The URL can be used to link to this page

Archive (3) 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 BuildingOrdinance 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 piggress of the work. Date Owner's Name and Add »» ........»...».........».... N »� S G-� Registered Architect and/ r nS;neer....... ».............»...n_. ..........,,.......�..µ��:.��t�6 .��. ..tz..�......». . Name and address of licensed contritctor.-. sass.._ Location and legal description of lot to be built on: ... /- Lot_...._._.»_......_....... ......... Block.........---....... 1... Subdivision- Street ubdivisi Street and Number where work is to be done State WA& to be done and p Of building 9y floors) 4 7�- .................». -------------- ._.._. ........and for no other"Pow- New Building............................ Remodeling........................ Addition.......................... Repairs......................... No. o To be constructed of............................ Kind off pdation_....-_.................................................. f Covering .-......... Estimated Total cost of improvements$.._. J .OG:..U�...__... .gmount of Permit $._ '�� ........._ Zone cubage required-----------------------.__... .[....._sass___ ____ 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 cniployer of Iabor under the Florida Workmen's Compensation Act, being Section 5966,Compiled General Laws of Florida,Permanent Sapplenient, 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 chpuI lie notice or notices as are required by the Act.The undersigned agrees to employ only such au an k ed Ander this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, i COUNTY OF DADE. j ss Before me, the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments, personally ap. peared - --.-----------------_-.----------- -•- -___ _,._. .-._........._---------------------. ....__......__ .». _ _._.._...___ .............sass-..-._.-_._ . to me well known, and who, being by me fust 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 sane.and that all facts therein by him stated are true. / Permit No 6 sass... Date.... �.1 7�' Read,Sworn to and Subscribed before nae. Disapproved _. .. Date_. _ ............... sass.. (Signed) -.1 �d Notary PubUe,State of Florida Building Insp.ector My Commission Expires. PLANNING BOARD...................................._... ...DATE Chairman .......... ........_..._...._._. ... Member ........................ _sass. .._._...�»... _ _ Merrnbersass_._..__.... .. .._____ _sass_ _ _... Member _ ..._._....._... ........».»...... ..._..._ Member .. ................ sass_.. _ .__._ .. _ Member CouncilApproved.---.._---------------- --- .___ - Date Disapproved ....-._-._..........._......................................................Date NOTE: A charge of $1.00 will be Horde for making corrections or changes to this application after apprewal has been obtained from the Pl:annin.-Board. a;, A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SHO RES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION- FOR BUILDING PERMIT Application is hereby made for the appns roval of the detailed statement of the plans and specifications herewith submitted for the build. in or other structure herein described. This application is made in compliance and conformity with the B gg Ordinance of Miami Shores Village. Florida, and all provisions of the Laws of the State of FF all ordinances esE Miami Shaeaiilage and all rules and regulations of the Building Division of Miami Shores Village shall be complied with,whether htxebs specified at not,A copy plans and specifications must be kept at building during progress of the work. of approved %2— .17 3 Owner's Name and Address..-4a._.. A(ZT V - No. 9 Q S s Registered Architect and/or Engineer............ •�„•�� _ Name and address of licensed contractor— 2215 P G i hl(�. .3/5, (c Location and legal description of lot to be built on: TA* Block�.� .-�,..... Subdivision— Street and Number where work is to be done ' State work to be dare and ase of building ( floors) LT- 'and for no other purpose. NewBuilding Remodeling .-...... Addition..-..._.-_-.- Repairs ._ o. of St"_..�.�... To be constructed of-- Kind of foundedo ''--''--_•_ _- __ Roof Covering-A-^& 4: G R.�4 .. Estimated Total cost of improvements$ Amount of Permit a Zone tubage required_.-__ --------Plan Culsge-...-.-- 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 spelt cBgggq for jsat s�t%?,9cC 0e�ce to the building and its construction may be sent to--- 1� Loral _ . __.. ...............__ _ _ . 3: R-W:ANS1NBLVI)..-------- The undersigned applicant for'this buildin t �,�yy��erstands and accepts his obli ations as an employer of labor under the Florida,Workmen's Com ,CAS:lripiled General Laws of Florida,l#ermanent Supplement, and has complied with the pro�sions thereo,Min require similar compliance from all contractors or subcontractors exnptoyed by him in the work to be performed under this pesrmit;'and.wW post or cause to be posted for inspection on the site of the work nsch blic notice or notices as are required by=the The undersigned agrees to employ only such scsbconeractora, on work Ro be under this cre permit, as are licensed by Miami Slain Village. Remarks c (Signed , STATE OF FLORIDA, COUNTr OF DADE. ie signed authority,a public,dui uthorized to administer oaths and take acknowledgments,'personally ap•. Before me,ti�e,�, }� geared IN l 1.-L-% A-i\1� - �S ! t -_± LA `��.c- FcA • .to me wen known. and who,being by me first duly sworn,upon oath deposes and says that he is the.. L1 A LLe to-'r-1 �Cj ��e a ee esciibed construction,that he has cwre'uny read the foregoing applicationby him n arje�, ,and that!e did sign the same,and that`dn Uctl Permit No! Dat tto and Subscri X Disapproved n... . (Sigtred) - Notary Public,State of. �g ---� My Commission 0TA1! PUBLIC,ITitMoi RPRIDA at L tGF OPMED THROUdfq r4 was 99 W.DIEs1�-i.hiOFts NTNG BOARD ,............. DATE Chairman member .._ Member _.� Member - -. Member --. Member Council' Approved----. Date Disapproved ..r....___._. -.._...... _..................Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been the Planning obtained from $card. A inspecction fee of $1.00 will be-charged what snob re-inspection is made necessary by unproper notice for.inspection or faulty and/or workmanship. X 1 �� . o ,� `�. `�� ,� ;'� h; ;_'.ia I _ ` r�. � . •m..��. ,� �I 6 rr�� MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT -2,5'ak APPLICATION FOR ELECTRICAL PERMIT Permit No.» ....................... D anuary.. 30, 1974.403t 713 ... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fluada, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address...MZ'�....&...Mrs......JNI:rtr1A.....................NoI19.0... .....Street,....Mianlj.....8hore8......Fl. RegisteredArchitect and/or Engineer.............................................................................._.............. ........................................ ................... ...................... Yankee Electric Service, Ind.,1929...N.,.E.,.1 Qtr9t-,..,. brth..Miami......Fl. Employing Electrician's Name........................................... a Revise Location and Legal Description Lot......._...•...............: ...............Block......175 .......Subdivision.ShUrLgd Plat Miami Street and Number where work is to be performed—Noi.i!a ....Ii.+..i'.•i.0.3...St...........................Street.................................................................... CBS Den Addition - one floor State work to be performed and purpose of building (By Floors)............. ............................................... .......... ..... r... ................... . New Budding Remodeling....................... ..Addition....X.......................Repairs......................................No. of Stories..,............... SWITCH LIGHT PLUG FIXTURES REFRIO. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP #269 TOTAL OUTLETS OUTLETS RECE'P'T'8 NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER o CONTE. 4 3 . g 1(t N) LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL 8W. CAB. TEMP. PERM. O.t HP 1.0 HP TRANS. COMTR. LIST CHECK Service Underground Sue Feeders.............».erhead Conduit................Main Sw...............................Am Mata Fuses.. Amps ps.......................... .................... Typeof Installation—Conduit.......................Tubing......... ..............B.X.L.........................Metal Moulding....................................................................... ......................................................................................... ........................................................................................................................................... »......................................... ......... ..... ...... ... ... . .............................. .................... Amount of Permit 5...... (Signed) cal Inspector.. ....... .. ( g )...... ............ ... .. ectri ns ector. The undersigned applicant for this building permit does hereby ceI tify that he understands and accepts his ob' tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from allco rs or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspe ' n on th site of the wor such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contra , on wok to be ed and this permit, as are licensed by Miami Shores Village. (Signed)....... ........»............. .......................... ............................. Master Electrician. STATE OF FLORIDA, 1 COUNTY OF DADE. j m' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared......................................................................... ...._..... . ....... ............................................................................................................................ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the........................................................................ of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. .....»..........».......................»..........................._... »..»................................... »...........»...»..........» .................»................._........ My Commission Expires Notary Public, State of Plorida NOTE: A reinspection fee of $1.00 will be made schen such reinspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. �� Ss/��'�� MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the pians and specifications herewith submitted for the build- or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Mismt Shores Village and all rules and dns of the Building Division of Miami Shores Village shall be complied with,whether herein specified or not.A¢opy of approved specifications must be kept at building during progress of the work. ,�` • Date- �1 �j 192i Owner's Name and Address.--' . -` 2 "� _..... .. ._ No. �' S ..�®% j`T ' Registered Architect and/or Engineer.......... Name and address of licensed contractor----- Location ontractor-._Location and legal description of lot to be built on: .r Lot_ --- . BIoek... .. .LZ� Subdivision. ......��e V t �� -PP—A 7.... t�t...3HO;ew .Sec Street and Number where work is to be done—'--- State work to be done and purpose of building (by floors).,,.....16?.g..T.A_.LeL._. ... i.oft,0, _.._... _........._r....-.................... . .........»..................... . ,...and for no other purpose. � .New Building-........_...._....._..... Remodeling..._................. Addition.........x......... Repairs........................ No. of Stories..... .. » To be constructed of..................-.-. Kind of foundation ........................................ . Roof Covering_ I Estimated Total cost.of improvements$».�.... ... _...Amount of Permit $..... ». ..._..., . . ..,,,C,�1 Lt Zone cubage required_ ___ ... plan Cubage.__-._—*..- - 1 DLsraace to next nearest building-.-.—.-.- ......... Size of Building Lot__.. _„ Maximum live load to be borne by each floor___........... _...___....._....____....._... I hereby submit J1 the plans and spgkbcations for said building. All notices with reference It the d its r u ti on be sent to ._� .._._ ? ..... L!J�� _. __.s /.7'.% - °-�Z�?��iU . 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 Ceneral Laws of Florida,Permanent Su lenient, 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 ection the site of the ork such ublic notice or notices as are required by the Act.The undersigned agrees to employ only such tr , on work to perfo i er this permit, as are licensed by Miami Shores Village. .-. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. j SL Before me,the undersi ed uthority,a notary public duty au zed to admini oaths and take acknowledgments,-personalIy ap-. peared -- 1 L L l �� . . ----... .......... . __. 4o me well known, and who, being by me first duly swora, upon oath deposes and says that he is the... .. .(Rt./ 1•t _+ ...._..._.._ of the above described construction,that a has carefully read the foregoing applicati n,and that he did sign the e,end that all facts therein by him stated are tru . Permit No I� . Date......�� " _.. Rea , o t a Sub� fore Disapproved Date otary - (Signed) L!`� �_.� r...= ..___ ._ -NPublic, Building Inspect My Commission r"V PU6iiC,�YITf'ol}�Cr�D,1 a4 11;2 T °- NING BOARD:_._.................. ...._...-....._.._..._...DATE Chatnnan ._ ... ._-................ Member _..._._ .....Member _. Member Member ...._...._..».._. _ _ .. ... .....,.._.._._._._.. .___ ..._.. . ..__..._.. ...... .... ..._.... _......_-__...... .__ _.. __..._. Member Council Approved-_.-.-.-._................._-...._------..-......--.--.--__--.-----Date DI .....-..�_._ ....._......_........ sapproved - --_.._.__......................................................... NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hear obtained from the Planning Board. A re-inspection fee of $1.00 will bo charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. t MIAMI: 758-477e RESIDENTIAL BROWARD: 525-54370 �=-" � -----^r 06 •,o„�,,, INDUSTRIAL $90 N,w.ANSIN 64VD.HALt.A14DA COMMERCIAL March 2291974 Miami Shores Building Dept. 10050 N. Be 2 Avenue Miami Shores, Florida 33138 Attentions Mr. William Bradford Dear Mr. Bradford; This letter will confirm that the addition roof tin cap on the residence at 1190 N. Be 103 Streetp Miami Shoress was inspected by me and was installed according to code. Sincerely yours# William G. Gibson Harris Remodeling WGGs jv "FLORIDA'S QUALITY REMODELING AND ADDITION SPECIALISTS" REQ 8fifi� Pc1198 �� 74R 95667 0 'q�p Hill 3 .105 CONVENANT RUNNING WITH THE LAND -�i,f DATE : � TO WHOM IT MAY CONCERN : BUILDING DEPARTMENT cUners of the property described as: LOT BLOCK t i SUBDIVISION also known as . Zo Address do hereby make it known that the. ..bove said property and any additions .or remodeling to same , will remain as a single family unit, not to be used as a rental dwelling or rental- unit. If said property is sold or transferred, this stipulation shall apply to all future owners, . heirs or assignees. 7. - e SIGNATURE': i . SIGNATURE :-V. WITNESS : WITNESS: STATE OF FLORIDA COUNTY OF DADE .Before me personally appeared ` c��.. M4P--C, N. - y to me well known to- be the person described in and who' executed the foregoing instrument, and acknowledged to and before me that executed said instrument for the purposes the ein expressed. WITNESS my hand official seal, this ('�! a 9�y '®1 e •=&rte ` 1 �I' Notary Public ti sau �ad��Yte�,= Se� f� ida atm ,°Be..�s•''�4'� $ 712F�7i J C!J( 1 i S 6 f�.sad7Ld VsP e'1�I 1l,7A SLATE My Commission expires /�/�ele►a4�° RECORDED IN OFFRUAL RECORDS ROOD OF DADE COURIY, FLO RECORD YERIFIEO RICHARD P.HRINKERR CLERK CIRCUIT COURT 74.1,-,y-95667 COVENANT Lit 3 31k. 115 MIAMI SNORES PB n r - jack 6v1arti n -To- whom concerned 1 -8-74 d i i MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.. � Date.-_. Application is hereby made for the approval of the detailed statement of the plass and specifications herewith submitted the building or other structure herein described.This application is made In oompBanos and conksmity with the Building Ordinance of Miami Shores Village.Florida, and all provisions of the Laws of the State of Florida,all ordinances of Miami Spas Village and all rules and regulations of the Building Division of Miami Shores Village shall be oasnpliad with.Whether hada spedfied or not. A copy of approved plans and speciftations const be kept at building during progress of Words. Owner's Name and Addrers.Z.11idd 1---- •�� No .f �� Street_.. Registered Architect and/err _._... . _._.. .... . P F.apliryin$Phuabves Nam- Location-and Legal Description Lot.._s3 $I� Street and Number where work is to be performed—No //fid Street . _..«..._...... .._. State work to be peifasme8 and purpose of building (By Floors) _ .._...._............................ ....,...«........