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BP-02-65 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 t Building Inspection Request DatTime----- Date----- Type Insp'n Permit No. i Name ZIA m� Address syn — Company Phone# Name to For Inspector: Approved Correction Re-Insp'n Fee C3 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Addressy''`h 00 & &(�? ,AV Tax Folio Legal Description Historically Designated: Yes / No Owneaesssee/Tenant /�� Master Permit# Owner's Address Phone Contracting Co, &JktyLbLLJ Address Qualifier SS# - - Phone State# Municipal# Competency# Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle on : BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost(value) ZX-- 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 AFMAVff: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore,I authorize the above-named contractor to do the work stated. kx Signature of owner and/or Condo President Dateigna ' e ContractOwn Builder3 Notary as to Owner and/or Condo President Date N to Contract r or Owne- ATf' OI p1.C�• /Date My Commission Expires: y Commission ExpY',1110?�;•t�.r�71 '� lw FEES: PERMIT RADON C.C.F. NOTARY BOND APPROVED: + �y TOTAL DUE Zoning Building a w Electrical Mechanical Plumbing Structural Engineer ,.. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 5L--� k) d 'J`237 Tax Folio ` 13 9c�o 0\n 09W Legal Description ` Historically Designated: Yes No Owner/iessee/Tenant `C (Y1 M A U� Master Permit# �/ 9 Owner's Address Phone '? 1a9 Contracting Co. `�Q c��r � � I 1(y Address D C 17 Qualifier (� SS# State# C� Q).nU c;Lqn_'>D Municipal# Competency# Ins.Co. Architect/Engincer Address Bong Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRIC PLUMB 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 IIVIPROVEMENTS TO YOUR PROPERTY(IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum(if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL,PLUMBING,SIGNS,POOLS,ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore,I authorize the above-named contractor to do the ork stated. SA zw Signature of owner and/or Condo President Date tune of Co r er-Builder Date Notary as to Owner and/or Condo President Date o as to ontractor or er-Builder ate My Commission Expires: y Commis ' ExPires: �y FEES: PERMIT RADON C.C.F. �6 NOTARY B TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Plumbing Engincenng Date y Folio # OWNER'S AFFIDAVIT Per Florida S 713.13 certify that I am the owner of the propery described as address: Lot Block SubDiv F City �' � County tom' Zips d I authorize as my agent to obtain buildingpermit for the following work — -,T-, � r p �LA2AZ:k Contractor Name(- Contractor ame Contractor Signature Qualifier Signature OWNER,�- POWER of ATTORNEY By signature below Owner hereby authorizes the Notary named below to approve and Notarize my signature on this Affidavit and permit applicati . OWNERx NOTARY As to Contractor As to Owner Notice of Commencement must be filed if the job valuation exceeds $2500.00 in labor and material. Notice of Commencement must be posted to the job. --- Date Folio # OWNER'S AFFIDAVIT Per Florida Statute 713.13 I - certify that I am the owner of the propery described as address: Lot Block SubDiv City County Zip I authorize as my agent to obtain a building permit for the following work Contractor Name Contractor Signature Qualifier Signature OWNER POWER of ATTORNEY By signature below Owner hereby authorizes the Notary named below to approve and Notarize my signature on this Affidavit and permit application. OWNER _ NOTARY As to Contractor As to Owner Notice of Commencement must be filed if the job valuation exceeds $2500.00 in labor and material. Notice of Commencement must be posted to the job. MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE � 195 ELECTRICAL ❑ PERMIT NQ 13437 Contractor's PLUMBING ❑ License No. --- - R00nNG ❑ Work to be performed under this Permit Owner of Building Architect -ontractor or Builder Legal Lot I) Bl, Subdi- Description. vision Address of Value of Amt. of Building Project $ (I Permit $ '` This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application berefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE *=� ELECTRICAL PERMIT W? 13295 Contractors PLUMBING F-1License No ROOFING ❑ Work to be performed under this Permit Owner of Building V v Architect ^� �. �r Al -.. -ontractor y or Builder Legal Lot II Bl, Subdi- Description vision Address of Value of I Amt. of Building Project $ P '': Permit $ �' This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE Y 195 ELECTRICAL ❑ PERMIT N? 15651 Contractor's PLUMBING ❑ License No. _ ROOFING ❑ Work to be performed under this Owner of Building ,' _" -,w _ --- --- -- - - --- -- Architect -ontractor or Builder Legal Lot II Bl. Subdi- Description vision Address of Value of Amt. of t. BuildingProject $ 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 speciffcati s and that he assumes responsibility for work done by his agents, servants or employees. ` r Signed: -4 t `"t+fw w 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. /)vAeah.w) — CONTRACTOR OR BUILDER BY low AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE ELECTRICAL PERMIT N? 14370 Contractor's PLUMBING ❑ License No.— RO®FING ❑ Work to be performed under this Permit_ Owner of,--., Building Architect I- INV Contracts r4 45 / or Builder 1 i Legal Lot Subdi' r Description vision Address of _e, , ." Value of Amt. of tR Building r i t r Project $ Permit $ ` This permit is granted to the contractor or builder named above tojonstruct the building or.to install the equipment or device describe in th;Nap_Mfvti.n herefor in strict compliance with all ordinances pertaining thereto and % ith the understanding that,the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approve by the proper m�.unicipal 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 a4thorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above isssumesa responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dr ggs o in the sta eats or eifications and that he assumesdfesponsibility for work done by his agents, servants or employees. 7 '_ ' Signed: BY— A), INSPECTOR i In consideration of the issu,i Ke to me of this permit I agree to.perform the work covered hereunder in complian ,th alloXy nances and regulations pertaining thereto and in strict confor with the plans, drawings, statements or specifications submitted to the p r authoritieseof Miami Shores Village. In accepting this permit I assume responsi &U_work_,done-by either, myself, my agent, servant or employee. '' , CONTRACTOR OR BUILDER BY T AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE ,Z195 L PLUMBING ❑ PERMIT N? 9 0 5 2 Contractor'sl License No. ROOFING-:, ❑ .�. �:, r- "❑ Work to be performed under this Permit IIry Owner of Building- Architect uilding Architect -ontractor ¢� or Builder—_1 cr s r�'dre Legal Lot II Bl. Subdi- Description vision Sq. Ft. Amt. of Address of _ may. Value of �` Building 3 f, ,� ?. .J 11 11 ^+ Project $ f f, .+►•.. 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 statemeny or spec�icuions and that he assumes responsibility for work done by his agents, servants or employees. , ,pct Signed: �S BY INSPECTOR It 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 17 BUILDING F] MIAMI SHORES VILLAGE. FLORIDA ELECTRICAL Q DATE. �� 4� 195 PLUMBING ❑ PERMIT N° 7421 Contractor's ROOFING ❑ License No. ❑ Work to be performed under this Permit Owner of Building Z 01 © 14 r>"t S OE-> i'Z Architect 9 ,3 c I AJ C k' t Contractor or Builder CC Legal Lot Subdi- Description — Bl. ___ vision Address of r `" r, ` Value of Amount of Building —'-J 7 Project $ I' Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the propermunicipal 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 at he assumes responsibility for work done by his agents, servants or employees. f r Signed: t �, c B INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered reunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications sub rtted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, serva or employee. CONTRACTOR OR BUILDER BY AUTHORITY 6 +yea BUILDING MIAMI SHORES VILLAGE, FLORIDA , ' ELECTRICAL F1 DATE 195 '� PLUMBING Q P E R M 'T N? 7467 Contractor s /. License No. ROOFING ❑ - ❑ Work to be performed under this Permit Owner of Building f Architect Contractor or Builder Legal Lot Subdi- Description — Bl. — — vision Address of / ,' Value of Amount of ,;�., Building _` A . Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements oropecific ions and that he assumes responsibility for work done by his agents, servants or employees. ! r �'�- <:; Signed: 1 BY: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting thisf rmitI sume responsib'lity for all work done by eitl:e�r, myself, m gent, ervant or employee. (� ` CONTRACTOR OR BUILDER BY AUTHORITY s MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE L 195 PLUMBING ❑ PERMIT N? 9376 Contractor's License No. ROOFING ❑ ❑ Work to be performed under this Permit _ —� Owner of , Building Architect .ontractor or Builder r Legal Lot II Bl Subdi- Description vision Sq. Ft. Address Of !A Value of Amt, of Building A; ,` Project $ Permit $ �; This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the st?fements or specifications and that he assumes responsibility for work done by his agents, servants or employees. r n Signed: f T r . :, ;,! y.. 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 SNORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT PermitNZ. ................ Dat ................. e? . ...... .... .. ..... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address........ P ..........................No._ '�.. J..... /0 .......................................... ................ ................. RegisteredArchitect and/or Engineer...................................................................................................................................................................................... Employing Electrician's Name.... .. .. jl.�_.. ... t�j ........................No.._.... ......................Street.. :. .................4` ... _ Location and Legal Description Lot....................................................................Block..........................................Subdivision................................................ Street and Number where work is to be performed—No...............................J' ...........................Street ��1. ..:�..: ............... State work to be performed and purpose of building (By Floors)......................................................................................................................................... New Building................................Remodeling................................Addition..............................Repairs......................................No. of Stories.................... SWITCH LIGHT PLUM FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. 8@ACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T'S NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HL�A&R HEATER CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1.8 HP TRANS. LIST CHECK .......Main Fuses............................ Service Overhead Site Feeders........`�.........Conduit.. .....�\.Main Sw.......�................Amps........:......... Amps Type of Installation—Conduit........................Tubing........................B.X.L.........................Metal Moulding........................................................................ - ..... =: .:..:.......1 .........2.'C,.. - P............................................................................. .............................................. ..... _.......... .............. ........... ......_.................................................................(J✓..J .........--;e --.......�...� .............................. Amount of Permit 3........ ....................................................................... Si ned ( g )......ti........................................ .... e nc d I r. The undersigned applicant for this building permit does hereby certify that he understands and accepts,/Kis 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 Fib contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub,contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ?' (Signed).. s' �r�j/... /..........F:...�./ STATE OF FLORIDA, Mas Electriaan. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared........................................................................................................................................................................................................................................ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.......................................................................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ....................................... ...........:............ ....................................... ................................. .......... .................... MyCommission Expires No�Pubh.. State of Florida NOTE: A reinspection fee of $1.00 will be made when such reinspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. i I 1 I 1 1 CERTIFICATE OF OCCUPANCY I MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION 1 N° 1585 _ 1 Miami Shores Village, Fla., G Q, ' Owner, Agent or Tenant of Buildin0�� Lot Bloc Subdivision �' �• I I ' Street Address 7S66 1'1 E, 1 'Q� 3 �. I I Approved use by occupancy I Remarks: ► •+-> ..w This Certificate of Occupancy is issued to the above named J' 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 struc res. ' �AySG 1 1 BUILD NG DIVISION 1 1 REQUEST FOR IN I PECTION 41 10 rA,� Fa2 l� ff 1pany T - L-- Job Address ell Inspection- Time nspection Time 4eady A.M. P.M. Date Ready 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- or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept a building during progress of the work. ate-------------- _-7 r.......