constructed of Kind of foundation:. 51-240,40. -Amount of Permit $. ' — onaa.00.•••••••■004.114meal•■••• --Lend for no other purpose. Repairs No. of Stories...........---- - Roof Covering.g.h4,E.g.1.-- Estimated Total cost of improvements $. Zone cubage required ................. .. ....... .. .Plan Cubage Distance .to next nearest building Size of Building Lot Maximum live load to be borne by.each floor •8- squaire- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. • • The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of -labor under the Florida Workmen s Conipensation Act, being Section 5968, 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 M the work to be performed under this permit; and will post or cause to be pcisted for inspection on the site of-the work such public notice tractors, on be performed under this or notices as are required by the Art. The undersigned agrees to employ only sts permit, as are licensed by Miami Shores Village. Rein.uks.. (Signed) STATE OF FLORIDA, COUNTY OF DADE. I ss• eatlergt f/43 Before me, the undersigned authority, a notorY public, duly authorized to administer oaths and take acknnwledgments, personally ap. peared ..—. _ t • 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 I he has carefully read the foregoing application, and that he did sign the same, and that allfacts e true.. , DZte 4 0.- • ^ therein by him stat Permit No Disapproved (Signed) Ditc Building Inspector PLANNING BOARD.. .... • -- DATE Chairman •......• ........ ......•••••......................1,...............*...................... Member Member _ ......... ....-.......----------t-------• ----- Member Member...y.................................................... Member Council Approved - .....- ......... Date Disapproved - - Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires.-- .• ••■•••/*WIWNIIII000 Date NOTE: A charge of $1.00 will be nuide for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will ba charged 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 J 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 regulatipns of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Plumber's Name No Location and Legal Description Lot Bloc1' Street and Number where work is to be performed —No State work to be performea and purpose of building (BY Floors) New Building Remodeling Addition_ Repairs_-----_ Street_ __-. Street--._ S Street No. of Stories.... Size Septic Tank_ _- -- Feet of Drain Tile Nature of. Water Supply: City Well. of Tank eet of Tank or Drain Field from Well Size of Soakage Pit _Capacity Gals. Amount of Permit $___.6) (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige s �� as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perman =' `' upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo ed 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. (Sigma) 62 I if STATE OF FLORIDA, ( as. 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, trponi 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 notices for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SNOWER6 LAVA- TORIP.Sj SINKS SLOP SINKS LAUNDRY TUBS VRt_� CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NB TOTAL FIXTURES CONTR. LIST CHECK SWIM•G POOL SEPTIC TANK SEWER CONN. DRAIN FIELD .SOAKAGE FIT i GREASE' TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM CONTR. LIST I CHECK Size Septic Tank_ _- -- Feet of Drain Tile Nature of. Water Supply: City Well. of Tank eet of Tank or Drain Field from Well Size of Soakage Pit _Capacity Gals. Amount of Permit $___.6) (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblige s �� as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Perman =' `' upplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo ed 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. (Sigma) 62 I if STATE OF FLORIDA, ( as. 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, trponi 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 notices for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No » »... ..»..»..» .. Date.....2&h2, �� 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 regulatlpns of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and clficattons must be kept at building during progress of w,/� -y/ Owner's Name and Address- k:///414424.— work. .. . � . .� .No._ AA/ 71/ .Street- . °� :... Registered Architect and /or En = eer Employing Electrician's Nam No..�l..�!