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941 NE 91 Terr (6)• MIAMI SHORES VILLAGE BUILDING DEPARTMENT s 305- 795 -2204 /?'� Building Inspection Request vi Date \\ \ `GS Type Insp'n Permit No. Name Correction Re- Insp'n Fee >S X33 ( r.1(7 Address Company CGS Phone # \ 5 3� CO Inspecton Date _\ \ U l �5 /tr- Fa /U,' 3 0 al O er- 1‘41e- 6 ve MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buil.ing Inspection Request Date 5 � ��� � e � �r' 1 d. C CL Type Insp'n �:-, � Permit No. BPC 5 Address C AI I NE, q / �✓ Company ' th Name Phone # Inspection Date Correction Re- Insp'n Fee BUILDING PERMIT APPLICATION_ FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address q (41. NE_ City M• 3ho( Tenant/Lessee Name City ) I e off, ulA State Job Address (where the work is being done) `1 4 ( N G. q t TO( races City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO ✓ Contractor's Company Name Pada) n r i c- Contractor's Address 2-(o4 p 2 Lk s1 r Qualifier R Ot ?c I' 5112 p arc� State Certificate or Registration No. Ce3C 1 5(4 1 Architect/Engineer's Name (if applicable) t- ) 1°1. $ Value of Work For this Permit Type of Work: Describe Work: 4P- at SO Total Fee Now Due 5 (Continued on opposite side) /► Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 '.2%041111•?: (305) 756.8972 tli.R ? 4 £.. r , Electrical Plumbing Mechanical Roofing M eY1 c_ Phone # 3/ — 1 3 31 `t g G t Talc( a csz. EI. State (• Zip 330t (o 1 )- 1 800 cj:) ['Addition [Alteration ['New Zoning Structural Plan Review. $ Permit No. 5r 6)5 3 Master Permit No. Zip Phone # 1 +Pi 3r irk Di 1/4/ CwaA3 d, uxl I K. Phone # 513 - % 000 Certificate of Competency No. Phone # Square Footage Of Work: `'I CO ❑ Repair /Replace * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ ,9D CO Permit Fee $ / S Notary $ Training/Education Fee $ 1 Scanning $ I�•� Radon $ Code Enforcement $ CCF $ i; Technology Fee $ 3'c Bond $ o j CO /CC ❑ Demolition Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) N A Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20,by , day of ,20_,by VG dav"f " S k ep� AO who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Ma 2 8 S25 APPLICATION APPROVED BY: / Plans Examiner Chc 05/13/03 Engineer Zoning CONTRACTOR Name PA r) Q mot iix ___ License No. G 9 C I� -^ is , 3 4 / Address Z 6 y , i - y % M- A le,A 1, cl p 3 3 D Telephone. 4,......37 / 600 Fax 7�6'_ � -1 r z O Qualifier Name f o r / �� 44 . c ) en .4 4...4 PROPERTY OWNER New Construction / Q � Name . /19 /77 % �1f.5 Alteration Exterior Address �' /� / T/ ,v . 9 f'fr,'L d4/7, �`!cs/t 'S / , Repair Home Telephone Demolish Business Telephone 793- 3/ 47 6 /�� Gov / /�� 3 Fax Foundation Only TYPE OF MANAGEMENT (✓ ) New Construction / Enclosure Alteration Exterior ✓ Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $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 ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE (s Q . x/1000 x (¢.005 /sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) Cl CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING OFFICIAL DATE: 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 INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will 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 Job Address: Address Folio Number Description of Work 6.47 0 YCL ew X Lot Block / L VV....- VK I Subdivision g MCP(' k. A PB 3 �1 PG �/ Zoning Linear Feet Current Use of Property Square Feet 900 Units Floors Proposed Use of Property a e Nbc ''. Value of Work Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Pr. k.) r 9 '/ N E 9 � t (z- Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. )-11 PA S City State PERMIT APPLICATION Zip Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax ELECTRICAL TYI'F: Minimum Fee QTY. TYPE Dryer QTY. TYPE. Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan. Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot 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 Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. 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 Air Handler, Tons _ Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet 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 Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. 