=�1. - .................,19. Owners Name and Address........��J. -1.`Yl_ -- _.........C------------i- J. �� C� - -�- -�------- No.------•-�r--`----�--- Street.--�•'�°y-----��-��-�----....---• - Registered Architect and/or Engineer......____®.........................j �-------------------------------------- Name . _____ .. __.___ •- --------_-*------------------•------- ---------- ----- - - -- - Name and address of licensed contractor---.. ---%S- --_L1s _ �_ .-----•--�----/�y-C'------------- Location and legal description of lot to be built on: A /L Lot /� -� s Block . - Subdivision.- _1 / Street and Number where work is to be done............. .-®-®_____._A) d State work to be done and purpose of building (by floors)_.. _- -._.-___ 7ftfAd______tSd_� /�_ /l,�C ------------- ---------------------------------•-••------- ----------- ..........------------------------------------------------------------------------------------------------------------------------------------------------ --------------------------•--------•--------•--------------------•--...------.-•-------------------- -- - ------------------------- -- -------------------------- - - - -- ------ _ ----and for no other u r 7- purpose. New Building ------------. Remodeling.-------- ... Addition.---------- - ------- Repairs.----------------------- No. of €des------.-� / To be constructed of--------------------------• Kind of foundation.---------------- _ ---------------------------------- Roof Covering----------•-------------------- ----•----- Estimated Total cost of improvements }...?_I----_.__ -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 besent to---------------------------------------_-------------------------•------ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida,Permanent Sup lement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks------------------------------------------------------------------------------------- ------- (Signed) ------•-- C STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority,a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared --------------------------------------•----------------------•------------•--------------------------------------------------------------------------------------------- ----------------------------------------------------•--------------------------------------------------- --------------------------------------------------------------------------to me well known, and who, 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------- - ate____ ` ~�__ Read,Sworn to and Subscribed before me. —� Disapproved ------ t Dat ------------------- ---------- -------------------------------------- r �� Notary Public,State of Florida (Signed) __1 = = ''i- ��' 4_ ding nspector My Commission Expires--------------------------------_.._---__---••----------_ PLANNING BOARD---------------•------------------------------------DATE Chairman ---------- -------•---------------------------------•----------•--------------------------- Member - - Member ----------------------------------------_------------------------------------------------- Member -------------------- Member ----•------------------------------- Member Council Approved--------------------------------------------------------------------------Date Disapproved ---------------------------- -•--------------------Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.0t) wilVbe charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. 1 F i� r a ti MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMEu PLICATION FOR PLUMBING ",o,,, 1T Permit No.___ Date_--. Application is bereby 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 w G' Owner's Name and Address_--_-- ___-- � _ ��zG�_—�`' ---_._._ No.___.._ _.—_ Street----------------------------_._.......... Registered Architect and/or — ----- - Employing Plumber's Name No. _ Y- Street._.__.._---.-.--------------_—---_ Location and Legal Description Lot._.—._. Block _ Subdivision..._— Street and Number where work is to be performed—No. 5�� __-----�--------------•----•--..............._.___— State work to be performe8 and purpose of building (By Flours) __--------------__--_--_-- New Building—___—__-_-_-'.__-.__Remodeling __.__ Addition_--_.—...... Repairs-.______......___.____ No. of Stories.......................•. BATH LAVA. SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT'NS FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE' SOLAR DEEP SPRKLR. SWIM•G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank —— ---�, --T �T ------------------------_-Capacity Gals---—---------------------------- --•------- Feet of Drain Tile- Feet o Tank or Drain Field from —___..__................. Nature of Water Supply: City—Well ___ .-----Size of Soakage Pit---—--------_._-----------_____-------- Amount of Permit (Signed)_ �.�_-- --- -- __._.................... _ bing 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 1►as 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 We Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licaosed by Miami Shores Village. (Signed) _ Master Plumber. STATE OF FLORIDA, g � COUNTY OF DADE. j Before me,the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments, personally appeared to me well known,and who,being by me first duly sworn,upon oath deposes and says that he is the------------------------------------------.-----.--._..--. ------ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. --__. — My Commission Expires Notary Public,State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. MIAMI SHORES ILLAGE 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. ------- --------------•-----.-_-_,19_ Owner's Name and Address......... ----------- No ?!�2....__. Street.-A-_4.:----/QJ.A- t/,6P�f Registered Architect and/or Engineer.................. ......................._-.--• -------- -_------_---------------- and address of licensed contractor...._._.lCt oletvv�vda --------691111f.. +�r� .........C _'-......................... Location d legal description of lot to be built 0A: G� � Lot. ------- -��-`- Block. • Subdivision '---------• • -- �` Street and Number where work is to be done.__._...... QQ---�- --a--. a------c-6t1� _------Ar'l&- e:--...-----__._.---_---------------•-.---_------ State work to be done and purpose of building (by floors)------___-_—R00-VA-••-_---1" g00FA,4 __. �__--A 4- �...__...- --•---------------------------•---•--•-----..-• -•---------••-•-••-•----••-- •--•-••-•••••---•-•--------•---------------------------------------------------------------------------------------------------------------•-••- ---•-------------..................... _--_._—...............................................-------------------------------.and for no other purpose. New Building... ..................... Remodeling.-.---.-_-.--..-------- Addition....._----�...... Repairs.---.-.--------.......... No. of Stories....../--.-.------ To be constructed of------Clke•-••-_.. Kind of fo ndadon•--•--•-------------•----------------------- ----_--- •-•-------• ----pp1k�g"/--- _ Roof Covering y. Estimated Total cost of improvements $......... ._........Amount of Permit $..... y '� d r..c --= ------- •------- Zone cubage required-----------------------------------------------•---------...._._- . •••• -� ------------ - ------3�lair-£ssbag®_ :=�°?�.�� 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 specificat ons for said building. All .notices with reference to the udding and its construction may be sent to - r it 5W*Z;? -------•--._• 0 4;--dam'. �.. .� .- _ Y. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employe y i of labor under the Florida Workmen's Compensation Act, being Section 5966,Compiled General Laws of Florida,Permanent Supplement, and has complied with theprovisions 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 su ntracto s, on w to be perform 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 swom, upon oath deposes d says that he is the____________________________•. __ -_---_.___-_---_ ___-. .__ _ . _ . of the above described construction, that he has carefully r d the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No------- _�__.___ _..... Date._ ... --------- _ _._____. �ead,Sworn to and Subscribed before me. Disapproved-Ji ----•- --- -- -------------------------------- Notary Public,State of Florida Building Inspec r My E,emmission Expires..........................................________________--------- LANNING 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. ZZ x •...t• •. N .• 1• .•••.• .I � N• ••1, INI, .N.. t1 1• MNI• .. 1• .. 1I IN.I • • ••.• NNI• •INTI ••N•. N..1 •1J. !J.• dJ �l. lf. lf. !J. l�� dJ. J !!.• lf.••' ••t!.••"'••tJ••"'••.lJ • f•• 1!• •aJ••' lf• V• lf• af• !/• iiie�D�O� e��iic�tic� 'u�9 �t��d�'�ifii�if � if�lf •'ifGQ�'1}•'t�@�if�ifc0� s. Issu mw. 19 � R • aiami JhorWTHage �® 971 • ter_., ,fi} _,�-. S L O R 1 D A s Amount_ lNo.Houses BUILDERS BON ❑ �:l It C KNOW ALL M B T ESE PRES TS, I, �� 2 9:•= t Addres a s in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or e b ' din at the following addresses: , ,.:.P 94 _�Je_� d ereby deposit with Miami Shores Village, Florida, the sum of F `� ,and I agree with said Village that,when such construction shall have been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me, used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the `? completion of such constructi within the meaning of such ordinances, the Village may clear.and repair the same and pay the costs of such clearance and --'. repairs out of t e aforesaid , and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then y �' sai e � hall be returned to me. I �•' �. WITNESS MY HAND and Seal at Miami Shores Village, Florida, th' ' day nf e� (Seal) INSTRUCTIONS TO BUILDER—When above mentioned construction is completed the premises are cleared and repaired take this bond to the =G Village Building Inspector and obtain his approval, after which Miami Shores Villag ill refund your money in accordance with the above agreement. VILLAGE BUILDING INSPE 'fOR'S APPROVAL R. I hereby certify that the construction contemplated under this Bond,has been completed and that the builder thereof has caused ` %.� the surrounding premises to be cleared and repaired in as good condition as they were before commencing said construction. WHEN CLEARED AND REPAIRED BY THE VILLAGE f Amount of� Bond. . . . . . . . . . � illage Building'Inspector, MiamiShores lla9 Rz !!Se Cost of clearing and repairs,done by Village $ Balance due Builder . . . . . . . . . . Cancelled 19 By 4 54 5r '•�:::�'.'�i� tr•. .�r•.�0'..•-irtO�.'•n,`�°"',.-,�•.` .•��:�:ir`°�°•'•i►`•°�°irk•'•irk°•'•i�`• irir••....�J`�� •'•ir•.N..• r•. ..�r 'iiia`�°•'ii• ir•.`o�'�...•'ir•....t•. �� ' � i ` MIAMI SM13RES 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..........!Q=1=159-----.....................-..........,19---..... Owner's Name and Address.............U111S..................-...5QO--- ---�t1 --------------•----- Street...................................... RegisteredArchitect and/or Engineer......----•-----•....................•---................................•---•----------•--------••--••------•--------•----........................................ Name and address of licensed contractor-----Ia0.3Z_.0.CX_.,ng._and,....Sheet..--PIQ ial_2102'kS.....Lne.+........................._...... Location and legal description of lot to be built on: 261 N.E. 73 Street Lot............----.......................... Block.................................. Subdivision------------........-......................-.........-................--......--.............................. 0Q...I�J. :_._._1Q3_---St r-e e-�•--_..--------------------------__.-_-_ Street and Number where work is to be done__________________ ,.______._--_•--_•__-___•__•-____ State work to be done and purpose of building (by floors)___-.__.._._.-Ant.PLy----bUi1t1,i,p-_!}D-_.wo}pd-......-..._...-........_............... - - ally mGtL1�..--- -----•-------------...................-----..-------•-• ----------------•-----......_..--------...---------•-•----•---------...--•---------------------•-----. -------------------------------------•----------------.........................-..........---------------------•--------------------_------------------_-----------•--.and for no other purpose. New Building.._._........................ Remodeling.......................... Addition_-..R.................. Repairs-------------------------- No. of Stories.........1............. To be constructed of............................ Kind of foundation....-..........................................__--_........... Roof Covering-TOod.._... Estimated Total cost of improvements $..___.....__.7-s5.aQQ---------------------Amount of Permit $-------------------- e.o®......... •----- •-------•---••-•------------•---- Zone cubage required-------...---------------------------------------------------------._..._--Plan Cubage------------------------------------------------------------------------------------------------ Distance to next nearest building...........................................---...........Size of Building Lot------.