Archive (4) a
: CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DMMION
N° _ 1614 Miami Shores Village, Florida; 32-l".5
Owner, Agent or Tenant of Building Andrew T- Tyree
Lot 1 Block 186 Subdivision Day Pireeze
Street Address 19)O lu.E. 103rd. St
Approved use by occupancy Ki teben. 81te-Wtlom--and Qe1ddA&e~
Remarks- 665
This Certificate of Occapa 0cy is issued to the above named tea••
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.
Plan cube : 1916
Tax value: 7 $958.i BURRING DIVISION
I
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f
illagq,-a f Miami Shores N° 489
JOB
DRESS `I a�- ®� A- .
SPECTION
TliAE READY ��
� M6 t e. �o2wlE4lora.S
ECTOR DATE /
aim
3855 NORTH MIAMI AVENUE MIAMI 37 , FLORIDA PHONE 78 - 2708
July 26, 1950
Hr. Jahn D.- Seneell
jBizi'-dlag Inspector
Rini Shores Village, Fla.
Dear Xr. Hansellt
In connection with application for permit now on file for
construction of m ham on IAt 19 Block 186, of Bay Breese Section,
ffiia®i Shores, by the Stobps Bros. Constructionthis is to
advise you that we XM {ot rent either of the two bedrome which
have private entrances.
Very truly yours,
A.
ATTtFF
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MANUFACTURERS OF
PENDING
TRAIUR CABANAS COTTAGES PLAYHOUSES
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BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
Date
19
ELECTRICAL ❑
PLUMBING ❑ PERMIT N? 8363 Contractor's
ROOFING ❑ License No. -_P
❑ Work to be performed under this Permit—
Owner of
Building r "t-1 t�., _,: �.,. /. , �. r �( t. ..� ----"•—_- —
Architect '?^
Contractor
or Builder --- — Lf {4
Legal Lot Subdi-
Description I Bl. vision --_
Sq.Ft.
Address of Value of Amount of
Building ; = ' 1 Project $ t 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-I," (INSPECTOR) BY
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 ❑
ELECTRICAL ❑ DATE 195
PLUMBING ElPERMIT -►a,? 418 2 Contractor's
License No.
ROOFING ❑
`� ❑ Work to be performed under this Permit
Owner of
Building
I
Architect
Contractor
or Builder — — __----.__
Legal Lot —� Subdi-
Description — Bl. vision
Address of Value of Amount of
Building Project $_____ ____—__ Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and 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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY a %" :-
MIAMI SHORES VILLAGE, FLORIDA
BUILDING U ❑
DATE 195
ELECTRICAL
[:J
PLUMBING El 1 T N? 3 9'7 5 Contractor's License No.
'ROOFING ❑
0 Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder r
Legal Lot Subdi-
Description Bl. vision
Address of Value of Amount of
Building Project —__ I+ Permit a
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: f ` t r '^`� BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY v s :r
BUILDING MIAMI SHORES VILLAGE. FLORIDA
❑
ELECTRICAL ❑ DATE d} 195
PLUMBING ❑ PERMIT N? 398.2 Contractors
License No.
ROOFING ❑
❑ Work to be performed under this Permit—.—
Owner of
Building
Architect
Contractor
or Builder ! —_
Legal Lot (� Subdi-
Description — Bl. vision
Address of Value of Amount of
Building _ Project $a _— I Permit a__
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 . t 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 ac-
cepting 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
FUILDING ❑
ELECTRICAL ❑ DATE 195
PLUMBING ❑ PERMIT NO 4152 Contractor's
License No.
OOFING ❑
❑ Work to be performed under this Permit
wner of
uilding
rchitect
O
ontractor `+
Builder
egal Lot Subdi-
escription Bl. vision
ddress of Value of !' Amount of
ilding —j Project $ — _ Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
e 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
anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
rtaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work
no 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 hereun "r in compliance with all ordinances and regulations
'ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted Co the proper authorities of Miami Shores Village. In ac-
Ipting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY s.
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑
ELECTRICAL ❑ DATE 195
PLUMBING ❑ PERMIT N00 4118 Contractor's
License No.
ROOFING ❑
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal Lot Subdi-
'Description — ( Bl. vision
Address of Value of j Amount of
Building Project $ j 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 cr in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed: r BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
Pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
Imo- CONTRACTOR OR BUILDER
BY AUTHORITY e ;
MIAMI SHORES VILLAGE
13UILDING INSPECTION DEPARTMENT
�. APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
Ing or other structure herein described. This application is made in, compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Taws 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 � -Zl----------------_-
---..,18_.._._
Owner's Name and Address T w__ No.__
Registered Architect and/or Engineer___
Name and address of licensed
Locati and legal description of lot to be built
Block _ Subdivision
Street and Number where work is to be done �___�T_� � '� • � ��T"' � , ___ __
State work o be done and purpose of 4ag4ing (bj6 floors)
and for no other purpose.
New Building -___ Remodeling Addition -____ Repairs____-----—__ 1- No. of Stories__-_______—___..,._
L
To be constructed of___ - Bind of foundation _�^ _�Roof
Estimated Total cost of improvements$� IC�CS L S� Amount of Permit J�
Zone tubage required._ plan Cubag
Distance to neat nearest building Size of Buildin Lot_ -___-_-----_ -----_ --_
Maximum live load to be borne by each floor—_I
I hereby submit all the plans and specifications for said building; All notices with reference to the building and its construction may
be sent
The undersignedapplicant 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 tine provisions thereo, and will require similar compliance from all contractors or sub-contractors employe�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 h ublic notice
or notices as are required by the Act.The undersigned agrees to employ only such subcontr on be ed under this
permit, as are licensed by Miami Shores Village. �
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE.
Before me,the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments, personally ap-
peared - --
to Ane well known,
and who,beim by me first duly sworn,upon oath deposes and says that he is
of the above described construction,that he has carefully read the foregoing application,and that he did sign the same, and that all facts
therein by hint stated are%true.
Permit No. Data d,Sworn to and Subscribed before me.
Disapproved Date
Notary Public,State of Florida
(Signed)
B Inspector My Commission Expires___._.—__
PLANNING BOARD _ ___DATE
Chairman __ Member
Member Member
Member Member
Council Approved.— Date Disapproved __ ___ —____-------------------___------Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re-inspection fee.of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
MIAMI SHORES VILLAGE:
ELECTRICAL INSPECTION DEPARTMENT
PLICATION FOR ELEC'T'RICAL PERMIT
PermitNo....... » ............. Date.............».».» C»»`... 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 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 ordinanees 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. y
Owner's Name and Address...»....»..T..l.... .....................................No... ...d, .. ..............Street.
RegisteredArchitect and/or Engineer....................................................................................................................................»....».........................................
Employing Electricians Name.. j.. .. .. ... If-7r--Z7.. 'X.............No..1 ®......................Streety�
Locationand Legal Description Lot.......»...................................... ...............Block.. ......................................Subdivision..............................................
Street and Number where work is to be performed—No.........../.t . Street
............. ...................
Statework to be performed and purpose of building (By Floors).........»..................................................... ................................_..................................
New Building...........».................Remodeling................................Addition..............................Repairs......................................No. of StorieL...................
SWITCH LIGHT PLUG FIXTURES REFRIG. IRON RANGE RANGE -WATER W. HEAT. ACE STRIP TOTAL
OUTLETS OUTLETS RECE'P'TS NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. H 11 HEATER
COW.
LIST
CHECK
ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL
SW. CAS. TEMP. PERM. O.i HP 1.0 HP TRANS.
CLIST
LIST '
CHEen
Service Overhead
nderg ound Site Feeders...»..»...._.....Conduit...............Main Sw........................»...... m ..Main Fuses..........»...............Am s
ps.»..........».......». p
Type of Installation C.onduit.......................Tubing........................B.X.L.........................Metal Moulding..............»»...........»....................... ...........
»....... ».
..................»....»»»». .� P._..........»».»
. ... ..........» ..
... ...................._..................... ..»»,...»....._... ....
...............
Amountof Permit $...... ........................................................................... (Signed).........................»......»..-------------------»...
cal»Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob' tions w an employer of
labor under the Florida Workmen's Compensation Act, being Sectign 5966, Compiled General Laws of Florid ermanent Supplement. and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-con rs 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 .... ......» •�••••-••»-.......».».. ...».... ........ .............
ciaa.
STATE OF FLORIDA,
COUNTY OF DARE. es'
Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, personally
appeared.....................»....»....»............»..»...»..................»..........................»..........»......»..........».»...».».........»............................»....»..................................
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the...»._.........»....»..».......»...................................
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
...»...........»............»......._..............».....».......................................... ...................................»..»...»...:.»....».»..... ..».
My Commission Expires Notary Public, State of Florida
NOTE: A reinspection fee of $1.00 will be made when such reinspection is made necessary by improper notice for inspection, or faulty
materials and/or workmanship.
MiAMI SHORES VILLAGE
BUILDING INSPECTION .DEPARTMENT
APPLICATION FOR BUiL®INN PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during piggress of the work.
Pt�� r Date 2 -L4
Owners Name and Address.1:7 .»..»..»...»». No.J2 Street......d .w........
Registered Architect and/or En;inter...... n ........„.... .«»�......,.• ,,.�.,•�n,..�,r, „«..•:,+.+.+,son:.n...........................».
Name and address of licensed
Location and legal description of lot to be built on:
Lot........»._............................. Block.»...............».»»/�Su 0 eS »....._....».........................»..»....
Street and Number where work is to be done...».__. »».`� . .l.»_..._....� »....... »..»......»»»._»
State ork to be done a/�nd�purpo of building (by floors) .........»...»»»»»»».._»..».»» ... »•.•-•--».»
_.......................».»............._....._.._.................. ..».....».....».»..»»»..»..».»». ........and for no other purpose.
New Building............................. Remodeling....................»» Addition.......................... Repairs......................_.. No. of Stories.............
......._
To be constructed of........................... Kind of foundation».....»..»............................................ iRogf Covering.»..................................
_......
Estimated Total cost of im ovements .! mount of Permit 5,.._.».1 ...».......»...»......__......»........_._»»....
A 10
Zonetubage required.. _. _'!!k! .. _»».»Plan Cubage............».... »»»».»......»...».........».».............................
Distance to next nearest buildi g.............................. ._----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 pen-nit 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 Supplement,
and has complied with theprovisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work suchpublic notice
or notices as are required by the Art.The undersigned agrees to employ only such bcontractors, on work to be f ed under this
permit, as are licensed b
P Y Miami Shores Village.
Remarks..._..............................._._... (sign
_
STATE OF FLORIDA, }
COUNTY OF DADE. SL
Before me, the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments, personally ap.
peared ........-.__........................._...------..---_------......» .,..._-......»............_-----------------------...---.............»» _........_.................._..
