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PT-05-1044 MIAMI S.HORES 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 here specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date —,19 a? Owner's Name and Address iw .� No.-- Street Registered Architect and/or Engineer-- Name ngineer—Name and address of licensed contractor<�, Ft � L t__ — Location and legal description of lot to be built on: Lot—_ Block— SubdivisionN__ _---__ Street and Number where work is to be done___AA �� 0%>_ -,-2- _ yam— State work to be done and purpose of building (by floors — _ 1� -- -- — ____and for no other purpos New Building --_—_ Remodeling __ Addition _ Repairs------_—_____ No. of Stories To be constructed of__—__--___ Kind of foundation —� _ _ Roof Covering_ Estimated Total cost of improvements $— �(� t'° ------Amount of Permit Zone tubage required-----_ plan Cubage Distance to next nearest building__ Size of Building Lot—__ -- Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may, be sent to----- The o_—__The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966,Compiled General Laws of Florida,Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspectign on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcon 6s' -work to be performed under this permit, as are licensed by Miami Shores Village. Remarks__--_— --- (Signed) .-7 ' STATE OF FLORIDA, I Pm-- 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 of the above described nstruction, that he-- that read the foregoing application, and that he did sign the same, and that all facts therein by s (j ated az true. Permit No. _—_ Dat �y Read,Sworn to and Subscribed before me. Disapproved A74 'Date Notary Public,State of Florida (Signed) g Inspecto-r My Commission Expires — PLANNINGOARD___ 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 tlds 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. tj* Ite is -r i' {:fir(. .• .. �, (`' 'x. vTafy- tt z , ( :r R., r••.., �Lt.;; , ic= r• / js' A r"i-}1tt[;'`fqpt-? J. ,-�1 3+-�, :a( T, 1 r ,i,. !;•'i .,F '{d1T _. - ,-. z9 nr- P1 yr�41kv, elk t . .Gb0 jS[[alit � T {�.35 l A _ •'::'��l ti: t r�• _ I T+ R3T _ y- D; Yf.. r•_ r ,;... 4k`7t]1.(:( Mc ,.: #.�tyl�,' .:`. i.-; :. _, t' ..T - Ty :-J.; +1 A';��L� TLa�.. ,( 7.7 iT•� � is 'n„,) G fC.kl�f v �' �- �: _ _ ..i�!(��' ,fi��.t, �S°'j til•.ISI j� s. �?s ... _^ !'' �- �.��•• ,_ BOUNDARY SURVEY LEGAL DESCRIPTION BOUNDARY THIS PROPERTY DESCRIBED AS:LOT 4 LESS THE WEST 20 . 0 FEET, BLOCK 175 , "REVISED PLAT OF TRACTS 1759-%, 175B, 175C, 176A, 176B, 176C, 17-IA, 1 77B CL. AND 178A OF THE REVISED PLAT OF MIAMI SHORES _ r�.-=c �� -'T� `y-, SECTION 8 , ACCORDING TO THE PLAT THEREOF, AS �r RECORDED IN PLAT BOOK 43, PAGE 67 , OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA. `? > CERTIFIED TO: LOUIS P. ROSR STEWART-TITLE GUARANTY COMPANY ►.�, tet= W=- z ^_G. G O � - ✓��^.G� I� � INTERAMERICAN FINANCIAL SERVICES, INC. , ITS �L '�y � _ V -O; ► , SUCCESSORS AND/OR ASSIGNS, AS THEIR INTERESTS MAY APPEAR. '5p!::) I SF(�r��st�� TTLE SERVICES, INC. AiiI�NRTT 4.401 FJ.PjWMM ltON PIPE &LPAC.NMET PION PTEs CAP F#L iDNFOUD MAL i DWC �O WISLEOFOEFLECTION IM wMTW IE= U.PPUTLITY POLE CL�C.EARAMCf (� A-ArIC:fr T PLAT . vdP4ffArlU D ! - omcmOrm ~ dS P.Gar'O■ffOFCURVATU& P:T�rOFTAMOBCCT Thi iL4BTf FJLwPClUDMAL (� ` v� - i P.0 -uVCWT OF COMPOUND C URVATUM AR�NR C+OIDIOI�t CLJ�K,71AM LMC PHK:E d r4� w.F.■MORD Foom FEM/L=XTUCCO It'ItAD= FJt,fOUD REAR t- L w.. n ,_ -- L.— b -.c G: �- 4- N I LC C7C Ocoa � �A§rr r ummu P r.,Pcoff OF l 9 J 11 01E CURVATURE 4 v s. epi ;H E �.�E �. � �-�� r POdL•POUND WELL ROLE EJ►�fT RM�AUIf-0F-DAY ' +� _ C- n 7'_'•� 1— �' WOnVALLET ASD GlUTTM PJLOPtAT noon Pfla►AOE V.P._vT 6A Y`C �o�E Lo '� ! I MOTPlt I rsy7 t.EliUoa7DN OF M AMWRACT O"IMLE til PAVE TO E K*M 7o DETBtr•E 1llCOADM E Nff,APPM=M TMs PROPm#I _ __ TMAT iA7 t!E POLUD M at PRC 1 P rl w Or'j=CXXX" w!e!Eits TPFlOP=l V LOCATM &S .7 i r M7Ujft F ATA',WroertlM NOR L.00A70D E>0:r Al ME E Y98MCAT c - ~.! A.ELEVATIONS SHOWN N� AM AM R�tANCETO TM MATMIAL�VOtTr-*,L OATH V i Z•4S' $ PMVJUW Af Pot flDIC7r tE11RI(R_ _!'LZVATIOrt L TMs ANMY DOW Wr 003%J T at DETE 0 OVAa W. - 3 c vys T L 7fE OURVIM DEPCM n i MOT COVNT uAaamr/IMURAMCf �� o `'"""" °• -c -� .V T.LNQAL DEMCPVn"SHOWN 1t8101t NAi PItOiMD®TO UG iT C MW. CER I WW ATE Z�. os� J _ 4 j ewer Ctler�r TiMT TMU<ara7aM cF s#/IIIET d�7MS MU�1t racrMi wcr�trr r.-. 7 v n A Tn MO COWNWr NNTA7=CF A UW#Vf W=Ul Sx oStrC7a>wt 4s +V AM7MRTSADSUKWYsACCAU=AVMoOMMICflO7MENWOFMXNDVAJMGE NOT VALID AND mss'.AM tiLm anew!Momm 7i AW Mo to WITHOUTTHE l l2w0rx STAN0A o As sR PGKM n7+t R COLADA w0m osrwopeoua.fAL nwrevoMAM NAFPOW w awree 69004L,FLaawo�srnATME COOL SK'sNATURE AND ! Ali; ' 69° P1POIAWTOS47%WnA lura THE ORJGDi^L l RAISED SEAL OF ol ! �►,�,� A FLORIDA c�•+ 7• LOUIS i£TlRON i '2'7. 50 4 4 2 R I SURVEYOR AND Puaisr►S�i1�A7tfllf MAP'POt +_ !' � JOB mumestSUPERIOR SURVEYING, INC. ok L.BJ"74 CDs: aF erF�►res+as: .�.�s..�, :fes;��• PROPER71r ADORESB: 4960 S.W.72 AVENUE i�►:� s. : _.� �- _ -2 _ ,v i C�_'20• S '%A ,�►�'� I �, ,O rz S, ~;.�+Z,t Dsa. SCALE: � =2(Y SUM i E 3Q5 CR ELFbAT10N: ;UY& ST ADAACM GRADE: 6AW RDOO EL"ATKW ►FLOOD ZONE !DATE OF FIJLhL !COMNLOM Numm Bt 'PAXMAM 3UF�: MIAML, FL 33135 '- HATE OF F�.D `wotic R c. TEL-(305)M-7M 790 FAX:(305)66Z-15b0 k� . ,`StIOREs L, Ville sit 1.11.M iami o�e� e 0 1 p' AFFIDAVIT STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, J. (' :S �:]c` does hereby attest that the (property owner) attached survey,performed by , LA f?-C, C) V, SLA VeAl {1 ��j (name of surveyor's mp ) performed or I C) C)C6 is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six(6)months old. The Affiant,as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to is or other a its.. F rther, ffiant sayeth naught. ffi o owner $ev,`s Wi Wit) s Witness(sign and print) SWORN TO AND SUBSCRIBED before me this C.)► day of OAA 6 -?bcj- 1 Affiant is-,54Psonally known to me,_produced .>a l u c'1 Li ce n S c as identification. otary "Y P OFFlgA1 ROTARY SEAL p4, G r EDGARD R DETRIRIDAD 5�°193 ` PERMIT APPLICATION �� n "" � ""'`" Master Permit No. 0 Subsidiary Permit No. —5'02ORivp' obtainINSTRUCTIONS - The following steps must be taken to Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized Please print or type to allow for a more accurate processing of your application. If roofing work will be done,a roofing application must be 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 processing of your application,you may be asked to submit additional information. 'l APPLICATION Job Address: I r?0 1 V �' �� t ®P�s / 7331 3P Address Apt. City State Zip ` Folio Number Dcription of Work 1)Y t U e i �A C-� i Lot Block { Subdivision PB PG Zoning Linear Feet Current Use of Property quare Feet S a 1 Units Floors Proposed Use of Property A"gue of Work 9("U•ec Bldg Value i Tenant Information Tax Assessed/Appraised Value w Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) ERMIT CHANGE (✓) TYPE OF MANAGEMENT (✓ ) j Building Cbg.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 Add'1 Attachment Roofing Reinspection Other Add'l Detachment Fence Other Other ARCHITECT ENGINEER Name Name License No. License No. Address Address Telephone Telephone ' Fax Fax PROPERTY OWNER CONTRACTOR Name I �.