----------------------------------------- •--------- ------------- •-----•-- Maximum live load to be home by each floor.----------------•-----------_--.-------------.--------------.-----.---_------_------------.----.---.---------- ••------- ------------------ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to---------—------------------------------------------------_------------------_------------------------------------------------ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966,Compiled General Laws of Florida,Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors-tImployed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site oft ork s6ch Public notice or notices as are required by the Act.The undersigned agrees to employ only such subcontractors, on wo o er this permit, as are licensed by Miami Shores Village. ( ed !3n )---•----I_� � (Si - — STATE OF FLORIDA, COUNTY OF DADE. I ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared __-- ----------------------------------------------------------..------------------_--_----------------------------------------...-----..............._....................... __ - -----------------------_...--.---------_--------------------- _ _.- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the...........................•.....___.._......._....._......_... ..._._... .. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.y �.� _..__..--__--._ Date__-_�o '� ._ ___.___-__ Read,Sworn to and Subscribed before me. Disapproved ___-_K._.,------ -------- Da ? --- -- ----- ----- ................ Notary Public,State of Florida (Signed) ..------------- .... .-..............----------•---•----------------•-•----------- p. Buildin Ins ector My mmission Expires.................................................................... i PLANNING BOARD-_...__________________________________--..........DATE Chairman ......................------- - -----------•-------------------_-..----_------------ Member ........................-................................................................ Member - __— ---••-------------•-----_---------_---------------------------- Member __.............-.....................................-...................................... member ... --------------.-------------------— _—_____ _- _ Member --------------------....----........-..........._._........................-..--•-•- Council Approved----------------------------------------------------------------Date Disapproved -------------------•-•----------•----•--.......................................Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI S HC] E R S VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be compliQ with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date..._...-..10_-I."'-5_--------- ----•-••.,19........ ----------------- Owner's Name and Address.............1_43151..................-... �}Q..�. a._..� 3 )r-.. •------------ Street.......................................... Registered Architect and/or Engineer...............................................................................................................................-................. ............... Name and address of licensed contractor-----I_.�kif3 .lia4:sims--fid°...-""1eet-•11 0tiDl..T0rk,9._._I13Gi.�...............•-••--------•--.. Location and legal description of lot to be built on: 261 NZ, 73 Streat Lot-----------------••_-_--------------_ Block.-----_-------.----------------- Subdivision............................................--......................... .-....................... Street and Number where work is to be done.................. Q...? _.-..........-.-.............. State work to be doe and purpose of building (by floors) M- -.. ��$as�,ry`, _.0 .-- ty� -....-....._---......................... t3 . .._-..-._ ------•--------------•------••--------------------------•-•---------------...----••••...-.._..--•-••.••---- -------------------•-....-............-............................................--.........-...........-----•-----------------------------------------------------------------and for no other purpose. New Building---------------------------- Remodeling-........................ Addition.-.S_...__.._......_.. Repairs.......................... No. of Stories.........I......._._._. To be constructed of........................... Kind of foundation................................................................ Roof Covering-!Q OPO.----•-••-•---•--•—--....... Estimated Total cost of improvements $_------.....7 49.0............._......Amount of Permit $...-.-..-----•-----Alt®q................................................ Zone tubage required---_-----------------_--------------------------------------..---------Plan Cubage................................................................................................ Distance'to next nearest building.................-.....................-....._._----_--Size of Building Lot............-....._-_...._................................................... Maximum live load to be home by each floor---_--.---_----------____._---......................-.............._._—...-.--...-.......-.......................... I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may besent to--------- - __---------------------------------------•----------------------------------------------------------------------- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer Of labor under the Florida Workmen's Compensation Act, being Section 5988,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 spell Public notice or notices as are required by the Act.The undersigned agrees to employ only such subcontractors, on work_to--be performe nder this permit, as are licensed by Miami Shores Village. Remarks--- -----—__._----------------------------_-----_ --------- (Signed) --�=_ STATE OF FLORIDA, COUNTY OF DADE. I ss. Before me, the undersigned authority, a notary public,duly authorized to administer oaths and take acknowledgments, personally ap- peared __--------------------------------------_------------•---_--------__ —--------------------------------------------------------_----.....................-....................... -----.------•---•---------..------------------------------------.......to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the..........................................---------------_................................... of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.__ -._.---_ —_-•--_---_-._-- Date------------------- --- ---------- Read,Sworn to and Subscribed before me. Disapproved ----------••----------- _ Date— --- - - -.... -- -----------------......................-......... --------------------------------------— - (Signed) .........----------•-----._.._......_.....-------------------------------_--------------------- Notary Public,State of Florida Building Inspector My Commission Expires............................................................... PLANNING BOARD----------------------------------------..........DATE Chairman ..............................._.---.-------------•------------------------------------ Member .------......................................................................... Member ------- ------------------..__.---•------_------------------•-- --------- Member ...-............-.................................................................... Member ........__-----____---_.-........-............... -_ -__.__.. _ Member Council Approved-_--------........................--- ----------------------Date Disapproved .......-------------•------ .--•-.--•----------.Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. OWNER'S NAME PRESENT ADDRESS LICENSE NO. PHONE NO. S o® JOB LOCATION (ST.OR AVE.) LOT BLOCK SUBDIVISION .E Z&3 tY S-r- I 11- 1 Z I T S ovAe- . 4-- LTGENERAL CONTRACTOR � I ADDRESS I PHONE NO. I LICENSE NO. A BUILDER'S BOND BUILDING PERMIT NO. DATE S-Za PERMIT FEE$ ® NO. - % DATE Arco 17vo I T.V 71'% .sem I 7 ®s ZONE REQUIREMENTS CU. FT. PLAN CUBE Id .� CU. FT. EST.COST$ �O DATE DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: �° �+ ° Ir6 ASL �.` L-' *m— NEW CONSTRUCTION I TYPE I STORIES I ROOF CONSTRUCTIONI � INTERIOR CONSTRUCTION y� Ce 6+ ?iyJ Z2/rI .a.iX�t12 DESCRIPTION REPAIRS ALTERATION I DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD I APPROVED I REJECTED IREFERREDTOCOUNCILl REASONS RE-SUBMITTED TO PLANNING BOARD I I SUBMITTFD TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. 0 ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD-MIAMI dHORES VILLAGE lD4c—Al-- (PItUILDIN9 INSPECTIONS y3h- INSPECTIONS L DATE BY INSPECTIONS DATE BY FOUNDATION I ROOF BEAMS&LINTELS I I POOL .FRAMING I I AIR COND. FINAL I I CLEAN UP SLAB SLAB PLUMBING PERMITS & INSPECTIONS CONTRACTOR PHONE PERMIT NO. I DATE FEE S NEW BLDG. I ALTERATION I ADDITION I REPAIRS SPECIALS PERMITS I PERMIT NO. I DATE I FEE TEMPORARY SERVICE I I Is SEPTIC TANK I I's SEWER I is SOLAR HEATER I Is GAS I Is I Is INSPECTIONS DATE I BY RE-INSPECT BY RE-INSPECT BY ROUGHING TUB&TOP OUT SEWER SEPTIC TANK SOLAR HEATER FIXTURES GAS ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR �^- C—� -PHONE PERMIT NO. I DATE �[ FEES Z' NEW BLDG. I ALTERATION I ADDITION „ REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE S H.W. HEATER CONN. Is RANGE CONN. I S MOTORS I S FIXTURES I I S � s INSPECTIONS I DATE BY RE-INSPECTI BY RE-INSPECT BY TEMP.SERVICE ROUGHING H.W. HEATER CONN RANGE CONN. I FIXTURES&FINAL I APPROVAL TO POWER CO.FOR SERVICE DATE BY OWNER'S NAMEI PRESENT ADDRESS I LICENSE NO. PHONE NO. J.C. Mills JOB LOCATION (ST.ORAVE.) LOT BLOCK SUBDIVISION 500 N.E. 103rd St. 11-12 I 93 I Ns Sec-1 GENERAL CONTRACTOR I ADDRESS I PHONE NO. LICENSE NO. J.F. MCClusky BUILDER'S BOND r�pC p rb 1-n"— BUILDING PERMIT NO. 13295 DATE 6-10-52 PERMIT FEE$ 6.00 NO. 1!}LE8 DATE a-A6 Jy ZONE REQUIREMENTS CU.FT. PLAN CUBE ( CU. FT. I EST. COSTS DATE DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY- TYPE (STORIES ROOF CONSTRUCTION I INTERIOR CONSTRUCTION NEW CONSTRUCTION DESCRIPTION ALTERATION REPAIRS DESCRIPTION X ADDITION rear porch enclosed with glass jalousies SAS APPROVED REJECTED REFERRED TO COUNCIL( EASONS SUBMITTED TO PLANNING BOARD RE-SUBMITTED TO PLANNING BOARD REMARKS SUBMITTED TO VILLAGE COUNCIL CERTIFICATE OF OCCUPANCY NO. ISSUED 1�j ^�® 't BY I TO BUILD NG PERMIT AND INSPECTION RECORD—MIAMI SH RES VILLAGE BUILDING INSPECTIONS INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY FOUNDATION BEAMS&LINTELS FRAMING of FINAL CLEAN-UP g-;v,5 a. PLUMBI G PERMITS & INSPECTIONS CONTRACTOR PHONE PERMIT NO. DATE FEE$ NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK $ SEWER $ SOLAR HEATER $ GAS $ INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY ROUGHING GAS SEWER SEPTIC TANK SOLAR HEATER FIXTURES ELECTRICAL PE MITS & INSPECTIONS CONTRACTOR ry / PHONE )mss PERMIT NO. 7 DATE `1� FEE$ NEW BLDG. ALTERATION 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 H.W. HEATER CONN RANEE CONN. FIXTURES&FINAL d APPROVAL TO POWER CO.FOR SERVICE DATE BY MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT PermitNo.... ........... Date...........»C..........................K............... ... .. 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, It Q` '....i� -�: C No......�. c .....................Street../..`!...-_.._ /03 �1 Owner's Name and Address.... .................. ............................. ._..... ............................... Registered Architect and/or Engineer........... ......................................... ........................................--... ....... ....... EmployingElectrician's Name.:' � � 4-AE-0-77901 �N� XT ......................-. .... , ..,.N _ ........ ...............................Street... ....... . Location and Legal Description Lot....................................................................Block..........................................Subdivision.........................................�.... Street and Number where work is to be performed—No........5AVL ...Street...... ... -- ................................. .. .... ....P. ................................ State work to be performed and purpose of building (By Floors)......................................................................................................................................... New Building................................Remodeling............................_ Additiu ...............................Repairs......................................No. of Stories.................... SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. ACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T'S NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. H19 HEATER CONTR. LIST LIST pY_® CHECK i. i7 ENT. DIST. -SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL, SW. CAS. TEMP. PERM. 0.1 HP 1•9 HP TRANS. NTR. 2C LIST CHECK O Service Under Siwe Feeders....................Conduit................Main Sw...............................Am .........Main Fuses......»....................Am Underground �•••••••••••••••••• Fs Type of Installation--Conduit........................Tubing........................B.X.L.........................Metal Moulding...................................................................... ........................................................................................................................................................................................................ . .... ................................ Amount of Permit $....(r.SP.d....»...........................................»