•-•—--------- ..... -............._ ._..._....».... .. ...................._ _ .._to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the...................................................»............................._.......
of the above described construction, that he has carefully read the foregoing application,and that he did sign the same,and that all facts
therein by him stated are true.
Permit No. . Date._ Z? 3 Read, d Subscribed before me.
Disapproved _� _.. te. ..».»»» ..._._ ..Notary
eoor
�» �Notary�� blic, tate of Florida
(Signed) . ....... ..» ...»
Building r►spector My Expires..„...»..».......»....».».. .._...
PLANNIN BOARD......._..........................._....»...».».»DATE
Chairman ......... ........ Member ...»»»»........»....»... .»».... ........»..._._»..»_. _
Merr,ber ............................... _ ........_. Member »....».»......»»».». »....»......»....».........__................_.._
Member .. ....»......._..........»......__.___.._ Member ».».»........ ............ »»..»_.._...»»..._..»...»»._.._
CouncilApproved.....»�............».»......»...____ _...._..».....»..»Date Disapproved ..»...».».._».».»».......................................................Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Plannim;;Board.
A re-inspection fee of SI.00 will be charged when such re-inspection is made necessary by improper mice for inspection or faulty
materials and/or workmanship.
I
MIAMI SHORE 'I �t
AGE
BUILDING INSPECTION E*AENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the appsoti�al of the detailed statement of the plans and specifications herewith submitted ild
for the bu _
tug or other structure herein described. This application is made in compliance and conformity with the Bgg Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied' with, whether herein specified or not.A copy of approved
plans and specifications must be kept at building during progress of the work. /
Date.......��...L�._ _..:......... ..,19.r►.��des
Owner's Name and Address...... - y
Registered Architect and/or Engineer....._........ .. ..�y ... . ............ ».» _... ....
Name and address of licensed contractor.....-_ ex���C .,.-- -_..»...._ __._- -•--._ » ».. »._..
Location and legal description of lot to be built on
,� ...........
. Subdivision-.�-_.f! -
Lot--.---J ...... . Block.__._..__..K.. �r__ _._.
Street and Number where work is to be done.......�C. a Q M ....
4
State world to be done and purpose of b ilding (by floors) _ _... . .... _. _
F V 47
------ ..__ ._and for no other purpose.
New Building _........»»..... Remodeling.... .......... » _.Addition...- Repairs-----»--------.._.. No. of Stories.......................
Tobe constructed of-----------__.._.».__.. Kind of foundation.. _........................._.........-_ Roof Covering».»_.._.....................,.......».WA
_...
a--�
Estimated Total cost of improvements$»---- .�--_Amount of Permit $•--- ..............»............._..
Zone cubage required--_-.-- Plan Cubage__
-Size of ... --
Distance to nest nearest building..._.......__ ._ .-._S1ze of Building Lot_.».. ...».--.--_ ....._..»._.»
Maximum live load to be borne by each floor--.-- ____.» _.
I hereby sn t al t lams pgd cations for said buildigg. notices wI ref tp the building and its construction may
A sit
be sent to_ __. _ _ ... _._ ._ s _ .»....»» - _•-....... »_
Vw
The undersigned applicant for this building permit dhereby certify that he derstands 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 Supplenient,
and has complied with the�ro��ons thereof, and will require similar compliance from all contractors or sub-contractors employed by him
in the work to be performed under this permit; and will post or Cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act.The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) r _ _....
STATE OF FLORIDA,
COUNTY OF DADE. I m'
Before me,the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments, personally ap.
peared
----_ .- to me well knova,
and who,being by me first duly sworn, upon oath deposes and says that he is the_.._............:_._._»»_._ _.._. „__ _......... ...._._..
of the above de&ribed construction,that he has carefully read the foregoing application,and that he did sign the same,and that aU facts
therein by him states an true.
Permit No. "�` _`� »_. Date 9 ' 55 rCV Read,Sworn to and Subscribed before me.
Disapproved ». _»__.
����^ Notary Public,State of Florida
(Signed) .�-------------- --._
Building Inspector My Commission Expires-—-------—__
PLANNING BOARD _ "-DATE
Chairman Member
Member Member
Member ... ._
Member ..._.
Council Approved--._--_-_-_..-... to 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.
w
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit NO........ S. ......... Dam.........PZ.
Application is hereby ma for the approval of the detailed statement of the plans and specifications herewith submitted for the building or over
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flunol,
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 Divisi n
of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications mutt be kept fat
building during progress of work.
rQ ..........No..I-..0'6 Street....a..,�..`�................................
Ownera Name and Address.............................................................................. .....................
RegisteredArchitect and/or Engineer..................................................................................................................................... ..:................ ......................
p� / O
Employing Electrician's Name... N ... .1:(Zi 4 �L..`2iS6........@. .. ./ ..............Street... ......�...................
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 Rarnie. IRON RANGE RANGE WATER W. NEAT. SPACE STRIP TOTAL
OUTLETS OUTLETS RECE•P'T,s No.LAMPS OUTLET OUTLET OUTLET CONN. NEATER CONN. NEATER HEATER
CONTR.
LIST
CHECK
ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL
SW. CAB. TEMP. PERM. 0.1 HP 1.0 HP TRANS.
LIST
CHECK CAW r4c f'
Service Underground Sue Feeders.............». Conduit................Main Sw...............................Am .Main Fuses.. A
..... mps
Typeof Installation--Conduit......................Tubing......... ..............B.X.L.........................Metal Moulding.......................................................................
»»..........._........................:......b.'
................_............................................................. . ............... ........... ....
Amount of Permit $.............. ............... . . ......... ..... .... (Signed).............. .... ...
ctrical inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his ...obli ons W 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,contracto on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)..................».. ...............®......................
Master Electrician.
STATE OF FLORIDA. 1
COUNTY OF DADE. I 86'
Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, personally
appeared.............................................................................»..... ....... ......................................................................................»...................................
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the............................................................ ............
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him Stated are true.
...........»....».......................»......»....................... ....................»...................................................
»...........».............. . .».................»........
My Commission Expires Notary Public. State of Florida
NOTE: A reinspection fee of =1.00 will be made when such reinspection is made necessary by improper notice for inspection, or faulty
materials and/or workmanship.
I � �
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT ',R-
APPLICAT16N FOR BUILDING PERMIT
Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the bur!d-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village. Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be compliQ with,whether herein specified or not.A copy of approved
plans and specifications must be kept at building during prggress of the work. ,
November 11 ,19 72
MrsM. L, - —
Whitney1240 N E
Owner's Name and Address.......:.......:.»..». No.—
Registered Arehit"t and/or Engineer............... ;aumemee.a»eeeumut=
Name and address of licensed contractor...:. Andrews RQo�f i�n,g � Imp,. Co 4300 E. 11th Ave . Hlh.
..............
Location and legal description of lot to be built on:
Lot_ _.. .._.._..._.... Block.................___ Subdivision..... r......
Street and Number where work is to be doi e_.1240 N. E. 103rd S t .
State work to be done and purpose of building (by floon) Repair leaks in gravel deck.
and for no other purpose. •
New Building_ ____.___.. Remodeling......».».............. Addition----_ ----........ Repairs:X_ .... No. of Stodes......1
To be constructed of........._._._..._...... Kind of foundation......._...:.....:. ........ ..... Roof Cove ring.». ffa ave l
Estimated Total cost of improvements$_ ...?50 . 00 Amount of Permits, 5 . 00
Zone cubage required._....... .. ________..Plan Cubage............... .
Distance to neat nearest building..._.._._...__ Size of Building Let_ ........
Maximum live load to be borne by each floor.._...._ .»..._....._......._ ..._ ,,,,,,,,,,,,,,,
I hereby submit all the plans and specifications for said building. All notices with referenda to the building and its construction may
be sent to_ ..,AU sir s._ga f ing,_L_1mg,,sD,_ QQ E ,,,11th Ave. Hialeah 33013
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 %Vorkrn 's Compensation Act, being Section 5966,Compiled General Laws of Florida,Permanent Suppiehneent,
and has complied with the provisions therew,and will require similar compliance Perm all contractors or subcontractors em loyed by him `
in the work to be performed under this pern»t; and will post er cause to be inspection oxer the site of the k such uli �
:
or notices as are required by the Act.The undersigned agrees to employ only such su em wont
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA, i
COUNTY OF DADE. j w' `
Before me,the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments,personally ap-
peared M_ ..... ..._ �. ,
,,._.». e.►the weU known,
and who,being by me first duly sworn, upon oath deposes and says that he is the.._._........._._._..»_.... . .. .. _
of the above described construction,that he has carefully read the foregoing application,and that he did sign the same,and that all facts
therein by him stated are true.
Permit No. Date Read.Sworn to and Subscribed before me,
Disapproved Date
Notary Public,State of Florida
(Signed) ..._....._.._........__._
Building Inspector My Commission Expires
PLANNING BOARD ............._.»...»-».»_...DATE
Chainnan .................. .._ 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 opAcation after approval has been obtained from
the Planning Board.
A re-m%pe ion fee of $1.00 will be charged when such re-Inspection is ma&wry by htpreper nuke for bsprction err bully
materials and/or workmanship.
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
PermltNo..
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described.This application Is made in compliance and conformity with the Building Ordinance of Miami Shares Village, Florida,
and an provisions of the Laws of the State of Florida,all ordinances of Miami Sham Village and all rules and regulations of the Building Division
of Miami Shores Wage shall be complied with,whether herein specified or not. A copy of approved plans and specifications must be kept at
budding during progress of work
j1( fte
Owner's o&JF(s Name and Address '( W iNo.
Registered Architect and/or Engineer-
Employing Plumber's Name-Mid A y a Pop m 12jj sc Am, Z.r c No. .I
Location and Legal Description Lot BMck Subdividon—
Street and Number where work Is to be
State work to be performed and purpose of budding (By Floors)—
Now Building ----------- Remodeling Addition— R No. of Stories........
OATH LAVA- SLOP I-AumoRY CATCH -a
4 FLOOR DRtNKiNQ 40 -s TOTAL
.r
CLOSETS BATH
SHOWER$ TORIES SINKS SINKS TUBS URINAW 13 DRAIN FOUNTINS wfeFIXTURES
C;ONTIR
1L
LIST
CHECK
SEPTIC SEWER DRAIN SOAKAGE GREASir SOLAR DEEP SPRK1.R. SWIwo
TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL
CONTR.
LIST
CHUCK
Size septic Tank— —Type of Tank--------- ___�tpacity Gals.----------_.___ ___-.• _--_-__--
Feet
als----------------
Fed of Drain Tile -- Dist Feet of Tank or Drain Field horn Well— _7
Nature of Water Supply: City wall.—Size Of Soakage
Amount of Permit t.