_.. NOW Building.._..._._----__....._..Remodeling._.. Addition. r... Repairs............«_.._. No. of Stories........._....... . BATM LAVA- SINKS SLOP LAUNDRY UNINALs CATCH FLOOR DRINKING TOTAL CLossra s SIN)Wa1S TunTORIq SINKS Tuns BASIN DRAIN FOUNT•NG PIATUmse CONT11. LtsT CURCK Sr.PTIC S[Wan DRAIN SOAKAOK DRGAGa SOLAR Dirt ePRKLR. SWIN'6 TANK CONN. FILO PIT TRAP MaATta WALL SYSTKN POOL COMM. LIST CMKCK Size Septic —Type of Task— Feet of Drain'''rt..e..-------_ DW- Feet of Tank ac Drain Field from Well__.._. ..._ _. ...�. Nature of water Supply: City—Wal). An of Soakage Pity...._ ...... _.._ _. _...._.. Amount of Permit $ (SUpod) ___ _._�. . _ .-•- -.•-.-. -...........- Phlmbing 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 leas corn. Plied widr 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 an the site of AiLwork such public notice or notices as am required by tie Act. The undersigned agrees to employ only such sub-contractors. k to armed this mit, as are licensed by Miami Sherri Village. (Signed .._...__ .........._....._ Maser Plumber. STATE OF FLORIDA. i p. COUNTY OF DADE. j Before me,the undersigned authority,a notary public,duly authorized to admiulaw oaths and take acknowledgments„ personally appeared to me well known,and who,being by me first duly sworn,upon oath depoas and says that he is the_. __ of the above described construction, that he has refuk seed the Ioregoing application, and shot he did slip the tams„ and that all facts therein by him stated ars true. My commission Espies Notary Publici ate of 77ssida Niais and%r�isndoafee�Wp. of $1.00 win be made Wlhen weal,raiaspaotlaa is gob,iaoaerss3 by ias9 ANN aoeioeere f1pgP 11 - err fsu* materials J �r POWER C011 OJIA710M NA . SO Ito LAR SURVEY and INSTALLER INFORMATION k SURVEY FOR: �' °: PHONE ♦ �t ,gay y ADDRESS: �6 �i +� E f^ 3J�" r y a�1 L 9 V 1�1 i:w— — Y Rd WORK CITY: _ vr '�', `�f STATE: ZIP: --- ------- ----- .�� - -- ----- - -- --.�------------------------------- S -------- - SE DESCRIPTION TYPE: ONE (1) ` ORY TV6 (2) STORY C3 OTHERM ROOF: TILE ASPHALT SHINGLED TAR &-.GRAVEL t3 BAHAMA C 3 BARREL TILEC I OTHER E3 -- SPECIAL .INSTRUCTIONS ' /0 � ; � d a (NOTE: BE SURE TO INDICATE SOUTHERLY DIRECTION) %T LOC,:=AT ION EXISTING TANK IS LOCATED IN: GARAGE.— °UTILITY ROOMC3 CLOSET❑ OTHER C3 WILL TANK BE RE-LOCATED? YESO m PROPANE[] IF YES, HOW FAR FROM EXISTING TANK?ice _ FEET: OIL D RE-LOCATED TO WHAT AREA? � '_ NATURAL Q WHAT ELECTRICAL IS AVAILABLE AT EXISTING OR NEW LOCATION? 220 VOLT OUTLET: YES N HOW MANY FEET FROM TANK? FEET 110 VOLT OUTLET: YES. N00 HOW MANY FEET FROM TANK? FEET IF TANK IS TO BE RE-LOCATED INFORM CUSTOMER OF $ _ RE-�LOCATION.: CHARGE. - ------------ -- - :LEGAL DESCRIPTION --- ---- IAT: ' — = SUB-DIVISION: . ;s .,,.'_` BIACK. FOR OFFICE USE ONLY nes umm N EW oto ��u�urvr mor NA91Mm A/1DIE PaOWI�t Pc -� cia"1AOIRA1f�0i111 •, t ti .TM.. CORPORATE OFFICES:1785 West O#w Street,Ukelend,Flor�la 33801 Nle-►1060 v� INSTALLERSOLAR SURVEY and INFORMATION SURVEY FOR: /i'/G PHONE EE.L' ADDRESS: larl&_O WORK ------CITY: �.�------i-- -------------- - -- ---- STATE-------ZIP------------------ r --- U S E DESCRIPTIO N TYPE: ONE (1) RY '00 TWO (2) STORY E3 OTHERIM ROOF: TILE ASPHALT SHINGLE® TAR GRAVEL E3 EAHAMA t3 BARREL TILEM OTHER -- SPECIAL INSTRUCTIONS -- J /(/C) g (NOTE: BE SURE TO INDICATE SOUTHERLY DIRECTION) EXISTING TANK IS LOCATED IN: GARAGE UTILITY ROOM® CLOSET® OTHER® WILL TANK BE RE-LOCATED? YES 1�0PROPANE Q IF YES, HOW FAR FROM EXISTING TANK? FEET OIL RE-LOCATED TO WHAT AREA? NATURAL WHAT ELECTRICAL IS AVAILABLE AT EX TING OR NEW LOCATION? GAS 220 VOLT OUTLET: YES HOW MANY FEET FROM TANK? FEET 110 VOLT OUTLET: YESS20 NO® HOW MANY FEET FROM TANK? FEET IF TANK IS TO BE RE-LOCATED INFORM CUSTOMER OF $ - RE-LOCATION CHARGE. ------ ------ LEGAL DESCRIPTION LOT: BLOCK: ® SUB-DIVISION: �� gloom FOR OFRCE USE ONLYrw�, Y V." ' comWomrm Inspector CORPORATE OFFICES:1755 West Olive Street,Lakeland,Flora 33501 1k48?f,-1 l9.Gn I METROPOLITAN DADE COUNTY • FLORIDA 209 SOUTHEAST IST Avery BUILDING AND Z O N 1 NG DEPARTMENT SAICKEL.L PLAZA 9UIL.DING MIAMI.FLORIDA 33131 TSL: 579-2612 PROAIICT CONTROL NOTICE OF- ACCEPTANCE A. T. Bliss Co. , Inc. 1300 South West 12 Avenue Pompano Beach, Fla. 33060 Your application for Product Approval of Solar Water Heater System Model SMSP-410 under Sections 203 and 204 of the South Florida Building Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by Joseph Martone, P.E.; along with dwg. No. 80142-1 dated February 1980 and Florida Solar Energy Center Report No. 80015D dated 2-28-80 has been accepted by Product Control to be used in the Unincorporated areas of Dade County under the Specific Conditions set forth on Page 2, and the Standard Conditions on Page 3 ACCFETANCE No. : 80-214.6 APPROVED Oct. 20, 1980 Vipin N. Tolat, P.E. EXPIRES April 14, 1983 Product Control Supervisor Metropolitan Dade County Building & Zoning Department BOARD OF RULES AND APPEALS NOTICE OF ACCEPT--4.NCE This application for Product Approval has been accepted by the Metropolitan Dade County Board of Rules and Appeals to be used in the Incorporated and Unincorporated areas '3f Dade County under the conditions set forth above. APPROVED: October 20 1980 Thomas M. Black, P.E. Deputy Secretary Metropolitan Dade County Board of Rules & Appea,s _1_ NPC-1070 i 80-214.6 , dPtOOEagroe- 200 196n E MMUM April 14, 1983 ,W=C.ri VL' AbC.i.iT+'iNCZ: SM-171C C=iJ.iM?S 1. This covers a solar heater system for the production of domestic hot water comprising Model SMSP-410 collector panel and UL, NSF or other recognized. agency approved hot water tank, filter, piping, sensors and valves. Fhergy output at intermediate temperature of 122OF as recorded by Florida Solar Emergy Center is 29,900 BTU/day. 2. all electrical work shall be in conformance with Chapter 45, Electrical Section, of the South Florida Building Code and NFPA 70. 3. Single/Multiple collectors may be installed up co, elevations of 35 ft. above grade, using the following components: Collector Panel Frame (Enclosure Box) Size: 10'-h" x 4'-3/8" x 3je" deep Wall Construction:. 3/4" x 3/4" xl/16" x 3V" Bottom: 0.020" emboss, aluminum sheet secured to aluminum frame, four #" x V x V x 1/16" channels at 24" o.c. Cover Plate: 0.040" thick reinforced plastic sheet Method of Assembly: Channel secured to main frame with #10 x 3/4 Tek screws to back panels with six pop rivets per channel. Insulation: 1" thick rigid foam insulation I Connection of Collector Panel to the Roof of the Building Mounting Brackets: 3" x 3" x V" x 4'-6 3/32" aluminum alloy 6063-T6 Number: 4 Size: 2V x 3 13/16" x 1k" bent steel plate at low side 1V" x k" x 6" steel angle at high side Fasteners (per bracket) One 3/8" bolt All roof penetrations must be through pitchpans. 4. applications for solar heater permit must be accompanied by two duplicate sets of the approved drawings along with plot plans showing the location of the panels on the roof, and an isometric piping diagram of the actual installation. All piping and connections to potable water shall be performed by a qualified plumbing contractor, and all electrical work shall be by a qualified electrical contractor. 5- LICENSEE: Equinox Solar, Inc. of 3350 N.W. 60th Street, Miami, Fla. 33142 is authorized to mefchandise the Model SMSP-410 collector under the trade name of Equinox Solar. 6. Acceptance No. 80-060.2 is hereby superseded -T -- Vi;ia N. i01dC, ?.�. ?-oduc= Cane Saae^�:sor -2- `Set poli a e Ccu:^ 3uild�:x & d SUMMARY INFORMATION SHEET ,,,,v�L� FLORIDA SOLAR ENERGY CENTER mt: November 1981 300 STATE ROAD 401,CAPE CAN9VERAL,FLORIDA 32920,(305)783-0300 'mtl rC' FSEC# 81185D MANUFACTURER Collector Model Nationwide Power Corporation SMSP 410 1300 S.W. 12th Avenue Pompano Beach, Florida 33060 This solar collector was evaluated by the Florida Solar Energy Center(FSEC)in accordance with prescribed methods and was found to meet the minimum standards established by FSEC. This evaluation was based on solar collector tests performed at DSET Laboratories. Phoenix, Arizona.The purpose of the tests is to verify initial performance conditions and quality of construction only.The resulting certification is not a guarantee of long term performance or durability. DESCRIPTION Gross Length 3.065 meters 10.06 feet Gross Width 1.237 meters 4.06 feet Gross Depth 0.083 meters 0.27 feet Gross Area 3.791 square meters 40.81 square feet Transparent Frontal Area 3.489 square meters 37.56 square feet Volumetric Capacity 5.3 liters 1.4 gallons Weight (empty) 49.9 kilograms 110.0 pounds Recommended Flow Rate 69 mi/s 1.1 gpm Maximum Operating Pressure 552 kPag 80 psig Maximum Wind Load 2394 Pa 50 psf Number of Cover Plates One Flow Pattern Parallel Number of Flow Tubes Eight MATERIALS Enclosure Al umi num frame Glazing Fiberglass reinforced plastic Absorber Copper tubes soldered to copper sheet Absorber Coating Flat black paint Insulation Polyisocyanurate, 2.5 cm thick THERMAL PERFORMANCE Tested per ASHRAE 93-77 Incident Angle Modifier Kra= 1.0 - 0.20 1 1 C cosB Efficiency Equations n= 66.6 - 586 (Ti-Ta)/I n= 66.6 - 103 (Ti-Ta)/I = 64.4 - 331 (Ti-Ta)/I - 3686 [(Ti-Ta)/1]2 n= 64.4 - 58 (Ti-Ta)/I - 114 [(Ti-Ta)/I]2 Units of Ti-Ta/l are Watt/0C•m2 Units of Ti-Ta/I are Btu/°F-ft2-hr RATING The collector has been rated for energy output on measured performance and an assumed standard day.Total solar energy available for the standard day is 5045 watt-hourstm2(1600 Btufft2)distributed over a 10 hour period. Output energy ratings for this collector based on the second-order efficiency curve are: Collector Temperature Energy Output Low Temperature,35°C (95°F) 41,000 Kilojoules/day 38,900 Btu/day Intermediate Temperature,50°C (122°F) 31,500 Kilojoules/day 29,900 Btu/day High Temperature, 100°C (212°F) 4,500 Kilojoules/day 4,300 Btu/day Reference 80015D + 79015 NPC 81113012A t t. t t � I ti -_ .. _ �`�y^ ._.. _ � . __ -'--=•-- -..__ --' - .. ' .. '-.'-.: _�_..• ._,.:_�: . ..fit `tf�� :. ;_ ,:__ :_ �.. '�_....T..._ F)i t fl i� 2. SEnECT& i 3. Air-^.a*,i t 4. S. D-reft Ve'_":c- 6. 9. It IC►. CC � 1 �'z?�� II i 11 f, ti ii It NPC 81113011A 1 � - �'G.p.7Ct�d64 jGglit�- '7' '/Jo/d ��/ L e► 514weiv _ _ G�•• - ,Qoef�/aL5 .. s/d ,$f19•voi0R0 3/dX.SLo.dy L.yy�// �.►� 1 �� If�$ r�'G'L�(/f0�/N�GONN6rCT/OPV FOR✓/iYy�L6 Q is/O � r `\y{ °'1 �I//may //6� j!I�NfL /•!OL ES /�[�� I/�� , 4 >r/t'>/ /1JG17�trr/N4 e�G7A/L5 II HX//d xry • IQ/V� .`A' -1&.PA r GoG3rG 9trlr.vey.oMc't� / Y/ S Low{'/ MD%vrwf CA14—A' sjgOox aaa,¢" X42 y 2elq-T.{ � i�°bLT 7DjfT73Atuy) G �— — %s its NBx,yacraur tv if ClNIS2.eh'PflfiT. ��--_ _ � .._��• r' •""'\'p I..V:'/, srem f—6.4 �gn� Do7ss�/c dNOG3T-� c,c ALafflaUV ShcAeA*P"G CSN uo/v H/cf/ 5.ot Foe/mir OMM- e-.vC�.v�es /At-. .5c.�/c� • //2 az��" dy &CLS eo•v StRtt %t a1•o' R.O./,34ir //7// t14. -0-t:Oe1A7,V ?2670 /c%o ® AA�.`O 3/ "x 8"l a /3o4TI)��tt �.vro Z,''�t':�T AS .+1� PP 1pgw�v C Lei Ghs�v � N� 6' /�+►�/'�/�?•4 .s4w .J.y. eo ✓.Io.�. GAMAlwYAve. �M' /2Jr-V .3.3eco EEr of VJ4641. /4t FIC 410.do/$z-/ Saal,4 PI�/6t. srz/x�r//41vc.sJp/vaer sPS s. • �- 258 9t--- MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT App4cation is hereby made for the aLPPrOyal Of the detailed statement of the plans and specifications,herewith submitted for the build- of Miami other structure herein described. This application•is in compliance and conformity with the BtW&V&Te!nmM94 rules and rag or Florida,and all provisions of the Laws of the State of Fliirkdat all Dam"�Ofj�MbVmered"`or noL A copy of approved Shores Village, . with,B 9 kept biding Vi be Phed anted be kept at bufldding 9 of the regulations if the uIldin Divisi PUM specifications must Date--Z15�� PR No.___. Name and Address ----------:::� .............................. ----------- Registered Architect and/Or n&eer---------- Name and address of licensed contractor- ...... . .... Location and legal description of lot to be built on: Block—Z-Z------ Subdividon--� Sued and Number when work is to be done—::�� State work to be done and purpose of building (by floors) ----•-•-------------- -.-and for no other purpose. Rept--------- Now Budding Remodeling--—--------------— Addition_.._----------------- ------ No. Of Stories------------------------ To be constructed Kind of Roof Covering--...—--------------------- --P"Lj�-�—Amount of Permit Estimated Total cost of improvements _/ Zone cubage Distance to nod nearest building---------------------------Size of Building LoL—-_-_.------..-__-•--------- Maximum live load to be borne by each floor—------------- —------- —-—-----------------•-_---..—..-•------ I ------------------------------------ I hereby submit the plans and specifications for said building. All notices with reference to the building and its construction may be sent to ----—-------------------------------- mderstands and accepts his obligations as an employer The ung General Laws of Florida,Permanent Supplement, w: icant for this building permit does hereby certify that he i FloridaWorkmen's Compensation Act, being Section 5 piled of labor under . ilinfla compliance contractors ors err awl has complied with the provisions thereof, and will require r co su Voyed by him in the work to be Performed under this permit; and will post or cause to ed for on work. 1C public notice 0 such su ed under this or notices as are required by the Act.The undersigned agrees to employ 7m permit, as are licenied by Miami Shores Village. (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 ----------- me well known, and who,beizy by me first duly sworn,uoath deposes and says that he is the------------------pon ——----------..............................— read foregoing application,and that he did sign the same. and that all facts we f of the above isciibed construction,that be has carefully therein by him stated are true. Read,Sworn to and Subscribed before me. Permit No—IL4 L — Date- Disapproved — --------- Date Notary Public,State of Florida (Signed) 0V Building r 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. is made necessary by improper notice for inspection or faulty A re-inspection fee of $1.00 will be charged when such re-insPection M*terials and/or workmanship. MIAMI SHORES VIIrLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No...... d. ........ Dam...August 5,1969....................»....... Application is hereby made for the appravr>3'oP�heed"�Nmes�-of�he�la�a�spe�facarions-herearith�ubmitked.fox th�.bw7diung or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address......`rack MaTt3T! No...............110 Street.....A1.AA1A...].Q 2(1................... RegisteredArchitect and/or Engineer.................................................................._...;..............»......»........................ ........................------............................. L & M �ECTRIC CO INC....................'No 99 ...N......W..........1..6...6..thEmpt Employing Electrician's Name.................................. ................. .......... _... ............»...........StrStreet._ ..................... Location and Legal Description Lot......_................................................... .......'Block.........................................Subdivision............................................... Saltie as above Street and Number where work is to be performed—No...................................._..............._...................Street.................................................................. . Statework to be performed and purpose of building (By Floors)..........................»...................................................»................».................................. New Building................................Remodeling................................Addition.... ..................Repairs.....................................No. of Stories................... SWITCH LIGHT PLUGFIXTURES REPRIG. IRON RANGE RANGE WATER W. NEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE•P'T'S NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. NEATER HEATER CONTR. C p LIST J v CHECK ? ENT. DIST. SERVICE SERVICE M®pORB MOTORS NEON RApIO TOTAL SW. CAB. TEMP. PERM. Obi HP 1•S HP TRANS.CONTR. I—WaLl unise ^1 S GES LIST CHECK Increase Svc. Service Underground erhead Siwe Feeders.............».....Conduit..............Main Sw........................».....Am .......................Main Fuses.....reas.........c. Type of Installation—Conduit........................Tubing........................B.X.L........................Metal Moulding...................................»...............---................. ............................................................................................_..............................................................................................................»....»................................... Amount of Permit $..9.00.................................. ............................................ (Signed) .» ........._..................... Bl '¢ui»Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an employer of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permaneslt Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)... ... ... ........ ....... ......... .. »..... ,.» ..... Master Electrician. ' 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 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 fads therein by him stated are true. ..........................»....»lviy Commissi.................... n..�p..�............................»... ...........................»Notary I?ublic.State of Florida...... .........».»........ NOTE: A reinspection fee of $1.00 will be made when such reinspection is made necessary by improper notice.for inspection, or faulty materials and/or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hiereind by made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- iag or other structuescribed. This applicatiomdeincomplianof Miami horesVillage, Florand allrons of the LawsfeState ofFloridarules and egulatios of thBg DivisioofMiamiShores Vge shallbe complieapproved plandspecificatmust be kept at building during progress of the work. Date-- Owner's ate Owner's Name and Address��. 0No._ Street Registered Architect and/or Engineer______ Name and address of licensed contractor —�_-- Location and legal description of lot to be built on: Lot_ B Subdivision_._.____.___.—AA Street and Number where work is to be done— ,State one•State work toke done and purpose (by floors) ---and for no other purpose. New Building Remodeling -------— Addition ______ Repairs--_--------_._.— No. of Stories-------------_--------- -To be constructed of Sind'of foundati ___ ______ RQof Co _--------------•-------_--__ Estimated Total cost of improvements __ -_ Amount of Permit $— 0or Zone tubage req„;, Plan Cubage :—.._--- ----------------_--- Distance to neat nearest building Size of Building Lot—._ _---------------_-----_-____ Maximum live load to be borne by each floor___._- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer Of labor under the Florida Workmen's Compensation Act, being Section 5988,Compiled General Laws of Florida,Permanent Supplement, and has complied with the provisions thereof,and will require similar compliance from all contractors or sub-contractors empl ed by him in the work to be perforunder this permit; and will post or cause to be posted for inspection on the site of the work such blit notice or notices as are required by the Act.The undersigned agrees to employ only such subconwork to bp orm . under this permit, as are licensed.by Miami Shores Village. Remarks (Signed) 11 ,!)17q A ON W . STATE OF FLORIDA, COUNTY OF DADE. 1 39 Before me,the undersigned authority,a notary public,duly authorized to administer oaths and take aclmowledgments, personally ap- peared - to me well known, and who,bef by me first duly sworn,u oath deposes and says that he is of the above" bove bed construction,that -—_— ---.-__ __.___.--------_---- --_ y read theforegoing application, and that he did sign the same, and that all facts therein by him stated are true. e Permit No.—f _ Da ZRead,Sworn to and Subscribed before me. Dlsapproved Date A. Notary Public,State of Florida 4�-'fig%sp-;ct'orMy Commission Expires--------—------ PLANNING BO _ --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-Jnspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. • l MIAMI SHORES VI•LLAG BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PE . IT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewithsubmittedfor the build- in Village, Floriidda,herein all provisions si Thf the Lhaaws of this e tate o compliance ordinances ooff Mi mit the Village rOrdinance ale sand regulations of the Building Division of Miami Shores Village shall be compliedwith, whether herein specified or not.A copy of approved plans and specifications must be kept at building during progress of the work. Date___J.__ /.2/ ---------- -4.1 ---_. Owner's Name and Address.t-jam_-.4)-1/Nom— ---- -- ------_ Architect and/or Engineer_L.«�lL�Registered Archi - Name and address of licensed contractor Location and legal description of lot to be built on- I,ot_.- Subdivision- 1_ _.n Street and Number where work is to be done./� 1�l 1��l 1.J State work to be done and purpose of building (by floors) 1C 44-' Iv,_.1.i.=_10---__----------- - __. -_ _ _ __-- ------•----•-- ------------------ ----- ----------- _--___-----___ ----.and for no other purpose. New Building...._____—------------- Remodeling------_---. .._. Addition_..._-__v----- Repairs------------------------ No. of Stories...../--------------- To be structed Kind of foundation- L��S con _.f.° - -------------------— R hovering---------------------------- � G Estimated Total cost of improvements$ .>..__- _ _Amount of Permit $..-Z .._ ______----------____-----------------------_._--. Zonetubage required __—___ ___ __- -_---_- _..____ __Plan Cubage—-----_ -_-___--_ -----__-_--.-_._.--------_-----------------_._.-- Distance to nest nearest building------------_____-_----_--..____ Size of Building Lot_....._ _ ___ _.... -•-•--------------------- Maximum live load to be borne by each floor_._ . -.__. ..__.. .-- -----------.-------_ --— . -_. .__ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to-.• - -- — __ - - -- - - _ -- ---- . — -- _-_ - . ........... The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act, being Section 5988,Compiled General Laws of Florida,Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employ by him in the work to be performed under this permit; and will post or cause to be 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 subcon wor�to be performed under this permit, as are licensed by Miami Shores Village. 7A 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 _ _ .-- _ —--- _ _..___ — _-- _ --_-_.._..-------------------- - 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....6'_(--- Read,Sworn to and Subscribed before me. Disapproved - ----- f --- - —-- ._ --------------------------------- . . . . -----------—- — Notary Public,State of Florida -- •---•-••.. - -— - ---- Building Ins etor 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. PIS--P �v yr I i I CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 1511 Miami Shores Village, Fla., Owner, Agent or Tenant of Building 2 aLZT �C Lot 3 Block $ Subdivision� Street.Address Approved use by occupancy +' . Remarks• This Certificate of Occupancy is issued to the above name for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos.92, 93,94 and 97,known as the Zoning,Electrical,Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection,,construction, alteration or remodeling of buildings or structures. '1j+S 1 TO-JtvJA,-IQ-4 BUILDING DIVISION _ J L alp 490 11.t` — 1155 AA N to S ol l 1p g to 14® gig a !� f '4,40 4 - _, - i r7 A.Y So � 1 = -D� S - 10 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 des«ibed.This application is made in compliance end conformity with the Bu$dipg Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Flori all ordiaano� of Miami Shores Village and all rules and - regulations of the Building Division of Miami Shores Village shall be comph with,whether herrn specified or not.A c�Py of approved plans and specifications must be kept at building during progress of the work: . Owner's Name and Address Street �p�) Registered Architect and/or Engin 1 b r '7-0 Name and address of licensed contractor Locatio and legal description of lot ba��buil on: C Lot Block—l15 Subdivtsi Street and Number where work is to be don State work to d eand purpose,of building (by floors) t kQ1 —d for no ot`h purpose. New Building._ Remodeling y�Addiiion Repairs— No. of Stories 1 To be constructed of Ca5�5+ Bind of foundatig «-•E Estimated Total cost of improvements $ Amount of Permit Zone cubage required 2 i?000 plan Cubage S4% 1 Distance to nest nearest buildin 0'— —Size of Building Lot �►��+ Maximum live load to be borne by each +tom* I here omit all the�plans and for said All notices th reference to to wilding and its construction may be sent to �.Pzt-4�✓ � 4�-�2�. .� �J '' The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob t Ions as an employer of labor under the Florida Workmeui s Comcepensaiion Act, being Section 5988,Compiled General Laws of Mod&Permanent Supplement, and has complied with the provisions ther , and will require stmilar 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 po inspection on the site of the wank each public nviice or notices as are required by the Act.The undersigned agrees to employ only perF ed under this permit, as are licensed by Miami Shores Village. Remarks (Sed) ,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,up 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 ►I the same,and that all facts therein by him stated are e. Permit No-AMSto *� Read,Sworn to and Subscribed before-me. Disappro \Z:/ &--- Notary Public,State-of Fonida (S ) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member � Member Member Council Approved DAta Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from 1 the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by-. notice for inspection or faulty materials aid/or workmanship. rA MIAMI SHCI ES V1 LLAMI` , - BUILDING INSPE ION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the glans apd specifications herewith submitted far the build- Of uildof Miami Shores Village, Florida, and all provisions of the Laws of the State of Fkai all ordinances of Miami ShoresdVillage and all rules,and regulations of the Building Division of Miami Shores Village shall be compli with,w erein specified or not. A copy of approved plans and specifications musk be kept at building during progress .the wo=k. Date 1 Owner's Name and Aress N Street. Registered Architect and/or Engineer Name and address of licensed Location an al description of lot to be b�an•� Lot— — Block subdivision Street and Number where work is to be don State work to be dome 5 urpose of buildingOL ( y ) s and for no othe� New Buil �j 'R-emod A= airs No. of Stones To be constructed of aS I KiVV, nd of v Estimated Total cost of improvements$ of Pew$ :74 40V Zone tubage required . �� , .Plan Cubag �. Distance to next nearest buildin B Maximum live load to be borne by each floor - I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under FloridaWorkmen's Compensation Act,being Section 5888,Compiled General Laws of Florida,Pen ent Supplement, and has complied with the provisions thereof,and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work'Bach public notice or notices as are required by the Act.The umdersigaed agrees to employ only such tractors, on work to be performeunder this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. I a" Before me,the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments, personally ap- peared 5_ D me well known, and who, by me first duly sworn,n oath deposes and says that he is the of the above described construction,that carefully read the foregoing application, and that he did sign the same,and that all fads therein by him stated are true. Permit No Date Read,Sworn to and Subscribed before me. Disapproved Date Notary Public,State of Florida ' (Si _Bu1IddJiugMpe&or My Commission Expires PLANNING BOARD ATE Chairnoan Member Member Member Member Member Council Approved Date Disapproved ate 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-invection 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. r MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE _195 ELECTRICAL ❑ PERMIT N° 10676 Contractor's PLUMBING ❑ License No. { Work to be performed under this Permit i Owner of Building . Architect -ontractor r, or BuilderSud�,f 7 Legal Lot II Bl. v sion Description. Address of Value of Amt. of Building f 1 Project $ I Permit r E r This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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: c BY INSPECTOR j 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 permi5 I assume responsibility for all work done by either, myself, my agent, servant or employee. CbNtRACTOR OR BUILDER BY AUTHORING d BUILDING INSPECTIONS INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY FOUNDATION p �� BEAMS&LINTELS FRAMING FINAL � - CLEAN-UP it 4 PLUMBING PERMITS & INSPECTIONS CONTRACTOR PHONE PERMIT NO./d I DATE ;Z„ 3 FEE $ (5 i NEW BLDG. I ALTERATION ADDITION RE-PAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK V - $ SEWER $ SOLAR HEATER $ GAS $ INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY ROUGHING i2 - /- S GAS z- I SEWER SEPTIC TANK SOLAR HEATER FIXTURES ELECTRICAL PERMITS & INSPECTIONS CONTRACTOR PHONE PERMIT NO.//-/ DATE FEES _ NEW BLDG. I ALTERATION ADDITION EPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 10 7 $ H. W. HEATER NN. . $ RANGE MOTORS $ FIXTURES S $ INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY TEMP. SERVICE " ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES&FINAL APPROVAL TO POWER CO.FORS VICE DATE L�f__ 1 — (r7f/�BY ,%-Ir r "�--'o ` - OWNER'S NAME PRESENT ADDRESS LICENSE NO. PHONE NO, f PATRICK XoCAn 19822 Y. E. tad Ave. JOB LOCATION (ST. OR AVE.) LOT BLOCK SUBDIVISION 1190 N. E.. 103 Rd St. #3 1#175 Sect. #8 GENERAL CONTRACTORADDRESS PHONE NO. LICENSE NO. PATRICK McCARL 19822 N.E. 2nd Avenue I 5057 _ r M - oB=ILDE�R'SO�Nyj,, L BUILDING PERMIT NO 10179 DATE 12-1S.•K0 PERMIT FEE S 19.00 NO.998 DATE Trans& ZONE REQUIREMENTS 25.000 CU. FT. PLAN CUBE 249Il9 CU. FT. EST. COST S 151000- �p DATE DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY! ^ TYPE STORIESJ ROOF CONSTRUCTION INTERIOR CONSTRUCTION x NEW CONSTRUCTION CBS 1 Tile Te3t.Floora,-Plass Halla DESCRIPTION REPAIRS E PTI N ALTERATION i ADDITION APPROVED REJECTED (REFERRED TO COUNCIL REASONS SUBMITTED TO PLANNING BOARD RE-SUBMITTED TO PLANNING BOARD REMARKS SUBMITTED TO VILLAGE COUNCIL CERTIFICATE OF OCCUPANCY NO. / ISSUED BY I TO BUILDING PERMIT AND INSPECTION RECORD—MIAMI SHORES VILLAGE MIAMI SHORES VILLAGE, FLORIDA BUILDING DATE "° 195 I� k ELECTRICAL �! P E R M I T N° 10479 9 Contractor s PLUMBING, � License No. Work to be performed under this Permit Owner of Building _ Architect -ontractor — or Builder ' Subdi, .,. Legal Lot Bl. J vision �°`. .�� ;�t�•.,;,,,,�, "` Description. t i „� Value of Amt. of � Address of s s�. �"` II I� Budding $ Project $ „ _.... t",� Permit $ ' ' This permit is grant to'the contractor or builder n ed above to r�`str couct the bujlding or to install the equipment or device described in the appllc t bn herefor in strict compliance with all ordinances pertaining thereto and withrthe undersn4aing.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 oinances and regulations pertaining to the work covered hereby whether shown on the plans or drawlags or;in the statements oFspec.fications and that he assum s responsibility for work done by his agents, servants or employees. y t r, r r fi l v Sign'61. '' �• �+ INSPECTOR , In consideration of the issuance tome of this per`Init I agree to perform the work cowered hereunder in co fiance with all or nances and regulations taining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the roper authorities oMiami Shores Village. 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 BUILI)ING ❑ DAT)i___ 191-1-- ELECTRICAL ❑ PERMIT ERMiI PLUMBING ❑ N U 2 2 License N Contractor's ❑ License No. ROOFING _ ❑ Work to be performed under this Permit_____ Owner of - - Building -- Architect Contractor r or Builder Legal Lot I Subdi- Description __ —__ _ Bl. vision Address of , . .- Value of 11 Amount of �,-- Building `i I Project 5 �I Permit $ `F This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: "- - —INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all>6rdinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY -01 4`'sw MIAMI SHORES TILLAGE, FLORIDA l .7 BUILDING ❑ DATE__- ' ' 19 EL ECTRICA PLUMBING L ❑ PERMIT N U 7704 Contractor's ; - ROOFING ❑ License No. — — ❑ Work to be performed under this Permit____ Owner of # t Building � ---- — Architect Contractor E r. or Builder Legal Lot Subdi- Description — _ Bl. vision Address of w Value of Amount of -- Building Project Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: T __. 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 scepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 0T "� MIAMI SHORES VILLAGE ELECTRICAL INSPECTION 'DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit Application is hereby made for the approval of the detailed statement of the"plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance;and conformity with the Building Ordinance of Miami Shores Village.;Florida, and all,provisions of the Laws of the State of Florida, all ordinances of Miami Shores.Village.and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be,kept at building during progress of'work. Owner's Name and-Address... • ...No.» Registered Architect and/or Engineer__.... / » »» ...... » Employing Electrician's Name..........»