....... . ......... (Signed)...GP !!..�.........._ » »..................................... . .... . .... . ........ ...... . .... Elect W Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accep ,.this obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of orida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or contractor: 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 the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to a performed under this permit, as are licensed by Miami Shores Village. r , 4aa, (Signedz�t. ®L a4 k. ..................... ................ Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared...................................................................................................................................................................................................»................................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.........................................»............................... of the above described construction, and he 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 reinspection is made necessary by improper notice for Inspection, or faulty materials and/or workmanship. i ' CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 104 Miami Shores Villcige, Florida, 12-2-59 i Owner, Agent or Tenant of Building J.C. MILLS i Lot 11-12 _ Block 93 Subdivision Miami Shores A ' Street Address 500 N.E. 103rd Street Approved use by occupancy FLORIDA ROOM ADDITION Remarks: # 9315 This Certificate of Occupancy is issued to the above named OWNER 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 pert g to the erection, construction, alteration or remodeling of buildings or structure ! PLAN CUBE 1425 TAX VALUE 713 BUILDING DIVISION CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 1585 Miami Shores Village, Fla., > : Owner, Agent or Tenant of Building Lot Block Subdivision Street Address t i 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 ss the Zoning,Electrical,Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. M BUILDING DIVISION MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT �� R. Permit No.......... .. Date. ..... . :.... ........... .. ....`.....a' Application is hereitheLaws or the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein deshis application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions o 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. r Owners Name and Address... 'r e.ar:........5 i to . ..........................No....�a®........................Street././/,.Z!.. � e RegisteredArchitect and/or Engineer...........'............................................................................................................................................................................ Employing Electrician's Name. l�•N� 6�'fir;`... �€�................_. No...... ..................................Street.................................---................ Location and Legal Description Lot............................................•...---.................Block.......................................---Subdivision................•....... ...._................. Street and Number where work is to be performed—No...... :.. .........................................................Street. t..w_... .... .... ......._...... State work to be performed and purpose of building (By Floors)......................................................................................................................................... New Building................................Remodeling................................Addition...�f...................Repairs......................................No. of Stories.................... SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS- RECE'P'T'S NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1•5 HP TRANS. CLIST / LIST pp�� CHECK ®fs' Service Overhead Size Feeders....................Conduit................Main Sw.. �....Amps...........................Main Fuses..................:.........Amps Underground -•••-••••••--••••••• -- Type of Installation—Conduit........................Tubing.......................B.X.L........................ f,etal Moulding.... ..........................................._.......... •..................................................................•---................................................................................ .. .. ............... ............................................ . .... .. S Amount of Permit $.....- .......... i ned Electrical I ectW. The undersigned applicant for this bu g permit does her y certify that he un erstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section-59,66 Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance rom all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed).... 8.. `: ..:.. ...................... Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. as. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared...................................................................................................................._................................................................................................................. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.......................................................................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ................................................................_............................................ .............................................................................................................. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 928 Miami Shores Village, Fla. --r•- d '; ; Owner, Agent or Tenant of Building Lot ' - Block Subdivision Street Address s Approved use by occupancy Remarks: This Certificate of Occupancy is issued to the above named # for building at above named location only upon toe expidess provision that the applicant will abide by and comply with all conditions of Ordinances N'S. 92, 93, 94 and 97, known as e Zoning, Electrical, Plumbing and Building Ordinan es o Miami Shores Village pertain' g to the erection, construction, alteration or remodeling off' bu loings; o 'str tures. BUILDING D VISTO , MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT /H • Permit No.......... .. ..... .. ... Date. f '". C.... ...c.t.. /' "J� Application is hereby ade or the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein desc ed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions o- 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.....f1*41z,4.,i ..�! !1l ..........................No.... 4........................ t Street. ...t.21...... ....fr�_.... RegisteredArchitect and/or Engineer...................../................................... ...---...................................------....._........._.................._.......---............................... Employing Electrician's Name. l f".1,,2. r "'`•: :`.. .. ..........................No..-•--....................................Street.................................................... Location and Legal Description Lot....................................................................Block..........................................Subdivision........................ Street and Number where work is to be performed—No......4.Z611.-a._...............................................Street.�j' _�-_.`./� ""__....�.:�1................. State work to be performed and purpose of building (By Floors)............... New Building................................Remodeling................................Addition, -.v.-.... Repairs....... No. of Stories SWITCH LIGHT PLUG I FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T'S NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST CHECK ENT. GIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1.3 HP TRANS. LIST CHECK Service Overhead Underground Size Feeders....................Conduit................Main Sw...............................Amps...........................Main Fuses............................Amps Type of Installation—Conduit............. .....Tubing........................B.X.L......................... etal Moulding....`.............................................................. -..-. .......................................... ............-•---.......-•----.............................................................. rs ..............................................1. ... ......... Amount of Permit $.......,.... �e"fS`igned)......... ....................... ......... .... ..... Electncdl Insp2cTor. The undersigned applicant for this bui ding permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled)General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance -from'all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. t,r ` (Signed) .......... ...« ..1. ..t�> re`......................._....... Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared....................................................................................................................................................................................................................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.......................................................................... of the above described construction, and he 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 reinspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit4...� ........ ....... Date..............~.�.....�.......��._.....---......_. Application is hereby made or the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. his application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with; whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address..................... ........No.j !a/ 4f i/. ...Street......® . RegisteredArchitect and/or EngPer.............................. ...._.....__.................................................................................. .. • ................_ Employing Electricias Name.... e�. .• 8 ._.. 1 °.No.l�'+v7. -. .6.: .......Street..... ( .-•.- n Locationand Legal Description Lot............................................................._.....Block......_.._................................Subdivision...._........................................... Street and Number where work is to be performed—No......... ..&.._....._/Z.3........Street.................................................................... State work to be performed and purpose of building (By Floors)..... _..................................•--•--...._...---.........---......................_......_................ New Building................................Remodeling._....._....._............. ..Addition.. ......_...................Repairs......................................No. of Stories........_._.. SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P•T'S NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAI. SW. CAB. TEMP. PERM. 0.1 HP 1-5 HP TRANS. CONTR. LIST CHECK Service Overhead d Size Feeders................ A .M Conduit Sw.........:..................... mps.......................... ain Fuses...........................Amps Typeof Ins tipn—Conduit._ .........Tubing....... ..............B X L.............. Metal Moulding. ...». '........._.............................. .. .c �: �..:'. .f lsn�... I . ..........................._.............._.....................................................–..................................._.................... ....----••----•-...................................................... Amountof Permit $...................................................................................... (Signed)................................................................ ...................................•--- Electrical Inspector. The-undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. �r / ,�, (Signed)...... ! .!: � ....... Master Electrician. STATE OF FLORIDA, j COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared...............................................................................•-------....-•--•-------.............._......................................................................_......................................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.......................................................................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ............................................................................................................. .............................................................................................................. My Commission Expires Notary Public, State of Florida NOTE: A reinspection fee of $1.00 will be made when such reinspection is made necessary by improper notice for inspection, or faulty mate ' sand/or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No.... �............. Date..... ......._. J 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.................. __...t.- °'�- 01 .�............... ..............................Street..._.. ............: . Registered Architect and/or Engineer ........................... ............. ... ....... Employing Electrician's Name.....• . 'v ... P r �" . , ................_..:..- •---._....` �.a:::.::...........No.......... •-•r--° ..:_.............._..Street..!"' ---�.._._:?.... .':.. .:"'.._c?......-- Locationand Legal Description Lot............................................................._.....Block...-----..........._..._......