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, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STAT Signa . e of Owner FLORIDA, COU ► Y OF MIAMI -DADE Signature of Notary Public - State of Florida SEAL: • 111 ° M. C. PADRON MY COMMISSION # DD 055049 EXPIRES: September 30, 2005 Bonded Thru Budget Notary Services it II �9r Personally known OR, Produced Identification Type of Identification Produced: STAT NTY OF MIAMI -DADE Signat Contractor / Qualifier e,tr PA Shep &t vt-o u ssek ' 5 • 'n Name Print Name /J Sworn to Id—subscribed before me this Zv day of lw"" ` — Sworn to a cribed before me this day of PA v SEAL: Signature of Notary Public - State of Florida Personally known PERMIT APPLICATION i � o1 P0.Y P!/B� M. C. PADRON * -� * MY COMMISSION # DD 055049 Ti EXPIRES: September 30, 2005 11 On ,,:77 Bonded Thru Budget Notary Services te r. Type of Identification Produced: Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: requests permission to install: within the public road right of way of M iami -Ch.oreo 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (3051_756-8972 �i COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY /� WHEREAS, a� • - /mot g S , hereinafter referred to as the Owner of the (owner) following described property: Legal description/folio #: Lot Block ( Subdivision Tax Folio #: 1S [ ] Asphalt, concrete brick pavers [ ] Landscaping [ ] Other �' Cr / 7"e,2 4 A e_ -e._ (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: SIGNED, SEALED AND DELIVERED in the presence of: o�pPY •!%00 pRtv�� • 6PPecricr} I . To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida by the Village Manager of Miami Shores Village (or his fully authorized representative). SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this 0 day of P14 , --a — t M. C. PADRON MY COMMISSION # DD 055049 EXPIRES: September 30, 2005 , Bonded Thru Budget Notary Services 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, V m 011/4 e , does hereby attest that the roperty owner) attached survey, performed by ti- t � L �- �- D-2 / �-- (name of surveyor's company) performed on (it d 3 , is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. A. e 1i Witness(sign and print) S Iwr� Vi��ccc�e SWORN AND SUBSCRIBED before me this b day of 0✓( (�`��� J Jo Affiant is p ally known to me, produced as identification. Notary * = XPIFIES: Septotabor 30, 2006 4. F ,00 Bonded Thru Budget Notary Serk M. C. PADRON Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/7/2005 Applicant: DENISE CATE Owner: CATE DENISE JOB ADDRESS: 941 NE 91 TERR Contractor PADRON BRICK SALES INC Local Phone: 305 - 378 -1000 Parcel # 1132060030050 Signed: (INSPECTOR) Building Permit Permit Number: BP2005 -433 Contractor's Address: 2648 WEST 48 STREET Permit Status: APPROVED Permit Expiration: 9/20/2005 Construction Value: $4,800.00 Work: DRIVEAWAY Page 1 of 1 o Legal Description: PL OF BISCAYNE RIDGE PB 39-41 LOT 6 & E22FT LOT 7 & W3FT LOT 5 Fees: Description Amount FEE2005 -4516 Building Fee $125.00 FEE2005 -4517 CCF $3.00 FEE2005 -4518 Notary Fee $5.00 FEE2005 -4519 Training and Education Fee $1.00 FEE2005 -4520 Technology Fee $3.12 FEE2005 -4521 Builders Bond $300.00 FEE2005 -4522 Submittal Fee ($50.00) Total Fees: $387.12 Total Fees: $387.12 Total Receipts: $0.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: e 1/ F0%) / c•-• , It PLAN OF SURVEY _ I0 Q '0 ' / 2 e. - 7 00 7 —= ;:c• 5 5. Zr 9 =•\1 I , :1 ‘--• 0 r• o c 07, — A — • ••••■. , — 7;7. V) ••0 r 0 1 0 14.15' n) co 4 .33 • :3 VLL k N -r 1.1 3 Ao,proved SCALE I" 1 2 0' c.` • •1 ' MIAMI SHORESVILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statv,.sent ui Inc 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 dust. ling 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 /2 .19% . Street .F . Owner's Name and Address . . .. .. R�- iC�.L.`? . `. _ . 2. Registered Architect and /or Engineer ,.,,, „.. ,, Name and address of licensed contractor � ",A.La &,//) / 5 th ,,: LLf a.2- 7 - ii- 14 F! t> - cr Location and de cri'ptio'1 s t o Q_be built on: 1 Z• ii C NO. 6 i 3:2,06 11 0 C✓ - /l n `- Lot ” df'�` liloci ./ Subdivision. PL E ' ) sL° ti ts 1 i I3 J4) Street and Number where work is to be done.... �Pii.,/ i Ni-- : ` 11 . .