(Signed)–
, ---
Plumbing Inspector.The undersigned applicant for this building permit does hereby certify that he understands and accepts&Sobli
gations as an employer of labor
under the Florida Workmen's Compensation Act.being Section 59M Compiled General Laws of Florida PeAnanent Supplement, and has com-
plied with the provisions thereof,and will require similar compliance from all contractors or sub-contractors employed by him in the work to be
4 --- -—
performed under this permit,and will post or cause to be posted far inspection an the site of the work such public notice or notices as are
required by dig Act. The undersigned agrees to employ only such sub-contractors, on work to :
be7ed under this permit, as are
licensed by Miami Shores Village.
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE. I .
Before me,the undamigned authority,a notary public,duly authorized to administer oaths and take aelmawledguients, personally appeared
to me well Imawn,and who,being by me first duly sworn,upon oath deposes and.says that he is ...... ....
I
of the above described construction, that he has carefully read the rerew gains application, and that he did sign the same, and that all facts
therein by him stated we true.
My Commission Fxphw Notary Publlc6 State of Florida
NOTE: A mbwwtion fee of$1.00 will be made when such winspection is made-necessary by improper notice for inspection, or faulty
materials and/or worlinawhip.
MIAMI SHORES VILLAGE
YBUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Apcation is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
&h or her structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work. \�-•�
Owner's Name and Address
Registered Architect and/or Engineer
Name and address of licensed contrac� r�•Q� �✓- Vii? � ��"=- a
Location and legal description of lot to be built on:
Lot,---- Block Subdivisi
Street and Number where work is to be done—1'CO—9=0 '11
State work to be done and�building (by floors)
____-and for no other purpose.
New Building_ ----------- Remodeling Addition Repairs__________—______ No. of Stories__----------__----_
To be constructed of_---__ __ Kind of foundation_ Roof Covering-------
Estimated Total cost of improvements $_—__4° — Amount of Permit
Zone cubage required_____ flan Cubage—___ __---___-_-
Distance to next nearest building_ size of Building Lot----
Maximum
ot_. _Maximum live load to be bome 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 ws of Florida,Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all ontract or sub-contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted Z-- on site of the work such public notice
or notices as are required by the Act.The undersigned agrees to employ onlych or to be perhymed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed �� >
STATE OF FLORIDA,
COUNTY OF DADE..
Before me,the undersigned authority,a notary public,duly authorized to administer oaths and take acltnowledgm ts, personally ap-
peared
to me well known,
and who,bel 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 b1p, _
Permit No. 7 Date �� ? — f Read,Sworn to and Subscribed before me.
Disapproved Date In en
(Signed) Notary Public,State of Florida
BuildingInspector My Commission Expires--___ __
P NING BOARD __. —DATE
Chairman Member
Member _-- Member — ------__-- ----____--
Member —__ Member — —___—
Council Approved—_ Date Disapproved
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 reinspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with,whether herein specified or not. A copy of approved
P lans and specifications must be kept at building during progress of the work.
Date Z� ,19-----
Owner's Name and AddressNo. tr -- —
Registered Architect and/or Engineer—
Name and address of licensed contractor_
Location and legal description of lot to be built on:
Lot_ Block
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
a/ -. -----
e� d0 and for no other purpose.
New Building - Remodeling ____ Addition __—___ Repairs------------------ No. of Stories-------_-----------__
To be constructed of Kind offoundation_op -- 1�C��r�mg____---------------------___�
Estimated Total cost of improvements$__ L.�. � Amount of Permit $------------ _--------_----_�—__
Zone cubage required— plan Cubage _ _-- -------------------
a
Distance to next nearest building --Size of Building Lot— ____-----
'Maximum live load to be borne by each floor___
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to --
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Aq% being'Section 5966,Compiled General Laws of Florida,Permanent Supplement,
and has complied with the provisions thereof, and wi11 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 subcontra ors, on work to rformed under this
permit, as are licensed by Miami Shores Village. o
Remarks (Signed) �
STATE OF FLORIDA,
COUNTY OF DADE., I ss
Before me,the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, beim by me first duly sworn,u 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. -7..K__ Date Read,Sworn to and Subscribed before me.
Disapproved Date
JW— Notary Public,State of Florida
(Signed) Building Inspector _ My Commission Expires-
P ING BOARD ___ --DATE
Chairman Member —�-
Member _^ Member
Member _ _ Member
Council Approved— Date Disapproved — ---------------------__.__--------------------------Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re-mspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and spedfications must be kept at building during progress of the work. / oq
-y--�—�-+---------••19�O /
Owner's Name and Address — — No.-� � Street_-tIC �!
Registered Architect and/or Engineer_— __________—__
Name and address of licensed contractor —
Location and legal description of lot to be built on:
Lot Bl
Street and Number where work is to be doneaAl 0
State work to be done and purpose of building (by floors) c,_� _
_and for no other purpose.
New Building ------____ Remodeling Addition--_-- Repairs_._.._----_--, No. of Stories---------------------
To be constructed of_____ Bind of foundation ___._ ____Roof Covering-_______ ---
Estimatq4,Xcost of improvements $ Amount of Permit
Zone tubage r`equired__.__ plan Cubage _-- ---__ -_-_-_
Distance to neat nearest building_ Size of Building Lot__ ------------------_ —__--
Maximum live load to be borne by a 6.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 th��f, and will require similar compliance from all ntractors or sub-contractors em Toyed by him
in the work to be performed under this permit; and will post or cause to be posted f on on the site the wor ublie notice
or notices as are required by the Act The undersigned agrees to employ only such tra on w to be o under this
permit, as are licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me,the undersigned authority,a notary public,duly authorized to administer oaths and acknowledgments, personally ap-
peared -
to me well known,
and who,being by me first duly sworn,upon oath deposes and says that he is the__ _ ____ —---------_______
of the above described construction,that he has carefully read the foregoing application,and that he did sign the same, and that all facts
therein by him stated are true.
Permit No. b Date -� Z Read,Sworn to and Subscribed before me.
Disapprov Date
(Signed) Notary Public,State of Florida
Building Inspector My Commission Expires ___ - —
P G BOARD __ _DATE
Chairman ____ Member __________
Member — Member
Member _ Member
Council Approved— — nate 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-in on fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
�-j O ds�
MIAMI SHORES VILLAGE .�
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No.-__ - 6 3_-I--- Date--. X71��6.5_._
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
budding during progress of work. k" �—
Ownm's Name and Address_ 14& w = x or @4c __ No-AWA5 103 •S�- Street- _._
Registered Architect and/or Engineer _--
Employing Plumber's Name_Md-L!0 It's,_ No 4tw *r
Location and Legal Description Lot Block Su
Street and Number where work is to be performed—No 1 Z IA—APp— street_..
State work to be perfarmeS and purpose of big (By Flkxn)
Now.Budding _-._-�Remodeling �-e!!� Addition ._._._._._... Repairs.____._.--------_— No. of Stories........._........ _.
CLOSETS BATH SHOWERS LAVA- SINKS SLOP LAUNDRY URINALS CATCH FLOOR DRINKING TOTAL
TUBS TORIES SINKS TUBS BASIN DRAIN FOUNT'NS FIXTURES
�
R. 1
CHUCK
SEPTIC SEWER DRAIN SOAKAGE GREASE• SOLAR DEEP SPRKLR. SWIM'G
TANK Ohm, IELD PIT TRAP NEATER WELL SYSTEM POOL
CONTR.
LIST
CHECK `
Size Septic Tank_____ Type of Tank-- Gals.__.____
Fed of Drain Tile--_ 131Rt- Feet of Tank or Drain Field froom
Nature of Watt'Supply: City Wa .Size of Soakage Pit.._.._....__ .-_--
ci,
Amount of Permit 1) .�� � (ST)
-�' P -Inspector.
The undersigned applicant for this building pewit does hereby certify that he understands and t his obligations as as employer of labor
under the Florida Workmen s Compensation Act,being Section 5986,Compiled General Laws of b'lori. ernnaaent Supplement, and has com-
plied with the provisions thereof,and will require similar compliance from all contractors or sub-con ' ' employed by him in the work to be
performed under this permit;and will post or cause to be postec>'for inspection on the site of the vva lsuch public notice or notices as are
required by the Act. The undersigned agrees to employ only such sub-ccorttractars, on work to 1 =;`• ormed under this permit, as are
licensed by Miami Shores Village.
(Signed) .. ._____. ._ .._...._...«. _.....w
Masten Plumber.
STATE OF FLORIDA, t 08. r
COUNTY OF DADE.
Before me,the undeeigned authority.a notary public,duly authorized to administer oaths and
� lowledgments, personally appeared
tome well(mown,and who,being by me Bra duly sworn,upon oath deposes and.mys that he is
of the above described uction, that he has carefully the forega
ddng application, and did sign the same, and that all facts
therein by hire stated are true.
My Commission Expires State of Florida
NOTE: A re- fee of�1.t10 will be made whets snob ra-fia
materials and/or vvorloroansbip. speodon is made necessary notice for inspection, or faulty
t
INV
�$"�' MIAMI SHORES VILLAGE
ti n a
1'
V°V49/ ELECTRICAL INSPECTION DEPARTMENT
~ APPLICATION FOR ELECTRICAL PERMIT
Permit No......�p-4...t'—fy........... Date....TJ 1A1,.....1.1.9..�..-.11'..�?.5.........................
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 AddressXrA.l 1 Ja1P".A.'a_.! ..Ct.&1.0TA.A.t ree tr...........................Street....................................................
RegisteredArchitect and/or Engineer.................................................................._.......---..................................................................................•..................._
Employing Electrician's Name...ZZAA11..86haYe�r',I T$e.le....1 36.1? . 1#tih �;t nAgt Street....................................................
Location and Legal Description Lot....................................................................Bloick..........................................Subdivision..----•---........_............................
Street and Number where work is to be performed—No..'-'�-4 X+ 19d t!k®lt......Street................
Statework to be performed and purpose of building (By Floors)........................................................................................................................................
New Building................................Remodeling.........*AM..........Addition.xa$5................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 9 22 8 22Lmi 1 2
CHECK
ENT. DIST. SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTAL,
SW. CAB. TEMP. PERM. O•t HP 1•5 HP TRANS.
CONTR. 1_2�
LIST C
CHECK
Overhead
Service Underground Size Feeders................ Conduit...............Main Sw.............................Am .Main Fuses............................Am s
Amps.......................... p
Typeof Installation—Conduit........................Tubing........................B.X.L.........................Metal Moulding...............»................----...................................
........_.....................................•-•---...---...---......................................................................................................................................................_.............................
»..._....._..............................-••••.... . ......................................................................................................•• ............................_.............................
Amount of Permit $••....../9•....................................................................... (SignedYAX. ..li l? ....... .
.. .. ......... ...............................
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands rand pts 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 tice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on ork to be performed under permit, as are
licensed by Miami Shores Village.
A Y71
A
(Signed).............�,.... ..........
Electrician.