� Name E fl p Address 'I License No. f4 Address S YDS AW Home Telephone 3 U a _` $ Business TelephoneTelephone Fax i �3,? o 2 Fax Qualifier Name Page 2 PER UT APPLICATION FNIPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m.to 6:00 p.m.,and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN,NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES,AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building,Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement 9. Department of Health and Rehabilitative Services(HRS)approval is required for applications involving septic tanks. Department of Environmental Resources Management(DERM)and/or Miami-Dade Water and Sewer Department(MDWASD)approval is required for applications involving sewers. AFFIDAVIT Application is hereby made to obtain a permit to do work and installation as indicated. I,the OWNER of the property,certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. i I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further,I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50%) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50%) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. .If you are spending more than$2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, P,Floor,(305)679-1078. Once recorded,the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713-35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. 1 STA OF RIDA,COUNTY OF MIAMI-DADE STATE OF FLORIDA,COUNTY OF MIAMI-DADS T Signature of Owner Signature of Contractor/Qualifier 1 Print Name Print Name to and subscribed before me this day Sworn to and subscribed before me this day of i , �SigpnatreNotary Pub' -' tat spf^on OFFICIAL NO tARY S- L Signature of Notary Public-State of Florida y� O. ®t ANGELA Ed1 BECKER SEAL: 0014A43A570P1 NUMBERSEAL: CC786697 Ply COM..tiid :tytd-XPIRES j —pF FSO N,01/- I sizvo2 Personally known OR,Produced Identification Personally known OR,Produced Identification Type of Identification Produced-f--A O Type of Identification Produced: I f Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies)in the space provided below. ELECTRICAL TYPE QTY. TYPE QTY. TYPE QTY. TYPE QTY 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 Air Conditioners Garbage Disposal Range/Range Top Swim Pool,Residential Chiller Generators,etc. Receptacles Switchboards Clear Violatiuus 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. TYPE QTY. TYPE QTY. TYPE 1 Minimum Fee Condensate Drain Generator Refrigeration,Tons A/C Central,Tons Cooling Tower Heating Strips,each Vent Hood,Cost A/C Wain.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. TYPE QTY. TYPE QTY. TYPE QTY. 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 4— Sink Well,Supply RECEIVED AND REVIEWED BY: DATE: 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) PERMIT FEES $3.00 per page(Scanning Fee) $ Miami Shores Village $ ®-- Bond $ Metropolitan Dade County (C.C.R) $ (sq.ft.=x/1000 x 0.60) Inspector State Educational Fund $ (¢.005/sq.ft.) State DCA(Radon) $ (9.01/sq.ft.) Code Enforcement Fine $ Zoning Review $ TOTAL $ � ® � ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: SECTION BY, DATE CONDITION OF APPROVAL Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official MWE Ag" Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795-2207 •FAX(305) 756-8972 • http://www.miamishoresvillage.com MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date..._..._»...»»... Owners Name and Address.... ..............»..».._»... ..».-.._...................»..»»..» Registered Architect and/or f Engineer..t.o.r........ ' ............... Name and address of licensed controc .._ '� Location and legal description of lot to be built on: Lot..........._............................... Block.................................. Subdivision............ .....__.._..... . _.....__..»..»._-................_.....»» Street and Number where work is to be done.-_d 7. L State work to be done and purpose of building (by floors)... _- _.........-•----........_..-•--•-•---...-....-•............................_......_»_..-._--_-_-...............---......................._..».»»...»._. ...and for no other purpose. New Building . Remodeling .. Addition................ »»» ............................ g....._................. ......__.. Repaira.......................... No. of Stories.............._...... _ To be constructed of............... d of foundation....Jw--,-:�- ........................................ Rolf Covering ..................... .............. _..�. Estimated Total cost of improvement s � �� ...........Amount of Permit 51 ..__ .._. �. 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 5988,Compil peral aws of Florida,P ramp t Supplement. and has complied with the provisions thereof, and will require similar compliance from 11 ntr etors or sub-con ct rs y d by him in the work to be performed under this permit; and will post or cause to be posted for ' cti onth site of t"e w ck ch public notice or notices as are required by the Act. The undersigned agrees to employ only such su n a . orlt be o ed under this permit, as are licensed by Miami Shores Village. 4�r_ �® Remarks-----_-_..._-. -..__-- (Signed)_.._.._ 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._____._Ix�---------- Date-_ 1 .1�.�� _...___ Read,Sworn to and Subscribed before me. Disapproved ------- D tea-._ _._....._ - --....... ----------•---------•.....................••------•---....�.--••--.._ — Notary Public,State of Florida (Signed) ------------�:.r�.. --- -�----• •-�•--�----•-•- ---••-----.............. . Building I Spector My Commission Expires....... ....._.__.__.. _. PLANNING BOARD..._.._..........................._..._.._......DATE Chairman ......... ......................_....--......_....._..._._-----.......-........ Member Member -------........................-----...........-.....-.....---- _..—----- Member __._._.. _ _ ............. ...___.._. Member .. ... . .......................................... _._..__-_ ____.___ Member CouncilApproved.-..........................................--.-_-._....__-----Date Disapproved .._............_...............................................................Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-impection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection at faulty materials and/or workmanship. MIAMI SHORES VILLAGE y_ .. PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No._ T�� Date—__'3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sub itted for a building or other structure herein described.This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida,all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address------"' _ -- _____----------_ 17 Registered Architect and/or Engineer Emto ' P hP*''Name_ - —� -— -- ___--_--- P ymg- �, _ o. -- — Street- Location and Legal Description Lot_ BSubdivision Street and Number where work is to be performed—No.— Street State work'to be performed and purpose of building (By Floors) _______ New Building---___ ---___--Remodeling___.—_—__ Addition ____-- Repairs------------____-- No. of Stories-------- URINALS _---_ BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOSETS TUBS SHOWERS TORIES SINKS SINKS TUBS BASIN DRAIN FOUNT,NS FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G ' TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM - POOL CONTR. LIST Ik' CHECK Size Septic Tank---� &!O _Type of Tank ---Capacity Gals------- -$-�-- ' � Dict. Feet of Tank or Drain Field from Well-_—___-- Feet of Drain Tile__—_��:_ -- Nature of Water Supply: City—Well. -- —__Size of Soakage Amount of Permit liunbing Inspector. The undersigned applicant for this building permit does hereby certify thata understands and accepts hu ations as an employer of labor under the Florida Workmen's Compensation Act,being Section 5988,Compiled General Laws of Florida Pe anent 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_ o be erformed under this permit, as are licensed by Miami Shores Village. - ' (Signed)__- �- ' tq Master Plumber. . STATE OF FLORIDA, Ss. I COUNTY OF DADE. Before me,the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments, personally appeared to me well known,and who,being by me first duly sworn,upon oath deposes and says that he is the—_____—_____________—______-------------_-------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. —' My Commission Expires Notary Public,State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice,for inspection, or faulty materials and/or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 0 Job Address `/ L-22 /V F �® S� Tax Folio Legal Description �,oc��.