(R.0- . " State work w be done and purpose of building (by floors) . f?7 'lm9 2_L New Bui!ding Remodeling Addition To be constructed of Estimated Total cost of improvements $ `�' Amount of Permit 1..... _. / Zone cubage required _Plan Cubage ... Distance.to next nearest building _....Size of Building Lot Maxiununs 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 secepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section SrJGG, Compiled General Laws of F arida, Prominent Supplement, anti has complied with the provisions thereof, and will require similar compliance from all contractors or su contractors employed by bins in tl:c work to be performed under this permit; and will post or cause to be posted for inspection on thp'si of the we* such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontiectors,, op ' be performed under this permit. as are licensed by Miami Shores Village. Rern.uks..._ (Signed) Dom- °T/ ...._....... »._ _ ._. ...__..._..._ and for no other purpose. Repairs No. of Stories _ Kind of foundation Roof Covering . ........ ....._..M STATE OF .FLORIDA, COUNTY OF DADE. i ss • Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally ap- peared ....... to me well known, and who. being by me first duly sworn, upon oath deposes and says that he is the. ,. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are Permit Date / 2--. _ Read, Sworn to and Subscribed before me. Disapproved _ Date. � �0 Ist, 1F ' Notary Public. State of Florida ( Signed) �` p► Building Inspector My Commiuion Expires PLAN/NINC BOARD..._ _._.._ ... -DATE Cisair:nan ... .... -- 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 Plannir.;; Board. A rt.-inspection ice of 51.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials anu /or workmanship. 7 f • ,‘. •• • • • . , • .• . t L•••ApOl•-.. • •s4. e • " ..j% ft .\ 7 at ' , • • . « • 1 P • )'.'• :5. • N • • .. • SKETCH OF SURVEY • 9 g i • • / / ' 8 a — 4 7 c N • t ----707 /e 41 7.7 ' h. Z7. 4 • • A re ,< 4/ % :\ ./."1/%,• /We $//D _ • .s .5 i.::-..:,--'4. y,/T ' , N-; • N - . At • ■ 4 •ii . lit ... J .1 ! V. .? 7. A. 4.6" • et ' . I 1 I t • . 714.. .r..1 1 1 tte 11 I ; ; ; u c; t ; .// • ji 4 • • 1 ; tr4 1 PJ : • ir am. 1 . -... • ! c " . • i i i ., Jr . i ..r.ro..../04.CLe'• ,1 I ... . i ;7, ,r.: z' ", I .1 1 , • 7,a• ef • 'Z'i c.:c■,762 /..5 .--- X -c.',•" io,./ C 1 ) .t.. • Vic . • N SCALE: 1' • 7 f..) • • • • • • 1 - 1ev• - NoJ o giTh ,61 lo MIAMI SHORES VILLAGE PERMIT No. Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at by >.y Address for owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range watts. Water Heater watts Power: Connected load H P. Space Heaters watts Other Apparatus ELECTRICAL INSPECTOR. IA a ■ ! ' r ' - • ' V'�'� PAID BY Ill A N . �: YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER o51 tkle 1 Vms. 1940 Andrew L. Roch.n 1941 To 12/31/41 2.50 t ° v 10/7/41 I - 077- S< 129 04 { 3 S © a �' 1942 .<. _�. / . � ��. � ��-ILA/ 1943 /D' 0 a ---1�/ `i� ,2 a7 .3 j -i /1� / ,7 (Ck �� • / - "' _. �� 1944 a/. / . , ' / 1945 / ` b �T'� / l ' /A1 Vii{ 6 4 1`-7 C SY 3 L -t_- W��S /P L C:el9. i 1946 /U. t e /. -.j_ _ __ /�. — -41r�� e/ « 1947 / 7i . //27 /- 1- - 17 1948 1949 i..• CIO �� /= -� ` i - 4 / i r ,2 5/- 00 '' ,, /' - '7 f f' /:l ' 7 1 /19 'rC i i /i �� - a 9 „ e, - / 1950 '' 13 - 3' — So �, _/- a f 5 icao Vg. LOCATION , /_ 941 N.E. 91st Terrace / �. f ' GARBAGE TAX RECORD 941 N.. E. 91st Terrace By Year Annual Tax A. L. Rodhon // _ • .‘ 2 /7_17,4_4' - Period Used AmdiOnt Paid Date Paid 0 0 /07- ,?/- 1/47 Jo - LC/ Receipt # //W7 , CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N? 834 Miami Shores Village, Florida, 71.2-5-5; Owner, Agent or Tenant of Building -' et' 1 • oci:o Lot ? 2 ' 7 an 5 Block Subdivision 13is ceyne ] Ld ; e 30' 5 Street Address c :4-1 - • 91st Tarr Approved use by occupancy Convert Farr ^'o into ' ivin,-; T2t:rters Remarks • This Certificate of Occupancy is issued to the above named 01.r for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. ?