STATE OF FLORIDA, 1
COUNTY OF DADE. j $8'
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared................................................................................. .................................................................................................................................. .............
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the.......................................................................
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
..._...........»................................._........................_............................... ..................................._.........................................................................
My Commission Expires Notary Public, State of Florida
NOTE: A reinspection fee of $1.00 will be made when such reinspection is made necessary by improper notice.for inspection, or faulty
materials and/or workmanship.
MIAMI SHOD 4VILLAGE
BUILDING 1NSPECTI EPARTMENT
APPLICATION FOR DING PERMIT
Application is hereby made for the approval of the detailed stateme P; ` 11 a plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in co ' and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be co' with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the
--,19
05-
Owner's Name and Address No. ttitreet��`�
Registered Architect and/or Engineer . �" —• _
Name and address of licensed contracto _—
Location and legal description of lot to be built on:
Lot. Block Subdivision—____
Street and Number where work is to be done
State work to be done andv �a�
purpose of building (b floors) --`�—�—
gt : __and for no other purpose.
New Building Img_� Addition ca Repairs-
' ---_____-- Rem ' -_-- _--- N . of S ones_ ------------
To
__________To be constructed of---- Kind fou>}dation ---___-_Roof Coverings.
Estimated Total cost of improvements $ Q T Amount ermit $—"�. __ _�— A 3-i- �o
Zone tubage required— plan Cu /9/& T = 6 -------
Distance to next nearest building- Size of g
___
Maximum live load to be borne by each floor_.__
I hereby,9574pit all the plans an cations,for said building. All nota with reference to the building and its construction may
be sent to
The undersiped 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 59�,Compiled General Laws of Florida,Permanent Supplement,
and has complied with the provisions thereof,and willrequire similar compliance from all contractors or sub-contractors em loyed by him
in the work to be performed under this permit; and will post or cause to be posted for inspecti on the site of the work such public notice
or notices as are required by the Act.The undersigned agrees to employ only such bcontracto on work to be performed under this
permit, as are licensed by Miami Shores Village. r
Remarks (Signed
STATE OF FLORIDA,
COUNTY OF DADE.. ss
Before me,the undersigned authority,a notary public,duly authorized to administer oaths and take aclmowI ents, personally ap-
peared
to a 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 chd si the same, and that all facts
therein by him stated are true.
Permit No. + '.S— _ Date 7-- 13,41 Read,Sworn to and Subscribed before me.
Disapproved __ Date
(Signed)
Notary Public,State of Florida
Building or My Commission Expires_____-_______-_-__--__________-__—_--
PLANNING BOARD ___ —DATE
Chairman ___ — Member
Member ___ Member __—
Member -- Member _
Council Approved - Tate Disapproved --- —.------------------------_�—_------____---____Date
NOTE: A charge of $1.00 will be made foi§making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
1/�a ti Ar o
��
POOOO
:MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for t -build-
ing or other structure herein described. This application is made in compliance and conformity with the B Ordinance of Miami
Shores Village, Florida,and all provisions of the Laws of the State of Florid all ordinances of Miami Shores Vi age and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not.A copy of approved
plans and cations must be kept at building during progress of the work. ' l
DDate _.,
Owner's Name and Address ___ N S r�s�1 _ .
Registered Architect and/or Engineer— _ _ -_--------------- ---
Name and address of licensed contractor Wcbb Lho
Location and laSal description of lot to be built on:k1a _
Lot Block _ Subdivisi / ��O/
Street and Number where work is to be done
Statek tolls done and purpose of building (by floors) J
•/5 �� and for no other purpose.
New Building Remodeling_-- Addition Repairs_-.-.._._.._.--__..-_ No. of Storief e ...--_-....._
To be constructed of a13 Kind of foundation— _ Rooi Cov •
Estimated Total cost of improvements$ -- Amount Of Permit $
Zone tubage required_ �--- Plan Cnbag T �'
Distance to not nearest building — -fn Size of Building Lot_ -..: „ ✓.T L
Maximum live load to be borne by each floor_____
I hereby submit ars d ceti for said building. All n°of es with reference the and its construction may
be sent to Aja 6: �� A6�! �
The unapplicant 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 5888,Compiled General Laws of Florida,Permanent Sy glemeim
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors empto edby
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such ublic notice
or notioes as are required by the Act.The undersigned agrees to employ only such subcontroctors, work to be performand this
permit, as are licensed by Miami Shores Village. •
oe
Remarks. (Signed/
STATE OF FLORIDA,
COUNTY OF DADE. J ss'
Before me,the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments, personally ap.
pie -
to me well known,
and who,bd by me first duly sworn,upon oath deposes and says that he is
of the above ascribed construction,that he has carefully,read the foregoing application,and that he did sign the same,and that all facts
therein by hire stated are true.
Permit No �� 0 41 Date I a-l I'ZL Read,Sworn to and Subscribed before me.
Disapproved
(Signed) Notary Public,State of Florida
BuIIM6cr W46nFJ My mon Expires-
PLANNING BOARD _ DATE
Chairman _. _ Member _
Member Member
Member Member
Council Approved _ -------Date Disapproved ___ ..__. ----------_.__._,..Dat
e
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 Fade necessary by improper notice for inspection br faulty
materials and/or�Iananship.
adorn
Inc.
S
8855 NORTH MIAMI AVENUE MIAMI $7, FLORIDA • PHONE 84-9596
December 6, .1952
Mr. Dan Hansell
ilffillding. Inspector
village of Miami Shores
Miami Shores, Florida
Dear Nr. Hansell:
in aocordance with our conversation an Friday, December 5, we
respectfully request variance from your building code to permit the con-
struction of the proposed addition to our hme to exbond to ten feet --
from the rear property line, instead of fifteen feet, per plan subm ttede
This addition is to be living quarters for a servant. We
will never use this addition for rental purposes.
Our kitchen entrance is from the nerbh-south alley. There is
a continuous fence along the rear property line bordering the east-hest
alley -- with no gate.
The requested variance would place only the southeast corner
of the addition as near as ton feet from the easy-west alley.
Thank you in advance for giving this you a teatien.
ver9 truly.yours,
Mrs. A. T. /Tyree
J
f
s
s
MANUFACTURERS OF .O'AOM TRAILER CABANAS AWNINGS COTTAGES
PATENTS PENDING
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I 'l
M I Al R E S
BUILOINd INSPECTION DE ._
APPLICATI'DN FOR BUILD
:!lpplieation is hereby made for the approval of the detailed statement of the plans?.
ing or other sjxucture herein described..This application is made in compliance and c
Shores Village, Florida, and all provixions b�t-he I;aws of the State of Florid all ordi , �. �
regulations of the Building Division of Miami Shores Village mall be compli wiEh,
plans and specifications must b6 kept at building during progress Of the work. _t�y�-�v°, p'
Owner's Name and Address
Imo/ s i J • ' � I = 'y i..
Registered Architect and/or Engineer Tib v s • +�O
Name and address of licensed contractor t ,- 2L221" C'° '4"1
Location and
plegal description of lot to be built
Lot_ r Block=— Su loev l
Street and Number where work is to be done /-� `le')lz
State work to be done and purpose of building (by floors) " -
New Building Remodeling Addition Repaim
To be constructed of ` A Kind of foundati ��of 01��!'z Roof Cc
Estimated Total cost of improvements$�/fid � Amount: of Permit
Zone tubage required `R,E Dan &u 1• *C plan Cubag .
Distance to net nearest building ize of®Building Lott
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said'building. notices with with reference to the buil
be sent to =:b' �.: � * =
The undersigned applicant for this building permit does hereby certify that he understands and accepts his
of labor under the Florida Workmen's Compensation Act, being Section 5888,Compiled General Laws of Florida`
and has complied with the penvisions thereof, require similar compliance from all contractors or-sub-con �
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of th�r
or notices as are required by the Act.The undersigned agrees to employ only such subcon rs; on work
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF"FLORIDA,
COUNTY OF DADE. I ss
Before me,the undersigned authority,a notary public,duly authorized . er.oaths and take acknowledgments, personally ap.
peared
to me well known,
and who,being by me first duly sworn,up, oatt ses and ys that he is the
of the above described ction,that he y read tie foregoing application, and that he did sign the same, and that all fads
therein by him ed e.
Permit No. ead,Sworn to and Subscribed before me.
Disapproved at ---
� � Notary Public,State of Florida
Building or My Commission Expires
PLANNING BOARD HATE
Chairman — Member
Member Member
Member Member
Council Approved Date Disapproved nate
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- on fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for Inspection or faulty
materials /or workmanship,
ILi
�,
MIAMI SHORES VILLAGE C
BUILDING DEPARTMENT (�
305-795-2204
Building Inspection Request
Date
Type Insp'n
Permit N
Te
" O
Company 1
Phone# f l
Inspection Date
Approved ��
Correction ///❑
Re-Insp'n Fee ❑
MIAMI SHORES VII;LAGE
5 UILDING DEPARTMENT
305-795-2204
Building Inspection Request
Dat llco
Type Insp'n t Ck
Permit No. %?�LM L4—
Name kCCf
Address 1'02ACY NL <<.✓�S
Company 0 mv�i►�a
Phone#
Inspection Date 11 1C .
r10
Correction ❑
Re-Insp'n Fee ❑
2 too 7!.1 c l�
�' 23 � �d
Mlaml Shores Village
uil&ag Department
��� �� 100 N.E.2nd Avenue,Nami Shores,Florida 33138
MAR 2 9 2004 Tel:(305)795.2204 Fag:(305)756.8972
el I
r IIMDIi DINT- ------mmfl CSQ O
Permit N
PERMIT APPLICATION Master Permit No.
FBC 2001
Permit Type(circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name(Fee Simple Titleholder) J • 44 ti ZOG-0 Phone# ?
Owner's Address / Z OF 10 3 �
s
P'
City ..... State r—C Zip
Tenautd.essee Name Phone#
Job Address(where the work is taring done) Z. II,J 03 T
City Nami Shores Village County Nami-Dade Zip
Is Building Historically Designated YES` NO
Contractor's Company Name etn,,
c Phone# .
Contractor's Address Of Y �--
City�..�o► S State
Q"er t e J1. ei as
Architect/Engineer's Name(if applicable) Phone#
$Value of Work For this Permit Lobo. 0 8 Square Footage Of Work:
Type of Work: DAddid ❑Alteration []New Xpvair/RVlace ElDemolition
Describe Work:
Submittal Fee$;e. D--b Permit Fee$ ® CCFs- ® CO/CC
Notary.$ -0011W.1b Training/Education Fee$ ao
o Technology Fee$
Scanning$ r Radon.$ Zoning Bond$
Code Enforcement$ Structural Plan Review.$
Total Fee Now Due$
(Continued on opposite side)
F .