_••........Subdivision............................_..-••...........--. Street and Number where work is to be performed—No.............6... .. .. ..._.Street...,.,Z ...........z�.. .................................. State work to be performed and purpose of building (By Floors)......................---.................................................................•...................................._.......... NewBuilding................................Remodeling................................Addition..............................Repairs......................................No. of Stories................... SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T's NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER (f s CL ST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1•3 HP TRANS. CONTR. LIST CHECK Service Overhead Size Feeders............._. Conduit...............MAM Main Sw............................... Fuses....................... Amps Underground "" Typeof Installation—Conduit...................•....Tubing........................B.X.L........................Metal Moulding........................................................._............ ................_........................................................_..................................................................................................................................................................... _......_..-._............_.....................................................................»..............................._.._..............»................................._...................•.....--......-•-....._................ Amountof Permit $•-•---•-•..............................................•-••................_.._....... (Signed).......................................................................................................... Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed).................Cd....-............:......................... .................................... Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. I �' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared.................................................................................................................................................................................................._...._............................. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the..................................._.................................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ..._......................................................................................................... ..................................._..............................................................._........ My Commission Expires Notary Public, State of Florida NOTE: A reinspection fee of $1.00 will be made when such reinspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No. Date_ 6! _ 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 wo �,, X ,j�/� Owner's Name and Address T f ti�� — No. S 0 Street VE /ell ~-- Registered Architect and/or Engin -- Employing Electrician's Name No. —Street --� Location and Legal Description Lot-- Block_--1 __- Subdivision- � ! Al Street and Number where work is to be performed-No. Stree+ J State work to be performed and purpose of building (By Floors)-- New loors) -New Building Remodeling -Addition Repairs— _—No.of Stories __ SWITCH LIGHT PLUG FIXTURE§ REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P'T'S NO. S OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. O_t HP 1-S HP TRANS. CONTR. LIST CHECK Service Overhead Size Feeders - Con'l Main Sw. .- Amps. Main Fuses Amps Underground Type of Installation-Condui+ Tubing R.X.L._,..___—Metal Moulding Amount of Permit $ �' � � (Signed) __ ctrical Inspector. The undersigned applicant for this building permit does hereby certify that derstands and accepts his obli its as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Com ed General Laws of Florida P nent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. I (Signed)— aster Electrician. ___--- STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared-- to ppeared_to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the—__ of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.�L Date____ -� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida,all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall he 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 -- �Zc -- No.— _-o_a-,.-------- Street_= - W- - Registered Architect and/or Engineer Employing Plumber's Name_____— _ a' �" No 9_ _.34 Street_ _ Location and Legal Description Loth BSubdivision- Street and Number where work is to be performed-No. =io �� Street___ /_6_3_-1 State work to he performed and purpose of building (By Floors)---- New loors) ___New Building -------------Remodeling--- Addition --__-- Repairs--------------------- No. of Stories----------------- BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT'NS FIXTURES LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'O TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST CHECK Size Septic Tank-_____,a_a__ Type of TAuk _0 _-__—_—_Capacity Gals.____'/'_0--- ---------- Feet of Drain Tile -- -_ ___Dist. Feet of Tank or Drain Field from Well______ �— Nature of Water Supp y: City ell. — _Size of Soakage Pit_ — -- -------- Amount of Permit $ s (Signed) -��E Pl Bing Inspector. The undersigned applicant for this building permit does hereby certify that hV' d tands and accepts his obliga ', as an employer of labor under the Florida Workmen's Compensation Act,being Section 5966,Compiled. Laws of Florida Perman Supplement, and has com- plied with the provisions thereof,and will require similar compliance from all coor sub-contractors employed.by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)— M to Pl mbe � STATE OF FLORIDA, ss. r COUNTY OF DADE. Before me,the undersigned authority, a notary public,duly authorized to administer oaths and take acknowledgments, personally appeared to me well known,and who,being by me first duly sworn,upon oath deposes and says that he is the__________________________-_--_---_---------_____________ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public,State of Florida _ NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or worlonanship. 1 `�.L � rt � - +a r . e s �.. C� /� � a '� i I — � MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.__�"/� Date— Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described.This application is made in compliance and conformity with the.Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida,all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and No.— -- _ Street---------------------- -- — Registered Architect and/or ginee; --- _-- ------------------------ Employing Plumber's Name p __ � Tp• __ Street— Location and Legal Description Lo Block Subdivision--, Street and Number where work is to be performed—No. 90- e Street____-____ State work to be performed and purpose of building (By Floors) —____ ___—_____—_______-__,________--_ —_--_ New Building_____ y__------------Remodeling—' Addition__-------- Repairs-------------------------- No. of Stories----------- CLOSETS BATH LAVA �ASLOP LAUNDRY CATCH FLOOR DRINKING� �ff6yb" TOTAL TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT'NS �,��- FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CLIST LIST CHECK Size Septic Tank_ ---- Type of Tank —_----_ Capacity Gals.--------------_____-_ _ Feet of Drain Tile_ -- Feet of Tank or Drain Field from WeIL—_— Nature of Water Supply: City ell. __Size of Soakage Amount of Permit $— aC --d (Signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he erstands and accepts his obligati 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 work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) - =°.��r-..-------_-- ------------------- STATE OF FLORIDA, 1 ss. COUNTY OF DADE. j Before me,the undersigned authority, a notary public,duly authorized to administer oaths and take acknowledgments, personally appeared to me well known,and who,being by me first duly sworn,upon oath deposes and says that he is the ______________--------—----------------------__ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. —�' My Commission Expires Notary Public,State of Florida _�- NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit Date._ w,. Application"ereby made for the approval of the detailed statement of the plans and specifications herewith submitted fop'�'the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village,Florida, and all provisions of the Laws of the.State of Florida,all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with,whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address �' ®m�° o� � __ -No. —Streetr__ Registered Architect and/or Engineer/ �____ Employing Electrician's Name A ° _.-- cf 7 /—$<_ - 5 Location and Legal Description Lot_ /, —_—Block-___—` _-- _Subdivisionl °s ° Street and Number where work is to be performed—No. E _ —Street B2 3____ State work to be performed d purpose of building (By Floors)—__ New Building Remodeling Addition Repairs-----_--------No. of Stories — SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'ggqqP��*T'S NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. - - LIST IJIi CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAB. TEMP. PERM. 0.1 HP 1•5 HP TRANS. CONTR. LIST LIST CHECK Overhead t 1L= ---M Am w ,A Service usder�rou�d Size Feeders Condui ain Sw.,_ ps. c Main Fuses _____.Amps Type of Installation—Conduit Tubing R.X.L._ ___sMetah Moulding - - Amount of Permit ��— (Signed) lectrical Inspector. The undersigned applicant for this building permit does hereby certify that he derstands and accepts hisob' tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida manent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)- _ Master Electrician. STATE OF FLORIDA, l COUNTY OF DADE. I ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared_ __-- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the ------____________________—_—_-_______—____-____ of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. - --------------- --------- — ----------------------- My Commission Expires Notary Public, .State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. MIAMI S H ® RES ®/I LLAG '�6'�J�l � �® BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statementof 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 ordin ccs of Miami Shores Village and all rules and - regulations of the Building Division of Miami Shores Village shall be complied with, w ier herein specified or not. A copy of approved P lans and specifications must be kept at building during progress of the work. /� /� M Date--- ----------- s --- - .19_ Owner's Name and Address_1_ _ 1 `o ? � ! 1_ ! N �° __ Street Registered Architect and/or Engineer____L__ _� -_�- _ _-��-`- --,�'------,---_---_---- _---- Name and address of licensed contractor-4- S C ``---- -_ ...- - --- ^--_,- _�-_ ---• - ----------- --- Location and legal description of lot to be tuilt on: Block------- - ----_--- Subdivision__ _ g_a. e-- -4f,------- (,L '- Street and Number where work is to be done- -6-6-6 _-/Y—LC —1 A ___ o—__ _-_-_ ---.__-------------------_-__-- State w to be apurpose of uilding (by floors) _ —_----- — -------__-____-- --------____=_ ------------- -------- —_T_.._and for no other purpose. New Building__ -------- _--- Remodeling----------------------- tion---- ----------- __ 'Repairs--- -------------------- No. Storie _ _..:.-- To be constructed of_--�••®_ - --- Kind of fou tion_-- _ E&oof Covering g---- -.---- - - 4 � let t Estimated Total cost of improvements $--------L_--- �—_ ount of Permit $__-_-��`----------------------------- -------------- Zone tubage required._------ -- ------ —flan Cubage_------Z��-/---------------------------------------------------- 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 poste or inspection on the s'•e of the work such public notice or notices as are required by the Act.The undersigned agrees to employ only such ubcontractors, on o k to be pe rmeunde this permit, as are licensed by Miami Shores Village. Remarks---- —-- — ---- _� F . (Signed) STATE OF FLORIDA, COUNTY OF DADE. I ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared _ — __ _________ _.-- --- ------------------------ me well known, and who, beim by first duly swornu tlon oath deposes says that he is the........