..C.�...` _............No» _ ... .. .»..Street., ...... . Location and Legal Description Lot... .....I.? ............. ........ »..Black 1 .✓... ....» »subdivision..» Street and Number where work is to be.performed--No.. State work to be performed purpose of building (By Floors). .......--- »»» ... ... . .... ... .. New Building....... .Remodeling» »....». Addition .......Repairs..»....»............__—No. of.Stones.» .:...... -- Swive" Liour PLUG FIXTURES REPRiG. IRON RANGE RANGE WATER W. HEAT. SPACE- aratP - TOTAL OUTLETS OUTLETS REcE•P'r8 No.LAMPS OUTLET OUTLET OUTLET CONN. NEATER COMM. NEATER HEATER cotem LIST CNECtt ENT. DIST. ERVICE SERVICE MOTORS NOTORs NEON RADIO TOTAL _ SVV. CAB. TEMP:.. PERM. G•I NP• 1.8 NP - 'IMAMS. Comm LIST Service Overhead verlie d Site Feeders...» ..».....Conduit....». .»;1Vlain Sw.... .....Amps...... ..MainUnde und Type of tion--{conduit......» —Tubing» ..EJC L »..Metal Moulding..... ...»»..»»». Amount of Permit $»...... Electrical•Inspector. The undersigned applicant for this budding 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 5%6. Compiled General Laws of Florida Permanent Svpplem=4 and has complied.with the pxovisions-thereof. and will require'similar cmmpliance from all contractors or sulrcQntlaetors,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 repaired by the Act. The undersigned agrees to employ only such splrcoatracbors. on work to be performed under this permit, as are licensed by Miami Shores Village. ».l eetrician. .. STATE OF FLORIDA, » , MUIS Y OF DARE, } OL Before me, the undersigned authority, 'a notary public, duly authorized to administer oaths and take aekaowledgalenes. personally appeared--.-.-.,» .......... ......».».....,...... » ........».,.... .. ...... to me well known, and who.being"by'me first duly sworn, upon oath deposes and says that he is the..».»»» ..:...»......:........:...»...:.».......»... .. of the above .described construction, and he has carefully read the foregoing" application, and that he did' sign the same, and that all facts therein by him stated are tnie. My-Commis on--EspiresM .» ....Notary Pnhli '!t 014Q& NOTE: A rwinspection fee of_$1.00 wil -be made when-such re inspection is made necessary by improper notice for Inspection, or.faulty Materials aad/or workmanship. s MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No...... / ...... ate7.– Z— 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. OwnersName and Address......» . .. . ...........................................................No..........................................Street.................................................... Registered Architect and/or Engineer............................................. Employing Electrician's Name.... r L r.......... ........................... Locationand Legal Description Lot.......»...........................................................Block..........................................Subdivision............................................... Street and Number where work is to be performed—No......ff.9 _.... ...1Q.z.................Street.............................................................. ...... State work to be performed and purpose of building (By Floors).... ......... ...»..../ / .. ............................................ New Building...............................Remodeling................................Addition..............................Repairs......................................No. of Stories.................... SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECE'P•T's NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE In MOTORS NEON RADIO TOTAL. SW. CAB. TEMP. PERM. 1•3 HP TRANS. CONTR. LIST CHECK erhead ServiceUnderground Size Feeders__...***,*......Conduit...............Main Sw...............................Amps........_.................Main Fuses......»....................Amps Type of Installation—(conduit........................Tubing........................B.X.L........................Metal Moulding........................................................................ ........................................................................................................................................................................................................................................I............. ........................................................ ..__................._...».......:.................... ........................._.»............................_............._....................__....._............_......... Amountof Permit $.......- ........................................................................ (Signed).......................................................................»................................. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)............................................................».....»..................................._. STATE OF FLORIDA, Master Electrician. COUNTY OF DADE. 88• Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared................................................................................. .................................»............................................................................»................................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the...................................»...»............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ................................ ..............».---•--.........._...................................... .....�..........................................................._........ .........................I.. , My Commission Expires No Pubh State of Florida NOTE: A reinspection fee of $1.00 will be made when such reinspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. s3`r CITY OF NO ELECTRICAL:INSPECTION DIVISION DATE I hereby make application for an electrical :permit to install or change electrical wiring in or on the psemiee+s described-_' below,and 1agree to comply with all the rules and regulations governing electrical installations in the City of North Is= Vzscawnop. Lot Block Subdivision Addre+se_ > "61A f d 341AZZ-- Owner 1'1 Building Occupied as: n 4 ;9 � Occupant New Conetruchott.. , Old Structure Additionalru Wor1t -,---- ROUGH %%qWG`(Outlets) . CEILING BRACKET RRC6pfACLlt BWiTCN:. TOTAL BTOY6 WATER N611T6R- 814N 01N6U OUTL.M MAIN OWITa:R SIZE BEKWCE 8RE 8E11YICE NO.CIRCUITS 1YPE INSTALLATION VARKS CONDUIT _ .,-. . ._ CONDUIT eTIM TUB1s fro Wav>pr>arr �. WAT61tNEATERp - 810N..TRANSPORN6f18 .. MOTOR IL18T.AND Give-H..P..air CAM KOTOKI -= - AMPERAGE VOLTAOs - PHASS OTHER EQD�N�N7 _ , SOMM CEILING 811ACK6t OTHER TOTAL. PIITUXW 7YfTAL hone 96 3��7 Address_�� 0 9,licc�X77 dam. For " action DateM_" a opo 6 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No.... 1.. /�........... Date......�l.�...1. ........6..1 ................... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted-for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owners Name and Address......Mal-till...................................................................No.........x.90.......................Street..Nw...E'........103-3t.............. RegisteredArchitect and/or Engineer...................................................................._...............................................................................•............................... Employing Electrician's Name..... ................._. 97..9 �i 7 Y...s.................. ............No........... . 0 .........»...........Stree ..s»�s.»2...�.e Locationand Legal Description Lot.......»...........................................................Block..........................................Subdivision............................................... Street and Number where work is to be performed—No................................................_....»..................Street................................................................... State work to be performed and purpose of building (By Floors)..........................._..............»............................................................................................. New Building............_..................Remodeling_.............................Addition..............................Repairs......................................No. of Stories.................... SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL OUTLETS OUTLETS RECEIP'T'S NO.LAMPs OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER HEATER CONTR. LIST CHECK ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL, SW. CAB. TEMP. PERM. 0.1 HP 1•5 HP TRANS. LIST Inc. to 150 Amps �p p K 3,00 CHECK 1-111r V 1.50 Overhead 1 ServiceUnder round Siwe Feeders...................Conduit...............Main Sw................................ mps...........................Main Fuses......»....................Amps Type of Installation—Conduit........................Tubing........................B.X.L.........................Metal Moulding........................................................................ ............_........................................................................................».........................................................................................................».....................I............. »......»..».........................................................................................................................................»............................................................................................. Amountof Permit $......».4..50...................................................................... (Signed).......................................................................»................................. Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed)......... I ......... ..........»...»......»........... Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. 86' Before me, the undersigned authority, a notary public, duly authoriwed to administer oaths and take acknowledgments, personally appeared.........................................................»......................................................................................................................................................................... to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the....................................»...»............................... of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all fads therein by him stated are true. ...»...........»..............»......_...........................»....................................... .......................................I.......................»..........:.....................».......... My Commission Expires Notary Public, State of Florida NOTE: A reinspection fee of $1.00 will be made when such reinspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. t ADDRESS ngo LEGAL LoMUUJ,SBlock 175 3hores RECORD GARBAGE TAX y� PAID BY 'YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER Patrick McCarl / �� .3/r$ �� •,,f D MIAMI SHORES VILLAGE, FLORID, PURDING MXCTMCAL PERMIT N° 10724 contractoes PLUNIBII G License No work to be performod under this Perrot I Owner of Building Architect Contractor or Builder, i Subdi. � e Legcd LotII Bl. vision s Description 4 *0� Address of Value of Amt. of Building ,. All, .�. . i t � .; � Project s Permit $ This permit isg$rraannted 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 map 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 plus are than thoy authorization. A-further condition upon which this permit is granted is the understanding that the contractor or builder named abov the for a thorough knowledge of the ordinances and mations- pertainiagg to the work covered hereby whether shown on the plans or vein s in stn is or specifi and that he swum. mepoasfb:*for Work done by,his agents, servants or employees. Signed: BY 4{ In consideration of the issuance to me of this permit I agree .p. rm the work covered hereunder in eamphance with all ordinances and,regulations pertaining thereto and in strict conformity with the plans, drawings, tem is orsp specifications submitted the proper authorities of Miami Shores'Village. In accepting this permit I assume responsibility for. all work done by �. myself, my agent, savant iployee, Pt CONTRACTOR `OR B�ft AUTHOR=. . MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE .195 ELECTRICAL ❑ PERMIT N° 13735 Contractors, PLUMBING ❑ License No. ROOFING ❑ Work to be performed under this Permit Owner of Building Architect ontractor or Builder Legal Lot II Bl, Subdi- Description. vision Address of Value of Amt. of Building Project $ I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DATE 195 1r ELECTRICAL (I PERMIT ? 10678 Contractor s License No. PLUMBING - Work to be performed under this Permit Owner of Building Architect -ontractor or Builder Legal Lot I Bl. vubon Description Address of Value of Amt. of Buildin Project $ II Permit $ g 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. M 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. i In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. i CONTRACTOR OR BUILDER BY AUTHORITY CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA f BUILDING DIVISION NO. 1511 Miami Shores Village, Fla.,-- Owner, la., _Owner, !agent or Tenant of Building Lot Block Subdivision---- Street ubdivision_Street Address— Approved use by occupancy—_ Remarks: This Certificate of Occupancy is issued to the above named— for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. ",} BUILDING DIVISION MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDIN6r PER,' Application is hereby made for the approval of the detailed statement of the plans and epos herewith submitted for the building or other structure herein described.This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village.Florida and all provisions of the Laws of the State of Florida.all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with.whether herein specified or not.A copy of approved plans and specifications must be kept at building during progress of the work. Date 191 OwrDer's Nacre and Address Na'z / Street Registered Architect and/or E gI'A, Name and address of licensed contractor C Location and legal description of lot to be built on: Lor `7 Block Subdivision Street and Number where work is to be done °� ��"` ��• State work to be done and purpose of building(by floors,state exterior colors(submit samples) and for no other purpose. New Building Remodeling Addition Rep eins Na of Stories 110 be constructed of oution Roof Covering Zt-- Estimated lbtal cost of improvements$ Amount of Permit$ A Zone cubage required Plan Cubage Distance to neat nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building.All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligetons as an employer of Labor under the Florida%%crkmen's Compensation Act being Section 8866.Compiled General Laws of Florida Permanent Supplement and has complied with the provisions thereof.and will require similar compliance from all contractors err MAKAntractors 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 rage or nom as are required by the Act.The undersigned agrees to employ on work totSe performed under this permit,as are licensed by Miami Shores Village. ;RiA i-� Remarks !Signed) m STATE OF FLORIDA COUNTY OF DADE. Before me.the undersigned authority,a rotary public.duly authorized to administer oaths and take acknowledgments,personally appeared to me well known. and who.being by we first duly sworn,upon oath deposes and says that he is the of the above desc�ribeddd construction,that he has carefully read the application,and that he did sign the same.and that all facts therein by him stated are true. Permit No. Date dml/w Read.Sworn to and Subscribed before me. r Disapproved Date — Notary Public.State of Florida ISngredl Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Mir Member Member Member Council Approved Date Disapproved Date NOTE:A charge of$28.00 will be made for mating corrections or changes to this application after approval has been obtained from the Planning Board. A reinspection fee of$25.00 will be charged when such reinspection is made necessary by improper notice for inspection or faulty materials andior workmanship. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No. 1(y Date— /—Z S� 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 Incompliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and allprovisions 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�Q,e +�� a� No eAot Registered Architect and/or Eagineer e Employing Plumber's Name at Nos2� � Streeta� Location and Legal./Description Lot BMckJ Subdivision Street and Number where work is to be performed—No if / Street. Q°"3 , State work to be perforated and purpose of building (By Floors) New Building, Remodplin_g�. AdditWu Repair4 No. of Stories BATH LAVA- 8.. SLOP LAUNDRY URINALS CATCH FLOOR DRINKING TOTAL SHOWERS SINKS SINKS TUBS BASIN .DRAIN FOUNT•NB FI TUBS TORIES � MURB§ CONTR. 