Bonding Company's Name(if applicable)
Bonding Company's Address r
City State zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby m26 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. 17 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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commence be posted at the job site
for the first inspection which occurs seven (7) days after the building permit Is-issued In abse a of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature Signature OA
Owner or Agent Co
The foregoing instrument was acknowledged before me this? The fore g instrument was acknowledged before me this
day of 20Q�,by day of D 3 .20�L by -
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as.identification and who did take an oath.
NOTARY PUB C NOTARY PUBLIC:
Sign: Sign:. lntmAgale
Print: • ._ Print: mon DDUS6M
My Commission Expires: V1,, 11 . �nt9e ftndtagcm.I= My Commission Expires: �� u ftp rim
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
rt*kkkkiok�kk#**AHekk*+ldkdk�kkkk*bk#kkk*�kkh�+kbMb&kRk&kk+�k�kk+kkk*N�+kkkkkkkkk+k$+d � kkrik&kUkkkek&kk#�kF�kNk�+Ad�
APPLICATION APPROVED BY: MAR 3 0 20hPlans Examiner
Engineer
Zoning
Cho IV15103
,
.; Ieftdch Rod Plan: an WM9 and
. .
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H
igh Velocity
cane Zone Unibrm Roofing Permit AppilcatI*n Form
BUILDING DEPARTMENT ELECTRONIC APPLICATION
SecBon C(Low Sl0p0d Roof System)
Fill in tits SPsiBC Roof Assembly cotnpomnts and Identify
(if a component is not UWA,Identify as"NAI
wood Naar:
Syate�r►Manu�cturer N/A
GAF ease She IOKS)&No.of Pty(s):
Gaf Gals#75
NOA No: 03-'0501.05 Besa stred FastenerBonding Materiel:
Design VMd Pressures,From RAs 128 or Caksulations: 1-1/4"R.S Nalis&5/8"Tin Cap
P�1; -48.2 Pmex 2:F-82-6. Piy Sheet(s)&No.of Ply(s);
TWO PLIES GAF GLASS PLY 4
Pmax3: -124.3 �y sneer Faster,et�sondmg Materiae
pwdnvim Design Pressure,From the Spedit HOT ASPHALT
NOA system: -52.6 3"face 26 ga.
Drip Edge size&Gauge: __
1"x 8"T&GGalvanized Metal �'
Dock type: Drip Eta McEetial Type: _
•These decks require a taete w pug ted by
an approved test UdX MrY
Hoofs SMPIClest gauge or weight NIA
oa,er Dec Type:
N/A Coping mate. N/A
Jow spacing:
N/A Top Ply; 1 Ply of mineral surface cap shee
Q"-12" Top Pty Fasienin n�ding Maww:
Slope: HOT ASPHALT
Anchor/Bese Shaer&No.of Py(s): g;
N/A N/A
Anchor/Base Sheet FasMcW1804 dhrg Material:
N/A FASTENER SPACING F01t BASESHEET ATTACHMENT
_ _ FaMer►er T
Insulation ease t.aWlSize&Thwaless: [P/41 R.S. Nails
INA
sm insulation FasistmMonding Material:
AltsmaM FastBners: NIA
NIA " �
F "o!c
Top InsuWW FasIMM Bonding Material: 1.FW: F7-otc laps& C .(�
N!A 2.Perimeter•.i�6 "olo a laps&1r4- �a f6 "ac
tr�uletion Top Layedsize&Thiclmess: I6 "ora a laps&F taws a I" "o/c
s.commas: I"
[N/A
NICER OF FASTENERS PER MULATM BOARD
Field: N/A Peron®ter N/A Comer: NIA
Page 3
http://www.co.miami-dade.fl.us/bidg/roof ng..1erini
section c 4.htm1 3/26/2004
} � � lhMb 111 �f E 1fOfi11
10 p .DRDE t'ti3Ui F'�tD1Nd DEPARTA11`ELECTRONS APPU CAIN
(3~,Edge aahhtg,COTOnUous Cleat,Carta Strip,Base
"Tt** ,fas 'i'ype, rSp rtg
SubtiftManubdurers DOUR that COrr"vAh RAS=111 and Chapter 16.
z
Mewe.'w\ C->iAtfW CAP e
Liu
Page 3a
com iami-dadefl.�bld�/r�fl'� 'l
i „c�4_Z nl 7116400
SECTION 1524
HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING
CONSIDERATIONS
1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with
the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter
15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for
roofing system installations. Additionally, the following items should be addressed as part of the agreement
between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been
explained.
1. Aesthetics-Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane
Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion
performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship
provisions. Aesthetic issues such as color or architectural appearance,that are not part of a zoning code,should
be addressed as part of the agreement between the owner and the contractor.
TL2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be
renailed in accordance with the current provisions of Chapter 16(High Velocity Hurricane Zones)of the Florida
Building Code.(The roof deck is usually concealed prior to removing the existing roof system).
.T, 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring
units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or
owner should notify the occupants of adjacent units of roofing work to be performed.
4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be
viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail
penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the
option of maintaining this appearance.
T. Ponding Water: The current roof system and/or deck of the building may not drain well and may
cause water to pond (accumulate) in low-lying areas of the roof. Ponding can be an indication of structural
distress and may require the review of a professional structural engineer. Ponding may shorten the life
expectancy and performance of the new roofing system. Ponding conditions may not be evident until the
original roofing system is removed.Ponding conditions should be corrected.
T. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
overloaded from a build up of water.Perimeter/edge walls or other roof extensions may block this discharge if
overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in
accordance with the Florida Building Code,Plumbing.
7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be
reduced. It may be beneficial to consider additional venting which can result in extending the service life of the
roof.
Owner's/Agent's Signature Date t r' e
e ,
IN I� NMAAODADE COUNTY.FLORIDA
hMMO-DADS FLAGLER BUHDDI i
BUILDIl9Gt CODE( %JANCE OFFLCR 0KW) 140 WR8T FLAQMR STR1Wr.t3[=1603
PRODUCT CONTROL DIMMON NgAAII,FLORIDA 33130.1563
(3�375-2901 FAR(3"373-2908
NOTICE OF ACCEPTANCE(NOA)
GAF Material Corporation
1361 Alps Road
Wayne,NJ 07470
SCOPE:
This NOA is being issued under the applicable rules and regulations.govurning the use of c onShUZ n Material&
The don an sum has been reviewed by the BCCO and accepted by the Building Cods and Product
Review Com to be used In Miami Dade County and other arras where allowed by the Authority Having
Jurisdiction(AEU).
i
This NOA shall not be valid after the man date gated below. The M=Da&County Product Control
Division(In band Dade County)andlor tare AHI(in areas other than Miami Dade County)reserve the right to
have this prods or material tested for quality assurance purposes.N this product or material fails to perform In
the accepted mam:sr, the manuflulurer will incur the•axpensa of such tasting and the AM may immediately
revoke,modify,or suspend the use of such product or material within their jurisdiction. BORA reserves the right
to revoke this acceptance,,if it is determined by Miami Dade County Product Control Division that this product or
material fails to meet the requirements of to applicable building code.
This product is approved as dew0ed heaeint and has boson designed:to comply with the l50 velocity Hurricane
Zone of the Florida Building Cock.
SON:GAF Cauvenlonal B it-Up Rod System for Wood Deck•
LABELING:Each unit shall bear a pert label with the se's name or logo,city,state and
following Maori Dade County Product Control Approved unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed find there has been no
change in the applicable building coda negatively affecting the perfarcmnce of this pwdacL
TERMINATION of this NOA will occur after the expiration date or if there has been a revlaion or change in the
mateds's,use,and/or mmdwtm of the product or process.Now of this NOA as an endorsement of any
product for sales,advertising or any other purposes shall automatically this NOA.Fail=to comply
with any section of this NOA shall be canes for termination and removal of NOA.
ADVERB:The NOA number preceded by the words IV n=4)ade County,Flarida,and followed by
the expiration date may be displayed in advertising literature. N any portion of the NOA is displayed,then it shall
be done in its entirety.
INSFEMON:A copy of this entire NOA shall be provided to the user by the mwdwt=fir its dignbutm
and shall be available for inspectiim at the job site at the request of the Building Official.
This NOA n=ws NOA#M-0408.09 and consists of pages 1 ftough 21.
The submitted documentation was reviewed by Frank Zoloaga,RRC
NOA No: 034)501.08
Ern Daft UM=
Approval Date-MAW
Pop 1of21
e
Deck Type-1; Wood,Non snaulatcd
or reaterplywood or wood plank decks
sheet m6ankauy .
All and SYSUM Lhmdta smell apply.
GAFAS#SO UWEUT"Base Sheet,STRATAVEN176
Bmsbeet (3 ID
Mailable,RUBMkOID Modified Base S1 +RUBEROMO 20,
SBS beat Wcddm Smooth ofRUB 'Weld 25 base std
mechanics*hdaned,to deck as descrOxd.below,
t3AFGLASO Ply 40,"FOLAS Flat PIYTu b,CiAPOLAS#75 Base Sheet or
F any of above Base Sheets attached to deck with appaoved,=Oululing shank
nails and tin caps at a
of 9"oc.at the lap aqVxed and in two
rom �w O.C.08*n in the Betel, -are See Gem LAdfOd"#7)GAFGLA-"Ply 40,GARX-AS PIM piyTu 6,OAFOLAS#75 Base Sheet ar
my of above Bans sheep wacbed to deck with Dr01 Tec(GAFTT'M#12 or
#14 Screws and 3"Platm12"ac.in 3 row&lone c.in the field of the sheet.
otherrows -4Sp#See C Lam }
GAVO AS Flea ftlu 6,GAT43M 075 Base Sheer or any of above Base
alarm cops
attached to deck with gWovad annular'ft shank nails and tinat a
g of 9"oc.at*4"lap daggued and is two rows 9"oc.in the
fold. L�
Pr+ -32.5 See
(IAPOLAS 475 Base Shed or aay of above Base Sheets attached to deck with
Dr&Tec(GAF 17M 012 or#14 Sam and 3"plates, Ir ac.in Crows. Our
row is in the r side lap. The other rows are"Rally spaced apps`dmtelY
ac.in the field of the sly.
( pry-601+s�;Sas t n )
Aqy of above Base shaets attached to deck aWoved annular sin$shank nails
and r invaded Drill-Tec(QAFf E)inudationplan at a fast spacing Of
9"o c.at the r lag stagFred is two rows 9"in the field.
(mum, V-aAf,Sce to deck with
f;ANK A S#75 Base Shoat or say of above Base sheets attached
IhilkTec(ta�AFT1"i"8)#12 at#14 Sc om and 3"Pious,r o c.in 4 rows. One
rove is in the r side lap. The od is rows are egoRy spaced app MIA*9"
o c.in the field of the shect
pie-75 See 2!Xeoo# tai�ton
One or mme plies of GAFUL W PLY 40,UUUASO PLY WW-slieet-
Plyin a full
#W Ultima,RUBEROID MOP Smooth�the EVT range surf at a rate.of20-
mapping of approved asphah appued
40 ftJ9q.