% �" 0 3,57 ffiistorically Designated: Yes No Owner/i.essee/Tenant _ ric 0Ne1\ Master Permit#T� Owner's Address I 7 2 /J tr f S�yL,,:°t�^.i S 4cn@ �3D Phone L2`1� Contracting Co. Se I Address Queer SS# - - Phone State# 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 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 understanto permits are required for ELECTRICAL PLUMBING,SIGNS,POOLS,ROOFING and MECHANICAL WORK OWNERS AFFIDAVIT:.I certify that all the foregoing information is accurate and that ork will.be'done in complian th all applicable laws regulating construc' d zoning. Furtherm ,I authorize the above-named contractor to do th ork t'ed. tr tore of owner and/or President Date Si ture o tractor er-Builder Jo® S3S"� 33kF1 0211 Notary as to Owner and/or Condo President Date lotary aKo Contractor or Owner-Builder Date My Commission Expires: My Commission Expires H S GLADYS J PILLAR NOTARY ptjgLlC SPATE OF FI.JAI!)A COMMISSION i�10.CC714103 MY COAM4ISSI N EXA.MAIC 1 2 FEES: PERMrr RADON C.C.F. a (p D NOTARY BOND APPROVED: TOTAL DUE Zoning Building Electrical Mechanical Plumbing Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / Job Address /1�� /�! I �/. Tax Folio / rzl&10 Legal option "/00/ Flistorically Designated: Yes No Owners/Tenant Master Permit#} �'J_� Owner's Address ` ! AE l Phone 7-9-9-7c;2 Contracting Co. 1kkLJfL Address.41� Qualifier !A 1111j0M6&xV —SA"—- hone 17 State# W` 09V Municipal# Competency# Ins.Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDIN ELECTRICAL UMBING MECHANICAL ROOFING PAVING FENCE SIGN .. DESCRIPTION 10M 10V�kl 21DLW_ffV 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 rdpROVEMENTS TO YOUR PROPERTY(IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum(if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL,PLUMBING,SIGNS,POOLS,ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore,I authorize the above-named contractor to do the work stated. l4)t6 lqg gig6bure of owner and/ Condo President Date Signature of Contractor or Owner-Builder Date Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner-Builder Date My Comm sio N :hAL My Commission Expires: �r�.�'t��I�+ O �1®►fARYSBAL tMy p L3;g�� DA &Ii NO NCffAR pUBU C STATE OF ice CojUi.4 No.C MY col"OMMON W.Pa. FEES: PERMIT& RADON C.C.F. ' b NOTARY f BOND TOTAL DUE 6� APPROVED: Zomig Building Electrical / Mechanical Plumbing Engineering MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No----_---—_ Date.._-eh/V a Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described.This application is made in compliance sad 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 spedfied or not. A Dopy of approved plain and specifications mint be kept at building during progress of work. � (f-- ........s-7- Owner's /Owner's Name and Address.- �A�L .._.._ ... Registered Architect and/or Ennngineer U4$oying Plumliott's Name.t) lAmdon and Legal Description Lot. hlloclr Subdivldon _ _ _ Street and Number where work is to be performed—No �l�Z' � treet. 's __.............. State work to be performed and purpose of building (By Floors) _. —...__.._.-_._..._............... ....._............ __ New Building___ ____......__Remodeling Addition...___......_....._.. Repairs_. ._........__.._. No. of Story._......._....._... BATH LAVA- SLOP LAUNDRY CATCH FLOOR DRINKING TOTAL CLOERf Tuns SHOWERS TORIES SINKS SINKS Tuns U*iN^L/ BASIN DRAIN FOUNT'NS FIXTURES CONTR. LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE' SOLAR DEaP 8PRKLR. BWIM'G TANK CONN. FIELD PIT TRAP HILATER WELL SYSTEM POOL GGNTR. LIST r� CHECK Sino Septic Tank 22 Type of Tank _ ____ _.-___Capacity Feet of Drain Tiley j -- L Feet of Tank or Drain Field from Well__ Nature of Water Supply: City—We1L -Size of Soakage Pit._...._.-.._.... _.__ .. _... Amount of Permit $— (Signed) --------. __ .__._.. .._.._..------ Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act,being Section 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 lioeased by Miami Shares Villages STATE OF FLORIDA, l COUNTY OF DADE. Before me,the undersigned authority,a notary public,duly authorized to administer caths and take aclmowledgments, permnnally appeared tome well known,and who,being by me first duly sworn,upon oathdepaees and says that he is the_.—__.__ of the above described construction, that he has carefullY read the Ioregeing application, Slid that he did sign the same, and that all fads therein by him stated are true. My Commissim Expires Notary Public State of Fbeida NOTE: re m of $1.00 will be ade when was 9048*Sotlas! is no&'slaossaary by impsmper nodes far ltaspectiog, er fau materials lt,► a MIAMI SHORES VILLAGE, FLORIDA BUILDIWG DATES-`F ELECTRICAL PERMIT Lr? 7700 Contractor's PLUMBING '' License No. x,r Work to he performed under this Permit '� •- Owner of Building --' ` Architect Contractor- or ontractol`or Builder € Legal Lot I Bl. Subdi- Description vision Address of r,� Value of i Amt. Building t ` f .3 w P .� �i � ,- -• +� Project Permit y This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents,servants or employees. I r signed: '1,14 dui �;�f - $ ''2"w� — fINSPECTOR y In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with�ances and regulatipns-p pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autho of Miami Sho si l oe.- 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 BUILD! IG DATE ELECTRICAL PERMIT N? 7699 Contractor's PLUMBING License No. Work to he performed under this Permit 9 Owner of Building t= ' Architect Contractor 'or Builder Legal Lot II BL Subdi- Description vision Address of Value of Amt.of Building // � / j �;1�1 „ ��1 Project Permit This permit is granted to the contractor or builder named above to construct the building or to install the egwpwent or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings,statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization.A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents,servants or employees. Signed: -e-4 4e--- By INSPECTOR In consideration of the issuance to me of this permit I agree to perform d work covered hereunder in compliance withal or ces and lr o pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper a=hoes es of ami Shores V' age. in acceptingthis permit I assume responsibility for all work done by either myself,my agent,servant or employee. WNTRAMW OR BUILDE11 BY AUTHORITY OVNER'S NAME PRESENT ADDRESS- LICENSE NO. PHONE NO. GEORGE WV= -. - 355-�. W. 54th Street j JOB LOCATION (ST. OR AVE.) 7� LOT BLOCK - SUBDIVISION 1172 N. E. 103rd Street 4 less N20f , I 175 J Miami Shores GENERAL CONTRACTOR I ADDRESS I PHONE NO. I LICENSE NO. George Duvall 3084 M �BUI�ILDER'S BOND BUILDING PERMIT NO. 7510 DATE 1/1 9 PERMIT FEE S 15.00 NO !990 DATE ZONE REQUIREMENTS 20,000 CU.FT. PLAN CUBE 21.000 CU FT I EST COSTS 11p000.00 DATE DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: JDA TYPE STORIES ROOF CONSTRUCTION �y INTERIOR CONSTRUCTION X NEW CONSTRUCTION CBS ( 1 ale I Plaster a• •s & Coil, Oak Floors DESCRIPTION REPAIRS lLiv. Rm, Dar . Rm, Kit, Glazed Porch, 2 Bedrooms, 2 Baths ALTERATION DESCRIPTION ADDITION 1 car attached garage APPROVED REJECTED REFERRED TO COUNCIL REASONS SUBMITTED TO PLANNING BOARD 1/4/-49 RE-SUBMITTED TO PLANNING BOARD REMARKS SUBMITTED TO VILLAGE COUNCIL ry p Tt�t� CERTIFICATE OF OCCUPANCY NO. (28 ISSUED 2V BY - Lit I TO G BUILDING PERMIT AND INSPECTION RECORD-MIAMI SHORE 1 + BUILDING INSPECTIONS INSPECTIONSST BY RE-INSPECT BY RE-INSPECT BY FOUNDATION _ JDA BEAMS&LINTELS FRAMING FINAL CLEAN-UP A PLUMBING PERMITS & INSPECTIONS IkQ CONTRACTOR mmdCk-BO Bute PHONE PERMIT NO. 750 1 DATE 1/28/49 FEE$ 9-75 NEW BLDG. a I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK NO.Dade 7700 301-474-9 $ •0 SEWER $ SOLAR HEATER $ GAS c. • Ervin 1 7699 j Is Lou INSPECTIONS D TE §Y RE-INSPECT BY RE-INSPECT BY ROUGHING GAS SEWER SEPTIC TANK MB SOLAR HEATER /t�I FIXTURES ff/4 )w _+ i-/ I i V _ I t�� ``ELECTRICAL PERMITS & INSPECTIONS IkW CONTRACTOR Sti E180triC 00. IPHONE PERMIT NO. DATE 1^4'i15� - FEE$ '91.75 NEW BLDG. 7, ALTERATION T ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 7479 $ 1.00 H.W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES S _ $ INSPECTIONS DATE BtY�ti RE-INSPECT BY RE-INSPECT BY p�TEMP.SERVICE 1 JIM ROUGHING 2/15/49 JM H.W. HEATER CONN RANGE CONN. FIXTURES&FINAL 2 ,DB I 7Ttt APPROVAL TO POWER CO.FOR SERVICE DATE 3/28/49 BY �M r � MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. -Date .9 .