'LIST CHECK SEPTIC SEWER DRAIN- SOAKAGE GSREASE SOLAR DEEP SPRKLR. SWIM•G - - TANK CONN. FIELD PIT TRAPHEATER VIIELL SYSTEM POOL C'4' CONTR. LIST - I CHECK _ •, Sias Septic Tank Type of Tank -- ,_-Capacity Gala•.. Feet of Drain Tile Ld ® n+s Feet of.Tank or Drltin Field from Wen Nature of Water Supply: City—W611—Sim of Soakage Pit Amount of Permit A (Signed) Plumbing The undersigned applicant for this building permit does hereby,certify that he ds and accepts his obligations as an employer of labor under the Florida Workinen's Compensation Act,being Section 5M,Compiled G Laws of Florida Permanent Supplement, and has com- plied plied with the provisions thereof,and will require similar compliances from all contractors or sub-contractors employed liy;him in the work to be performed under this permit. and will post or cause to be posted for inspeciign 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 rmed under this permit, as are licensed by Miami Sham Village. (Signed) Master Plumber. STATE OF FLORIDA„ •i sa. 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 fine Of the above dercribed 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 Ex&w 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 wo&aiausbip. ' — - MIAMI SHORES VILLAGE. PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 1011 Dates Fav v�e `C�'Z Permit No.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 ordinanewof 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. .p C Owner's Name and Address__l�! ( �� '� - No.� 0 —� Street! Registered Arebitect and/or gi Employing Phnnber's Name No. Street Location and Legal Description ck oSubdivlsioa_6 � R,• Street and Number where work is to be performed No. -S State work to be performed and purpose of building By Floors) LO Ma ok) !� U 60 1 New Building Remodel—gam Addition Repatcs No. of Stories CLOSETS BATH LAVA- SLOP LAUNDRY CATCH -FLOOR DRINKING TOTAL TUBS SHOWERS TORIES SINKS SINKS Tuns- URINALS BASIN •DRAIN FOUNT'NS �Q�� FIXTURES CONTR. CHECK a� � -775 SEMI: SEWER -DRAIN SOAKAGE. -GREASE SOE.AR DEEP SPRKLR. SWIM'S W. ��,J TANK CONN. FIELD PIT TRAP HEATER WELL. SYSTEM POOL �!r l f I.UII-lA CONTE... LIST CHECK JOINf W cs <S optic Tam fiYpe of an Capacity Feet of Drain Tile City Feet of Tank or Drain Field from WeU ,Nat=of Water Supply: Well. I90 ` Size of Soakage Pit_ Amount of Permit $ _ (signed) Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that hederstann and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act,being Section 6988;Compiled General Laws of Florida Permanent Supplement, and has cm- 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 postedforinspection on the site of the work such public notice or notices as are required by the Acct. The undersigned agrees to employ only such sub-contractors, on work to be performed under this 'permit, as are licensed by Miami Shores Village. ts � Cf _ I �` °` Plumber. STATE OF FLORIDA. - . COUNTY OF DADE. Before me,.the undersigned,authority,a notary public,duly authorized to administer oaths and take acknowledgments, personally appeared to me well known,and who,being by me first dulySworn,upon►ooh dioses and says that he is the of the above described construction, that he has y read the foregoing application, and that he did sign the same, and-that all facts therein by him staked are true. My CommissionExpires Notary Public,State of Florida NOTE: A re-inspection fee of$1.00 will be made when such re-inspection is made necessary by improper notice for inspection,'or faulty materials and/or worl®anship. 00. - ; - E JW 01 jif. n r av 515 �Aw- XIf) _ ��„ PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Dates ��Afl Job Address // 9® �� /Di, Tax Folio, saps/f ®d Legal Description,� _ �,. Master Permit ¢ ,�,I.f 0 G (mer / Lessee / Tenant_LA) l -k- a rv-, Owner's Address-119L b N t ) D"3 S-r Phone---? Contracting C6 1 Address Qualifier SS# - - Phone State# Competency$ Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN 41ORX DESCRIPTION_ Square Ft. Estimated Cos WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT) . Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate -and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above-named contractor to do the work stated. gna of Cpfver and/or Condo President Signature of Contractor or Owner-Builder Date. Date: ft ary as to Owner and/or Co do President Notary as to Contractor or Owner-Builder Coram*Sion *Aires*y/ /�11 � My Commission Expires: PERMIT FEE: APPROVED: Fire 11 Other IM11 ZoningBuilding 1� � Electrical echanical Plumbing Engineering MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described.This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village,Florida,and all provisions of the Laws of the State of Florida,all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shares Village shall be complied with,whether herein specified or not.A copy of approved plane and specifications must be kept at building during progress of the work. Date19 Owner's Name and Address NaT' Street A Registered Architect amUor E4 V. - Name and address of licensed contractor Location and legal description of lot to be built on: Lo Block I ' vtoSubdivision Street and Number where work is to be dome 3 work to be done apd purpose of b ' gpy state exterior colors(submit samples) Of and for no other purpose. New BILding Remodeling Addition+ Repairs Na of Stories To be constructed of Kind of foundation Roof Covering Estimated lbtal cost of improvements$ � �— Amount of Permit$ Zorn cubage required plan Cubage Distance to meat nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building.All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligstons as an employer of Labor unser the Florida Workmen's Compensation Act,being Section 6966,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 toperformed unser this permit,as are licensed by Miami Shores Village Remarks cSignidl STATE OF FLORIDA COUNTY OF DADE. Before me,the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments,personally appeared to me well known, and who,being by me first duly sworn,upon oath deposes and says that he is the of the above described construction,that he has carefully read the foregoing application.and that he did sign the same,and that all facts therein by him stated are true. Permit Na ej'7� Date Read,Sworn to and Subscribed before me. Disapproved Date Notary Public,State of Florida (Signed) BulWng Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE:A charge of$26.00 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$26.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. 5 ORir� Miami Shores Village 10050 NE 2nd Avenue B u i l d ng Permit Phone: 305-795-2204 ' Permit Number: BP2002-691 �xttRl��' Printed:4/5/2002 �/ � C -�� Page 1 of 1 Applicant: /=�- Owner: -MA K� INS JOB ADDRESS: 1190 NE' 103 ST Contractor Contractor's Address: Local Phone: Parcel # 1132050190030 Legal Description: MIAMI SHORES SEC 8 REV PB 43-67 LOT 3 BLK 175 LOT SIZE Fees: Description Amount FEE2002-1960 Building Permit Application Fee $60.00 FEE2002-1961 CCF $0.60 Total Fees: $65.60 Total Receipts: $0.00 FEE2002-1962 Notary Fee $5.00 Total Fees: $65.60 Permit Status: Approved Permit Expiration: 10/2/2002 Construction Value: $1,000.00 Work: DEMOLITION OF PART OF DRIVEWAY TO EXTEND YARD If there is no permit package accessible on the job-site for ira� em ve . there will be no inspections. Re-inspection fee Is$50.00,which must be paid In advance before calling for ' p` This Permit is granted to the contractor or builder named above to construct the DEVAND A. SUKHDEO ordinances pertaining thereto and with the understanding that the work will be pert DOERES SUKHOEO 1 i and approved by the proper municipal authorities. This Permit may be revoked at MIAMI #1004 authorization. A further condition upon which this permit is granted is the underst< 33138 DATE D z 1-2 215M ordinances and regulations pertaining to the work covered hereby whether shown PAY TO THE 210 l by his agents,servants or employees. r ORDER OF 114 $ Signed: (INSPECTOR) a � S-1 G—ALLAR3® LHASE '"M° n sant 4 FaB Mme, �, HOME EQUITY CREDIT LINE In consideration of the issuance to me of this permit,I agree to perform the wol B-*hR,NY 11244 with the plans,drawings,statements or specifications submitted to the proper au myself,my agent servants or employes. MEMO 1:0 2 10000 20:50saijo 36 5 56 408n 0101 Signed: (Contractor l n � n `runrh Dev 0,16 \� ND 9i� gs K oeo �R� �CH,R pa � 1�q�� flGr �+ ?moo M 6.07 AE" ckpl rD �e„p��a, X06 0Q'��F Co„ cll i t"any R'9ui� �tifR 6Y, PAGE OF C /03 ^' I /3�0• d 3 I P �� •`' ` t PC fit2. r t �' r7 \URCIG t n t t • `� __ t ' � iio� }�i'�Ore'� �-• ��Co o ,� �� ,33 cie�m 1 � d � ap 1i� c fi2B. N v a N N /190 AJE /03 S,CZ56T N \ \7.s f 2 STY f _ f C� ' nr(a- In to �J r3! I f Q v V Cp9 59 r - .Q - PIZ W Ire � M tUQcc \` REVISION SCHEDULE: f75' LEGEND: ——— — OLAIr oa r2ncT - Arc Length FF - Finished Floor POB - Pogt of Begvmmg L WE 14 Ems— 09+0113 Ftp trNE AU acentk Unit FIR = Found Iron RodRIP - Found Iron PZ*�t'Z POC - Poet of Reverse Curvature NQgs ��w000�� _ � PRC = Point of Reverse Curvature S1RV YOR' RT1F;rpT10N Btd - Building oWr ear FL FN - Found Nap PT - Point of Tangency This survey is based on record information as provided by client. I hereby certify that this Bmxidary Survey meets the Minimum 0 &4=HEVAn o"WE k• = Center line FNO - Found PW = Privacy Wap No specdw search of the Public Records has been made by this office Technical Standards for S, eye es set forth by the Florida CIC = Closing Corner FPL = Florida Power BLo,t RAN = Right -Way z t,��di,pro,�e�notl�tede,�ptasspeaf�,,shown Boardof5 in LA�IDTECH e Lot urvayrxs hapten 61 .7 8 of t CC = Covered Cant(Porch) L = Legal Description SBR = Bap South Riser 3 Fence ties are W(orae came.line the Florida Code Pursuanf lo 4P.027 B�ocIC CF = Cale From Field Data 4C PW = Cumtatiine of Party Line UE = Ut ty Easement 4 In some eases graphic ref{e-..eraauons have baso exaggerated for Florida stat �. SURVEYING & INSPECTIONS CONC = Concrete M = Measured UP = Utility Pole clarity. Da mnsaw shall have precedence over sealed positions. c tiOF K RE1•E CR = Colo From Record Data ME • = Maintenance Easement VG - Valley Gutter 5 All dimensions shown are field measured and correspond to Se A Date !/'�— Prov&v Land &Ham InSPKtion Std to Scall f or& L'J CTV = Cable TV Riser OHC = Over Head Cable WIC - Witness Corner record information unless specifically noted otherwise. new Snyder p yon and Mapper * 1 = Central Mille(Oaks) ORB = Official Records Book 1MM = Water Meter 6 Comers shown as'SET'are identified with a cap marked Florida N p r 5639 w Ws> •.- Cf^J�(',Q DB = Deed Bock P = Phot w = 0 Wap LB(licensed Buis'eness)No.E799 NOT it THO,�THE SIGNATURE AND ORIGINAL 1500 Nw 62ND STREET suff'E 511 DE Drainage Easement it = Property Line 7 Elevations are based upon National Geodetic Vertical Datum 1929 RAI SEAL OF THE LICENSED SURVEYOR AND FORT LAUDERDALE.FLORIDA 33309 8 3BBEYIAIIQNS Ease = Easement PC = Point of Curvature a Elevations shown;(appliaWe•are based on MAPPER SHOWN ABOVE (954)776-6766-FAx:(954)776-4660 (RR) - Raft FO _ F�e�w FL PK = Parrkkerr Kalon Nag Curvature Ber>anmark Elevation: NGVD 1929 L, Q n d T e c h S U r V e y . c O m i PEPdMTr APPLICATION NINE Master Permit No. Subsidiary Permit No. 16 t 'Olt)C�:) D / Rte► INSTRUCTIONS - The followino s(eps must be taken to obtain a permit from tile JN/fianii Shores N�ilklo(": Step 1. Complete the attached permit application which must be signed by the prol&M 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 comWeted annlicat m with all necessary documents to the Building,Planning and Zoning Department for processing. During the processing of your application,you may be asked to submit additional information. APPLICATION Job Address: x/470 AIF 103cc- S f ��o' • SG44vj �� .33/1.B Address Apt. City State P 44-1 zip Folio Number J't Description of Work ��r�o (�a'4 ptv� o t cW 1.e ue -/'b Lot Block ` PZ4 ' �'�'� Var . Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property &I-e4 4r;d ;�( Value of Work t�c3 Bldg Value Tenant Information . `Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE ✓ PERAM CHANGE ✓ TYPE OF MANAGEMENT ✓ Building .Contractor New Construction Enclosure Electrical Renewal Alteration Exterior Repair Mechanical Revision Alteration Interior Demolish Plumbing Extension Relocation of Structure Shell Only LPG% Supplement Foundation Only Add'I Attachment Rooft Other. Add'1 Detachment Fence Other. Other ARCHITECT ENGINEER Name Name License No. License Na Address Address Telephone Telephone Fax Fax PROPERTY OWNER CONTRACTOR Name EVAN), ��,� Name Address �ll�p �/G l V r �-- License Na A61 .Sio-re P l6q— 5146 8 Address Home Telephone ?O r MW � m• 3! Business Telephone Telephone Fax Fax 3 v r- 3 7 Y— s-0 ,1— Qualifier Name Page 2 PERAW APPLICATION 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 am. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. An 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 TRAII.ERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a hailer 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. Application is hereby made to obtain a permit to do work and installation as indicated. I,the OWNER of the property,certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further,I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50%) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50%) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNJNIC' 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. 4TAIZ ,CO l�'Y OF MIAMI-DADE STATE OF FLORIDA,COUNTY OF NIIAMI-DARE t��Signahn a of Owner Signature of Contractor/Qualifier cA, suy-tiZ)00 PA Print Name Print Name Sworn to and subscribed before me ibis 47— Sworn to and subscribed before me this day of , r e,,"Notary lic-State f Florida Signature of Notary Public-State of Florida SEAL: SEAL: 1�Rv PUeI APICELA M EG-4 Personally known "O ;i Identifica6&97 Personally known OR,Produced Identification Type of Identification •�ype of Identification Produced: � f Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies)in the space provided below. ELECTRICAL Minimum Fee Dryer Outlet,Appliance Service Repair A/C Central 1-3 Ton Fan Outlet,Wall Service,Temporary A/C Centra14-7 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 TWA A/C Central 20+Ton Flood Lights Plugmol"trip SubfeWs,No.of Amps A/C Window FPL-Load Central Posts Swim Pool,Commercial Air Conditioners Garbage Disposal Range/R"nge Top Swim Pool,Residential Chiller Generators,etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator,Comm.