%4j� _.. »Street. L� Location and Legal Description Lot Street and Number where work is to be performed —No Block .Subdivision! .Street.. J State work to be performed and purpose of building (By Floors) ......... _........... .. ................ ....... ».... »....»,.»........._ ,», . ,.,„,,,,._.. „.._... New Building»...». ».... ....... »Remodeling ...... ..... Addition. . Repairs No of Stories. Service ;jade rrggro ad Size Feeders. Conduit... .Main Sw . ................ ».. »._..... Amps........ Fwes. ....... » » »...»....Ampe Type of Installation— Conduit...... ».. ....'lfubing .B.X.L ..Metal Moulding........... .. ». .•••• » „ » », » „ »,,, Amount of Permit $ ---- - - - - -- I r� 1 (Signed) In pe tor. J 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 iduch 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. (Sign t '' fir° S; STATE OF FLORIDA, i COUNTY OF DADE. j as' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take el cknowledgmenta, 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 this same, and that aft facts therein by him stated are true. »....... » »»»»»»». My Commission Pspi ree . ».•. ».......••.•••.... ».••._. eve ∎•..•..•..• ».••.........N •Pub1Ie. State of•Florida••.•...••• NOTE: A re •inspecdon fee of $1.00 will be made when such re inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG Rear•P•T•S DIETER No. RURIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER NEATER W. New CONN. St ACe, FEMUR ! STRIP NEATEN TOTAL CONTR. LIST CHNCR ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. MOTORS as NP MOTORS 1•s NEON TRANS. RADIO TOTAL Cr:. O ® e -. CHECK - -- Service ;jade rrggro ad Size Feeders. Conduit... .Main Sw . ................ ».. »._..... Amps........ Fwes. ....... » » »...»....Ampe Type of Installation— Conduit...... ».. ....'lfubing .B.X.L ..Metal Moulding........... .. ». .•••• » „ » », » „ »,,, Amount of Permit $ ---- - - - - -- I r� 1 (Signed) In pe tor. J 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 iduch 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. (Sign t '' fir° S; STATE OF FLORIDA, i COUNTY OF DADE. j as' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take el cknowledgmenta, 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 this same, and that aft facts therein by him stated are true. »....... » »»»»»»». My Commission Pspi ree . ».•. ».......••.•••.... ».••._. eve ∎•..•..•..• ».••.........N •Pub1Ie. State of•Florida••.•...••• NOTE: A re •inspecdon 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 BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build - ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and ail 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 ptsgress of the work. Date M ti , 8 Owner's Name and Address.. N W.0».»....a�s (...- .u-...� .dam .....» No..:-.11.43............ Street ag .103, ..s-T-.. Registered Architect and /or Engineer...... , ,as „t,. ,ms, ,,s,.t„sss„,m„: sx,msesr.,,.. Name and address of licensed contractor ®`9 �4 1=' 6'1/4-- Location and legal description of lot to be built on: Lot....--..! (c.° .» Block._ ... Subdivision N 1 Ig. L... L/* iK E Street and Number where work is to be done . .43 .._...L: . I --- .....r..»_. State work to be done and purpose of building (by floors )._. .1 .() 1,,,:c.,0 .D Ff. ” E ° 5 r I+ I G H 440/ *........................-and for no other purpose. New Building Remodeling. Addition Repairs' No. of Stories ........... _.... To be constructed of Kind of foundation Estimated Total cost of improvements $ " C. Roof Covering Amount of Permit $.. Zone cubage required._....._ _ ..._ »_.._. »_.._. ».._ ___._.. »._. ..._ plan Cubage Distance to next nearest building _Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted 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. l e Remarks...— (Signed) STATE OF FLORIDA, t COUNTY OF DADE. J ss• Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No O �` Date "`' ' cad, Sworn to and Subscribed before nte. Disapproved . _ Data Notary Public, State of Florida (Signed) — _. _ -'.. ..' _ Building I pector My Commission Expires PLANN C BOARD.. __ . DATE Chairman_..__..»»» »...... ».. ».» ....._.» . »» Member »» .. ». Member Member Member Member Council Approved.._.. _...... »... _ _._.._ Date Disapproved _.. _. »._. _. ». Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Printed: 1/31 /2003 Building Permit Permit Number: BP2003 -167 Applicant: HILDA Owner: HODGE JOB ADDRESS: 443 NE 103 Contractor Local Phone: Parcel # 1122310150160 HODGE HILDA ST Contractor's Address: Legal Description: MIRROR LAKE SUB PB 56 -15 LOT 16 LOT SIZE 75.000 X 110 OR 19602 -2762 Fees: FEE2003 -650 FEE2003 -651 FEE2003 -652 Description Building Permit Application Fee CCF Notary Fee Total Fees: Amount $60.00 $0.60 $5.00 $65.60 Total Fees: $65.60 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 7/30/2003 Construction Value: $500.00 • 13a/rk ofArile caAdvanitage HILDA E. HODGE 04-98 IVORLEE ELROY ILES 305 =759 -4542 443 N.E. 103ST MIAMI, FL 33138 Pay 1183 83- 27/631 Fl. 990 4 ii BankofAm ACH Rif 083100277 Memo 406 3 L00 27 71: 00 34 309 59 L0011' 11,83 N, Signed: -! c/L Lela_ (Contractor or Builder) Odds to beak ar fy, there will be no inspections. Re- inspection on. equipment or device described in the application herefor in strict compliance with all th any plans, drawings, statements or specifications that may have been submitted to tot done in compliance with such ordinances or if the plans are changed without x or builder named above assumes the responsibility for a thorough knowledge of the s or in the statements or specifications and that he assumes responsibility for work done BY: ompliance with all ordinances and regulations pertaining thereto and in strict conformity Village. In accepting this permit I assume responisibility for all work done by either BY: CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for purposes of re- occupancy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such property maybe re- occupied by the above applicant for single- family residential purposes. MIAMI SHORE VII, E, FLORIDA By. Date of Certification: 4 / 04 / 01 THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE - FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. PAGE 2 OF 2 APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY i �IV � , hereby apply for a .certificate:.., to re- occupy the single family residence known as (address) .443 to3ST Legal Description: , Miami Shores, Florida. Lot: Block PB & PG: I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that maybe issued by Miami Shores Village, certifies only that the referenced property is bein used for single - family purposes and that such Certificate does not constitute any represent ion, warranty or certification as to the condition of the dwelling or other structur- on such p •pe Applicant Print Name 41( Date ' /D *********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of th Miami Shores hand Development and Zoning Code, please contact: Ili. PDS ►-T- Contact Name: 0C-'k_C/ Telephone: 3O —iS'% C� Buyer Seller Realtor Company Name D V Application Fee ($50) paid: Cash Check No. IczC% Inspected by: Charl A s Esher Approved x Denied Date 004/01 Comments: PAGE 1 OF 2 MIAMI $UQRES VIL1LAGE Paint kpproval and Agreement ... DATE "7 3 • OWNER'S NAME, ids ,tom • t •t S• PHONE: ,5 7 9 4 •'�i-3S ADDRESS: ` 4 --3 j j C .S /-i ,94l i S di24S ci-s-3)3,9 * * * * ** * ***** ** '* . 4 00%%* **** * * *** * ** **** * * * * ** * * * * *.**** * ** ••• • ADDRESS OF S AO ,►/Q7/ �? CONTRACTOR & LICENSE (if applicable) –"I — COMPANY NAME: — PHONE: **************************************************************** All Elements on the site must be listed and indicate t e color to be painted. C-11 ►.4D5P Walls Fascia Drip Cap/Drip Ed Soffit Roof Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences 944)1.4,947.-b. -- Sem Decorative Meta h;- All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other ttf.& CJq i r; d �P PM !NAT n/A r N�4 . 14)14 ere, W A- Si Dt.S Pvi "» 1- 71vnr"11 1 Aid pt_c. PIA P 33° 1414 /1/A n/ /JA Qaili suasWnN HSIM saZaWKS HOMO OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all appli able laws regulating constructi and zo, ing. I authorize the above -named contractor, if applicable, to do the - % k state • urthermore , the paint colors will be as per the attached yam•4.. 4j441 0,5 1/711 gnature of t weer Date Signature of Contractor Date APPROVED: ae Building Official // 31/63 Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 4 r'' lo- Sv ••. • • • ••• • • • •• •• • • • •• •• • • • • • • • • • • • • • ••• • • • • • • • • • • • • •.