--------------------------------------------------------------------------- of the above seri construction that a as carefuEv re therein by him a true pd e foregoing application, and that he did sign the same, and that all facts to . Permit No. ' ate—_ 51 Read,Sworn to and Subscribed before me. Disap oved _ — Date--- -- - -- -- (S ed) — -- - -- ---- - - — - Notary Public,State of Florida -------- --- -- --- --- — ---------- Buil g Inspecto My Commission Expires----------------_--------------------_--------_---__--__ _ PLANNING ARD --___-__-__---_-----_-----___-.DATE Member ------------------------------------------------------------------------------------- - M - -— -- - -- 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. y0 r Al 14)c t. AS Aa�m ti fee %Nmd Aim ry i V --------------------- . .....1� H YILLS, Jrjnes C. FHAf,Z 09-04'8033 500. gid. E. 103rd Street Miami Shores., Florida ---� Lots 11 & 12, B-93 Miami Shores, 6ec 4 PB 15/14 RELIA11TCE LIFE INSURANCE COLPAIJY OF PITTSBURGH F—T DELSON MORTGAMIL, COMPANY, INC. Jones Plumbing Company installed the Plumbing, overall job inspected 4/1/50 by Dade County health. Please send duplicate Plumbing Certificates to: Nelson Mortgage Company5 Inc. 1418 duPont Building Miami 32,, Florida. d *AM1 SHORES VILLAGE /�s a, BUILDING INSPECTION DEPARTMENT din o — APPLICATION FOR BUILDING PERMIT Applica 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 'ami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, wheth r hereifi specified or not. A copy of approved plans and specifications must be kept at building during pro"s of the work. Date Owner's Name and Address ( � A L S% No. l_(C-_ S h $ Registered Architect and/or Engineer_______ Name and address of licensed contractor `- � Location and legal description of lot to be built on: - Lot— __ ___ Block— Subdivision Street and Number where work is to be done___ (AO--n, State work to be done and purpose of building (by floors) and for no other purpose. New Building__ Remodeling _ Ad '_tion__ Repairs __ — No. of Stories— To be constructed of_ Kind of foundation_ _ —RoofCovering —A —5 ^ � -- �--I Estimated Total cost of improvements $ �' """�� '� A.n t of.Permit $— Zone tubage required__ s plan Cubage _ Distance to next nearest building__ 1 Size of Building Lot _ r �- 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 fo 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 u contractors, on w rk to be,,performed under this permit, as are licensed by Miami Shores Village. Remarks _ (Signed) _ STATE OF FLORIDA, COUNTY OF DADE. I ss Before me, the undersigned authority, a notary public,duly authorized to administer oaths and take acknowledgments, personally ap- peared �— to me well known, and who,be*n by me first duly sworn, upon oa deposes and says that he is the—_-- of the above escribed construction, that he 41.. arefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. _ Date_ w, Read,Sworn to and Subscribed before me. Disapproved Date Notary Public,State of Florida Building ector y Commission Expires PLANNING BOAR _-DATE Chairm _ __ ember Member _— -- ember Member _ ember 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-m' ection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL DATE ' 195 . PLUMBING ❑ PERMIT N0 9348 Contractors License No. ROOFING ❑ ❑ Work to be performed under this Permit______— Owner of Building - i t id 11 Architect .ontractor or Builder _ Legal Lot II Bi. Subdi- Description vision Sq. Ft. Address of Value of Amt. of Building Project $ Permit $ '4, 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 specificgations and that he assumes responsibility for work done by his agents, servants or employees. Signed: t BY INSPECTOR "- In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 17 MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195 ELECTRICAL ❑ PERMIT N° 9137 Contractors PLUMBING ❑ License No. Work to be performed under this Permit Owner of Building Architect -ontractor or Builder Legal Subdi- g Lot I Bl. vision Description. Address of Value of Amt. of Building Project $ I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195 ELECTRICAL ❑ PERMIT N° 9140 Contractor's PLUMBING ❑ License No. Work to be performed under this Permit Owner of Building Architect -ontractor or Builder _ Subdi. Legal Lot II Bl. vision Description. Address of Value of Amt. of Building Project $ I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING �J DATE 195 - ELECTRICAL ❑ PERMIT N° 9121 Contractor's PLUMBING F-1 License No. _ Work to be performed under this Permit Owner of Building Architect -ontractor or Builder Subdi- Legal Lot II Bl. vision Description. Address of Value of Amt. of Building Project $ II Permit $ /'4 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 i 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. I i I Signed: BY I 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. I I Y CONTRACTOR OR BUILDER BY AUTHORITY 0 MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195 ELECTRICAL I❑ PERMIT N° 9302 Contractor's PLUMBING ❑ License No. Work to be performed under this Permit Owner of Building Architect f -ontractor r' or Builder Subdi. Legal Lot I Bl. vision Description. Address of Value of Amt. of d � Building Project $ I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment.or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements,.or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY - INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accep}ng this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 7` CONTRACTOR OR BUILDER BY AUTHORITY �- MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE ; 195 f' ELECTRICAL PERMIT N? 9077 Contractor's PLUMBING F-1 License No. Work to be performed under this Permit Owner of Building .» Architect -ontractor or Builder Subdi- Legal Lot BL ` Description. vision I x,r Address of Value of Amt. of Building f Project $ f II 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 the statements 9�r specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: In consideration of the issuance to me of this permit I agree to perform he I e e uwi co al inan s and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specificati tte pr e oitiei hores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant oee.� -?3 CONTRACTOR OR BUILDER BY AUTHOR i MIAMI SHORES VILLAGE, FLORIDA BUILDING �] ELECTRICAL ❑ � DATE ' 195' PLUMBING ❑ PERMIT lr 9 9 Co tractor' Li 4 'oo. ? • ROOFING ❑ �� ❑ Work to be performed under this Permit Owner of Building Architect ° k� Dontractor x Builder Legal Lot II B1. Subdi- Description �� I vision f r= Sq. Ft. Value of Amt. of Address of `F Project $ Permit $ j Building 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 ' 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 submitfed to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work dope-by either, myself, my agent, sery t or employee. r : ✓ r CONTRAC-f 0R OR BUILDER BY AUTHORITY THIS LICENSE MUST SE DISPLAYED IN A CONSPICUOUS PLACE A Penalty is imposed for failure to keep this license exhibited at your establishment or place of business tf•......•.I1.••...•,>!f,•..•.,if.,••...,.if, lJ.••...,lf, if,-fir if tf.•�•.b.•.,7f t7G' ']iFLQ�Q�fi ilC it •i{ 'fn•:7L��'t. •: •if i{ i{ f{ •i{ •iiL'lT�•it i1L •ii t'41{ }af{.•••b.•,,tW/.•••.••,tIf,•..,,.. r C y TRIPLICATE r.= VILLAG" E L 3•4 r No. Vii? • 1 This License Expires__ s• r,0 to Y,r .•L In consideration of the sum of ..-�.-��•e� , Dollars YPaid to Miami Shores Village, Dade County, State of Florida, -------_ __ ,t----�-�-t,s--ref --- -- --- ---- _-___Address is hereby licensed to engage in or operate the business of_ �•... f For the period beginning-- ----and endin g--6-rl ,ta --u,=-.rte,-.:��:a- subject to the Provisions of all ordinances. MIAMI SHORES VILLAGE, FLORIDA C (SEAL) Date IssuedVILLAGE MANAGER •••777 THIS LICENSE NOT TRANSFERABLE WITHOUT APPROVAL OF THE VILLAGE MANAGER 52; r:r n r! r •.r! re r! n 1t r. r. r!- r n r.• r. r! rt �� 1! r et ''••....•i •�° ��°•'•ii`•.��,,,•'-i�•`iii`•g��°.•'•ii`•'.°�ii�•'•ii`•�°•'•'c�,�'•iii°'•ic`•�°.'•ii ..�°�,.•'•?i•..��,,.•'•fir`•�'•ri`•,�°�,,•'•ii`•°��,°.•'•it`•�ir`• �rii•....••i�•••...•. AFFIDAVIT STATE OF FLORIDA) COUNTY OF DADE ) of the Village of Miami Shores, County of Dade and State of FicAdal, being duly sworn, doth depose and say, that under the provisions of Ordinance No. 18_59 dated June 15, 1948, amend- ing paragraph (d) of Section B-368 of Ordinance Noof he it ting C de Of Miami Sho s Village, he des es to build a 314 - on Lot Block --� of ubdivision, that he is owner of said property, and will be Mr owner of said - , that he will do the work personally, and that he w:'Lll, at such times as are required by the Zoning and Building Director:- 1. File plans and specifications and obtain approval.of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. 3• Pay the required fees. #. Execute the cork in accordance with the provisions of this Code. 5• Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to curry the necessary Workmen's Compensation. Public Liability and Property Damage Insurance. 7. ,File with the Building Inspector as the job progresses certi- ficates showing the payment required by the Federal Social Security I-zt to the State of Florida or the United States of America. Be Assume the responsibility of not employing other than properly licensed contractors by Miami Shores Village for any part or portion of the work. 9. t set himself up as a "contractor".. 10. Sign an affidavit before, comnencing work to the effect that he teas read this Article and will do the work personally and observe all of the requirements of the Building, Zlectrical9 Plumbing and Zoning Codes of Miami Shores Village. Such affidavit to be properly notarized upon blanks to be supplied by the Building Inspector. 11. In order to prevent abuses and subterfuge the right of such owner-builder as herein provided, is limited to but one owner-builder per„ait each 2 years, and where an owner-builder has once exercised the privilege herein conferred no second application for owner-builder permit shall be granted in less than 2 years. unless the applicant is qualified as a licensee. General Contractor under the applicable Ordinances of said Village. And Further this Deponent says nota ti+VER SUBSCRIBED AICD SWORi7 TO B27ORL LIE? this day of -- A. D.. 19_,____. NOTMY BUBLSo MIAMI SHORES VILLAGE BUELDING INSPECTION DEPARTMENT APPL1r, TI®Id 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 BuildiOrdinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores V' ge 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 1 Owners Name and Address.---------JOseph Zak------------------------------------- No.____X00--------- Street_-----NE---10 rd....St , RegisteredArchitect and/or Engineer.------------------------------------------------------------------------------------------- ------_----_------------------------------------------- Name and address of licensed contractorZdeal Roofing &Sheetmetal Works Inc. -261 N.___'.7Jrd St. Hiami. Fla. Location and legal description of lot to be built on: Lot-- ------------•---------------------- Block----------------------- ubdivision----------- �ir�6_jg_ Street and Number where work is to be done-------------- 500 ISE l -- --_------------------ --'-� -- - -_ ___ - - — State work to be done and purpose of building (by floors)____e a l _enc e-rer O O f l ny,-_O f__f?a tsection. � r__felt tin capped, 2-15# -felts -as]halt and gravel - --~ - -- -------------------------------------------- --- _------------ — -- ------------ -----------------------_----------__--------------------------and for no other purpose. reroofing New Building------------------- Remodeling-4-------. ---seC e---- Addition------------------------ Repairs-------------------------- No. of Stories---_- .. ...... To be constructed of---------------------------- Kind of foundation--------------------------------------------------------------- Roof Covering---B U U 71_up Amount of Permit $_.5___00_.__ Estimated Total cost of improvements $---5---Q-,--QQ----------- ----------- ------------------------•--_----- -- Zone cubage required-------------------------------------- -------- -- - ----- ---- Distance to next nearest building------------------ _-------- --------Size of Building Lot---.-----------_______--- Maximum live load to be home by each floor___ _ __ __ .. .____ _-___ ______. ._-______-____------ __ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may 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,Permanen and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors by him in the work to be performeunder this permit; and will post or cause to be postedf specti on the site of the wor c uic notice or notices as are required by the Act. The undersigned agrees to employ only su subcontrac rs on work to rm under thi permit, as are licensed by Miami Shores Village. Remarks------------- -- -- - --- ---------------------- ---------- (Si ----- - -- - - STATE OF FLORIDA, COUNTY OF DADE. I ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments,personally ap- peared ----------------------------- ---------- -------------------- ---------- - - . . ---- ----------------------- -------------------------------------------------------- -- ---- - - - -- - -------------- --- --— -- ----------------------------------------------_____-.-_-to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the________ ----- ___ ---------------__.......________._.____......................... of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 1 -1 '-3_------ 2 -'-7/ Read,Sworn to and Subscribed before me. Permit No.--- Date--- - Disapproved - Date--�r - - --- -.-------- - ---- --- --------- ----•----- - --------- -- ---- - -- ------ ---- (Signed) --------- - --- -- . - Notary Public,State of Florida Buil g Inspector ' y Commission Expires----- ._ PLA ING 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 nor:^e for inspt.; icon or faulty materials and/or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 4/21/93 Job Address 500 NE 103rd Street Tax Folio Legal Description-a ck/,Z Owner / bmasm / Mmmm Etnm Deeds Master Permit # Owner's Address_ 500 NE 103rd Street Phone 754-8129 Contracting Co. Associates Contracting Inc. Address 9935 NW 46th St. 4102 Mi_ami_F1 Qualifier gabext Kit Sb,,* SS#1. — hone 594-3453 State #RG 066454 Municipal #cco19237 W4C mpetency # Ins.Co. Hartfnrt-1Srntts, a1P Architect/Engineer Nome Address Bonding Company None Address Mortgagor Dime Savings, Rank of New York Address P.n_Rnx 5724 Hicksville, W Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Rmnye and r nl aceomnl Pte i 1 runt with snani sh S - Snl i d TAbi tP z gems«e 3- ply=a�yel rnnf and i nstal l modified mhher rnnf on rear porc b desk r=l Pte_ Square Ft. 2,200 .