A Surfaced Cap Sl ect adhered in a
cap (Optionaltional) Olde ply of ClAFC1I�A8® and at a rate of
�l mopping of approved asphalt applied wiffun the EVT range
20-40 Ibsjsq.
NOA,No: 034MIAS
a Date:MOM
®
AppromdIate:10
pap IS of 21
it !
sly is ted) Install one of the following:
'• �if no cap with an ban rate of 20� an
ging;
1. GAF Special Roofing Bitwmen ,��COAT® �
application rate of 1.5 s m)� application rate of 3 gaVsl:or GAF
( 305 Fi and Roof Coating(Matrix System Pro Aluminum
�II°0i' ��� an, lication rate of 1.5 gaUsq-
Roof Coating Fibered 30 1)with t 20a l sq-plugavel or
2. Asphalt flood coat at an a�licatioa rate of &��30�s(( lbs t _vele
•ar.7�1N 1baJscl,N �•
slag with an apphcation rate of��SB���Tap Coat MB Plus
3• Top Coat S Seal SB(Matrix or WakLOW VOC
(Matft 715 MB Coating).GAF Weat e
applied at rate of 1-15 galled
Maw D See Fastening Above
Pry=
NOA No: 034."IM
man Date:WOW
mu ,'In
lOVAW
Appsoval PqP 19 or21
f
^ WOOD DECK SYSTEM LBUTATIONS:
1 A slip sheet is required with Ply 4 and Flex Ply 6 when used as a mechanically fastened base or
anchor sheet.
2. Minimum W Dens Deck or lh Type X gypsum board is acceptable to be instilled directly over the
wood deck.
GENERAL.LIMTPATIONS:
1. Fire classi$cation is not part of this ate, refer to a current Approved Roofing Materials
Directory for fire ratings of this product.
2. Insulation may be installed in multiple layers. Titin firs layer shall be attached in compliance with
Product Control Approval guidelines. All other layers shall be adhered in a full mopping of
approved asphalt applied within the$VT range and at a rate of 20.401bs./sq.,or mechanically
attached using the fastening pattem of the top layer
3. All standard panel sizes are acceptable for mechanical attachment. When applied in moved
asphak,paned size shall be 4'x 4'maximum.
4. An overlay and/or recovery board insulation panel is required an all applications over closed cell
foam insulaticros when the base sheet is fully mapped. N no recovery board is used the base sheet
shall be applied using spot mopping with approved asphalt. 12" diametr cmcles,24" o.c.;or snip
mopped 8"ribbons in three rows,one at each sidelap and one down the center of do sheet allowing
a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be
placed every 12'in each rlubon to allow cross ventilation. Asphalt application of either system shall
be at a minimum rate of 12 Wsq. Note: Spot attached sydew dwN be limited to a moxh um
dem pmum d 45 LsL
5. Fawner spacing for mon attachment is based on a Mninmunn Characteristic Farce 0 value of
275 IK,as tested in compliance with Testing Application Standard TAS 105. If the fastener value,
as field-tested,we below 275 K insulation attachment shall am be acceptable.
6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane,attachment is based
an a minimum fastener resistance value in conjunction with the maxinunn design value listed within
a specific systmn. Should the faster resistancis be leas than that required,as detesinined by the
Building Official,a revised iitistener per,signed and seeled by a Florida Registered
Engineer,Architect,or Regmter+ad Roof Consultant may be submitted. Said revised fimofttenerspacing
shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and
calculations in complism with Roofing Application Standard RAS 117.
7. Perimeter and comer areas shall comply with the enhanced uplift pnw me required of these
areas. Fastener densities shall be increased far both insulation and base sheet as calcul in
compliance with Roofing Afflication Standard RAS 117. (When tlk mon is spedfically
referred wltbin this NOA,Genual L dta =#9 wM not be appBeabI)
B. All attachment and sizing of perimeter hailers,metal profile,and/or flashing termination designs
shall conform with Roofing Application Sandwd RAS 111 and applicable wind load requirements.
9. The maxim=designed pressure limitation listed shall be applicable to all roof pressure zones(Le,
geld,piers,and corners).Neitlwx rational analysis,nor extrapolation shall be permitted for
enhanced fastening at enhanced pressure zones(i&perimeters,extended corneas and comers).
(When We SWation.lu spedflcsBy referred within dds NOA,Gewrsl Lioumitatiun#7 will,not
be app)
10. All products listed herein shall terve a quality assurance audit in accordance with the Florida
Building Code and Rule 9B 72 of the Florida A istrative Code.
END OF TI3LS ACCEPTANCE
NOA No: 03.05 AS
Exphudon Date:11MM
Approval Date:lOVnW
Page 21 of21
, yr.
t8H li~Di -Il 't MwtTZ.B MIIJM
•
Rmft Sy$fiems(TOFU} aMgWW Systems FTeFUl-CrAm"inued "
`.one or iitone. MIon-alasfibmr" ••Spm Hm A /aq:
*"Muuatk COuu.TAI$FHLT SYST1�8 WPtTiI HOT ROOFtNc:COAL
Claes A
- 1. 'fleCic'C s
/
Ply Sheati huWte:]l2'
Two ae IaYeis Type GI"GA$GI.AR•Pl V oe"%A& ( One or
GAS Ply " f.: : . P more layers PECllbei
Cap Shut One to G3 •�oegainrrat� usetha m /bogWurate
� t P.1 dig mood a/isocga�wrate roams
4 Do&
NC'Its Ori ae t�+p H $. ` wl�`t Three Lor'n� � Ihm.GI '
r 3 Iv�}�•V�CY7.#*4'hoi t��Nil �'.•,�''
Arty► . 5 $ Such Gravel.
ri CION'
5. HOT AI►>i}COLD
E 15 32' StlS71M
Soed( Red ,.w P� Class A
T Ha¢e Sheet;c re G�" }� 1: .Dstcltt NC Ind lims 2
x . .•►�,, Invu �ldim Opdonalk
Pty' orteOne or more layers periite,wood•'lCier
.Akllfl-max
Ply 4" I9y 71110d Or mom layers Type GI "GAYGLAg S-
my 6"
7(�r.TXP�G 'NA Sn1rt +ed Cap Pty
Age
Gnsuiy hihuftim-" hffl Alummr mt RonF66 Dedt:NC
"
Have Sheet: Ones G3 z Decfi:l�
Ply Sher, gest rngg - '- tO ,l 0oe'o�more pay
e,woad`.
GLAS Ply 6. _ r ... �; ,p�ttelt3ocyamprate
capone.la3 es.TYPe(;4;-•Cid d:.C� tsib6d tl>�r/tsocyamuatr" �
�.;
7. Dub C-15/322 ,, ,.. :Pf�A1 S _� layers Type GI "GAFGLAS
11MIaliams Oni or mom layos pew ;�.
.� :` ."
them perlHe/ 1 3, >�nill"dL 3 gal/6Q. ,
rtolic,l.0 in.mtn{reset is s htctin�1/2
`jowth`tb"It .�>
Hese Shooks O4e or'mame.�T ype C1.G2 G3. Oite twirl ion'Lcoil�ni WI,4 in.,hot
: ye4s'"RrrbetoidTeerh" a ULClas&dgrave}wrfacedc�Aaspltsir
IrP"' t or Graembe) mat
•• " ��� diftpf
or
��}},,,,�� �• 4d*gi :.lit : .: �•perlite,isorXe '!,
.4. `•• �CIS/ - 1.�1 5 � .: yam{S yam_ '�' • �/ypny ftdu�(y,.' -�
M VOW
.1} •��itrf-_l '....wS..'.- �� . '. V•1 "'7r�
CR
'�a.ac,.ranci�l'f� !"�`jy+�GI o'G4 adhered,wltft '
Base Sbe�s Twb or mope laybM Tjrpe G2 b�G3. "GAF PumbM Ftbemd Aitimit jm$oof
Ply Sheat( o; Sy s T e Gi galLsq as"GAF Coat Emulsion",3 gat/sq,
mrnplayg}8 '�OrGtrutitlel; S. DechNC
Membium OriearIndfiml `
'Ruberaid Torch Phis-
ft�. �
or' ( ',.1�te, affies,,puly�raya�ial� �
Mbp Phi" '- ,, ", a�Graraile n d ardraliy any. woari
Cap sheep "c,�►FGt.ns t± at• .c "� "• shewt one >Yt +e Gz. .
° 1. Dee%C-15/32 f.. 'Clam B 6 .� phmahrinit RoIrmulnel" of CoaWtg" '_
.(Ovdanak Otte•or mole. "per:wood Kline:i ::. a
bogantuute. /urethane composfte, Cbl polylaocgaiturate,v�►oast y
' d*kr�. wood. Comp e, 'ams wMerwd: Type Gi or Type GZ,fuiiy'
L"Y sheek6 Two 6r mole liyeri lype Gi'N�ply 4"�"�,p� Cod Bate ,Bhw*m Adi�ve"or'�ub�
�P Type.G3`GAFGLAS.Anneral Sm�oed Cap Sbs�' h(� 7. DEde iC iC 5/CQdhW , Aumiram►Roof Coating",'-I/2
1 Has@ Shenk One or more Ilulirle.1 r' ;
2. D�C-]5/32 _, Inelin�31/ . , Plies'Type G2.med�lly fad
( calk Ota or m :II Put*/ ,ft 119b. TypeGt,hot mopped in
Plex*
fiber
Mumi�um Roof
tW.. le
CIaH C ,�1-1/2 gats
•• thidcn�. � 'P�>hti� I. Deleted .
Hast Sheet-IWO a mom la z Dela C-15/32
yew- a,Gz��. .,�.,. . ,. Indht�z
Afembraim'Ruberoid Torch*Phi' dyers W 2'ooch"( or Gvanule-). hmubfim (OptIamalk One or mom layers peiiite,wood fifft
(grmttrle),'Tdvvaid Mop."{ (s'Granule) bo t� �•PerLtemommm-ate Compo e,
o'CW-Ruberaid Mop FW-(granule)• - ,. um'thame o�npasibe,wood Cber/iaocyanurate composite,Plu olity'
CV
'�C Ply Shook T&w or more layers Type GI "GAFGLgS-Plp.4;
1. D G1S/32 ,..... I i/2 ••�jl�Y'611,hot wed,
tbwdadon(OptoraW One or more p w(tod f glace 94*9106 �y� t MB Aiuminum Roof Coatimg"41,.-
tehocyMunate, e.}fie/isocya _- _ .
urethane composite,wood OW/bogan/ 3 .Db&IVC
thickness. Y41M (Opoommik.O or rt�rie per> ,wood $ter,
;.. .,
1'1yG Th6e or more layers Type G1 'TAFGLAS Ply 4- or �,arle w Bm/ �•
�Y tldClkte�. / 'amurate compote,P
1 -
ROOF COV9RDM 11N1VSKS'(yn '1�1 FfBf11) 187` .