-- -- --- �q Owner's Name and Address__ AV - � ? No.__. _ ^" Street__�� —Ap uG_cam: - Registered Architect and/or Engineer__-___ _/ Name and address of licensed contractor 'e'n' Location and legal description of lot to be built on: Block-X est.- Subdivision Street and Number where work is to be done 447�- 0a, State work to be done and purpose of building (by floors) -------- ----- ___and for no other purpose. New Building_-ff-_-_-________ Remodeling_-___-_-__-__- Addition- Repairs____^__--__ No. of Stories-,4---- To be constructed of ' f_- Kind of � _4C A 01AZ -- Rwf e Wig__ Estimated Total cost of improvements $ � 000 Amount of Permit � Zone cubage required- d- or) '0 plan Cubage___.Ze? Of 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— fs""C c•r ,Ce t ' _.� , -'f '-? +-;._ � %r-"- ,'''a 7fThe 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, d 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 sit o e ork such public notice or,onotices as are required by the Act.The undersigned agrees to employ only such subcontractor on wort b9�performed under this 16=o t, as are licensed by Miami Shores Village. Remarks---_ (Si ed) STATE OF FLORIDA, i COUNTY OF DADE. j 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 of the above described construction, that he hT carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated a true. Permit No. - -_ Dat& __.4 Read,Sworn to and Subscribed before me. Disapproved __- _- Date_ (Signed) -__ ___ _ �I: - 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. Rr I MIAMI SHO RES VILLAGE * ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No---- ___ _ _____ Date____--.--. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work.. Owner's Name and Address ( ?--------------------------------------------------------- No---------------------------------------- Street----------------------------------------- Registered Architect and/or Engineer ---------------------------------------------------------------------------------------------- ------ EmployingElectrician's Name -------------—-------------------------------------------------------- NTo--------------------------------------- Street---------------------------------------------- Location and Legal Description Lot------------------__—--------------------------------Block------_ — ---------------------- Subdivision----.:=-----—-------—---—------------- Street and Number where work is to be performed—No----------�'�___� ___________ Street_____________________—___-_,----------- �-�----------=`� �—____- ------------------ State work to be performed and purpose of building (By Floors) New Building------- Remodeling----------------------------- Addition-------------------------- Repairs----------------------------- No. of Stories.--------------- SWI TCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER HEAT. SPACE STRIP TOTAL OUTETS OUTLETS RECE'P'T'S NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATE CONN. HEATER HEATER CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTOR MOTORS NEON SW. CAB. TEMP. PERM. 0-1 1-5 HP TRANS. RADIO TOTAL CONTR. / LIST CHECK Overhead Service Underground Size Feeders________________ Conduit.--------------- Main Sw------------_------- Amps- —-----—------- Main Fuses------------------------Amps. Type of Installation—Conduit________________ Tubing--------------— B.X.L----------------.Metal Mouldin —_ _—-----------—-----—------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- —- — ---- --_ _---------------------------- �_ Amount of Permit $-- �--_—-------—--------------------------------__(Signed) — --_ .-.ec_ -- Elecuical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 1 (Signed) — - --a-- - -- ---------- — 4 �4 Master Electrican. STATE OF FLORIDA, I COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared ---------------—------—--------------------------------------—--------------------—---—----------- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the-------—--------—_—----------------------------—-----___-- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ----------- -----------------------------------------------------------•-----------------• ------------------------......--------...---------......................................... My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. MIAMI SHORES VILLAGE, FLORIDA BUILDING4DATE -194 Z_ ELECTRICAL PERMIT NO 7479 0o4tractor's PLUMBING License No. Work to be performed under this Permit_Z_"'-' Owner of Building Architect Contractor or Builder 4 Legal Lot Bl. Subdi- Description vision Address of Value of II Amt.of qqv j Building %j 11 Project I Permitj0S This permit is gran ed the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the stateme is or specifications and that he assumes respon- sibility for work done by his agents,servants or employees. Signed: .-. �./ -1:1 1 .. INSPECTOR In consideration of the issuance to me of this permit I agree to perform th9 work covered hereunder in compliance with apordinar!cja ions pertaining thereto and in strict conformity with the plans, drawings, statements'or specifications submitted to the proper authorities of Mia regulations pertaining In accepting this permit I assume responsibility for all work done by either myself,my agent,servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ' e MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION F131$ ELECTRICAL PERMIT Permit No.� Date_ _ Application is hereby made for the approval of-the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described.This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village,Florida, and all provisions of the Laws of the State of Florida,all ordinances of Miami Shorn Village and all rules and regulations of the Building Division of Miami }S�hho�r�es}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 -- M- 14. Owner's Name and Addreaa _-5. R' Street - Registered Architect and/or Engineer Employing Electrldan's Name A CA --No. 7d 7 Location and Legal Description Lot- �... 7"'� Street and Number where work in to be perfosmed-�No- /Z _A State work to be performed and burpose of.building (By Floors)-. &�4Yl ;. New Bu iding�y r ode --Addition Repairs.-----No.of Stones--t-- SWITCH LIGHT PLUG FIXTURU REPRIO. IRON RANGE RANGE WATER W. HEAT• SPACE STRIP TOTAL OUTLETS OUTLETS Rzcz,P,rs No.LAups -OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CLISTR / A � (� CHECK / ;LV ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL SW. CAE. TZIAP. PERM. O-I HP i.•S HP TRANS. CONTR. LIST CHECK Service Overhead Size Feeders Condui�aim Sw.....�'�_ �mpsl�� M9- Fuses_ -_..Amps Type of Installation-Conduit Tubing 4""' .X.L..._..-.__ M Moulding Amount of Permit ; Vfor ElectricalThe undersigned applicant for this building permit does hereby cerds and accepts Isis obligations as an employer of labor under the Florida VNw m en'3 Compensation Act, being Section 5General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar comContractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be pou on the site of the work such pu is notice or notices as are required by the Act The undersigned agrees to employ only such sub-contractors, on work to be ormed this permit, as are licensed by Miami Shores Village. (Signed),_-_ Marta Electrician. STATE OF FLORIDA, COUNTY OF DADE. go. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, 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 thereinby'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. 4b MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No------- --- _ - - Da Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the b or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Villa e, 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----- D1_ r_ - No------- - ----------------------- Street--------------------------------------—--- Registered Architect and/or Eng' ------------_____--____-- -- -- -- - - --- ----—----------------------------------------------------------------------- Employing Plumber's Name____ _--_ _trC- _�I�/�t` Location and Legal Description Lot �___ _4__r___, �f ----� _Bl - --- Subdivision------------------ Street and Number where work is to be performed—No.________---_---_ L . .... Street-------- --- ------- ---- State work to be performed and purpose of building (By Floors)-- New loors)-New Building--------------=---------—Remodeling-_..-_-_—_____________--Addition------------------____-- Repairs__________________________ No. of Stories-------------------------- CLOSETS ATH SHOWERS LAVA_ SINKS SLOP LAUNDRY URINALS CATCH FLOOR DRINKING TOTAL TUBS TORIES SINKS Tuns BASIN DRAIN FOUNT'NS FIXTURES CEI - LIST CHECK SEPTIC SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR. SWIM'G - TANK �CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL CONTR. LIST I CHECK Size Septic Tank----------------- - - - ---Type of Tank_ -- ---------------------------------------Capacity Gals------------------- - Feet of Drain Tile------------------------------------------Dist. Feet of Tank or Drain Field from Well___------------------ ------------------------------------------------_ - Nature of Water Suppl : City Well----------------------------------______ _Size of Soakage Pit_—_ _ -_-- -- --------- _____—_ _ _- --- ——- _ ---------------------------- -----------;�-- ------ ---_ — ----- - — (sign - -— - - - - —_ Amount of Permit $_-_--- -__ sZ_--__ __-___----.-_-- ---------_—__ (Si Plum ing Insp or. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer o 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, onwork to be performed this permit, as are J licensed by Miami Shores Village. 5� / Si orn / Master Plum r. STATE OF FLORIDA, j ss. i 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, FLORIDA BUILDING DATE 194 ELECTRICAL PERMIT N° 7518tractor's PLUMBING ense No. Work to be performed under this Permit__2)Z�KO� Owner of Building Archite ` Contractor or Builder Legal Lot / II Bl. ) ��"� Subdi- Description / vision Address of Value oIAmt.Of Building Project it Perm This permit is granted to the contractor or builder named above to construct the b 'ding or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization.A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statitments or specifications and that he assumes respon- sibility for work done by his agents;servants or employees. Sign INSPECTOR By In consideration of the issuance to me of this permit I agree to pe work covered hereunder in compliance vvi 0 ceg a# s pertaining thereto and m s ormity with the plans, drawings, stat en or specifications submitted to the proper aut iltil'es o Mi SFiores Village. In accepting this pe ssume re onsibility for all work done by either m If, my agent,servant or employee. I CO OR OR BUILDER BY AUTHORUY t MIAMI SHORES VILLAGE, FLORI BUILDING DATE 194 L ELECTRICAL PERMIT N? 7612 on actor's PLUMBING ense No. Work to be pe ed under this Permit Owner of Building c Architect AkAl Contractor or Builder 77 Legal Loth 2 / Bl. vision I Description04� visionAff 'Z Address of /� e Value of II Amt. Building G► V Project Pe This permit is granted to the contractor orb der named above to nstruct the buil ' install the equipment o de ' e de scn the appli- cation herefor in strict compliance with all ordinances pertaining theretoAd with the and standing t the work will be p o,n in comphan th any plans, drawings, statements or specifications that may have been submitted to and approv by the pro er municipal autho . es. This Permit may be revoked at any time if the work is not done in compliance with such ordinan the plans ar changed wi out authorization.A further condition upon which this permit is granted is the understanding that the contractor or builder me ve ass the respo ' ility f ances and regulations pertaining to the work covered hereby whether shown on a plans draw* s or in e s r specificatio that h as es respon- sibility for work done by his agents,servants or employees. ed: B INSPECTOR In consideration of the issuance to me of this permit I a perform the rk covered hereunder in compliance"*all ordinancesd reulB#i s p pertaining thereto and in strict conformity with the plans, wings,statements specifications submitted to the proper authorities of Miami hors W aTS In accepting this permit I assume responsibility for allw done by either m ,my agent,servant or employee. O CTO OR BUIELDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA .- BUILDING DAT x 194 ELECTRICAL PERMIT N? 1565 tractor's E PLUMBING License No. Work to be performed under this Permi Owner of Building Architect Contractor or Builde &4 Legal Lot . I) BlY Subdi- `� Description vision Address of Value of Amt.of 1 BuildinU, Project . Permit 2 , ` This permit is grante to the contractor or builder named above to construct the building or to install the equipment or device described in the apph. ` cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that-may have been submitted to and approved by the proper municipal authorities. Thus 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 m the statements or specifications and that he assumes respon- sibility for work done by his agents,servants or employees. Signed: By IN ECTOR In consideration of the issu to me of this it I agree to perform work covered hereunder in compliance with all or ' es a�� atwns ' 4P2= ity with th lans, drawings, stateme or specifications submitted to the proper auMiities of MiamiScor illag .sibility fo work done by either myself,my agent,servant or employee. BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE 195 , PLUMBING ❑ PERMIT N° 6091 Contractor's , License No. ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Subdi- Description — Bl. vision _ Address of Value of Amount of Building Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 th t he assumes responsibility for work done by his agents, servants or employees. Signed: BY: -- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR 0)1. T,7ILDER BY AUTHORITY MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT PermitNo.___;2_R-49 - 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 wor • Owner's Name and Address_ OR-3Z------ Registered Architect and/or En ' - ------------------------------------------ - -- -- — -- - 1616 Employing Plumber's Name-- _ _ - -----------------_-----_--- No.__ �p,--�----____-- Stree> I Location and Legal Description Lot-----------_-------------------------------_ Block_---______—__-__---------- Subdivision_' Street and Number where work is to be performed-No.