%2 eu� Estimated Cost(value) $11,000_nn WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT) . Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable) . I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate nd that all work will be done in compliance with all applicable laws regulating co trust, and o ing. Furthermore, I authorize the above-named contractor to do the work stated Si ature of o er and/ r Condo President Sig atu a of J'� ct r or er-Builder Da Juan Carlos Calderon Zrl/� rl l Juan Cc, os Calderon v �ti �- ary STATE OF FLORIDA v ATE OF FLORIDA Notary as to Owner a d/or Con �relh-,-dat Exp2"' otary as to ec6trct * dFbYp2/2OA My Commission Expire BUNLg5y�My Commission Expires:"----.-/ BONDED FEES: PERMIT 00 RADON C.C.F. ' ✓® NOTARY TOTAL DUKI5 APPROVED: Fire Other Zoning uildin �`\ ` Electrical Mechanical Plumbing Engineering r � ,.;?., �'• Reece �®'t STATE OF FLORMA, COUNTY OF DAD E HERF�Y CCRTIFY i a' this is a true c Ay a , 10 ij'no-f�lej in�""F A lW TtE�$rnh'. :� d Of ictal Seal. e[1 - :V r LrR Kit and County'Comfta _ NOTICE OF COMMENCEMENT 933 186408 1993 APR 14 10:01 PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. 1.) Legal description of property and street address 600 Mg' l0 3/L, AYIs�i�Vi Caze.S /--L 2.)Description of Improvement 6 } r s ai adc s3 �M rr-� A- C NSI l62, 600 N& N1leml Interest in property: 1 Name and address of fee simple title hK( oldw MC 4.)Contractor's name and address Ass'axj rr' C f8turli14��a.96 �- - �� w 'i�+rti �r i©z m ► R 5.)Surety:(payment bond required by owner from contractor,if any:) Name and address: I�t✓ Amount of bond$ / Vender's name aat' dic�ssr> '/�! /�- ✓l/J� �le DC /l100 1 924 JVV 7.)Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.12(1)(a)7.,Florida Statutes. Name and address N Oki t✓ 8.)In addition to himself,Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Name and address �111� 9.)Expiration date of the Notice of Commencement:(the expiration date is 1 year from the date of recording unless a different date is specified) �Ssget�f�?wr�r Br it e N 'z' '4 r S Prepared by: �—,-V Sworn to and subscribed before me this 3"�*d day of Lr*11 a„j.e-h , 19013 Address: w i pews l , P( :S-S)-28 a Noiaytitalic', )+lbtarfs'Name I o s e My Commission Expires: ! C PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7 Job Address J-061 �03 -S1,oVir_1Tax Folio Legal Description (He�r) Lessee / Tenant �� $ Master Permit # :/S z�5 4 Owner's Address ®� - ° 4 1 6XV.4,&� Phone 3�2770 Contracting Co. 4,z &-,47 LIVdiW11a Address 1416_4r- Qualifier 416_Qualifier a��019 7' A2__-SS#9WNN0"Phone State 4dd1, _A,2 Municipal # Competency # Ins.Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Z�� .�,R, ®�See_< Square Ft. Estimated Cost(value)- WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT) . Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction-and zoni Furthermore, I authorize the above-named contractor to do the work stated. Signature of owner an or Condo President Signatu of Cor(trca to#r or Owner-Builder Date: Date' /�®7 .1414 40 70e— otary as to Owner an or Con resit t-__ Notary as 144tt r-B Ver ` My Commi s s' n Expii(RA GONZALFZ My Commission Expires �bLOi' yN�� OO NOjARYPUBLIC 5fATEOFFLORIDA 68W403'ON NOISSIWWOJ COMMIssION NO.CC 5 9 . OM()Id dOf3.Lt+d.S mond AvvjDN MY MM DN EXP,MAR.10,1990 IVI FEES: PERMIT RADON C.C.S: �� NOTARY TOTAL DUE y P APPROVED: Fire Other Zoninix 11 Building Electrical Mechanics ® Plumbing Engineering `- - — — — — — AC# STATE OF FLORIDA Department of Business and Professional Regulation CONST INDUSTRY LICENSING : BOARD: `.; LICENSE NBR 06/12/1996 95902960 CA —C045162 The C ASS A AIR CONDITIONING CONTRACTOR Named be�'ow Under the provisions of apter F 4 8 9 ,FS. Expiration date: AUG 31 , 1998 RUIZ LEANDRO DEJESUS AIR HEAT UNLIMITED CORP 1725 W 39TH PL HIALEAH FL 33012-7016 LAt1TON CHILES DISPLAY AS REQUIRED LAW RICHARD T. FARRELL GOVERNOR -°SECRETARY :wit :• }�wwwwt��tt DATE ,,�,�,yy, i+: :: CORD '::: ::. :.. : : : : : :::::: . ........,....:.... . A :;w,. '�... :.s 1 /0f4 1996 :•. ... �.,. / '+�A`Cti'•3>.•J.Wrii.••-'�•:w:;i::4:•Si:•3:L;;;`•:t�{:,;:IIIA\u�'i}'"Y.ii++•.vi•.!»3.J:»wvwi>.•w'U•:\vuv.,,,i• ,SRrAw;u;`�,X':i:}:•::;•>>:f ?'.iL ".•}:;•}... .....:}::;:v:.• v: rQODUcER (941)688-5495 wv FAX (941)688-4344 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION erndon & Associates Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 91 Lake Morton Dr. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lakeland, FL 33802 COMPANIES AFFORDING COVERAGE :.................................................................................................................................................... COMPANY Auto Owners Ins Co Attn: Belinda Farris Ext: A .....................................................................................................................................................................................Au........................to Owners Ins Co ................................................................. INSURED Air & Heat Unlimited Corp ` COMBPANY .......................................................................... ..................................................................... 1725 W 39 Place COMPANY Auto Owners Ins �o C Hialeah, FL 33012 ............................................ ..................................................................................................... _. COMPANY Pinnac'fa Assurance Corporat1on D L}�}t,,i �w� :�::.'•f::•>}:•:;•xY:.}}xa:•}:ii•}:.>::�i:�::�::�:fi�:�:�i�S::::::�:>:i�:�>::•3:•>•a:-Y:ii•>:•>:�•}}}•;ii+axx:<+;�}:;:;;i::••'i�<;:�:;:'•::� ::+'.v+;Y::v:�:�>::�:>iss::�:;a:�:4�:i::�i:�:�:�;SR�:;�::�:�i:}:•.:�}:�:k�:�:f::',••:Y::�S;?r�:2:f:�:;�>; .}}>.,i;;.»:::::i::.}Y:i.•..,............:.......w..::........ ............ +..w,:w•>w.w,.:».,..::..m....w........i,,.....aw.ww.i�Sxairi::r:;:;:::�: ...:::...............:: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LINpTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAB�AS. CO TYPE OF INSURANCE POLICY NUMBER :POLICY EFFECTIVE;POLICY EXPIRATION LIMITS LTR : DATE(MMVOWM DATE(MMIDWY) GENERAL LIABILITY : : :GENERAL AGGREGATE EN :5.........1.x.000 000 X i COMMERCIAL GENERAL LIABILITY 'c PRODUCTS-COMPIOP AGG ::.s 1,000,000 5..O......O .U....O.0 "` :CLAIMS MADE :X OCCUR' PERSONAL 8 ADV INJURY ;5.........................f. .... 20523436-23 ; 11/05/1996 € 11/05/1997 i :OWNER'S&CONTRACTOR'S PILOT; EACH OCCURRENCE.............}i S 500,000 ................................. ... .................... :FIRE DAMAGE(Any one fire) . S 50=O00 ......... .................................................... : ; ... MED EXP(Any one person) S 5 000 i AUTOMOBILE LIABILITY E COMBINED SINGLE LIMIT S .. X :ANY AUTO i E i 500,000 .....; ALL OWNED AUTOS 'BODILY INJURY S scHEDULEDAUros :20236198-02 11/05/1996 : 11/05/1997 ............................ HIRED AUTOS BODILYYUU)RY NON-OWNED AUTOS '5................................. ........ .................................................... i :PROPERTY DAMAGE i S GARAGE LIABILITYEA ACCIDENT........................:.>S:�_,.�:> '%':% AUTO ONLY- ANY AUTO i OTHER THAN AUTO ONLY: ww ............................ },w.:: EACH ACCIDENTi S . : .................................................................................... ...... .................................................... AGGREGATES EXCESS LIABILITY i EACH OCCURRENCE S 1 OOO}OOO C X :UMBRELLA FORM '20237357-21 : 11/04/1996 : 11/04/1997 :•AGGREGATE :s 1,000,000 : . E OTHER THAN UMBRELLA FORM `S TORY LIMITS i ER {i '' WORKERS COMPENSATION AND ":;w.:Y»w.........,.w.. .w:... EMPLOYERSLIABILITY E S 0 0 0 101/01/1997 i......•• 500R. D SEAS..THE ETOINCL 4DPOLICY LIMIT PARTNERSFEXECUITVE _...........................................i............. OD,000 EL DISEASE-EA EMPLOYEE i S 500,666 OFFICERS ARE: EXCL: OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECWL ITEMS Li abi 1 i ty Limits Reflect Reinstatement Of General Aggregates ... .. .. ..,...........:... .....,...,......,.. ..R+v.... .. .. .r.,.. \fit,,...>. ::::•...•••::•:,:•>:w{•.••.:::••.••::::::::::::::: r�.�[... .. .............:.. ......................................w..........•.....,... •.. ..:•..,. )i� .... ..w .•. ••:::+- ... w..................ww•.ww....:t�>:a•Si::"3,<•;£t:�i•>:ac•.w•�•:Yw•:.;... ::4T♦.Fti�.:��c:::::.},:LL<'•:;w:.v.}:::••.•:::w}.:•::::,,;.�C;•,•:;::;i•:.}a'•xLLa+::;,••••?.•>.v:,•>.tai,,.+�k,;+:>wa.•..>w,vw,,,w.,.»w.•w..»....,,.•w.::a...,,av,.aw\,..w•.w•£;9'•}:;•}}:•>}:::::::::.}::•>'�++;: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELL®BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES- AUTHORIZED REPRESENTATIVE David Sheppard/TERRI :v.•,++:9A•w N::.M^'1M3 .,OY,l,.;.':K?i0,:,^.,.>,. .• .+•;•;(.+:O,I;•M.,N.,},w ........:.. ....::.•.•.•.•.•::::%;•:•i.';v�} ........ .... ..:..:. .. .:::...•::::,vvfw•: ..:40:L�C;3>;•'L4:ii.}'{,,:n:,..:n.. ,+v::w........ +n'i.^•.'.{ t Awl MMO-DADS METROPOLITAN DADE COUNTY _BUILDING AND__,ZONING DEPARTMENT._-. _..__..:.____..-___........._:. : 111 NW 1ST STREET MIAMI , FL 33125 10TH FLOUR, SUITE 1010 STATE CONTRACTORS CERTIFICATE OF REGISTRATION ISSUED JULY 17 , 1995 THIS IS TO CERTIFY THAT AIR & HEAT UNLIMITED CORP D/B/A C.C.N. CAC045162 TRADE MECHANICAL >p HAVING MET THE REGISTRATION REQUIREMENTS OF METRO DADE COUNTY, IS REGISTERED AS A CONTRACTOR IN THE FOLLOWING TRADE CATEGORY (S) 28 A/C-CLASS A-STATE ., WITH ALL WORK TO DE DONE UNDER THE DIRECT SUPERVISION AND CONTROL OF QUALIFYING AGENT RUIZ LEANDRO D S. S. N. 266-19-6432 AIR & HEAT UNLIMITED CORP THIS REGISTRATION IS VALID UNTIL 1725 W 39 PL SEPTEMBER 30, 1997 HIALEAH FL 33012 BY AUTHORIZATION OF SECRETARY, CONST TRADES QUAL BOARD ALTERATION, REPRODUCTION OR TRANSFER OF THIS CERTIFICATE IS PROHIBITED FEE FOR THIS CERTIFICATE WAS PAID ON PROCESS NO. 795139599 f z I DADE COUNTY 1996 MUNICIPAL CONTRACTOR'S 1997 FIRST-CLASS TAX COLLECTOR OCCUPATIONAL LICENSE U.S.POSTAGE 140 W.FLAGLER ST. DADE COUNTY-STATE OF FLORIDA PAID I 14th FLOOR PURSUANT TO DADE COUNTY ORDINANCE 66-2 MIAMI,FL MIAMI,FL 33130 PERMIT NO.231 EXPIRES SEPT. 30, 1997 LICENSE NO. 30-0508094 CC NO: 000012054 IS HEREBY.LICENSED TO DO BUSINESS NAME/LOCATION BUSINESS AS A CONTRACTOR AIR E HEAT UNLIMITED CORP AS SPECIFIED HEREON. 1725 W 39 PL OWNER :AIR E HEAT UNLIMITED CORP NOT VALID IN: SPECIALTY MECHANICAL HIALEAH VILLAGE CE KEY BISCAYNE DO NOT FORWARD Licensee must whererin the okisto AIR E HEAT UNLIMITED CORP Where Work is to 1725 W 39 PL be done. HIALEAH EL 33012 PAYMENT RECD. DADE CNN TAX COLLECTOR: 08/20/96 260000639 000175.00 DADE COUNTY 1996 OCCUPATIONAL LICENSE TAX 1997 TAX COLLECTOR i. DADE COUNTY-STATE OF FLORIDA ggg FIRST-CLASS ss 140 W.FLAGLER ST. : EXPIRES SEPT.30,1997 U.S.POSTAGE 1 14th FLOOR PAID I MIAMI,FL 33130 MUST BE DISPLAYED AT PLACE OF BUSINESS ' MIAMI FL PURSUANT TO COUNTY CODE CHAPTER 6A ART.9&10 PERMIT NO 231 050809-4 RENEWAL BUSINESS NAME/LOCATION LICENSE NO. - 050809-4 AIR E HEAT UNLIMITED CORP C C #: 000012054!- 1725 W 39 PL 33012 HIALEAH OWNER --AIR Sec. ype Or HEAT UNLIMITED CORP usiness WORKERS 196 SPECIALTY MECHANICAL 20 HIS IS AN OCCUPATIONAL - AX ONLY. R DOES NOT - ERMIT THE LICENSEE TO IOLATE ANY EXISTING . 'EGULATORY OR ZONING DO NOT FORWARD AWS OF THE COUNTY OR ITIES. NOR DOES IT OYTMRu�RMOTHEcAIR E 'HEAT UNLIMITED CORP iR PERMIT REO SYAW.THIS IS ISIDORO J GONZALEZ ICATION NO AA CE CERTE 1725 W 39 PL ww eEEs GUAUPICA- HIALEAH FL 33012 AYMENT RECEIVED ADE COUNTY TAX OLLECTOR 08/20/96 260000638 000037.50 SEE OTHER SIDE I1: S. T. E. Ph9bRICH CIVIL ENGINEERS & SURVEYORS No. 136 alnd 83 M drai Florida Office ig bNAMMIMANt Phone E-8545 Survey of Lott--- -------.1L�1�---- ---•-------- -Block__._.._- _.��---------- -Subdivision--------.- According ubdivision--------According to Plat thereof as recorded in Plat Book- Public ook Public Records of. ___ ____,gyp .._.. ___. _ -_._County, Florida Date- - -=�j 7�,s' -- - --- - For_ l r—lY_v, Location sketch Scale 1"- 260 We hereby certify that the �. attached plat represents a recent -- `� survey made by us or under our ,Ay direction and is true and correct to the best of our knowledge and be- it ' ll f to ' s ` 7 6 15 4 3 2 t lief. ! There are. nc encroachments '' '----- ,g or evidence of construction work at this date unless otherwise noted. s �I J3 ; 14 ' IS r6 f 17 1 ?a 19 ao z1 ; a2 Ez #24 E. S. & T. E. Frederick, C.E.'s By— � _ - OF _ r /00;0 GW . 30 _-� ---- -�-------- 1 `� _ iE—iSrJ-•9i , ., r a Lot Details Scale F'- 3,5 �t 4 EMMA C. DEEDS 08-89 1589 500 N.E. 103RD ST. MIAMI SHORES,FL 33138 83-27/831 R k � Date d � 988 Pay, $ to the r er 44 ollars 8�m� Bank of America. ACH H/r 063100277 Memo 1:06 3 100 2 7 71: 00350523L460u ' 1589 MIAMI SHORES VILLAGU Paint Color Approval and Agreement DATE:_J/'q Lo OWNrER'XNANfE: PHONE: ADDRESS: 500 iV E /0 ADDRESS OF SITE: 5 CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: All Elements on the site must be listed and indicate the color to be painted. Walls Fascia 0 Drip Cap/Drip Edge e t1i 0 Soffit � Roof Flower Bins Shutters b-6%- MW Awnings Chimney Doors and door jams Garage Doors Railings N Fences Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other 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. I authorize the above-named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached samples. 