Rooft Systems( Gn4—CantirnW Soc�tg:SYstms('fG1?i�}-Ca�rtlnued
"Gawfin UA-6b"Series(varl"colas),applied'V gal/sq Ne°; pHn of OGAFGLAS Fly 4".m0P1Y 6"maybe be adhered to C-P
G Drsn.Deela®in hm
l 1/2 " F BI a Base Shaet(Nail")"may benmchani-
ior"poly Iso Special"with"Poly kamn 251"or"Poly- or hot mopped over noncombustible decks and as a recover over
10.MID.
one or two applications''GaoWlex.i,l�•7OW,applied at 1 Irate may be utilized as a cover board over"EVER
or three. applic , applied 1-1/4 gWsq/ GUARD" .in any of the following systpw _
�&M dry � Unless o�erwise indfeate8,the roof inAilatien is medically fastened,
n UA-60"Sys(various colors),appy 1'gel/sq adhered with hot or urethane Insulation adhesive.
1Ai1TE1 A ROOFING ASPHALT
• C mat.base.sheet (" iP15 Base Street" or
Inr]ines 2 .251 or"Poly- p)is a suitable aiteenate foi Type Gl halt glass
" N " N II
Paly�o with Polyfoam fi ply sheet�' >'�Y,'4"or"GAt�LAs fi 6")in the c n/B or
I is min. C�f bekrai r.
"Gaw9A S-1000"or"Gac M S-1600",applied at 1 gal/eq(10 The n+aof a ck ma& vie.a Typie,G2 a gbe mat base
"C,aooSll 51000"or"GaooSil 5.1600",applied at•1 gal/sq "GAF Ba3e Sheet(P�fbPra�wed to be
Stratavent. .Vetdheg. Base•Sbeet 1ej"
Indtae:l vend na"ilab�to be attached grarml'e�down.
As an glass base sluaet("GAFGLAS it75 Base
251"or"Palyfoam 30.3",any*Adamm..,,• gam", "or"GAFS�afavei6 EBmwnatoir Venetu�Base
"(`:acafiex Un:�,Sldeld 70072mils. Sheet lee'up y;be sub bed f�GI a fiber ply-
Incline: siwet
("GAFGLAS Ply 4"m`"GAfI.AS Ply 6" )as tiu• lease ply in the
any ddckrm& following
"Gacoflex A32'11",11/2 VUsq(14 dry miliji shee!maybe sow `� or aredumi-
"Gac am A-3mo"sties(vans co;=)s 1-1/2 gal tsq(14 catty fastened.
Unless Wwwbe' an ingaddiw&may Wimmoppotdr mechan
Join 1ue3ia 2 :, ,• qtyfabow-
251,"Polyfoam 275"or"Palyfaam 30r,.any OdUlem. c"�,AFG[.AS Plashing"m �"" may be usedla flashing in any of the
Oise or two "coo c.UB-7090", d at 1 Clan A',B or C.systow .laded bekw .
ackdon(16-32. ), Whim"pedhe is "GARPELUIP PERMAI1TW or
pneof"Gao�c.A-J6 Series"(X )l outer Ul.. pedile
1/Z eq.(15 dry m94 ;t: stone or Ajew suitablealissudtes for gravel in any of the Ciass A,
Incl#nen 1/4 B or C•
2517 "$ohykam 275"of"Polyfoam "', Sbuctlin l s ••m urdia are oea�dend suit"to be inducted
as a deck in the#ol�vhegClass Barcsys b1 over C-15/32 or NC.
Gacoflec UB 46 .applied at l-1/2 1a%(18 dry nstfft The> Af boOd utad�say of the .Class A.B or Csysbems
30160 mesh deed 4t s.? m 5 �� `effect pin&The use of 3/2 is min gypsum board•is an
"GaooBeerUB6�" apptied'at 1-1/2 gal/sq,as pec �/ 4wl '
The t�e.af yl boaad between thio 3/4 inI board
at 1-1/2 /sq(18 dry mils)followed by t o UVV adce= ) is a
30/60 merle rn>sl�d wabaut sl�ls applied at 7-B.Ib/sch and deck wah fiesta Raper..(Perwmsth Pte/
:':GacaBenc U-66",a at l/2 gal/sq.(6 dcy mile).• �a (or�m board In flea k� C�A,B or C
of PPS I 2
t.. "BMCA -PW"•itlipered. RA"and"BMt'A
27r,,any uL Com) may be su dded'fa'8ilj/ pOlyisacyanlu$te iewula-
"1U-62",2.0 / .0.67gal/sq. A ap'ee'emea�.. "owft S Asplu t
gal s4. may be utili�pi�n.are)csd tyre "
"Gawfbec UB•6fy"applied at 1-1<a gal/s% siry:• k with I
3a 60 mreslt crushed walnut dWU mood at a she ed 5 6811 $aeee 13 be used ii►veey of'the fo&wh*
"Gac%c.U04V Wiled at:1:1/2 g Vsq.or. all-
at 1-1/2 gal/sq(18 dry mils)followei 1�the GAPGLAS Flex PlY 6" a.suil"alternate to"GAFGI.AS Ply 6".
of 30/60 i�sh crusleed wah"A dwk ap&4 at;7-8$/sq. "k;Ag�y�Pesnea(ite Recover be used.in lien of any P�
"Gacofiex U-66",applied at 1/2 gd/sq•(6 dry m1• itnulathm ht any of followhig NC
IKlhm Zt'-law`A,B ad C
275",any thidmess, Hot roofing asphok 6mruse`vith"V*and glass felts or modified bituum
(not UL ClessiBed),00 Vd/sq. membranes.
"U--,1.25 gal/sq. "Rubwdd Heat s*W SBS roofing membrane beauused'in lieu of
"[):fi2,"0.75 lgal/sq. "Rub�edd Meep"S10produ�id any m C
Wptioas* "[T•62,"0.75 Vd/sq. Clam A Indin�3
-"U•62;"0.75 gal/sq. 1. Dedu CUM .•
walnut ddpe at 9 to 11 lbs per sq. -( •thee or m me laym peZ'lite,wood filter,glass
�
f� ,: ,P / cyaeruate composite, perlite/
"Gaco Prime",(nes UL clad). u:ethsne comnp be,wood fiber/isocyseennate composite,phenolic,any
'GacoN 51600"at i gal per sq. ftimess.
`GaaoSil 51600'at 1 gal per sq. lied at 30 to 35 lbs Ply She T bfee.or mons layers 'hype'Gl "GAFGLAS Ply 4" or
(Options*Roofing granules app Per ser GAIeGIMfly 6",hotate.
staffadilp-GraveL '
CORP RIM 2hmdaen pption* One or more layers perlite,wood fiber:Kh
iVA1f1VB NJ 0747a fiber,ieocyaruerate, urethane,pealitecy/+icomposite, Perlite/
or-Rubenoid Modified Raise Street"may be utilized,as an ureffim comps wood fiber/isocyammite composite,Phenolic,MY
ui base sheets in any m the f tLet�( G-P G �. r more-layess..Type.Gl "GAFGLAS Ply 4" or
ications. thidawss.
(mm) board ar 1/4 zee. �
be, d•ui�azny exi�ng,oscambns deck ph,V. ,
itis wu system is acceptable for•use over � One layer Type Gi "GAFGLAS Mineral &vkced Cap
32 in.min)r in 8dtiee gypm board and
are offset 6 tn.wipe i'te in ties dA ff is 3. —NC . bull=2
system,it mud be placed tthe ovedayment
:p4 LOOK FO#` M•tS-MARK 014 PAOBtJt.?
5'�nuc ems,
Miami Shores Village Building Permit
10050 NE 2nd Avenue
Permit Number: BP2004-424
Phone: 305-795-2204 `
Printed:3/3012004 Page 1 of 1
Applicant: J. ANNE KANE
Owner: KANE J. ANNE
JOB ADDRESS: 1240 NE 103 ST
Contractor OMEGA ROOFING INC Contractor's Address: 8935 NW 112 TERRACE
Local Phone: 305-826-1144
Parcel# 1132050250090 Legal Description: PB 42-25 BAY BREEZE SEC MIAMI SHORES LOT 1 BLK 186
Fees: Description Amount
FEE2004-3365 Building Fee $350.00 Total Fees:$376.55
FEE2004-3366 CCF $6.60 ' °�'
FEE2004-3367 Training and Education Fee $2,20 Total Receipts: ---
FEE2004-3368 Technology Fee $8.75 3 b, -5'5
FEE2004-3369 Scanning Fee $9.00
Total Fees: $376.55
T�--
perink Status: APPROVED Permit Expiration: 9/25/2004 Construction Value:$11,000.00
Work: RE-ROOFING FLAT APR 16 PAID
Signed: (INSPECTOR)
In consideration of the issuance to me of this permit,I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and In strict
conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself,my agent,servants or employes.
Signed: (Contractor or Builder) BY:
iA_L1
TICE OF .COMMENCEMENT 11 II
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
CFN 21-104RO268894
PERMIT NO. TAX FOLIO NO. OR 8k 22218 P9 1026; QP9)
RECORDED 04/16/2004 09:04:31
HARVEY RUVINY CLERK OF COURT
STATE OF FLORIDA: MIAMI-DADE COUNTYP FLORIDA
COUNTY OF MIAMI-DADE: LAST PAGE
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property,and in accordance with Chapter 713,Florida Statutes,the following information
is provided in this Notice of Commencement.
1. Legal description of property and street/address: j�,o IV E 1031-'f -5j7(.
FL-
A
2. Description of improvement: 141 —keo-P
3. Owner(s) name and address: Kaloe - i l03 4
a(CA,e_1 I 5C�(✓s Et,
Interest in property:
Name and address of fee simple titleholder
4. Contractor's name and address: io f!:l-L6--a 700
.;?410 /Vtj
5. Sure bLPaymeat bond required by owner from contractor, if any)
Name and address:
STATE- OF FLOOROD/A,COUNTi'OF DAUF f
Amount of bond$
address:
–tIF V Mat hfs
t
ij a A
6. Lender's name and address: OC'
7. Persons w tate of Florida designated by Ow*i e as
provided by Section 713.13(1)(a)7., Florida Statutes, ay-
Name and address:
8. in addition to himself, Owners designates the following person(s)to receive a copy of the Lienor's Notice as provided
in Section 7f3�. �,-FW� Statutes
Name and address:
9. Expirationate of this No ' of Com"n cement: (the expiration date is 1 year from the date of recording unless a
didifferst specifif
Joe,-
Signature of Owner
PPrepared by off-6144
Print Owner's Name n�—a " k� ��
Sworn to and subscribed before methis ''__ -lay of 20r��.