_R11 Cube 1760 BUILDING DIVISION Owner of Building IX r t Architect Contractor or Builder Legal Description Lot, L MIAMI SHORES VILLAGE. FLORIDA �t7 BUILDING ELECTRICAL ❑ DTE f 5�.. ❑ PERMIT N? �'��. PLUMBING Cdntrdctor s ROOFING ❑ I:lcensq No ; ! � { 7 Address of Building i. 1 1 CONTRACTOR OR BUILDER /„ BlL . (1c e i� II Work to be performed under this Permit _ e$ • 44.1 t ; , , Subdi- vision IC:. 47( t , ( Sq. Ft Value of f Project $ <,; " Amt. of Permit $ ea,) BY AUTHORITY 195 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. . Signed: t S . r ..a :. sy INSPECTOR. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordi s ces 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. 17 OWNER'S NAME 4 r,,C; e c..J / �C o�N 0 A PRESENT S T ADDDRES / I ¢" 4/. ` • 7 /s , e�• LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) s ki ms , -7 LOT -f 22 '.,T, „ ` BLOCK �i. op r SUBDIVISION / ,o'.mat AO ep. GENERAL CONTRACTOR ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. 0 I DATE / -S r PERMIT FEE $ BUILDER'S BOND NO. --- DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE /7 G O CU. FT. ..o EST. COST S ■S70C ' ��y� , r� - �� DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: • /� /�/•- p 'e I DATZ i 9 � Z�l s NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION I INTERIOR CONSTRUCTION REPAIRS DESCRIPTION C YIe�b l Aii-,) 4 ✓[ 4 L / c-°°', eS" , - ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGF. COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO ' .:.. 3- 14 " ISSUED s BY TOE 9 2 e--L., --(?p C I �� w- BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY F OUNDATION $ SEPTIC TANK ROOF TEMPORARY SERVICE $ BEAMS & LINTELS $ TUB & TOP OUT POOL SOLAR HEATER $ FRAMING $ GAS AIR COND. MOTORS $ FINAL $ FIXTURES CLEAN UP SEPTIC TANK $ SLAB S FIXTURES & FINAL SLAB I SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE RE- INSPECT BY $ SEPTIC TANK FEE TEMPORARY SERVICE $ SEWER $ TUB & TOP OUT $ SOLAR HEATER $ RANGE CONN. $ GAS SEWER MOTORS $ $ FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE $ TUB & TOP OUT H. W. HEATER CONN $ RANGE CONN. SEWER MOTORS $ FIXTURES SEPTIC TANK $ S FIXTURES & FINAL SOLAR HEATER FIXTURES GAS CONTRACTOR PHONE PERMIT NO. I DATE FEE $ NEW BLDG. I ALTFRATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. H. W. HEATER CONN $ RANGE CONN. $ MOTORS $ FIXTURES $ S INSPECTIONS DATE BY RE- INSPECTI BY RE- INSPECT BY TFMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL CONTRACTOR PERMIT NO. NEW BLDG. BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS I DATE 1 ALTERATION 1 ADDITION PHONE FEE $ REPAIRS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. / Date ���`� , 19 'f 1-- Owner's Name and Address i1 CL Y e W / / , l/....c._ d kl N 9 9 s T �� f l� �I Street l _ •P R egistered Architect and /or Engineer.. Name and address of licensed contractor L<>. _k Location and legal description oo to be built on: Lot_�Z i - 7-/I //G `a f . S r si ion_.. Street and Number where work is to be done 9- 1-(Il - l%_ _: /_ / / — State work to be done and urpose of building (by floors r 4 ;� e �' gar-a 0 � � j v B , . � A t a e lc o « I- 1. rF / � ac e w_i a o us woh da�,f ••�,r'p �� (e f or. p4Nr & edir - -"' el_!ll e©� e. , r.Z (; (--- b- " / :1. lal14 f r no other purpose. New Building Remodeling Addition Repairs No. Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $...,....3$5 % Amount of Permit $ N {_ 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 (J r The undersigned applicant for this building pennit 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks • (Signed) -- STATE OF FLORIDA, COUNTY OF DADE. J 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 Date ' t ° Read, Sworn to and Subscribed before me. Disapproved ( Notary Public, State of Florida ( Signed) - -- �_-� Building Inspector My Commission Expires Z PLANNING BOARD DATE Chairman Member Member Member Member ....... Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.M0 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. • / .‘ -( 77 t • ‘ti , . . \ . , /9," 77° rerit-Cd .'"--' i e---- ' ...