0' 2- Signature of Owner Date Signature of Contractor Date WHEN PAINTING IS FINISHED, APPROVED: *((,,A c4" CALL FOR FINAL INSPECTION ' 2�0 3a 2 Building Official Date 4/23/01 OWNER'S NAME PRESENT ADDRESS LICENSE NO. PHONE NO. mms J N. W� c. `_`_`�, 13016 W. 11th Ave.:he- JOB LOCATION (ST.OR AVE.) LOTBLOCK SUBDIVISION 300 N. E. 103rd Street I 11 & 12 I 93 I Miami Shores Seat. GENERAL CONTRACTOR ADDRESS _PHONE NIL I LICENSE NO, Owner-Builder 13016 N. YV. nth avenue 1-3-7880 3723 0-B j� BUILDER'S BOND o BUILDING PERMIT NO. 7077 DATE 3/15/50 I .PERMIT FEE S 18 00 I NO. 971 DATE 3/15/50 ZONE REQUIREMENTS 18'500 CU.FT. I PLAN CUBE 209808 CU FT I EST COST S 136500.00 28 DRAWINGS, DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: 2/28/50 TYPE STORIES ROOF f CONSTRUCTION INTERIOR CONSTRUCTION Z NEW CONSTRUCTION CB9 I Tile I Terrazzo Floors - Plaster Wa" g� Servo 1PTION REPAIRS I11y Rm - Liv Porch - Kit - Servo Porch - 3 Bed Bus - 2 Baths - DESCRIPTION ALTERATION ADDITION I1 car att. gar Vldry and stmjige I APPROVED I REJECTED REFERRED TO COUNCIL I REASONS. SUBMITTED TO PLANNING BOARD RE-SUBMITTED TO PLANNING BOARD REMARKS SUBMITTED TO VILLAGE COUNCIL o C CERTIFICATE OF OCCUPANCY NO /26 ISSUED 6/21/7 BY n I TO JIM8A r. u 00 NE 0.•.�,.A 4. BUILDING PERMIT AND INSPECTION RECORD-MIAMI SHORES VILLAGE --��i BUILDING INSPECTIONS INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY FOUNDATION ry BEAMS&LINtELS 1( 56 im 11RAMING 518150 _= FINAL 1c� CLEAN-UP PLUMB' G PERMITS & INSPECTIONS CONTRACTOR .,ows - Aveaule Plumb PHONE PERMIT NO. 121 DATE FEE$ 1140 NEW BLDG. S I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK $ 5EWER $ SOLAR HEATER $ GAS $ INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY ROUGHING 4/1150 JM GAS SEWER SEPTIC TANK Al 50 JM -SOLAR HEATER FIXTURES 6 ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR HUrSt E100trSC 00PHONE Pf_RMIT NO. 9302DATE p FEE$ 12.05 NEW BLDG. = I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 9140 3130150 $ 1.00 H.W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY P TEMP.SERVICE l ROUGHING 5 d H.W. HEATER CONN RANGE CONN. FIXTURES&FINAL 61 2115d JM APPROVAL TO POWER CO.FOR SERVICE DATE 6/231(50 BY ADDRESS 500 N. E. -103rd St. LEGAL Lots U-12jB1k.*MSS #4 RECORD GARBAGE 'SAX ��aa.o�iCi• 0-21-50 PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER Citl James C. Is o /0 571 /.;.0 .0 ti-V lg�,o o 9,-A I S (o Page 4 OR PERMIT APPLICATION .5 "�" �� PERNIIT APPLICATION OFFICE USE ONLY loss _,.... Master Permit No. Subsidiary Permit No. 6 C CHECKLIST OR ❑ OWNER-BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL INSTRUCTIONS - The following steps inust be taken o obtain (Attach) (Attach) (Attach) 11 Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please ❑ FIRE DEPARTMENT ❑ HRS/DERM APPROVAL ❑ BPR APPROVAL(Restaurants) print or type to allow for a more accurate processing of your application. If roofing work will be done,a roofing application must be submitted APPROVAL(Commercial/ (Septic/Sewer) along with this permit application. multi-family) 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. ❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New Construction) (On File) APPLICATION ❑ OTHER ❑ OTHER `'e Job Address: 5~�� l�� .r �� c�L�� (Specify&Attach) (Specify&Attach) Address Apt. City State Zip PERMIT FELS Folio Number 1173,206 ®� �� kDescription of Work Lot I I Q Block l -3 $3.00 per page(Scanning Fee) $ Subdivision 1F PB2 __') PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Miami Shores Village $ 41ti `t Proposed Use of Property 5<Value of Work 2!290 , Bldg Value Tenant Information Tax Assessed/Appraised Value Bond $ Flood Zone Base Floor Elev. PERMIT TYPE (✓ PERMIT CHANGE (✓) TYPE OF MANAGEMENT (✓) Metropolitan Dade County (C.C.F.) $ I (sq.ft.=x/1000 Buflding Chg.Contractor New Construction Enclosure x 60) Electrical Renewal Alteration Exterior Re air Inspector State Educational Fund $ (o.005/sq-ft.) Mechanical Revision Alteration Interior Demolish Plumbing Extension Relocation of Structure Shell Only LPGX Supplement Foundation Only Add11 Attachment State DCA(Radon) $ (Q.OI/sq.ft) Roofing Reinspection Other Add'1 Detachment Fence Other Code Enforcement Fine $ Other Ed I I ARCHITECT ENGINEER Zoning Review $ Name Name TOTAL $ ® License No. License No. iSSUING OF 7,10,�L Address Address REVIEWED AND PREPARED BY: DATE: Telephone Telephone SECTION BY DTE A. CONDITION O APPROVAL Fax Fax Zoning Electrical 11 S C 'e_"T A l fq� � PROPERTY OWNER CONTRACTOR Mechanical Plumbing Name Name Fire Address License No. Public Works 1 Address Structural ® ' �i. 0 Building Official Home Teleph e _ Business Telephoners Telephone Fax • Revised July 2001 Fax Qualifier Name 10050 N.E. 2-AVE., MIAMI SHORES,FL • (305) 795-2207 • FAX(305) 756-8972 • http://www.miamishoresvillage.com Page 2 Page 3 PERMIT APPLICATION PERMIT APPLICATION IMPORMkNT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. 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. ELECTRICAL 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. TYPE QTY. TYPE , QTY. TYPE QTY. TYPE QTY. , 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES,AND MAY NOT BE USED FOR STORAGE. A bond is ]yBnimum Fee Dryer Outlet,Appliance Service Repair required for work in or near the streettsidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer A/C Central 1-3 Ton Fan Outlet,Wall Service,Temporary which requires a separate permit. A/C Central 4-7 Ton Fire Pump Outlet,Switch Signs 6. PORTABLE TOILETS for a construction site require a separate permit. A/C Central 8-15 Ton Fixture-Fluorescent Oven Space Heater(kw) 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building,Planning and Zoning Department. A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. A/C Central 20+Ton Flood Lights Plugmold/Strip Subfeeds,No.of Amps 9. Department of Health and Rehabilitative Services(HRS)approval is required for applications involving septic tanks. Department of Environmental Resources A/C Window FPL-Load Central Posts Swim Pool,Commercial Management(DERM)and/or Miami-Dade Water and Sewer Department(MDWASD)approval is required for applications involving sewers. Air Conditioners Garbage Disposal Range/Range Top Swim Pool,Residential AFFIDAVIT - Please read careftiliv. Chiller Generators,etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator,Comm.(p/PH) Temp Serv,Construction Application is hereby made to obtain a permit to do work and installation as indicated. I,the OWNER of the property,certify that all Compactor Low-volt,Burglar Refrigerator,Domestic Temp for Test-30 days work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits Deep Freezer Low-volt,Fire Renew-Temp Service are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, Demolition Low-volt,Intercom/Teleph. Repair Circuits ROOFING and SIGNS and there may be additional permits required from other governmental agencies. Dishwasher Low-volt,Television Service,Number of Amps 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 7A/*C mun►Fee Condensate Drain Generator Refrigeration,Tons under this and any other permit exceeds fifty percent (50%) of the replacement cost of the structure, then the entire structure must Central,Tons Cooling Tower Heating Strips,each Vent Hood,Cost conform to the current code requirements of the Building Code. Wallman.Tons Dryer Vents,Number of Paint Booth Ventilation,Cost rHandler,Tons Ductwork,Cost`of Piping,Flammable Liquid Periodic Inspections WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for Barbecue Fire Sprinkler System Process/Pressure Piping improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with Bath Fan-Vented,# Fireplaces,Number of Pressure Vessel your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1"Floor,(305)679-1078. Once recorded,the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713-35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and PLUMBING Choosing a Contractor. TYPEr QTY. TYPE QTY. TYPE Qpk� A/C Condensate Drains,Roof Miscellaneous Fixture I Soakage Pit Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater ST�F FLORIDA,C Y OF MIAMI-DADE STATE OF FLORIDA,COUNTY OF MIAMI-DADS Bidet Filter Replace Pool Piping Sprinkler Repair Cap-Fixture Fountain Pump and Abandon Sprinkler System Signature of Owner Signature of Contractor/Qualifier Cap-Water Gas-Appliance Pump,Domestic Supply,AC Well �90&?A �//) � Cap-Sewer Gas-Natural Pump,Fire Stand Temporary Toilet PAYCName Print Name Catch Basin Gas-Propane Pump,Re-circulate Temporary Water Closet Clothes Washer Gas Piping Pump,Replace-Pool Urinal om and subscribed before me this day of Q/A Sworn to and subscribed before me this day of Dental Chair Grease Trap Pump,Sprinkler Utility-Sewer Discharge Well Ice Maker Pump,Sump Utility-Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Signature of otary Public- to o orida- Signature of Notary Public-State of Florida_,6A Disposal Interceptor Roof Inlet Water Closet -t Domestic Well Laundry Tray Septic Connection Water Heater SEAL: f, =<: °'�'` "� �' K SEAL: Drainfield,4"Tile/Res. Lavatory Septic Tank Water Heater New j. t'c T(,, Ft q Drains,Area Meter Set(Gas) Sewer Connection Water Re-pipe Drains,Floor Minimum Fee Shower Water Service t" Drains,French Miscellaneous Equipment Sink Well,Supply Personally known OR,Produced-Identi$cabno _ Personally known OR,Produced Identification Type of Identification Produced kJ30D'cZQ3 'C>__-30.-56 r Type of Identification Produced: RECEIVED AND REVIEWED BY: DATE: SNORIEs y� PERMIT APPLICATION Master Permit No. Subsidiary Permit No. 61 �'�OR1DP 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 pr=a 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 submitted 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 E processing of your application,you may be asked to submit additional information. f Job Address: Jpd lV �� i �- �Q —�.L! / Address 2 Apt. City State Zip Folio Number 1 1� 13 KDescription of Work� � Lot I I a / a Block Subdivision PB- c. PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property Value of Work Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE ( ✓ ) PERMIT CHANGE (✓) TYPE OF MANAGEMENT (✓ ) MBuilding Chg.Contractor New Construction Enclosure Electrical Renewal Alteration Exterior Repair Mechanical Revision Alteration Interior Demolish Plumbing Extension Relocation of Structure Shell Only LPGX Supplement Foundation Only Addl Attachment Roofing Reinspection Other Addl Detachment Fence Other Other ARCHITECT ENGINEER i Name Name License No. License No. ` Address Address 1 Telephone Telephone Fax Fax PROPERTY OWNER CONTRACTOR 94 9 Name Name Address License No. -�—® //� 'm Address Home Teleph e Ell Business Telephoner Telephone Fax Fax ✓ Qualifier Name i Page 2 PERMIT APPLICATION IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATER 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 DIR' 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 streettsidewalk. 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 clf 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. AFFIRAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation a6 indicated. I,the OWNER of the property,certify that all work will be performed to meet the standards of all laws regulating construgtion 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 cumukative 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 C6MMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 orlintend 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 ci�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. STE,OF FLORIDA,MCY OF MIAMI-DADE STATE OF FLORIDA,COUNTY OF MIAMI-DADE -101ni- Signature of Owner ^� Sign9ture of Contractor/Qualifier �0-?A Pn Name Print Name om a d subscribed before me this day of Q n Sworn to and subscribed before me this day of i Signature of otary Public- to o orida, Signlature of Notary Public-State of Florida SEAL: t.F'i'" A Fu F - i SEAL: coo--" Personally known OR,Producea ldeatificiti`od Personally known OR,Produced Identification Type of Identification Produced O 1��300� '.2% --56 / Type of Identification Produced: r I t Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. ELECTRICAL Minimum Fee Dryer Outlet,Appliance Service Repair 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 1 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 Demolition Low-volt,Intercom/Teleph. Repair Circuits Dishwasher Low-volt,Television Service,Number of Amps MECHANICAL TYPE QTY. TY11F] Minimum Fee Condensate Drain Generator Refrigeration,Tons 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 Bath Fan-Vented,# Fireplaces,Number of Pressure Vessel PLUMBING TYPE, QTY. TITE QTY. TYPE, qr). A/C Condensate Drains,Roof Miscellaneous Fixture Soakage Pit 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 1 RECEIVED AND REVIEWED BY: DATE: I Page 4 PERMIT APPLICATION OFFICE USE ONLY CHECKLIST ❑ OWNER-BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) (Attach) (Attach) ❑ FIRE DEPARTMENT ❑ HRS/DERM APPROVAL ❑ BPR APPROVAL(Restaurants) APPROVAL(Commercial/ (Septic/Sewer) multi-family) ❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New Construction) (On File) ❑ OTHER ❑ OTHER (Specify&Attach) (Specify&Attach) $3.00 per page(Scanning Fee) $ i Miami Shores Village $ Bond $ Metropolitan Dade County (C.C.F.) $ (sq.ft._ 1000 x¢.60) Inspector State Educational Fund $ (¢.005/sq.ft.) State DCA(Radon) $ (¢.01/sq.ft.) Code Enforcement Fine $ Zoning Review $ S el 06 TOTAL $ REVIEWED AND PREPARED BY: DATE: SECTION BY DTE t, CONDrriON , , Zoning � 01- Electrical Mechanical Plumbing Fire Public Works Structural Building Official Revised July 2001 I 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795-2207 •FAX(305) 756-8972 • http://www.miamishoresvillage.com I