(p✓PH) Temp Serv.,Construction Compactor Low-volt,Burglar Refrigerator,Domestic Temp for Test-30 days Deep Freezer Low-volt,Fire Renew-Temp Service Demolition Low-volt,Intercom) aleph. Repair Circuits Dishwasher Low-volt,Television Service,Number of Amps Minimum Fee Condensate Drain Generator Refrigeration,Tons A/C Central,Tons Cooling Tower Heating Strips,each Vent Hood,Cost A/C WaU/WbL Tons Dryer Vents,Number of Paiut Booth Ventilation,Cost Air Handler,Tons Ductwork,Cost of Piping,Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Procesafflreswre Piping Bath Fan-Vented,# Fireplaces,Number of Pressure Vessel FILUIVIBING A/C Condensate Draiea,Roof Miscellaneous Fixture Soakage Pit Bath Tub Drinking Fountain Miscellaneous Re Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Ca -Fixture Fountain Pump and Abandon Sprinkler System Ca -Water Gas-Appliance Pum Domestic Supply,AC Well Ca -Sewer Gas-Natural Pump,Fire Stand Tempo Toilet Catch Basin Gas-Propane Pum Re-circulate Temporary Water Closet Clothes Washer Gas Piping Pump,Replace-Pool Urinal Dental Chair Grease Trap PUMP,S rinkler Utili -Sewer Discharge Well Ice Maker Pump,Sump Utility-Water Dishwasher Indirect Wastes Rel" Re Vacuum Pum Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry TYay Septic Connection Water Heater Drainiield,4"Tile/Res. L"vatowy 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 E ui ment Sink Well,Su I RECEIVED AND REVIEWED BY: DATE: Page 4 PERMIT APPLICATION OFFICE USE ONLY ❑ OWNER-BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) (Attach) (Attach) ❑ FIRE DEPARTMENT ❑ HRS/DERM APPROVAL ❑ BPR APPROVAL(Restaurants) APPROVAL(Commercial/ (Septic/Sewer) multi-family) ❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New Construction} (On File) ❑ OTHER ❑ OTHER (Specify&Attach) (Specify&Attach) $3.00 per page(Scanning Fee) $ Miami Shores Village $ 6 ® s Bond $ Metropolitan Dade County (C.C.F.) $ ' (sq.ft=x/1000 x¢.60) Inspector State Educational Fund $ (0.005/sq.ft.) State DCA(Radon) $ (0.01/sqA) Code Enforcement Fine $ Zoning Review $ TOTAL $ b b ISSUING 01,JACIA1, REVIEWED AND PREPARED BY: DATE: SECTION BY DATE CONDITION 0F.AI)I'IZ0VAI_ Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official Revised July 2001 10050 N.E. 2ND AVE.,MIAMI SHORES,FL• (305)795-2207 •FAX(305)756-8972•http://www.miamishoresvillage.com r Miami Shares VillageBuildingPermit '�•� 10050 NE 2nd Avenue ` Permit Number: BP2002-1084 Phone: 305-795-2204 Page 1 of 1 Printed:6/13/2002 SUKHDEO Applicant: DEVAND. DEVAND Owner: SUKHDEO ST JOB ADDRESS: 1190 NE 103 Contractor ISLAND FENCE OF FLORIDA INC Contractor's Address: 711 E OKEECHOBEE RD Local Phone: Parcel# 1132050190030 Legal Description: MIAMI SHORES SEC 8 REV PB 43-67 LOT 3 BLK 175 LOT SIZE Description Amount Fees. Building Permit Application Fee $60.00 Total Fees: $61.80 FEE2002-3345 $1.80 Total Receipts: $0.00 FEE2002-3346 CCF Total Fees: $61.80 Permit Status: Approved Permit Expiration: 12/9/2002 Construction Value: $2,400.00 Work: 4'HIGH GALVANIZED STEEL FENCE If there is no permit package accessible on the job-site for inspectors to verify,there will be no inspections. Re-inspection fee is$50.00,which must be paid in advance before calling for another inspection. device described In ll cations that may have been submitted to This Permit is granted to the contractor or builder named above to construct be thebuilding compliance with equipment or plans,drawings, ants ordinances or thee application re ons are changedefor In strict iwithoance ut�a ordinances pertaining thereto and with the understanding that the work Pe responsibility for a thorough knowledge of the and approved by the proper.municipal authorities. This Permit may be revoked at any time if the work is not done in compliaabove assumes nce with such ord authorization. A further.condition upon which o' covered i grantedbher shown on tlnderstandi�ie plans or drawings or inthat the contractor or thestat namedilder nts or specifications and that he assumes responsibility for work done • ordinances and regulati _pertaining to by his agents,servan PIoY (INSPECTOR) BY: shict Signed: In consideration of issuance to me of this permit,I agree to perform the workUveerred Miami Shores Vlller in compliance with all this permit ances d assuregme responislibility for all work done bning thereto and Iny either ity with the plans,drawings,statements or specifications submitted to the proper myself,my agent, is or employes. (Contractor or Builder) BY: Signed. i a . 8736 ISLAND FENCEOF RIDA INC 1�0 711 PHONE OEECHOBEE ROAD -7 HIALEAH.FL 33010 Q Z, DATE t� PAY THE Lf 0 /00 P..„.. ORDER OF /0 V DOLLARS One ®,UNION PL�►NTERS BANK Np ' i FOR 1:06?0084 &LOS a■6 2906006 11' 11 008? 36n■ i " PERMIT APPLICATION FOR MIAMI SHORES VILLAGE w. f Date� �� Job Addrem"-�1Q O C1 TaxFolio +rCCAS p&41'158 17sc p %S M,4 17741 17 I,egall�a t►an�{� la rl'� ��sed 914k 4 , I�istozicallyDesignate ,Yes CAA eN'-Se To Ripe 1�{�" �� IQWXXCS OwnerA essee/Tenant Q,� 1. 27 Master Permit# Owner's Address lion (� E k a?) Phan . )o 55�42-' "71 ^] ro ngco.IsXac)A Eeom FL Addness rl 1L C 0W0: r0�0=A Qualifier P 1nr Ae:. r-A0&Z Phan s3C6 -Qf D State#q''R�, Municipal# Competency#g8• C09 Co. ArchiWWBnginer Address Bondi„g Compmy Address mmtgw Adder Permit Type(elmle one): BUILDING ELECTRICAL{ PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION �Wrt r'1' Estimated Cost(value) LL 07)- C)o WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY(IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above,and on the attached addendum(if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL,PLUMBING,SIGNS,POOLS,ROOFING and MECHANICAL WORK OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and 04 all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore,I authorize the above-named to do the w 1��-- S gnature of owner and/or Condo President Date Signature of Contractor or Owner- der Data AV -C�a otary as to owner and/or Condo President r Date &Mhs to Contractor or Owner-Builder Date My ftYS M ' ssion Expires: MARTMCORU J NOTARYPI1BIdCSTATE FLORtpA M QOREA coR9MBSION NO.�44?dl57'ATE OF IDA � 10N NO.0090M Amy.. ISSION EXP. I8 MWy 22M W0N EXP 13 FEES: PERMIT RADON C.C.F. O_® NOTARY BOND � �. TOTAL DUE APPROVED: Zoning lBuMng Electrical Mechanical Plumbinf^ Engineering t INaly r l �J.-. l+k'• y ai'°'�t�{��i'•,, �' err Z Chi X Z x 1 h Ga / i •� y{. s'.a pit Li Ru „r• rj-3I�'••�F:��`.t��.,:'y /1'�': .lits �Jt� ! • ,•i.'J. t •i%`! r –aL�f— j.=••:1. ••••'",'iC;7: w7 '.':�,,1,,i– .• � � �1 O 1 � ak��%.Jrt•fps °Tett"j� � J � � N a •J. fy� .a�, a '!y,••ia�':::.�:�• 1'!1 bye r - v • A i7M ME 14 111 I.6fiAL li�i?'aL011 �/ ,�„ of THE REVISED PLAS OP TRACTS I10 Q LISA, LISS, 175C, 116A, 1168, 176C, L11A, t778 ANO LISA OF THE REVESEO PLAT OP MIAMI SHORES SECTION $, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 43, PAGE 61, OF THE PUBLIC RECORDS OF �- MIAMI-DADO COUNTY. FLORIDA. Flu PP HPVU BRT! WOR1l8S ag 103RO ELT • MIAMI SHORES, t`L 91138 --� L8110ICQ MONt 16851 Sri.- OATS 01 VIEW 8O8Rs 02/28/2002 N tea+ CYPI'Llin To I7 + �0 DOLORES SURHDEO ., MIAMI �1 CHICAGO TITLE INSURANCE AGENCY, INC. l CHICAGO TITLE INSURANCE COMPANY pl SANKUNIT80, FSB, ITS SUCCESSORS ANO/OR ASSIGNS AS THEIR INTEREST NAY APPEAR SB ST OUR !LAND t K -110652-002)-1 / a _ _O RE41NONSCHWUL s V�..- . l�Ot�N.t At9 •M1+f ;, ar .A(a•baM, ppj +ara►a/b• ►•• .NN.tiaAwws gs • M%04, •aw•a•a• f•• .►waM•.wel.Orga„ rreu•eaarrw t e•www ne :r,. rr .F"ml uw wr.war.s,rwm.. . ,.r pr�ro+r a.w.•.ar.Mw. 0�0 1�Ast••at• M •teerflw.•w, W • aI oft".0s,e�iN, °�""YI►gi°b Nd.•JI yAa N,.rs ew�c ` " �,•, ; a ;wo ;'» , ..,..r,,. ., r"" a �r. LAND` ECH 1-'1r t'rprlttttfr :• O,a, aR ;obmws y w '�'t'a' .hM•1e.aaiow- .we,o..„e,,,,,,,�� SLIRYET-No & INSPECT1008 Va L.S •a•►ncr a• .a.�„•aca, • •"a . a wwwiw�r�rarWs`a°"°'r" TfYt' RsNiPtalfmggilankvdrtsiaseta �un+••aq A• '•wse�rr•. 90 .06WO r • M•wewar a,sw fo ,.rqj. •,rn..1/1.sow _' S �4tmt► w •w.r•r • .w arwruw.waaar•+r• t700Hw6]eaaarsTaaR011 w go,." .a f Iw•wa.. •10'v'N a•oe.r�ryruw rr w.� rwa• •iwr°"'a r •wdr wrr oaA O°•O°""�w am amomoldIlwb FSMRLAWV9R0j iFL*r4V '33"1 r• ./yApp,,,,•p„jy, '""a'• °'""”' arc *men AaUR•rioN„aei09l Land FFh b59sv IrY e y. C o m PERMIT APPLICATIONFOR MIAMI SHORES VILLAGE OidV� -M3-6- DBte002—JobAddress T2K Folio Leo D=*ion 3- I' '`15 of +ILL revsC�Mt 5•�sto�ncaiiy Designated: Yes No Owrner/i.essee I Tenant ave Master Permit# p '2001=�21213 Ownees Address �� /l) ��3 ' , 1"t iQYV1i �VL�1I�5 Ph= "53.2- 31L(c ContrCo. c.ltr Address Q /y.9 /4 �n QWMC- paC-y^-d SS# - - Plmne State# Municipal# CampeteM# C 6C 0 So86 5' Ina Co. Architect/ Weer Address g Company Address b&rt9w Address Permit Type(circle on : B: II N ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION $r rC k- f�,y F' Square Ft ! � D F�nated Cost(value) w C WARNING TO OWNER YOU MUST RECORD A NOTICE OF COMMENCEMENT ANWYOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR EMPROVE MOM TO YOUR PROPERTY(IF YOU INTEND TO OBTAIN FINANCING, CONSULT WTPH YOUR LEND OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) ER applicable). I addendum if h the attached ) Application is hereby made to Main a permit to do work and installation as Indicated above,and on ( aPP certify that all work will be performed to meet the standards of all laws regulating oonstructibn 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 curate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore,I authorize the above-named contractor to do the work stated. Signature of owner andlor Cando President Si of Contractor or Owner-Builder Date to __ Date Notary as to Date as -Buil My Cw>ni ' . �w du Naucw MY '-Mo @am bo,011mas ` my eaffiffi 60.3/1/2003 w su h1h 0 Btha aorwrly w Puau FEES: PERMIT RADON C.C.F. 0 NOTARY BOND TOTAL DUES APPROVED: 7ming g Memel Phmrbing ng- Miami Shores VillageBu1 ld 1Permit10050 NE 2nd Avenue .... Phone: 305-795-2204 Permit Number: BP2002-723 R Printed:4/1012002 Page 1 of 1 Applicant: ELYTA WATKINS Owner: WATKINS ELYTA JOB ADDRESS: 1190 NE 103 ST Ac:) Q Contractor US BRICK INC Contractor's Address: 941 N STATE RD 7 Local Phone:954757-7559 rn r Parcel# 1132050190030 . Legal Description: MIAMI SHORES SEC 8 REV PB 43-67 LOT 3 BLK 175 LOT SIZE Fees: Description IAmount (� FEE2002-2073 Building Permit Application Fee $60.00 Total Fees:$364.20 --_. FEE2002-2074 CCF $4•20 Total Receipts: $0.00 p FEE2002-2075 Buildier's Bond $300.00 Total Fees: $364.20 Permit Status: Approved Permit Expiration: 10/7/2002 Construction Value: $6,844.00 Ct� Work: BIRCK PAYER PATIC)A war wwav FIRST UNION NATIONAL BANK 10106 Pection APPROVED PERMIT SERVICES, INC. OF FLORIDA 3411 NW 9TH AVE.,SUITE 706 63-643/670 OAKLAND PARK,FL 33309l i, O �oompliarce with 80 ordinances (954)567-9067 1 sutm i ted to and approved by the - #whatlon. A further condWorn upon �, a 1 regulatkma pertaining to the work TO THE '.� v� �\AMS S�v r $ a or empkryees. ORDER OF e ,'\'j T8 rao wid in Wet qty with the Ioe by e0w nvwf,my agent, AUTHORIZED SIGNATURE op MEMO iI■n Ln inial■ r.061?00643 2r: 209000 2 ?9883611' 4902 CBH Corp.Service Division of �oorA A US Brick&Block Systems 63-271 D� 10839 NW 50 St. Sunrise,FL 33351 954748-2003 r PAY TO:OF $� ORDER DOLLARS FOR_4x-)kx-�+ "�"' sn 1120011q02112 0631002771: 0036608493 LON, T!u@ oWUMg±T SONTAM A CM-oR�P BACKGROUND ON WMTE PAPER.em4RO�+T M LOCATED BELOW Ras WARMNG BAND. I y A RECORDEDCOPY MUST OTICE OF COMMENCEMENT B POSUD ON THE*JOB stn AT TIMM toy s'trM iNSPacnc PEMff STATE F TAX FOLIO NO, tJ 9, C-) STATE OF LORlOA: COUNTY OF OAOE: 028217351 2002 APR 09 1218; Chapter 713. Floods Stat 9Auvw'huuu nna oe maoe io cenarrn real , utas, die lollowing infornnation!s provided in this Notice of PRY.end aceordarlc@ with il � aides Commencement. „7ItY and t address. U 3 � �ounn� S . 1 2.0e80iption of h nproyemeM: . J- 14 1 42 name and addroeor • t�. au e, h unist in wap@rt)i. Name and address of fee simple titleholder: s•CP"r's name and address: Wama ruymatu corm regtnrea oy owner ram SAft%FL jPWA Jty ADE OF address., FRT1FYphot s:s a �`qt�0 Y cl f�P co Amotmt of bond$ n eicac R I�sr'e nuoto mnd L TP E'i5 m h d A, 4^adjr�y , addeee. ,� Y a a d By Mk L 5 1� •W Q 7.Persons withhn the Stale of FlQrlda desralutes.nat@d by Owner Upon R,nt�9 nr Atho►Anru"nonte n.�/ t+7►�orl I ra,ia�iJtali•.rlorllta Statutes. VX"'h : . P Name and afress: *"•< tla addition kadmaotf-e%wno►eocignate,tho following poroon s Io Section 713.13(1)(b).FkWida Statutes. f ) ►OGS� ,��r urs t hmur-at Nogce as in Name and address: A 6doto of eft htetioe of Oornntencement:��atiw r Kala tat 1 rBi3r(tom Q18 08te of[euro d�fw"date tg� ma ante a 1 S191ature of Owner Print Owner's Name 1.�G/,�N . cv Sworn to and su. before me _day of 2p pZ Prepared L1'a«v J . rosary ruaao Add Print Notarys Name Q a � MY Commission Expires, M)NA Ai.'^,H -M i 1 PAGE OF C /05 30. 031 P /30. 93 'N1 .. . . .. ... .. `/� g�'�Qre� r• /'-f (00 rMZIA � J M Z fi , N N 55'9 cjt MV 3'r-'w7 it P • V% Jr N /5.4; /190 IVE /03 STXC-6 N \ \S ► �. \j ' 2 STY !3.P ,Q �•. 7 cr-st f nntzca v t� colic : 25•� N� 9 U ' it CPN v �lJl N 9v" �5 L ZB7 3y // >vt2. J - wire / p p 2 5, REVISION SCHEDULE: 15 e/ LEGEND: —-- — nLat as raacr - Arc Length FF - Finished Floor POB = Point of Negm Eng LIME ASP - Asphalt FIP - Found Iran Pipe Ir2'' POC = Point of Commencement D81016 hWaERIE AU - Adjacent Unit FIR - Found Iron Rod I PRC Point of Reverse CurvatureNOTE St�RVEYOR'S CERT7Fi.ATION DMTES woad h810E ERIE Bd = Building onlnear R. FN = Found Nall PT = Point of Tangency I This survey is basad an record information as provided by client. I hereby certify the(this BtwMary,Survey meats the Minimum oeCM 6"A110"SIE - Center tine FNO - Found PW = Privacy Wag No speck search of the Public Records has been made by this office Technical Stardor&for S, as sat forth by the Florida r�..�r u e GC = Z Farm ties are to fence not boated except as specif �N D'Tf..t C l 4 W? Closing Corner FPL - Florida Power&Light RNV Right -Way tcagy shown Board LoT f� • 1 CC = Covered Cont(Porch) L = Legal Description SBR = Beg South Riser 3 Farm lies are to terxe centerline the Florida ' MCode P nsuart to 61 Gt7 6ion 4 nf.027 Bou-, CF = Calc From Field Data (C PW - Centerrme of Party Line UE = Utndty.Easement 4 1n some cases graphic representations have been exaggerated for Florida Stat res. SURVEYING & INSPECTIONS CONC = Concrete M - Measured UP = Utttay Pole cry Dimensions shag have precedence over scaled posit ns. 6,�, CR = Colo From Record Data ME = Maintenance Easement VG = Valley Gutter 5 Ag dimensions shown are field measured and correspond to S •�( +.i Oate t1Z- Ir I&mying&Ham�etAIri Swff-m t0 SOUt11 AOfld2 L J CTV = Cable TV Riser OHC = Over Head Cable W,C = Witness Comer record information tnloss specifically noted otherwise. ew Snyderand Mapper Ga�w / = Central M&(Delle) ORB - Official Records Book yyM : Water Meter 6 Comers shown as SET"are identified with a cap marked a= J{{E() 08 = Deed Book P - Plat VVW - Wing Wag LB(Icensed Buisatess)No.6799 Florida 5639 1500 NW 62ND STREET surTE 511 DE - Drainage Easement E - Property Lror 7 Elevations are based NOT I THD' THE SIGNATURE AND ORIGINAL ASEIREVIAMONS, Ease = Easement PC = Povt nf Curvature 8 Elevations stnownd a Geodetic Vertical Datum 1929 RAIS SEAL OF .�IE LICENSED SURVEYOR ANO FORT LAUDERDALE,FLORIDA 33309 _ pplieable'aze based on MAPPER SHOWN ABOVE (954)776-6766-FAX:(954)776-4660 (NR) = Nar>-Radial EOW = Edge of Water PKC = Point of, Parker Kalov N�Curvature Benchmark: Elavatmnr NGVO 1929 L Q n d T e C h S U ( V e y C O t Yt (R) Rade) F4 = Fence ordnear� +9547716934 CHICAGO TITLE PoSENCY 509 P02/03 MAR 01 '02 15:36 alpLYCA?`YOY F4R CERVICA E t3F�-OCC �atn�Y,0 - &-f-P-v f2,z41PG1 hereby apply for a ca"n5cate to re-occupy the single&may residence bxwm as:(W(4.45. leaMF MIZ s� --- — �. Mami ShoeM,Florida, Legal I)escaiption: - Lot:- -� .._ slack I hereby certify that I understand that the zaoing of the ro and that is unlaa�rfet for p P is for sine lyres *L to Crrtifieait s nla M04 dm one faay co refWC therein. I also understand that any -Omupa y t}iat may be issued by AWaa Shores Village Om fim aly that e referenced Wing used Ear siesta:-fare v ' �ons6tute n wesentado „. Poses acd that such Certificate des aot e structuress On such property. or cettutretioa a$to the Condition of the dwellipQ;or other APpUcant �� d7Jl nate 3 �' o Z Print Nasue -._.._ �s*�s�*«�«+rwass*s+rr�rs�ss�sat�«sssass#s.ss�w*�sa��sa�,;•as�s#�� 1.7 �.�(0 For purposes of conducting the I)evelopmeat and ZoningCod inleme oa tact.,rrd by Section 9Q?o f d -Shores Land i`Pot� e,please contact. Contact Nettle: Telephone: Buyer_ Seller _ Realtor Compatty Name 414w_ Application Fee($SC)peed; Cali: _ Check No. ('f 6 InVmted 6 . ` •-- •-- --. _Approved�l�enied Date t( 2 Comments: PAGE I OF 2 +9547716934 CHICAGO T I TLE AGENCY 509 FO3i 03 Mtn 01 '0.' 15:3- ME au 5:3-MRaF a&u OF A%,V Y On behalf of?rtiami Snores Village.Florida,the Lmdtt*gaed ceriffies that the property dtscrt'hed in tate above application has been ins mted for purposes of re-occupancy P to Sections 901 and 902 of the A49=Shores Land Development and Zoning Code acrd that ZWb PrOPeny may bie re-occupied by the above app for Sk&-family residential purposes. WAW SHOD ,E14ORMA _. BT. • Bate of Certiftatlon: -3 THIS CERTIFICATE VERS THAT TM REFERENCED PROPERTY HAS BEEN INSPEC M EY NUA G SHORES VILLAGE AND HAS BEEF DET . 'VENT?TO PRE.SE,%My COMPLY WITH THE SCHEDULE OF REGULATIONS % THF MIAMI SHORES LAND AND DEVELOPMENT COI.?E PERTAUgING SOLELY TO TBE REQLrumEw THAT FACx ONE=Fx��.Y DWELLING IS USED AND MTEliDEm TO BE USED FOR A ONE-FAMILY DWELLING PURPC}SE ONi.Y; HOWEVER, THIS CERTMCATE DOES NOT CONS'TIMU ANY REPRESENTATION OR WARRANTY AS TO THE CON'DITI'O%i OF THE DWEL.ING OR OTHER STRUCTURES ON TsE PRF.MYSES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDETION,AND INMBTEO PERSONS ARE ADVISED AND ENCOURAGED TO MAKE TiElk OWN INSPECnoll OF THE PR ISES IN ORDER TO AETFR.IVQNE THE CONnITION, TREREOF. PAGE 2 OF 2 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 3677 305-795-2204 Building Inspection Request Date Type Insp'n Y ' no Permit No. Name 5 Q Address I I Po NIL I03 Company Phone# (� I Inspection Date Approved Correction ❑ Re-Insp'n Fee ❑ _ Miami Shores Village RECEodE® _a `y -Building Department !u 0 2004 10050 N.E.2nd Avenue,Nfiami Shores,Florida 33138 Tel:(305)795.2204 Fax: (305)756.8972 BUILDING Permit No.PC 04 — 13z- PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type(circle): Building PlumbingRoofmg Owner's Name(Fee Simple Titleholder) VAV,;5; 5'0 h Phone# !?W6-7//__Z P-769w Owner's Address '�� ✓ City k!k� State" Zip Tenant/Lessee Name Phone# Job Address(where the work is being done) City Miami Shores Village County Nfiami-Dade Zip Is Building Historically Designated YES NO Contractor's Company Name .ffVZW& JE f, tPhone# 41 q0 077 Contractor's Address City—MLA., State Zip State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name(if applicable) Phone# S Value of Work For this Permit -51-44M Square Footage Of Work: Type of Work: []Addition ❑Alteration ONew . ( `►Repair lace ❑Demolition Describe Work: 2 n ZOO A -OVC, �aarassru,�,�s�,us��ea�►t,x �r�r s �a�i,��r�r,,��r&,�a�i�r ��aa ,aa ►� ,x��ra Submittal Fee$ �C)-'C)b Permit Fee$ /o CCF$ CO/CC Notary$ Training(Education Fee$ Technology Fee$ Scanning$ Radon$_ Zoning Bond$ Code Enforcement$ Structural Plan Review.