-:,..... :6............. ' et -4r ( • ) • 7 I ' i 0 5 5A0 r 4' • - 7 ; 3,1,j • 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 regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Registered Architect and /or E gineer " L` Y ` ;� �^► to -' r Name and address of licensed contractor / / � Location and legal ' descriptio of�lot w built on: Lot F2 .. l ' _ b _ 5� Block__L_ Subdivision Street and Nu ber where work is to be done doe / State work to be done and purpose of building (by floors) r Permit No Date Disapproved Date (Signed) Date ; "_ ______ 19 ' r 0 Street_.P_f E f r r _ __ ________ _ ---_______ ______________ —___and for no other purpose. New Building !________ —_ A° emodeling__________________ Addition Repairs No. of Stories To be constructed of__c • ' _. Kind of foundation • _____�__________________ Roof Covering_ Estimated Total cost of improvements $ rT"e+r _A mount of Permit $___ - Zone cubage required_... /' .J j '-r ° Plan Cubage.2 A.1 Li Distance to next nearest building Size of Building Lot 71 / ' i.1 Maximum live load to be borne by each floor I hereby subm a1 he plans and specifications for said buildi g. All notices w ,erence to the building and its construction may be sent to .e . ,} ' c / / v T The undersigned applicant for this building permit does her y certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled 9neral Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from X11 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,anspectt9r?on the site of the work such public noti e or notices as are required by the Act. The undersigned agrees to employ only such supcontra rs, on work to be - erformed under permit, as are licensed by Miami Shores Village. „.' Remarks (Signed) � 4' _ L d,,,21/ 1"C''' m STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. Read, Sworn to and Subscribed before me. Building Inspector My Commission Expires Notary Public, State of Florida to me well known, PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved.. Date Disapproved __ ..mate 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. N9 231 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla., / Owner, Agent or Te9ant of Building ," ..t f` Lot - � -- Block / -- Subdivisio;i e Street Address F,/1 /i ! (;#'/. Approved use by occupancy Remarks This Certificate of Occupancy is issued to the above named i . f 2' - F ''' for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures,, / BUILDING DIVISION BUILDING ELECTRICAL PLUMBING Owner of Building } `Architect 4 Contractor t or Builder Legal Description Address of ' . r , v Lot r 9 W MIAMI SHORES VILLAGE, PERMIT N° 2334 to be performed under this Permit et ut Ing This permit i granted to the contractor or builder named above its construct the buildi g to install the equipment or device described in the elication herefor in strict compliance with all ordinances pertaining thereto and with the unde standing that the work will be performed in compliance ith any plane, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may oe 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. - �r Subdi- vision Signed. � c . j` 1 INSPiicTOR BY FLORIDA / DATE Contractor's License No. Value of Amt. otf/� ,f •'' Project c 0 Permit In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordin and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. �CONTRA UR BUILDER F f y AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 7160 Architect Contractor r or Builder "•• ' Legal Lot Description 11 Bl. t t Address of Ci 1 r n Ai t e 1 Building Work to be performed under this Permit • t( r Subdi- vision Value of Project DATE 4 19 Contractor's License No. $—e k 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. / ? i ' , • t ' ) i - 4 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 authoritios of Miami Shores Village. In as ceptinq this permit I assume responsibility for all work done by either, myself, my agent, seprant or employee. BY AUTHORITY - Amount of Permit $ .IBOT 44EtiP.' N9 231 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla , ( ( -- ., .., Owner, Agept 9t Tepant of Building , ' t 5 ,;,/ /" 1 1 , Lot 2 ; ,-, - . Block Subdivision , , 7 ‘ / ' ' • P' / „., f ....... , Street Address i A Approved use by occupancy Remarks This Certificate of Occupancy is issued to the above named • for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structur # , BUILDING DIVISION