- - '- ---- ------ Street----/Q -----�------- - ----------- State work to be performed and purpose of building (By Floors) - / _- - # -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 SizeSeptic Tank---------------------- - - Type of Tank--------------------------------------------------Capacity Cals------------------------------------------------ Feet of Drain Tile----------------------------------------Dist. Feet of Tank or Drain Field from Well----------------------------------------------------------------------------------------- Nature of Water Supply: City-Well----------------------------------------------------Size of Soakage Pit--------------------------------------------------- -- - -------- -------------------------------------------------- ----- ----------------------------------------------------------------- ---- Amount of Permit $- -__Q_-y - (Signed)- - 0 ------ ---- _,_____---- -__-_--_ - _ --- ------ P umbing Inspector. The undersigned applicant for this building permit does hereby certify that he derstands and accepts his obli ons as an employer of labor under the Florida Workmen's Compensation Act,being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof,and will require similar•compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit;and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. - -- ------------------------ (signed) = ' Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me,the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known,and who,being by me first duly sworn,upon oath deposes and says that he is the---------------------------------------------------------------------------- of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public,State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195*, ELECTRICAL ❑ PERMIT N00 14854 Contractor's i PLUMBING ❑ License No. ROOFING ❑ Work to be performed under this Permit Owner of Building Architect ontractor or Builder Legal Lot II BI, Subdi- f Description vision Address of Value of I Amt. of Building Project $ Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY x � MiAMI-1 S#-IC IROS VILI.AGEt. F4ORID UIL14�IG DAT 194e ' EI:ECrR,IcAL PERMIT N?-- 8757 PLU BINE, Li epee No. orlc to Ke performed under this Permit Owmer of �s Btiulding mom 04. �etar visim M ess.o Val"of 4*ww Amt.of » di 1l Pett This permit is gc$atad fo the contractor builder named above t4 tract tha or to inetaii the egn�ippment or-device described in the ap i- cWon herafor in srict'compliance with all ordinanes�e thereto and with the that the work vvili be performed in compliance with any dta s statements orBpecffications that may ave been submitted to sad approved by the proper municipal authorities. This Permit may be revoked at moi!ttuie if tie work is not die in compliance with such ordinances a�if the plans are changed without a tharization.A further condition upon which tis perrisit granted is the understanding that the contractor or builder named above sesames the responsibility or a thorough knowledge of the ordinances and pertaining to the work covered hereby whether shown on the phms wings in thhe eta is or specifications d t he assumes respon- �for work done by his agents,servants or employees. _ - In mon of the issuance to n i I s s.tn covered hereni ier hi compliance with an sad ona and in strict;eonfp tb t specifications-eubpRitted to the proper authorities rtaloft g 1 assume, hilitP ,my a8ent,servant or employee. jai i 04 BV"n ADDRESS1172 N. Zj. 103rd St. � LEGAL Lot �;. less 11201 4f7F'RECORD GARBAGE TAX ctf.occ. 31281Z,�; PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER Sanford 0 1949 131 yj f' S �, s ,1 N• � i�Ifi¢��; ;�o��+`�� ~ � � / ! `� ~ �� OTo�tAco�AIU�l � i tom, V Issued- `�/� 19�7 aiami Aorescd illage F L O A 1 D A No _.._.... 790 Amo V No. Houses B U t L D E R'S BOND KNOW ALL M_EN Y THESE PRESENTS, tat I �'�-'t-� � Addres �� in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or build' gs at the folio ' g addresses: _ l✓ 02 v � a do hereby deposit with Miami Shores Village, Florida, the sum of ` ,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 clean and repair the same and pay the costs of such clearance and repairs of the aforesaidfS v , and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then said-yshall be returned to me. _ WITNESS MY HAND and Seal at Miami Shores Village, Florida, this (Seal) : INSTRUCTIONS TO BUILDER—When above mentioned construction is completed and the pr a cleared and repaired tak this bond to the Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your mcDey in accordance with the above agreement. Rai. VILLAGE BUILDING INSPECTOR'S APPROVAL 9•� 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. . . . . . . . . . . $ Q : Village Building Inspector, s Village j Cost of clearing and repairs done by Village $ l Balance due Builder . �- Cancelled 19 By rl •��'•.�� •• r ��.. {� �4••N.•Ir �'•�••Ir`. �l h...•' '•��' \"•.Z.•"JI�•. �''•.T.•'j11 � �� 1 I MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. il Date__ �rl .fir/ 1 7- ---------- ,I9- - Owner's Name and Address-_. /- Qs �./ - 6L - ---_- .-----.----- --- --------- No.._�r 7 Z --- Street A_L-_ -----I Regltered Architect and/or Engineer.._ _- . ) __ .__. ._----------------------- __ Name and address of licensed contractor_ _L ! _l __--=� '�-__-_.---.-�.�1.� _ i Location and legal description of lot to be built on: Lot-- ----------- ------------------------ Block------- - -- ------- --- - Subdivision------------ -------------------�--------------------------------------------------------------- Street and Number where work is to be done------- ___ f -------------- = State work to be done and purpose of building (by floors)_______ __ Z`_ .1 _r`t _ _________�___'________________ ___ _ -- ----------- --------------------------- -------- ------- ----- - -------- --------------------- ---------------------------------------------------------- ------------------------------- ----------- --------------- --------------------------- -------- --- ----- - -------------------- ---- -----------------------------------------------------and for no other purpose. New Building--------- -------------------- Remodeling--------------- ----- Addition-------------------------- Repairs------X _.---------- No. of Stories..--- ------- To be constructed of-. ---------------------- Kind of foundation---..-------------------------------------------_------- ------ Roof Covering--- .------- --------- ----------------_ Estimated Total cost of improvements $-------(/"stsr.J____.__—___ _____________Amount of Permit $--------------------------------- --------..----- _ -------------------__-- 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 sub it all e p and ecifications foi s ' bui g. A/ll�notilces with reference to the building and its constr ction may be sent to___._ ____[_3____ _ , - f', _�_ _ �I. 2-------`-�� '- ------- 1 /y'/ The undersigned applicant for this building permit doc 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 dement, and has complied with the provisions thereof, and will require similar compliance from all contractors Q b-contractors employe by him in the work to be performeunder this permit; and will post or cause to be posted inspection on a s• a of the works h public notice or notices as are required by the Act. The undersigned agrees to employ only such ubcontr tors, rk to be p vaned under this permit, as are licensed by Miami Shores Village. Remarks--------- - - - - - (Signe F r--- ---------------- . STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ------------------------------------------- - ---- --------------------- -------- - -- --------------- ---- ------ - -------------- ----------to me well known and who, being by me first duly sworn, upon oath deposes and says that he is the_________ _____ ___ _____________________-__------- ----- ________________-__ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No------r______ _______________________ Date_______ --:____ Read,Sworn to and Subscribed before me. ------ Pu State ---Disapproved - Date- /----------- ---------- Notary ofFlon.da. -------- -------------------------- (Signed) rng InspectMy Commission Expires__-_ _._ ----- _ .