• • • • • ••• • • • ••• • • ••• • • •• • • • •• • • • • •.. '• • • • • ••. ••• • . • • • • • • • • • • • • • • • ••• •• ••• •• • • • •• • • • • • , • • • • ••••••• • •• •• CERT f ICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLO$DA BUILDING DIVISION II ° 1733 i Owner, Age Miami Shores Village, t or Tenant of Buil Jo, 4 *;, ' Street Addess me by occu Remarks= This Certificate of Occupancy is issued to the above name for building at above 11 named location only upon the express pr m vision that the dap , nt will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97,Pkno a as the Zoning, Electrical, Plumbing and Building Ordinances of Mia Shores Villag pe . ing to the erection, construction, alteration or re yodeling of build -.gs or structure;. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1/31 /2003 Building Permit Permit Number: BP2003 -167 Page 1 of 1 Applicant: HILDA Owner: HODGE JOB ADDRESS: 443 Contractor Local Phone: Parcel # 1122310150160 NE 103 HODGE HILDA ST Contractor's Address: Legal Description: MIRROR -LAKE SUB PB 56 -15 LOT 16 LOT SIZE 75.000 X 110 OR 19602 -2762 Fees: FEE2003 -650 FEE2003 -651 FEE2003 -652 Description Building Permit Application Fee CCF Notary Fee Total Fees: Amount $60.00 $0.60 $5.00 $65.60 Total Fees: $65.60 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 7/30/2003 Construction Value: $500.00 Work: DRIP EDGE & FASCIA WOOD REPAIR If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. fee is $50.00, which must be paid in advance before calling for This Permit is granted to the contractor or builder named above to construct the b1 ordinances pertaining thereto and with the understanding that the work will be perfon and approved by the proper municipal authorities. This Permit may be revoked at ar authorization. A further condition upon which this permit is granted is the understan ordinances and regulations pertaining to the work covered hereby whether shown or by his agents, sery y►rjtsAr employe Signed; tG (INSPECTOR) ' pem t I agree lb Pertorm ete w r t o :Q `.& Sawv> , gaMen@ettS or S;eaf cataon3 SutintaXS ED the POPel misett, my agent. servants or.®mpdoyes Re- inspection . Bonk of A ll er/ca Advantage "y HILDA E. HODGE 04-98 IVORLEE ELROY ILES 305 - 759.4542 443 N.E. 103ST MIAMI, FL 33138 1183 63- 27/831 a BankofAm ri' a® _ ACH 1i/r 003100277 Memo 1:06 3 100 2 7 71: 003430959 i00 Z &133 () rLe, r VVc( \I 4-C &&tns ( FCC 5 -b If\ Cel P ULTRA PURE WHITE 4050 u (4ezitlegav Date/ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE rJ ./ ((( ob Address -1/0 /d3 4 Legal Description Owner / Lessee / Tenant Owner's Address Contracting Co. Qualifier l44 -77 61 State #/ dd� 7-5Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Tax Folio`l puN--/ 5-©/w 2 41 fj; Master Permit 4is.55 33'31 Phone Z2 /111 Address Phone 9f Permit Type(circle one): BUILDING :,ECTR 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 accura a and that all work will be a in compliance with all applicable laws regulating construction a zpning. 'ur h re, I autli4e the above -named contractor to do the work stated. Sign ture4 ,* er aU ,W - President Date: "; JULIO ROBLES My (tm scion Expires 406,14, 1996 finer W /or°' ando 9President Notary as* My Commission Expires: ** * FEES: PERMIT 14 RADON C.C.F. APPROVED: Signatuz Date: Notary as 10 ROBLE mission pires , 1996 CC 205953 to Contractor or Owner- Builder Builder My Commission Expires: * ** NOTARY TOTAL DUE *5'Q Fire Other Zoning Building Electrical _.� Mechanical Plumbing Engineering • • • • • • • • ••• • • • • • • • • • • • • • • • • • ••••••• • •••• • .• • • •• • • • • • • • • • • • • • • • ••• • PERMIT APPLICATION • ••• Master Permit No. •• • • Subsidiary Permit No. •••• INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit applicoi. wkici be must signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a move accaiiurate processing o'f your%pplication. If roofing work will be done, a roofing application must be submit- ted along with this permit apphcat• ro4 • • • • • • • • • • Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job ddress: Address Folio Number Lot ,JE /43'"' Atat Block City escription of Work State Zip �'?C'1f��C Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property alue of Work il. I O ^ Bldg Value Tenant Information t Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building License No. Electrical Telephone Mechanical Home Telephone ?,,,,ts„„ 75? , 4Z S,r 2 Plumbing Business Telephone 6 $ - /411v . 5750 iv LPGX Qualifier Name Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax /PROPERTY OWNER 7/ Az�)�a. / 4/ \aame / Enclosure " A dress _ l „ je 'c a s •/; if4VV /�Y .0' ,4 334313 Home Telephone ?,,,,ts„„ 75? , 4Z S,r 2 Repair Business Telephone 6 $ - /411v . 