$ Total Fee Now Due$ (Continued on opposite side) Bonding Company's Name(if applicable) Bonding Company's Address • �' City State zip i 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 reinspection fee will be charged Signature i Signature Owner or Agent Contractor The forem* instrument acknowledged before me this 70 The foregoin ent was o ledged before me this day of JC1 I l� day ofbyWE whme or who has produced who is personally known to me or who has produced As identification and who did take an oath as identification and who did take an oath. NOTARY PUBLIC: Si Sign: Print: �f ....� T Print: MY 17M2 t� My Commission Exp' o��°� WiMy Corona FISSION t DD OF a ES:January 12,2M7 APPLICATION APPROVED BY: YfP7 4 Plans Examiner Engineer Zoning Cho 05/13/03 � .,DDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL i ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPAM HEATERS BIDET LIGHT OUTLETS - CENTRAL HEATI ISHWASHER I RECEPTACLES A/C (WINO) I 49M OISPOSAI. SERVICE TEMPORARY A/C CENTRAL) t DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIRAIFTER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- -t-HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK POW CSP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK. RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK. SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER-NEW INST. GENERATORS TRANSFORMERS FEAT9 REPLACE GENERATORS. TRANSFORMERS LAWN SPRINKLER-WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY-SEWER SIGN TIME CLOCK UT IL ITY-WATER 'F IXTIARES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS ORAINFIELD, 4' TILEAES. VIOLATION R* 3 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN 01SCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRMKLER SYSTEM GAS RANGE MIETER.SET GAS us PIPING Miami Shores Village Mechanical Permit 10050 NE 2nd Avenue Phone: 305-795-2204 Permit Number: MC2004-132 Printed:7/26/2004 Page 1 of 1 Applicant: DEVAND SUKHDEO Owner: SUKHDEO DEVAND JOB ADDRESS: 1190 NE 103 ST 6 Contractor AFFORDABLE AIR&HEAT Contractor's Address: 515 N. E. 190 St. ; Local Phone: 305-940-0777 Parcel# 1132050190030 Legal Description: MIAMI SHORES SEC 8 REV PB 43-67 LOT 3 BLK 175 LOT SIZE Fees: Description Amount FEE2004-7463 Building Fee $100.00 Total Fees:$10 0 FEE2004-7464 CCF $1.80 0 FEE2004-7465 Training and Education Fee $0.60 Total Receipts: "$� pl U 001FEE2004-7467 Technology Fee $2.50 Total Fees: $104.90 Permit Status: APPLIED Permit Expiration: 1/16/2005 Construction Value: $2,400.00 Work: MECH WORK REPLACE 2 3 TON A/C W 8 8 K WHEAT 'JUL 2 7 PAID Signed: (INSPECTOR) In consideration of the issuance to me of this permit,I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself,my agent,servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village Building Department REc OVE® g 10050 N.E.2nd Avenue,bfiami Shores,Florida 33138 J 2 0 2004 Tel:(305)795.2204 Fag: (305)756.8972 BUILDING Permit No. PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type(circle): Building Electrics Plumbing ie� Roofing Owner's Name(Fee Simple Titleholder) � Phone# - 71e2 Omer`'s^A,ddressCID 0�9- in SS?-r City_ YYL1�` V State Zip Tenant/Lessee Name -Phone# Job Address(where the work is being done) ) 40.N 0 ply 5 1055 ,J! City Miami Shores Village County Miami Dade Zip Is Building Historically Designated YES NO Contractor's Company NamePhone# . ` ! Contractor's Address J� City / State Zip Qualifier Architect/Engineer's Name(if applicable) Phone# $Value of Work For this Permit �(®� �t/i J Square Footage Of Work: - Type of Work: ❑Addition teration ❑N w ltepair/Replace ❑.Demolition Describe Work. (.r vLe ?7) 24TaoAle, LAW 6 k" L Submittal Fee S Permit Fee$ ��' CCF S `� CO/CC Notary S Training(Education Fee$ p Technology Fee$ Scanning$ Radon$ Zoning Bond$ Code Enforcement$ Structural Plan Review.$ Total Fee Now Due$ (Continued on opposite side) Bonding Company's Name(if applicable) Bonding Company's Address ` City State Zip Mort Lender's N if applicable) �� ( aPP ) 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 allthe foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and all. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR 11"ROVEMENTS 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 comme!ce#nt must bepost t the job site for the first inspection which occurs seven (7) days after the building permit is-issued In the sence such o ed notice, the inspection will not be approved and a reinspection fee will be charged Si 'v — Si ' gnature gnadure Owner or Agent Contractor The fore in instrument aclmowledged before me this The bo g ent was 2cknOWledged/befloix me this day of 20 yS � day of 2 by s personall known to me ar +ho has produced w o is or who has produced As identification and who did take an oath. as identification and who did take anoath. NOT2NOTARY PUBLI Sign: U Sign: Print: Print: M CommissionE fres: ."; NA. i �o' ...,��, VICTOI! LSIERRA y Expires: �'�. COp �S10N# 2t�7 My Commission E * MY COMMISSION#DD 17692 Iia ********************* ********,* ,i,.,�, �'" (Certificate of Competency Holder) cap ea�m" s s State Certificate or Registration No. Certificate of Competency No. APPLICATION APPROVED BY �.� %et ] Examiner Engineer Zoning Chb 12/15/03 I' ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELEC MECHANICAL ITEM UNIT FEE ITEM RINIT FEE ITEM UNIT FEE BATH 718 SWITCH OUTLETS -` SPACE HEATERS BIDET LIGKr OUTLETS CENTRAL HEATING BISRAASHER RECEPTACLES A/C (WIND DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIRAIETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUFIO TANKS LAINDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS S W, POW COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENT MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP ! COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES: A/C WINDOW RE R DTION WATER SUPPLY TO: AIR CONDITI A I A/C OMIT STRIP HEATER 'FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER-NEW INST. GENERATORS TRANSFORMERS HEATER-REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER-WELL SPEC IAL.PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY-SEWER SIGN TIME CLOCK UTILITY-WATER 'FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK RE I NISPECT I ON SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER.SET GAS CAS PIPING Miami Shores Village Electrical Permit , 10050 NE 2nd Avenue --�- Phone: 305-795-2204 Permit Number: EL2004-202 ;` Printed:7/26/2004 Page 1 of 1 Applicant: DEVAND SUKHDEO Owner: SUKHDEO DEVAND JOB ADDRESS: 1190 NE 103 ST Contractor AFFORDABLE AIR&HEAT INC Contractor's Address: 515 NE 190 STREET Local Phone: Parcel# 1132050190030 Legal Description: MIAMI SHORES SEC 8 REV PB 43-67 LOT 3 BLK 175 LOT SIZE Fees: Description Amount FEE2004-7468 Building Fee $123.00 Total Fees:$126.87 FEE2004-7469 CCF $0.60 Total Receipts' $0.00 FEE2004-7470 Training and Education Fee $0.20 FEE2004-7471 Technology Fee $3.07 Total Fees: $126.87 95 V80 Permit Status: APPLIED Permit Expiration: 1/16/2005 Construction Value: $100.00 Work: WIRE 2 3 TON A/C WIRE 12 TON W/1 5 KW HEAT ' JUL 2 7 PAID Signed: (INSPECTOR) In consideration of the issuance to me of this permit,I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself,my agent,servants or employes. Signed: (Contractor or Builder) BY: MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 i Bu' ding Inspection Req u t Date Type Insp'n �)�Cj Permit No. Name �5 J� Address I v Company Phone# Inspection Date Approved Correction ❑ ,� S�� Re-Insp'n Fee ❑ Permit NO. BPP-4-07-716 SHORes y� Miami Shores Village Permit Type:PoolsMhirlpools/Hot Tubs 10050 N.E.2nd Avenue Work Classification:New Perm 'ItMiami Shores,FL 33138-0000 ' Phone: (305)795-2204 Permit Status.APPROVED ORI issue Issue Date:4/26/2007 Expiration: Project Address Parcel Number Applicant 1190 NE 103 Street 1132050190030 DEVAND SUKHDEO Miami Shores Village, FL Block: Lot: Owner Information Address Phone Cell DEVAND SUKHDEO 1190 NE 103 ST MIAMI SHORES FL 33138-2652 Contractor(s) Phone Cell Phone Valuation: $ 18,400.0 0 MARS POOLS (954)214-2844 (954)741-4124 Total Sq Feet: 309 Approved:Yes Available Inspections: Comments: Inspection Type: Date Approved:4/13/2007:Yes Pool Deck Date Denied: Final Type of Work:Swimming Pool Occupancy:Private Fence Additional Info:POOL Bond Retum: wan steel Classification:Residential Fees Due Amount Total Amt Paid Amt Due Bond Type-Contractors Bond $300.00 - CCF $11.40 $0.00 $0.00 $ 0.00 CO/CC Fee $150.00 DBPR Surcharge $1.55 Payment Type: Education Surcharge $3.80 Permit Fee $552.00 Plan Review Fee(Engineer) $120.00 Scanning Fee $30.00 Submittal Fee ($250.00) Technology Fee $13.80 Total: $932.55 1 APR 7 PAI® CPA" 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 April 26,2007 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy Thursday,April 26,2007 1 Permit NO. DGT-4-07-717 Miami Shores VillageM Permit Type:Decks/Gazebos/Trellises :Pen 10050 N.E.2nd Avenue ' Work Classification:Deck-Wood Miami Shores,FL 33138-0000 Permit Status:APPROVED ,. �e Phone: (305)795-2204 ORtDP' Issue Date.4/26/2007 F Expiration: 10/2312007 Project Address Parcel Number Applicant 1190 NE 103 Street 1132050190030 DEVAND SUKHDEO Miami Shores Village, FL Block: Lot: Owner information Address Phone Cell DEVAND SUKHDEO 1190 NE 103 ST MIAMI SHORES FL 33138-2652 .........__... Contractor(s) Phone Cell Phone Valuation: $ 6,000.00 MARS POOLS (954)214-2844 (954)741-4124 Total Sq Feet: 750 Approved:In Review Available Inspections: Comments: Inspection Type. Date Approved::In Review Foundation Date Denied: Framing in Progress Type Const:Wood Deck Additional Info: Final Classification:Residential Fees Due Amount Total Amt Paid Amt Due CCF $3.60 Education Surcharge $1.20 $0.00 $0.00 $ 0.00 Permit Fee-Deck(wood) $180.00 Scanning Fee $3.00 Payment Type: Technology Fee $4.50 Total: $192.30 12 '7 PAID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable taws regulating construction and zoning. Futhermore,I authorize the above-named contractor to do the work stated April 26,2007 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy Thursday,April 26,2007 1 Miami Shores Village .Building Department APR 12 2007 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 BY'.- BUILDING Y°-BUILDING Permit No. UST l 7111 PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type(circle): Building Electrical Plumbing Mechanical Roofing Owner's Name(Fee Simple Titleholder)jPe✓,p4Vaa"e' Ar* feekA eD Phone# >?Of' 7 yL 0,�0a Owner's Address //q O /yE B f City Al"d0y/es State F'G. Zip ?31 f i' Tenant/Lessee Name Phone# Job Address(where the work is being done) //g a Ae A01 S AWO City Miami Shores Village County -Dade Zip 3 3 3 Is Building Historically Designated YES NO Contractor's Company Name Nagnt e400/t Phone# `1F 7V jj�/2- Contractor's Address /OS 7 Z. R/4/ f f fA/e d f city S't+N rfie, LState j L Zip . .�7 / Qualifier 1 JWV1 of State Certificate or Registration No. RP 3 5355 4 7 v O Certificate of Competency No. Architect/Engineer's Name(if applicable) Firs e�0 AA eg Phone# 9fif J80 '$ 7 $Value of Work For this Perm �� i( Square Footage Of Work: Type of Work: []Addition ❑Alteration ew ❑ Repair/Replace ❑Demolition Describe Work:. )XKi �el Submittal Fee$ Permit Fee$ CCF$ 'C00 CO/CC Notary$ Training/Education Fee$ •Zo Technology Fee$ 4 SO Scanning$ Radon$ Zoning Bond$ Code Enforcement$ Structural Plan Review.$ Total Fee Now Due$ .. L 7 PAM (Continued on opposite side) Bonding Company's Name(if applicable) Bonding Company's Address City State p Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip 1 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 IWROVEMENT5 TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the,notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment.'Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection'which occurs seven (7) days after the building permit is issued' In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged n Signat urec t.J Signature r Owner or Agent =� Contractor The foregoing instrument was acknowledged before me this l 2- The foregoing instrument was acknowledged before me this Z day of J�,o—a ',20 J,by P�cr /¢ fy/j,/oc day of �eJ 20 07 who is personally known to me or who has produced G' who is Personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBB7 TARY PUBLIC: Sign: � p&e Gary Kilgore "ary Kilgore IV d- 494922 7 Sign: �� scion#DD518327 Print: w * 2010 pmt. Expires April 8, it 8, OF Ern—Mwhoypft• .hw t9 eW�7ms My Commission Expires: My Commission Exp' s: Www,�wwwwwwwwwwwwwwww,�wwwwwwwwwwwwwwwwwwwwwwww,�wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww yy O APPLICATION APPROVED BY: ,01 / 417 ,5�� Plans Examiner Engineer JV Zoning chc 05/13/03 Mars Pools, Inc. 10605 NW 53rd Street Sunrise, F133351 4 Tel. 954.741-4124 Fax 954.741-4170 CELL 954-214-2844 ................................................................................................................................................................................................................................... To: Miami Shores Village 10050 NE 2nd Avenue Miami Shores Fl 33138 Attn: Building Department From: Michael Stewart(President of Mars Pools, Inc.) Re: Dave & Dolores Sukhdeo 1190 NE 103rd Street Miami Shores F133138 Please Cancel Permits for the above mention address Permit#BPP-4-07-716 And all Sub-Permits attached to this Master Permit. As you are aware I started this process in April of 2007 at that time the Home Owners ask me to put the job on hold. In July of 2009 your office contacted me about the expired permit, I called Mr. Sukhdeo to ask him should I renew the permits, His answer was yes so I did, after that I haven't been able to contact Mr. or Mrs. Sukhdeo . I left several messages never to receive a return call. I would like to take this time to cancel all permits for Mr. & Mrs. Sukhdeo of 1190 NE 103rd street Miami Shores, Fl 33138 Thanks in Advance. Sinc YlX, Mic ael Stewart President/Owner Mars Pools Inc. Permit No. MC-4-07-720 SORFs 4�� Miami Shores Village Permit Type:Mechanical-Residential �.• n`v� 10050 N.E.2nd Avenue Pen m i Work Classification.Pool Heater Miami Shores,FL 33138-0000 Permit Status:APPROVED ro Phone: (305)795-2204 Issue Date:4/26!2007 Expiration: NEENEEMNEWWWOMMMMMil Project Address Parcel Number Applicant 1190 NE 103 Street 1132050190030 DEVAND SUKHDEO Miami Shores Village, FL Block: Lot: Owner Information Address Phone Cell DEVAND SUKHDEO 1190 NE 103 ST MIAMI SHORES FL 33138-2652 Contractor(s) Phone Cell Phone Valuation: $ 3,000.00 MARS POOLS (954)214-2844 (954)741-4124 Total Sq Feet: 0 Tons:h-120 Available Inspections: Additional info: Inspection Type: Classification:Residential Heat Pump Approved:In Review Comments: Date Approved: :In Review Date Denied: Fees Due Amount Total Amt Paid Amt Due CCF $1.80 Education Surcharge $0.60 $0.00 $0.00 $ 0.00 Permit Fee-Additions/Alterations $105.00 Scanning Fee $3.00 Payment Type: Technology Fee $2.63 Total: $113.03 �APR 2 7 PAID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,1 authorize the above-named contractor to do the work stated. April 26,2007 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy Thursday,April 26,2007 1 Miami Shores Village RECEIVED Building Department APR 1 2 2007 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY: Tel:(305)795.2204 Fax:(305)756.8972 BUILDING Permit No. PERMIT APPLICATION Master Permit No-WV0_1* FBC 2004 Permit Type: Mechanical &)kWM Owner'sName(Fee Sim le Titleholder) Phone# Owneer'aAddr ss 11 10-b - Cit4M- V06 State o j Zip Tenant/Lessee Name Phone# E-MAIL: Job Address(where the work is being done) ! City Miami Shores Village County Miami-Dade Zip FOLIO/PARCEL# Is Building Historically Designated YES NO Contractor's Company Name9j 13 Phone# "L J`i- Contractor's Address City State - Zip � Qualifier Name 1 Phone# State Certificate or Registration No. VW150Certificate of Competency No=QjK n`,T--t—, E-MAIL: Architect/Engineer's Name(if applicable) Phone# Value of Work For this Permit$_3'w o Square!Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration []New ❑ Repair/Replace El Demolition Describe Work: HEM nityro. -6T oYdt�9ra},F+Y4e ae4z49e&x&drdraY s44a�tsYx4earTrxJe4rRr4nY drdnY4e&xdrFeBSdnY1e 4r 4r irdrs44r4xde4YxxaY4rx9rhYxsPrdlraY4ceYY4roYx4raYoYYxxi4 saoeY Y Submittal Fee$ Permit Fee$ ®� CCF$ 1 pp0 CO/CC Notary$ Training/Education Fee$ Technology Fee$ Scanning$ Radon$ DPBR$ Zoning$ Bond$ Code Enforcement$ Double Fee$ , Structural Review.