___________-------_-------_________ _ ING BOARD-- PL _._- __ ___________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 $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. j CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION; N° '728 MiamiNa.Shores Village, , Owner, Agent or Tenant of Buil Subdivision. C �_ ,c Street Ad&eeeL , ,r Approved use by ocopancy Remarks: This Certaiearte of Oeetgmney is issued to the above named for building at above named location only upon-the refs . that the applicant will ; abide by and comply-with all conditions of Or oe. 92, 93, 94 and 97,• known as the Zoning, Electrical, Plumbing-and Building Miami VfllWpertauung to,_ the erection,comstmetion, alteration or ti$�b31 R Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 • Fax; (305)756-8972 PLEASE PRINT DATE: TIME: SNAME OF PERSON REQUESTING FILE: PHONE #: �FF4�y YOUR ADDRESS: f 7 2kk� 103 ADDRESS OF FILE REQUESTED: INFORMATION REQUESTED: S�2 I understand that all documents in this file are property of Miami Shores Village and that NO documents may be removed from this file. You may get 4 complementary copies (8xl 1) size, additional copies will be furnished at 0.15 cents per page, not including any blue prints. If blue prints are order please be aware that we are not responsible for the quality of the printed documents. Acknowledged by: FILE RETURNED TO: INITIAL � l!I /; 6t) �o MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date--- t...--. - ..---••. .. 19 Owner's Name and Address_.- .-.I!-V�. t_.- SG?._'---6'._•___ __ ________ __ ___- ----------------- No.--•/l..1-_a4------- Street.__ .'-a.�-----`-Q-. Registered Architect and/or Engineer_____ ___ ..__._ ._.. ... __-_--._i____________ __ --. -. r.� - --- --- ------ Name and address of licensed contractor. :.LG _________________ ____i____ t. .f___.�_o_L�_..e.._... .____ :___AL Location and legal description of lot to be built on: t.6�"-�-� Lot----------------------------------------- Block-------------------------------- Subdivision--------------------------- ---Q --------------------------- •- --------•--------------•-------- Street and Number where work is to be done------l_Ylrl,�..____-__--_ _.__ ,i_....._V_Q----__----'I------------------ _..•_.-----•__________ Stat work to be done a d purpose of building (by floors)_.__._..._ _ �______________________�`_.._.cta_ > -_.._._..__. _..__. __-_----•-- ------ ---- ------ ------ ---------------------------------------•-----------------•------------------ ---------------------•------•--•-------------------------------•----------•-------•-------------------__.------------------------------------------•------•----••-------------•--•----••---._.and for no other purpose. New Building--------------------------_.. Remodeling------------.------------ Addition------------------------. Repairs-----.------•-------_.---- No. of Stories.----.------.-------__-- To be constructed of------------•-....___----- Kindof foundation--------------------------------------------------------- Roof Covering----------------------------------------------- Estimated Total cost of improvements $--- ' .. Q......_____________________Amount of Permit $_1..-0_�r_--------------------------------------------------------------------- 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,Perinanent 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 subco tractors on ork be performed under this permit, as are licensed by Miami Shores Village. n�' Remarks--•------------------------------------------------------------------------------------------ (Signed)--------------------------------------- •---------- STATE OF FLORIDA, COUNTY OF DADE. ' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ------------------------------------------------------------------------•-----•----_----•------------------ ---------------------------------•--------------------------------•---•-------------•-----•------------------------------------------------•-------------------------------.to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the______---------_-------------------------------------------_ ___.. _____ .......... of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.............. Date----!&.._2.�` :5�--•-_-___ Read,Sworn to and Subscribed before me. DisapprovedDate .............. ............-- ------------------------------------------•--------------------•-----------------••---••--•-•----------------- w� �° Notary Public,State of Florida (Signed) -------- -----------_ ._..._._... ---- .,�. -------- ----------- Building Inspeq y Commission Expires-----------------------------------................................ L 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 SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date------------6-19-53----------------------------------------___,19-------- Owner's Name and Address---------M2' fard--------------------------------------------- No.------I172-------- Street_R._Es---1-03r --Std_-eet Registered Architect and/or Engineer ----------------------------------- ------ -------------------------------- Miami,and address of licensed contractor-------Brooks Sprinkler Company, 1413__N.Yl. 54th Street: IY'11 ami, Fla• --- -� - Location and legal description of lot to be built on: Lot------------------------------------------- Block-------------------------------- Subdivision Street and Number where work is to be done---_1172---N E-t___-IQ3rcL_Str_eP_-t ��_"iami__Shores_}__.F1-oxida________________________________ State work to be done and purpose of building (by floors)____Installation- of___Sprinkl er __sys-tem---(lawn) - --------- ------------------------ ----------------------------------------------------------------------------------- -3X30 feet- of-piping' ---------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------and for no other purpose. New Building------------------------------- Remodeling-------------------------- Addition-------------------------- Repairs-------------------------- No. of Stories------------------------ To be constructed of---------------------------- Kind of foundation---------------------------------------------------------------- Roof Covering----------------------------------------------- Estimated --------------- ------------ Estimated Total cost of improvements $------$50000-------------------------Amount of Permit $---la0Q___-_________________________________________-_-_________________ Zonecubage required-------------------------------------------------------------------------------- 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---------------11113 N.N. 54th Street------------------------------------------ - -- ---------------------------------------------------------------------------------------------------------------------------------- ------------ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966,Compiled General Laws of Florida,Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks---------------------------------------------------------------------------------------------- (Signed)-----7��-- - --- ---- 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 t: . r,, Permit No--------)41-�--J---------------- Date----(G---- . �________ _-�____��_____� Read, Sworn to and Subscribed before me. Disapproved --------------------------------------- Date-------------------------------------------- -------------------------------------------------------------------------------------------------------------- Notary Public,State of Florida (Signed) ------------------------- Building Inspector My Commission Expires___________ ____------------------------------------------------ PLANNING _ ________ ____________________________PLANNING BOARD--------------------------------------------------------DATE Chairman ---------------------------------------------------------------------------------- Member ---------- -------------------------------------------------------------------------------------------------- Member -------------------------------------------------------------------------------- Member ----------------- -------------------------------------------------------------------------------------------------- Member ----------------------------------------- ------------------------------------------ Member - CouncilApproved--------------------------------------------------------------------------Date Disapproved -------------------------------------------------------------------------------Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the 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. Inspection Worksheet Miami Shores Village Z 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (306)756-8972 ......................... ....... Inspection Date: 09/21/2006 Permit Type: Paint Inspector: Desharnis, George Inspection Type: Final Owner: ROSA, LOUIS 9- 12006 Work Classification: Miscellaneous Job Address: 1172 103 Street NE Miami Shores Village, FL 33138- Phone Number Parcel Number 1132050190040 Project: <NONE> Block: Lot: Contractor: HOME OWNER Building Department Comments Inspector Comments Passed Y I-,- 1"� 4 Failed Correction Needed Re-inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid - Wednesday, September 20, 2006 Page 1 of 2 + Miami Shores Village r` Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 v Tel:(305)795.2 p 6,)756.8972 BUILDING Nov --- Master Permit No.�� PERMIT APPLICATIO "" Master Permit No. FBC 2001 o Permit Type(circle): Building Electrical Plumbing Mechanical Roofing /I -9 Owner's Name(Fee Simple Titleholder) J�(�V Uc YY,� one# � � Owner's Address r( I G City t State (�=� Zip Tenant/Lessee Name Phone# Job Address(where the work is being done) I�D3 City Miami Shores Village County Miami-Dade Zip Is Building Historically Designated YES NO Contractor's Company Name ©ty)c Phone# Contractor's Address City yt L S1,1 to Y State Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name(if applicable) Phone# $Value of Work For this Permit 00. Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑Demolition Describe Work: /Z,L v 2- Submittal Fee$ Permit Fee$--&-0 CCF$ C::) CO/CC. Notary$ 5• Training/Education Fee$ CD• d0 Technology Fee$ •' Scanning$ Radon$ Zoning Bond$ Code Enforcement$ Structural Plan Review.$ Total Fee Now Due$ 416-7' (Continued on opposite side) Bonding Company's Name(if applicable) ! ' Bonding Company's Address City State Zip y Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING, SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reins ection fee will be charged Signature Signature wner or Agent Contractor The foregoing instrument was acknowledged before me this 116 The foregoing instrument was acknowledged before me this day of I dV ,20C--!56y NAP-t Q P—C32:tt.A day of ,20_,by who is per$o�ly known to me or who has produced who is personally known to me or who has produced ``-D As identification and who did take an oath. as identification and who did take an oath. NOTA LIC � y�l1B NOTARY PUBLIC: Sign: Sign: Print: Herll :; ez Print: My Commi sion Expires: ° ed , 27,�09 My Commission Expires: APPLICATION APPROVED BY: 1,7;; � Plans Examiner Engineer chc 05/13/03 Zoning Miami Shores village Paint Color Approval and Agreement Date NN QY -6-T 6 r - Y,9,/ Owner's Name cb d n- (C �G Phone# S'- 2�22 - ,r/f/-7j Owner's Address 1 City h9/c a� ��G, LoS State Zip m / Job Address(where the work is being done) City_ Miami Shores Village County Miami-Dade Zip Is Building Historically Designated YES NO Contractor's Company Name(if applicable) O (i t L) 'Q V-S Phone# 1D05- S 4 All elements on the site must be listed and indicate the color to be painted Walls ,to W — Fascia f'e le ti Drip Cap/drip Edge Soffit Roof Flower bins_ G r e-eiJ a � fir. Attach Color Samples With Numbers Shutters Awnings Chimney Doors and door jams Garage doors Railings Fences 11/0 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. Date o�� 4Ue3 CJ -6 S Signature Owner or Agent Date APPLICATION APPROVED BY: P&�,Officia- chc 611810- MIAMI SHORES VILLAGE, FLA. N° 1266 JOB ADDRESS INSPECTION TIME READY REMARKS: INSPECTOR `!/ p --. DATE� � Miami Shores village Paint Color Approval and Agreement Date Phone# Owner's Name Owner's Address c Citv M x 6r e State Zip Job Address(where the work is being done) City Miami Shores Village _County Miami-Dade Zip Is Building Historically Designated YES NO Al Contractor's Company Name(if applicable) Phone# All elements on th site must be listed and indicate<tsl�e color to be painted Wal Fascia 2- Drip Cap/drip Edge Soffit Roof Flower-b' Z l Attach Color Samples Shutters With Numbers Awnings Chimney Doors and door jams A.- Garage doors Railings Fences Decorative metal All brig simulated or regulaq, Stucco banding ^ Any other stucco features'` Accessory Buildings Other OWNER'S FIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable 1 s regulating construction and zoning. Date 1f)6 //I -lis Si e Crwner or Agent APPI ICATION Date APPROVED BY: cnc 6/18/0" rL 1.Offtcia: ,S �REs � Miami Shores Village l 10050 N.E.2nd Avenue "" """ Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Permit Permit Status: APPROVED Issue Date: 12/1/2005 Expires: 11/16/2006 Permit Number: PT-12-05-1044 Owner's Name: LOUIS ROSA one: 305/525-1427 Permit Type: Paint Parcel#:_ 1132050190040 Work Classification: Miscellaneous Block: Lot: Job Address: 1172 103 Street NE Section: PB: Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor Total Square Feet: 0 HOME OWNER Yes Total Valuation: $ 100.00 Re uired Inspections Additional Information Final Type of Work:Exterior Color: Additional Info: Vo In consideration of the issuance to me of this permit, I agree to perform the work , covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-named contractor to do the work stated. Fees Due Amount Invoice Number Amt Due Amt Paid CCF $0.06 PT-12-05-1115 $66.58 `( c � Education Surcharge $0.02 Total: Notary Fee $5.00 Permit Fee $60.00 Technology Fee $1.50 Total: $66.58 Building Department File Copy NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES. Applicant Signature • i e LG ENGINEERING SERVICES,INC. c•I v I Consulting Engineers 2020 Northwest 7th Street Miami,Florida 33125 E N GI•N•E E R Tel: (305)649-6454 Fax: (305)541-3298 November 25, 2003 Zara, Inn. 420 Southwest IS Road Miami, Florida Project: TILE UPLIFT TEST Residential Hoene 1172 Northeast 103 Street Miami Shores, Florida Information provided by client: Permit Number: Not Provided Date Completion: November 5, 2003 Roofing Contractor: Zara, Inc. LG Engineering Services, Inc. Project Number: LG03-1953 (Testing Laboratory Certificate#00-0224.07) Dear Sirs; In accordance with your request and authorization,a representative ofLG Erzghzeerirzg Services,Ine. completed the Roof Tile Uplift Test at the above relerenced project. This testing was performed in general accordance with Roofing Application Standard TAS No.106--Standard procedure for field verification of the bonding of mortar or adhesive set file system and mechanically attached,rigid,discontinuous roof systems. The total ofthe tested roof surface area was less than 10000 square feet,and the mean height of the roof is less than 30 feet above ground surface. The type of tile used for this project was reported to be Capri Roof Tile. This tile was reported to have been foamed in place. At the time of this testing,one test for every corner,one test for every 100 square feet ofroof tile in the perimeter area and one test for every 200 square feet of roof tile in the field area were tested. Initially the entire area of the roof was examine for loose tile. More than 10%of the roof tile located in the field area and more than 20% of the roof tile at the roof perimeter and confer were physically examined. Based on our test results,we conclude that the installation of the roof the at the above refereire9 pree".t 111eels the test requirement outlinedi n the above mentioned protocol. Attached please!_ .6' bur test report for your review:- J