5750 iv Fax TYPE OF MANAGEMENT (✓) _ New Construction License No. Enclosure Telephone Alteration Exterior Address Repair Telephone Alteration Interior Qualifier Name Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'! Detachment Other ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 • • • • ••• • • •.. • • • • • • • • • . . . ••• • • •.. • • • • PERMIT APPLICATION IMPORTANT NOTICES • 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR•Yfl'LIf ?ED PteIr? AND PE4INIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN•IiIEAT.ADlD SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FRAM DIY'T ASID:DIBI•IS: •: • • 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPi;{ENT V$T4CI••E4 AEIID:MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. • • ••• • • • • • • • 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Stre- , I" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance +� Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing ntracto . SEAL: Personally known "0 Angela M Becker My Commission DD150048 ,w o, Expires November 15, 2006 OR, Produced Identification STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: Personally known OR, Produced Identification Type of Identification Produced: 7,.-) 2 eD -41 D©` 1 ) Type of Identification Produced: • • • • • • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • .• • • • • • • •.. • • • • •• • Master Permit No. 0 - i Lel / • _ ,.,... regrret 1; o. • •• • PERMIT APPLICATION • • • .. • • • • • • • • • • INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step I. Complete the attached permit application which must be siggad by she property owaarand qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your appy ;ati'pn. :Ifio4firrg.workowill be done, a roofing application must be submit- ted along with this permit application. • • • • • • • • • • •• • • • • • ••• •• Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Address 1:).44.\.S4— ;Am: �ta.VR�'S , fir" �- 33 t 3� Apt. Folio Number. Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other City description of Work DA3 Zoning State Zip 1,4;p r A Linear Feet Square Feet Units Floors i)kue of Work T Assessed/Appraised Value Flood Zone Base Floor Elev. Bldg Value PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax .PROSE LT �1�G6 $ i 1 /a4 E..€ N et L. Enclosure Addrss , / 10- M 1 A*v`'l S N ogi... ► ,'LA _ Home % T13 . .., . �S�A Repair Business Telephone 9 5-44 . . 41 « . S 7 SZ: Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction License No. Enclosure Telephone Alteration Exterior Address Repair Telephone Alteration Interior Qualifier Name Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 • •• •• • • • •• •• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • PERMIT APPLICATION IMPORTANT NOTICES • 1. DO NOT BEGIN ANY WORK WITHOUT Hi1VINt3 RECCI \EI= YQUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF EONSWRUCTION are4imited ttP Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES $HAYZ, $E•cEP.1•TRIE CRd1CI.DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BONG 114. AQCD$Y.EQL11:13IvLENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewallr. • • • • • • • • •• ••• • • • • • •• 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, P1 Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with S =:tion 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Co - or. ST O' A, COU O IP AI MIAMI -DADE ature of Owner 7140 Print Name Sworn to and subscribed before me thi _ day of Arlby dp, , gnature SEAL: Notary is to e o Florida s AMY n9 e‘aco M �p0160 4S : . stes No 16, 2°°6 Personally known OR, Produced Identification STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: Personally known OR, Produced Identification Type of Identification Producedr2. ))�- RQ' /Z) • 4p-, a j t+19pe of Identification Produced: Page 3 .• •• • • • •• •• • • • • • • • • • • • • • • ... • • • • • • • • • • • • • .. • ••••••• • •••• • ••• • • ..• -• • • • • ..• PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being petforixted aiecidadtit}1'Cies) in the space provided below. •.. • • • ELECTRICAL TYPE QTY. TYPE Dryer QTY. • TYPE 0 Outkt,•Aephance • QTY. TYPE Service Repair QTY. Minimum Fee A/C Central 1 -3 Ton Fan • • • Outlet, Well* • • • • • Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton - Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent - Pressure Vessel Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. Minimum Fee A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of - Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of - Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of - Pressure Vessel - - -� PLUMBING TYPE QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. A/C Condensate Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY • .. .. • • • .. .. • • • • • • • • • • • • • ...• • • • • • • • • • • • .... • • .. • • • PERMIT APPLICATION CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) • • • 14.PRO.O1 OF OWNERSHIP (Attach) .. •.. .. • • • •• . b U S/ D1 l%1 /PPRO AL • �+Septtc /.Sewer)• • • .. .. • . • . .• ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan. Dade County (C.C.F.) $ Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary 6 $ 5,00 (sq.ft. = x/1000 (¢.005 /sq.ft.) (¢.01 /sq.ft.) TOTAL 6S, ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: SECTION BY DATE Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official /02 CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Page 3 • ••• • • • • ••• • • • • • • • • • ••• • • • • •.• • • • . • .•• • •• • • • • ••• • • • • • • • • PERMIT APPLICATION INSTRUCTIONS: Please indicagjhe t'p; Of,Tvork'l ingxerformed and quantity(ies) in the space provided below. ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer • • • • • • • • Q 1 Y. • .. TYPE Outlet, Appliance QTY. 1'1I'E Service Repair QTY. A/C Central 1 -3 Ton Vent Hood, Cost Fan A/C Wall/Win. Tons Outlet, Wall . Service, Temporary Ventilation, Cost A/C Central 4 -7 Ton Air Handler, Tons Fire Pump Ductwork, Cost of Outlet, Switch Periodic Inspections Signs Barbecue A/C Central 8 -15 Ton Fire Sprinkler System Fixture - Fluorescent Oven Bath Fan - Vented, # Space Heater (kw) Fireplaces, Number of A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE QTY. TYPE Condensate Drain Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons TYPE Soakage Pit Cooling Tower - Heating Strips, each Vent Hood, Cost Drinking Fountain A/C Wall/Win. Tons Miscellaneous Repairs Dryer Vents, Number of - Paint Booth Ventilation, Cost Bidet Air Handler, Tons Filter Replace Ductwork, Cost of - Piping, Flanunable Liquid Periodic Inspections Sprinkler Repair Barbecue Cap - Fixture Fire Sprinkler System Process/Pressure Piping Pump and Abandon Bath Fan - Vented, # Sprinkler System Fireplaces, Number of Pressure Vessel Gas - Appliance PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Trains, Floor Minimum Fee Shower Water Service ains, French Miscellaneous Equipment Sink Well, Supply VED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY • • • • • •. • • • • ••. • •• • • • • • •• • • • • • • • • • • • • • • • • • • • ••• • • • • •• • PERMIT APPLICATION CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ PROOF OF OWNERSHIP (Attach) •• ••• • • ••• ❑ CONDO ASSOCIATION APPROVAL (Attach) • • • • • • • • • ❑ HRS / DERM APPIOVAL ; • •; ;❑;1'$ APPROVAL (Restaurants) (Septic / Sewer) •' ' •' • • ❑ IMPACT FEE (New Construction) ❑ OTHER ❑ OTHER (Specify & Attach) (Specify & Attach) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond $ Metropolitan Dade County (C.C.F.) $ I , �� 0 Inspector State Educational Fund $ (¢.005 /sq.ft.) State DCA (Radon) $ (¢.01 /sq.ft.) Code Enforcement Fine $ Zoning Review Notary ( x sq.ft. = 60) x/1000 TOTAL $ (d ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: SECTION BY DATE Zoning f ;. 3i' Electrical 1 Mechanical Plumbing Fire Public Works Structural Building Official CONDITION OF APPROVAL Revised J 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 •http://www.miamishoresvillag. BUILDING ELECTRICAL PLUMBING ROOFING Owner Buildin Archite Contra or Buil Legal Descri Addres Buildin MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N? 15976 Work to be performed under this Permit DATE 195 Contractor's License No. of j ct :tor ier tion. Lot II M. Subdi- vision s of Value of Project $ !1 � 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. 