$ Total Fee Now Due$ See Reverse side Bonding Company's Name(if applicable) Bonding Company's Address City State Zip 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. 1 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$2500, the applicant must the notice of commencement and construction lien law brochure will be delivered to the person promise in good faith that a copy of whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20 by day of ,20_,by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: x,Y xdrde,k,Ydr,Ydrdn'r,t,Yeka4aY,irdnt,Ydr,Y�rdnlnY tr4rde,YaSr de,Y,Yde,Yvt dr W de�e,4,Y uaY,4,Y&,Y,Y,@aedadtde,Y,t,4 x,44rerdnk,ti,tn44esYdrxdnh,Yx,Ydr,Y,kia&,Y&atdnb4ede4r,Ydn4,Ydr$edr,Y,YdnYdrdnr dnYdr k Plans Examiner APPLICATION APPROVED BY: Engineer Zoning (Revised 02/08/06) A Miami Shores Villa - g e MCM97M -Building Department APR 12 Zoos p r, 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 B .........(_L✓; Tel:(305)795.2204 Fax:(305)756.8972 BUILDING Permit No. PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type(circle): Building Electrical // Plum/bin/�g Mechanical Roofing Owner's Name(Fee Simple Titleholder) k_aa/A dr� fokilS O Phone# /OS' ,?71' OS"O.( Owner's Address city-9, S�ar'T Pf State �" zip Tenant/Lessee Name Phone# Job Address(where the work is being done) J g� y /�� AlotewT City Miami Shores Vill= County -Dade zip FOLIO/PARCEL# J/ - �ISS' " O/Q &C-71 60 Is Building Historically Designated YES NO Contractor's Company Name Phone# Contracto 4,Address city s" AF State zip Qualifier Name i4fe-4e �P4Vodj4_ Phone# OV*'F/ Y State Certificate or Registration No. 7S Certificate of Competency No. ArchitectlEngineer's Name(if applicable) Ar Phone#_-79_14 4-0"`t-7 IT Valve of Work For this Permit$ Square/Linear Footage Of Work: . Type of Work:' -'ElAddition Alteration E]New ❑ ._Repair/R lace ❑Demolition Describe Work kil_ / aY�rir4rktrte&iriehalydr�r�tir�aY4r,r�YlrxaYdttY+Y4t�r4r�r�rsk,ritTr&�rTrF�9rtrx,rx&iraka,skaY3r4�r�t�e�a�rskY,uirr�tY�r�tfrktt aktraY�rirdttk�t,x4r�a+Y fYdr Submittal Fee$ Permit Fee$ CCF$ CO/CC Notary$ Training/Education Fee$ Technology Fee$ Scanning$ Radon$ DPBR$ Zoning$ Bond$ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee Now Due$ See Reverse side-> Bonding Company's Name(if applicable) y Bonding Company's Address City State Zip ji 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 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 EMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT wrm YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. SignatureCr Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this /Z• The foregoing instrument was acknowledged before me this �2 day of is 20 87,by evs u G day oft` 20 aby d a� who is personally known to me or who has produced G who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUB IC: °®,,�'`P� Gary Kilgore Sign: 7 Sign: Print: `� Expires April 8,2010 a pmt. * * Commission#DD518327 en p res April 8,2010 My Commission Expires: My Commissio ®oraed Troy Rte,. „,t eoase dr4rsYwdrdrlelrPrtrirfr9rdr1r9r�r,r%Y�raYTr�YaraTrttrleY,Hr�rirs4irlrTrYatkaY{rdr4rtr�r�r�ttralydr �r�rlrfrak,rdrdcskira.�rte iralrfrir�rinYdrr �r�rtrvfr�tr�i�r,r�rdrdr�rdt*dr�raYtrYY4tairtrsr�ritte APPLICATION APPROVED BY: t Plans Examiner Engineer Zoning {Revised 02/08/06) i Permit NO. PL-4-07-718 ��t a t, Miami Shores Village Permit Type.Plumbing-Residential `yam 10050 N.E.2nd Avenue e r m i Work Classification:Pool -Private " Miami Shores,FL 33138-0000 PPermit Status:APPROVED "4:aI W Phone: (305)795-2204 fiC0 R1gP Issue Date:4/26/2007 Expiration: 1012312007 Project Address Parcel Number Applicant 1190 NE 103 Street 1132050190030 DEVAND SUKHDEO Miami Shores Village, FL Block: Lot: Owner Information _ Address Phone Cell DEVAND SUKHDEO 1190 NE 103 ST MIAMI SHORES FL 33138-2652 Contractor(s) Phone Cell Phone Valuation: $ 3,000.00 MARS POOLS (954)214-2844 (954)741-4124 Total Sq Feet: 0 Type of Work:swimming pool Available Inspections: Type of Piping: Inspection Type: Additional Info: Final Bond Retum: Classification:Residential Fees Due Amount Total Amt Paid Amt Due CCF $1.80 Education Surcharge $0.60 $0.00 $0.00 $ 0.00 Permit Fee-Additions/Alterations $170.00 Scanning Fee $3.00 Payment Type: Technology Fee $4.25 Total: $179.65 I AM 2 7 Pal® 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 April 26,2007 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy Thursday,April 26,2007 1 Miami Shores Village IRECIErVED Building Department APR 1 ;2 2007 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 $Y; Tel:(305)795.2204 Fax:(305)756.8972 BUILDING Permit No. 34"M-1 l PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type: Plumbing I Owner's Name(Fee Simple Titleholder) 1 U n j D Phone# - �� Owner's Address 10-68+ . City 6MI State °t't,,, Zip L Tenant/Lessee Name Phone# E-MAIL: 9 Job Address(where the work is being done) I� _ 103' - City Miami Shores Village County Miami-Dade Zip FOLIO/PARCEL# Is Building Historically Designated YES NO J Contractor's Company Name Phone# - •4, Contractor's Address 105 S City State Zip Mb5I Qualifier Name Phone# State Certificate or Registration No. Certificate of Competency Noa%I(D D4 �( E-MAIL: Architect/Engineer's Name(if applicable) Phone# Value of Work For thi3 Permit S � ��./ . Square/Linear Footage Of Work: Type of Work: []Addition QA teratio []New ❑ Repair/Replace ❑Demolition Describe Work- m �drdrdnY4e4r{7raFAsYs44r►Y,tieJrr'rfYdadr4twdrs@&4rr4roY4sdr3rwdr4rsrxArFee$&drwx+YsYdra4eaeeY,udnY+Y4rar�sSrdrxxuw&orx&xda+auenauRedr�desYdt4rwoe Submittal Fee S Permit Fee$—� CCF$ CO/CC Notary$ Training/Education Fee$ 1(00 Technology Fee S -17 . Scanning$ Radon$ DPBR$ Zoning$ Bond$` Code Enforcement$ Double Fee S yy��a�,�¢ Structural Review.$ Total Fee Now Due$ -IS ' C,`�ADV See Reverse side ?iP Bonding Company's Name(if applicable) Bonding Company's Address City State Zip 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. l 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: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20_,by day of ,20_,by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 02/08/06) I TOTY.T� Miami Shores Village � APR 12 2087 Building Department :....___U.L.___.__ 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fag:(305)756.8972 BUILDING Permit No. PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type(circle): Building Electrical Plumbing . Mechanical Roofing Owner's Name(Fee Simple Titleholder)Aram �/ oee O' Phone# Pr but-10 b Owner's Address lir."BG'k City 9600"i f oto-ee t State L Zip Tenant/Lessee Name Phone# Job Address(where the work is being done) a City Miami Shores Village County Miami-Dade Zip .�,//lop FOLIO/PARCEL# // .� S / " G49 3 O Is Building Historically Designated YES NO Contra+ or's Company ltamerJ"'f �O/ Phone# Ccntractor'sAdliris 10r� ,� _(1100'e-&1- city tf✓661City Sah rf t State fL Zip 1??ir Qualifier NameWO 0' Phone# 49 ry' 9¢,6 �T 6 State Certificate or Registration No. SS Certificate of Competency No. Architect/Engineer's Name(if applicable) fr-ea Ales -lot Phone#' 7J6 YT O 9 Value of Work For"Permit$ � � Square/Linear Footage Of Work: Type of Work: FIA,4diition ElAlttex-ation QNew' ❑ Repair/R lace ❑Demolition Describe Work: I /// /0 If Submittal Fee$ Permit Fee$ l 6) CCF S CO/CC Notary$ Training/Education Fee$ Technology Fee$ Scanning$ Radon S DPBR$ Zoning$ Bond$ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee Now Due$ See Reverse side-� 'Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lenders 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 forst inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature o r Owner or Agent Contractor The foregoing instrument was acknowledged before me this I The foregoing instrument was acknowledged before me this I day of /&t 20 EZ by ,�� !�J' we e day of � 20 7 If by who is personally known to me or who has produced L who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLI NOTARY PUBLIC: J . , ary Kilgore Sign: Commission#DD518327 Ste. , i(gore `� f:xpires�Ap ,ZU 8327 Print: Print: ` Ex i 10 OF F4 Eioam 7my Rei•tlmiu"M Inc MU51.7mg My Commission Expires: My Commission Expires: a*�t�rtlr4nrlr�rksY�rTrissYYYaYaY�rsY4a,airira6lr�rir�rir,4,B�r1r�r�e4efYdr �rTrsYYTr�csksYdrdrYTrkaraYata4r*dedrdr9a�i�i4r�raY�rrkirirak�rTr�r4r�r�r�r&frirdrir,r9r,xk�r�rskir,rkaY4raYY�Y&,rskTr APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 091o8/ot7 Miami Shores Village APR 12 2007 Build=ing Department BY 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fag:(305)756.8972 BUILDING ��1 Permit No.�w(_-11( . .C�a P -PERMIT APPLICATION. 4L j . Permit No. FBC 2004 � fMaster �'`'' Permit Type(circle). Building Electrical Plumbing Mechanical Roofing SW O&O Owner's Name(Fee Simple Ti a De Doss el Qd tj �D/�s Phone# 30S ? crO 6 Owner's Address //'?0 Iy P city :11*1 Sho/e s State GC. zip Tenant/Lessee Name Phone# Job Address(where the work is being done) City Miami Shores Vill a County Miami-Dade zip FOLIO/PARCEL# Is Building Historically Designated YES NO Contractor's Company Name Ina 0,f /000 13 L Phone# `-S_f ,1; Contractor's Address /as-.72- O'4i 8r3 -FA-0 City ff'vn ri,�e State ¢L- zip Qualifier Name '*4'V /e Phone# 17,rV- 9 f6 �V 9, State Certificate or Registration No. Certificate of Competency No. O?10 NMt- n Architect/Engineer's Name(if applicable) @dAp1�GT0O�'Q�otL. Phone# 9 PIT Value of Work,For this Permit$ J9- 0100 Square/Linear Footage Of Work: 309&W4 �. g Type of Work: FIA.ddition PAlteration '`Repair/Replace ❑Demolition Describe Work: 04NLRdw ` 2 E . Submittal Fee$ aMo Permit Fee$ CCF$ 1 WO CO/CC 150 Notary$ Training/Education Fee$ J' Teechinology Fee$ Scanning S-31-7 Radon$ DPBR$ 5 5 zoning$ Bond$ Code Enforcement$ Double Fee$ PAID Structural Review.$��a?.., AP �j 2 0'• °�' Total Fee Now Due$ 2 �P See Reverse side Bonding Company's Name(if applicable) Bonding Company's Address City State Zip 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 a issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be.charged `�"� Signature Ip►--- (2� Signature"/ Owner or Agent Contractor The foregoing instrument was acknowledged before me tthisl/1k The foregoing instrument was acknowledged before me this tz day of A� 20 a 7,by e w fYRdtGo day of, r,;, 20 IV,by who is personally known to me or who has produced DIZ. _ who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUB NOTARY PUBL Kilgore sign: u Oem 1�s1on#00618327 Sign-. e�, Gary Kilgore anio �- 27 Print: * �XPI Vie.` Print * * ExciteS A til 8,2010 OF � 1��9M•inswance.a. 7Dt9 My Commission Expires: My Commission Exp APPLICATION APPROVED BY: /` � t,tiG Plans Examiner Engineer 1 � Zoning (Rev;et OW08106) PERMIT# CONTRACTOR: S SUBMITTAL DATE: n4l i g, ADDRESS: ticto 1 t NAME: RESUBMnDATES: i PROJECT TYPE: ZONING FIRE t�J.9-Pt�1o' STRUCTURAL IMPACT FEES ELECTRICA aOMA-0 y HRS/DERM 0 l6? PL NOC ' � zZ ty—1 MECHANIC L BLDG *Jl i SAN"�ll� fe 154 VPpfueomjoew 10050 NE 2nd Ave Miami Shores,Fl 33138 Phone 305.795.2204; Fax 305.756-8972 www.miarbishoresvillene.com SWIMMING POOL OWNER'S CERTIFICATION DATE MIAMI SHORES VILLAGE BUILDING AND ZONING DEPARTMENT ATTENTION: BUILDING OFFICIAL I certify that I am the legal owner of the property located at: J/go 40"c tal stver�l� /s'1-�►�r; Sho•�s, FG An 38' In accordance with Section 33-12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected, and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. Legal Owner�� Q Note: This certification is to be submitted with a swimming pool permit application in duplicate. m"d sim"tiaIr &4 V0 . �, 10050 NE 2nd Ave Miami Shores,FI 33138 Phone 305.795.2204; Fax 305-756.8972 www.miamishoresvillage.com NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We). acknowledge that a new swimInin ool, spa gr hot tub will be constructed or installed at /��/(,�,� �i/�li �f//y��S 3.3/,39 Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues. Please initial the method(s)to be used: The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirements of Florida Statute 515.29; The pool will be equipped with an approved safety cover that complies with ASTM F1346-91; All doors and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self-closing, self-latching devices with release mechanisms placed no lower than 54" above the floor or deck; I understand that not having one of the above installed at the time of final inspection, or when pool is completed for contract purposes, will constitute a violation of Chapter 515, F.S. and will be considered as committing a misdemeanor of the second degree, punishable by fines up to $500 and/or up to 60 days in jail as established in Chapter 775, F.S. CONTRACTOR'S SIGNATURE AKD DATE OWNER'S SIGNATURE AND DATE �Z/Z�`do S &-7, `��✓, � A ONTRA TORS NAME( LEASE P WNER'S NAME L AS PRINT) O,�pAY PUe�i Gary Kilgore o<PRv°V9�� Gary Kilgore Commission#DD518327 * Commission#DD518327 pi April 8,2010 LIC jrayPau+ msxe,i+ .eaato,s IC ?�resApril 8,2010 / tmr Fan-Inswance.Inc.80a385d019 Miami Shores Village Building bepartment 10050 N.E.2nd Avenue Miami 5hores,Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 Permit No. 81V-D 7- 7/l Job Name 5&k1-1DEa el ae„ Date 4-1!4/-07 )716-X STRUCTURAL CRITIQUE SHEET �f e 1J¢a Sade, Min , *t-3e7ez " L•4• Miami Shores f Village g Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 • Fax; (305)756-8972 RECEIPT PERMIT#�WO�7 1I(_ DATE: )SIM Contractor ❑ Owner ❑ Architect Pick p 2 sets of plans and ther} V r l l . 4�17 R17 Address: 1� 10 From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to co inue permitting process. Acknowledged by: PERMIT CLEARK INITIAL: • RESUBMITTED DATE: I ti PERMIT CLEARK INITIAL: 04/18/2007 10:10 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES Im001 T% REPORT TRANSMISSION OB T%/R% NO 0220 RECIPIENT ADDRESS DESTINATION ID ST. TIME 04/18 10:09 TIME USE 00'38 PAGES SENT 2 RESULT OS ,{ M mild 544iw �ll� .. ....� . Raw 10050 NE 2"d Ave �,• Miami Shores,FI 33138 Phone 305.795.2204; Fax 305.756.8972 www.miamishoresvillage.com FAX TRANSMITTAL COVER SHEET DATE: APR 18 2007 T FAX FROM: VIVIAN CUBILLOS FAX (305) 756-8972 Number ofPa9 9 es including cover: 2 Importance: norma—; urgent � please reply _; review—, recycle MESSAGE: — Iv-(" I-Y,)Moyn Orr—6 - W(91 Regards, VIVIAN CUBILLOS Bldg Dept Permit Clerk Planning and Zoning Criteria Nflami Shores Village Permit No. BPP-4-07-716 10050 N.E.2nd Avenue Miami Shone,FL 33138-0000 NON \ , Phone: (305)795-2204 Fax: (305)758-8972 issue Date:Not issued Expires:Not Issued Folio Number:1132050190030 Owner's Name:DEVAND SUKHDEO Owner's Phone: Job Address: 1190 103 Street NE Total Square Feet: 309 Miami Shores Village, FL Total Job Valuation: $ 19,000.00 Contractor(s) Phone Primary Contractor Planning and Zoning Criteria and Comments Approved: Yes Date Approved:4/13/2007: Yes Comments: 1111111111111111111111111111111111111111111 NOTICE OF COMMENCEMENT R OR 254 1498; f s)022 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION RECORDED 04/25/2007 13414:57 HARVEY RUVIN? CLERK OF COURT PERMIT NO. gf/'07" 716 TAX FOLIO NO. /! .�205•01 f—oof o MIAMI-DADE COUNTY? FLORIDA LAST PAGE STATE OF FLORIDA: COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice that Improvements will be made to certain real property,and In accordance with Chapter 713,Florida Statutes,the following information Is provided in this Notice of Commencement. 1. Legal description of property and street/address: //Q0 �� St✓eG Mfaoc t,•A?,--.s A- AS oat: j90" d Sea f Ake oM 1F.3 -6 7 Go VIA' /7$7 2. Description of improvement: Aya l 4.1.1 Ae-C k 3.Owners) name and address: Devorad 061 APA 1,?Ess ,S k 4 rhe 0 Interest in property:_ /49�4 Name and address of fee simple titleholder: 4.Contractor's name and address: D(7 ..� r/ /Of7p, Via. ,'S''f stett 5.Surety:(Paymetnt bond required by owner from contr T,ld> -�� r ° NT c3 , `` """" `o��" !NEt2EfiY CEP27ff 4'thmt?his tsar Name and address: of ra of , � ` ti+� } T.�. Amount of bond $ original e 9 AO 20 ICS° 6.Lender's name and address: tend and Official Saar. NAS �•C �. :�- D. �Co 7.Persons within the state of Florida designated by Own% notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes Name and address: :CAO'Al IQ SZOVov /or t Hw T1 aef r...r rSlae oe orL 8. In addition to himself, Owners designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: /to- e w /o s'7 z, /Lw S"3 S�w,a �tsr.,✓fs B��C >?>: r% __.._._.-- 9. Expiration date of this Notice of Commencement:(the expiration date is 1 year from the date of recording unless a different date is specified) Signature of Owner S t yO-1 61—6 7 "/y,IP• O Print Owner's Name �"�� . ��1, Prepared by 1TG✓ �� Sworn to and subscribed befo me this day of r% ,20 Qom. Address: Notary Public f 2'Z ✓i O '? re v rjy gore Print Notary's Name * 2+ Pommitielant DD61 8327 D&1u� (� nj 2 s' My commission expires: Vif Expires ON 8. 2010 123.01-52 PAGE 4 W02 64ttttOd trey P¢tlf•�4urM6i.tnc 8003849018