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 MIAMI SHORES VILLAGE, FLORIDA a PERMIT N? 14341 DATE 195 Contractor's License No. ROOFING ❑ Work to be performed under this Permit Owner of A _ w , Building ?1 •r, ,; �, �� # Architect Contractor or Builder Legal Lot II Bl. Subdi- Description. .,, vision Address of Building Value of l`..:ar... Project $ te 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 anged without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes e responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dr, > i o • 'n the stag e + :.pr spe fi : tions and that he assumes responsibility for work done by his agents, servants or employees. ar Signed: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all' ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING 6 ELECTRICAL ❑ PERMIT N° 14 317 PLUMBING ❑ ROOFING ❑ Work to be performed under this Permit Owner of Building DATE 195 Contractor's License No Architect Contractor , _ Y "`aA ,; .,..0 or Builder Legal Lot II M.-, ' Subdi- Description. f L vision Address of Value of Building .. k `! Project $ 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. Amt. of Permit $ 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. (1,4 CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N? 14871 DATE 195 ❑ Contractor's License No. Work to be performed under this Permit Architect Contractor or Builder Legal Lot II gl 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. 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 Signed 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 UILDING ELECTRICAL PLUMBING ROOFING Owner Buildin Archite Contrac or Build Legal Descript Addrese Buildinc MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N? 14834 Work to be performed under this Permit DATE 195 Contractor's License No Df r a for er ion, Lot II Bl, Subdi- vision of Value of Project $ J —� 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. 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 Buildin Archite Contrac or Build Legal Descrip Addres Buildin MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N9 15755 ❑ Work to be performed under this Permit DATE 195 Contractor's License No. Df for er Lot I II Bt, 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 195 ELECTRICAL ❑ PERMIT N? 15761 Contractor's PLUMBING ❑ License No. ROOFING ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot V Description f?' k Address of Building Subdi- vision Value of Project $ 9O Amt. of Permit $ This permit is granted to the contractor or builder named above to onstruct 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 Building )40 �Iif2 MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 15782 DATE 195 o- Contractor's License No. ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Description. Address of Buildin .t me tea Lot Subdi- vision Value of Project $ Amt. of Permit $ This permit is granted to the contractor or builder named above toconstruct 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 be 1041we.s responsibility for work done by his agents, servants or employees. a Signed: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all o pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER finances and regulations Miami Shores Village. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING E ❑ C MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 7818 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Description B1 DATE 19 Contractor's License No. Subdi- vision Address of Value of 1 Amount of Building Project $ 1 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. r CONTRACTOR OR BUILDER !(� BY AUTHORITY ABBOT DING ❑ ::TRICAL ❑ MBING ❑ >FING ❑ CI ?r of ng MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 2807 DATE 195 Contractor's License No. Work to be performed under this Permit tect actor ilder Lot iption ?ss of ng Bl. Subdi- vision Value of Project $ Amount 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 • in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, gs, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any 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 i is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ing 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 y 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 ing thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- t this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER °`" BY AUTHORITY 6 BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 5081 DATE • 19 Contractor's License No. Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Lot Bl Subdi- vision 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 ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ABBOT "`Yi a"'