LAW ew
—Ot
XX111
M1W2=
Address:
Notary Public "
Print Notary's Name ~16
My commission expires:
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR :ELECTRICAL PERMIT '
Permit No»A. Q_ :. ..... �-
Application is hereby made for the approval of the detailed statement-of the pts.and specifications herewith illi for the building or other
structure herein described. This application is made in compliance and conformity,with the Budding Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinaaen of Miami Shores Village and all rules and regulations of the"ding 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. Street
.r.�� .». .. .:No..,C..�» » Street
Registered Architect and/or Engin ».... » ..»... .. .. .
Employing Electridates Name::. •....� .........
»»,�+To. .l �......Street...�i
Location and Legal Description Lot;...; » ...» - ..» ..»»,....Bloch »»».»....Subdivision »
Street and Number where work is to be performed—No.'
� -�f » , ! %.»... ,. ».Sheet..,.•_• .�. ».-".. 1.. »
State work to be performed and purpose of building (By Floors)............: .,.».... .. »
Adduaon: - airs. No. of Stories.
New Building» ».... -..,.Remodeling.... .......:.Rep ,,» - -
SWITCH -LIONT -PLUG FIXTURES REFRIO. IRON RANGE RANGE WATER W. HEAT: SPADE STRIP TOTAL
OUTIAK" OunETs RecwwT•S NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER NEATER
Cowin.
LIST, - - ,
CNEG`K'
ENT. DIST. SERVICE SERVICE MOTORS (MOTORS NEON RAOto TOT"
SW. - CAB. TEMP. PERM. - - - O.f NP ,1•5 HP- TRANS. -
-LIST lam", �_ ... ♦ .
CHECK
Service OverSite Feeders.._.•_,_._...•»,.Conduit_..._.,•••.•,_Main Sw ..»».,,»...... .: ....Ami. ..»»........:.»,..,Main Fuses. ...:. ......:........Amps
Underground .
Type f�butaltation--Conduit..».. »........Tubi . .B.R L ...»..Metal Mouldiii .:..... ......»....»................... .».
Amount of Permit`$--- A� », .. w(Signed).....»»».... » »....... ..
E[ecMoal Iaspeetor.
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,3966, 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 undei this permit: and will post or cause to he posted for inspection on the site of the workL such public notice or notices
as are required by the Act. The:Undersigned agrees to Employ only such subcontractors, onworkto be performed under this'perm&, as are
licensed by Miami Shores Village.
(Signed)---Fg'ry .,. .. ..
Master IIecdrIcian:
STATE OF FLORIDA,
COUNTY OF DADS., m-
Before me. the undersigned authority, a notary public. duly authorized to administer oaths and take_ acknoovledgmente, 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 constriction, and he has carefully read the foregoing application, and that he did»sign•the same. ,"4 that all facts
therein by him;stated an true.
.» �..».M commission Expires_ » ». »..�»».». Notary ftblic,State of Florida ...»..
NOTE'A, re4nspectiou fee of $1.00 will be made when such reinspection is made necessary by.improper notice for inspection, or faulty
m�Iterials and/or workmanship.
/i MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PWMBING PERMIT
_.....�..�..._...
Application is hereby made for the approval the detailed statement of the plans and specifications herewith submitted for the building or nr,
structure herein described.This application 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 Shares Village and all rules and regulations of the Building Divisior
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. Strset ._-
Registered Architect end/oar -
-FAq*yang Plumber's Name___.
L,ocationand Legal Descdptimt Lot-__.. — SkIck �� Subdivision—
Street and Number where work is to be No 11111o!! 7
state work to be performed and purpose of building (By Floors)
New Building ._.._...._..__.._.__.__Remodeling _.... ._----- Repairs--------____._.____ No. of tortes._
BATH SHGWBRS LAVA- SINKe SLOP LAUNDRY VRINALa CATCH FLOOR DRINKING TOTAL
CLOSETS TAT" TORIES SINKS TYRs BASIN DRAIN FOYNT•N8 FIETYREI
C`�. 3
CHUCK
Szt%TIC SEWER DRAIN SOAKAGE GREASE- SOLAR DEEP SPRKLR. SWIU'G
TANK CONN. FIELD PIT TRAP NEATER WELL SYSTEN POOL
CORTE.
Uor
CHECK
Size Septic Teak-- Type of TW& -_._._..--Capacity
Feet of Drain Tile_ -__...___-. Feat of Tank or Drain Field ham Well---
Nature
ell_._._.___Nature of Water Supply: City Wed -Size of soakage Pit.-____
Amwmt of Permit S_._.__ • - -- (Signed) `- ---------- ---- y
Plumbing Inspector.
The undersigned apph this big 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 6888,Compiled General Laws of Florida Permanent Supplement, and has com-
ped with the provisions thereof,and will require similar compliance from all contractors or sub-contractors employed by him in-the work to be
perfoamed 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
undersignednKioited by the AcL no �agrees to employ only on& sub-contractors, on work to be perfunder this permit, as art
licensed by Miami Sham
(Signed) _ master Phunber. _
STATE OF FLORIDA, i ss.
COUNTY OF DADE.
Before me,the cmdamigned authority,a notary public,duly authorized to administer oaths and take aclmowledgments, personally appeare
to me well kmown,and who,being by me first duly mom.upon oath deposes and says that he is
of the above des<ribed duction, that he has carefully read the foregoing application, and that he did sign the some. and that all fac
therein by him stated are true.
My Commission Expires Notary Public,State of Florida
NOTE: A re-inspection fee of $1.00 will be made when►such re-inspections is made necessary by improper notice for Inspection, or fuu)
materials and/or workmanship.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No.........tiLlY.».»... Date.........l»�.'.�.'S`3 ....»..»................
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........».......»..........70YA-60 ».......�....................»...No.»...»:.»................».,...»..»Street......_...»......................................
RegisteredArchitect and/or En eer................. ........:...................... ».. ... .. ..»............»..........»....» ................... d.............
Employing Electrician's Name....!I�9 GG G71�I Ci..._.......*_..No.AZ�i�......».»...».....Street..... �».07_a �.1.`�F...
Locationand Legal Description Lot......»........_.»...........................»................Block......................»...........»...Subdivision...........».......,.............._...........
Street and Number where work is to be performed—No...................................»...1 ».4»0..............StrEEL....... ........
Statework to be performed and purpose of building (By Floors)......................».»... .................................... ...........».. ........................
New Building----.».--- ......Remodelin ..............__Addition_ ._........................:.Repairs..»........................»».....No. of Stories.............».....
SWITCH L1GHTPLUS FIXTURES RIUMIG. IRON RANSE RANGE WATER W. NEAT.- SPACE STRIP TOTAL
OUTVAsasspws NO.LAMPs OUTLET OUTLET OUTLET CONN, HEATER CONN. HEATER HEAMM
CL.
CHECK
ENT. 018T. - SERVICE SERVICE MOTORS MOTORS NEON RADIO TOTA16
SW. CAB. Tamp. PERM. 0.1 HP 1.6 HP TRANS.
CONTR.
LIST ,
CHECK
head
Service UUnnderground Size Feeders.............».....Conduit».......».....Main SW.._.....(l.......... .»Amps...................».....Main Puses..........:..:....:........Amps
Type of Installation--QonduiL.».......»...........Tubing»......................B.X.L................»..»..Metal Moulding..»..._.».»..»»»........:».»..»»»......»....».....»...
.........»»..»..»....... .......»»....... »...:_. » ... .._». .... . .......».....»_........ ....:...»». ....»....:...........».... ... ...........»..... ...».»...». .......»...... ,
Amountof Permit $:... .»�f L'.t.»».».....».»...............:»...»......»..»»..... (Signed)—_,.:..... .»..». .. ».,»...
» .»....... »... .Fdecttrical Inspector.
The undersigned applicant for this budding permit does hereby certify that he understands and accepts his obligWooas,as an employer of
labor under the Florida Workmen a 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 notices.
as are required by the Act. The undersigned agrees to employ only such sub•cra rs, on work be perf ed der this permi as are
licensed by Miami Shores Village.
h/ (Signed).. ........
�j M88tef•EleCtriGian.
STATE OF FLORIDA,
COUNTY OF DADE. ss'
More 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 seated are true.
.... ».. ». My Commission Expires.» ».....».»».......».... .......».....»..... »Notary.Public. State of Florida. .......»». ...... .
NOTE: A reinspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and/or workmanship.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Perm .»
it No ...C.:..S«0w0 w..lw.«... Dateww �/.�,..�.:._w......
Application is hereby made for the approval of the detailed statement of the plans and specifications hered submitted for the building or other
structure herein described. This application is made in compliance and conformity.with the Budding 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 Mismi 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..«« .....»............i..........................No.w.l..wwwz..T.4/r�i�keet.w. . .......w
RegisteredArchitect and/or Engin/ ».w..: ...... «ww«.........w.www.w......_. G .........«... w.w.. ..................
Employing Electrician's Name.......�.er ,4 flFdl..... .......«...... ...._«...»*. ..No.... .,?��«.Sr�/ ''Street .:7 « .
Location and Legal Description Lot.............w.....:.............................................Block.....w...w..»w...........«........Subdivision... ..................
Street and Number where work is to beperformed—No......... ..1�...� .1. « r».... «....».Street......... w 3 w..............
Statework to be performed and purpose.of building (By Floors).. .............ww.....« w.......................... ....« «.«. ...«..».......
Near`913u ding......«« ww.........Remodeling«..«............. «.Addition._.......�.:!repairs ww..................»....w.w....No..of Stories..«...«..........
SWricm LISH? PLUS FIXTURES RUNRIS. IRON RANGE RANGE WATER W. HKAT. SPACE STRIP TOTAL
OUTLETS OUTLETS' RECS'P'T's NO.LAMPS OUTLET - OUTLET OUTLET CONN, HEATER CONN. .HEATER HEATER
CONTR.
LIST
CHECK
ENT. DIST. SERVICE SERVICE MOTORS M NEON RAn10 TOTAL
SW. CAD. _ TEMP. PERM. 0.1 HP - 1.6 HP TRANS.
.CONT".
LIST
CHECK
Service Overhead, Sine Feeders..»......«.......Conduit«.......,«.»Main Sw.................... »..www ............w....w
Underground psw.. «...Mala Fuses.. Amps
Type of Installation-40onduit....«..w............Tubing«.....................B.X.L........................Metal Moulding»»..»_«.»«.«.».« ...w...
w.ww..r.w..«...».ww...«..w.w.......... ....w..w....w.«......«...«........i..«................ww«..«......«.»...w..w..»...........w.................« . ..a..«.. ...«....««.......w...........
Amountof Permit $.«.«..»w..........w.««...............«..............w.......... w..... (Signed)..... .................»......w... .......... »..«...
..Electrical�Iaspector.
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 beperformed 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 Ace. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)«. .»... S. «w.«..
Master»Electrician.
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the uadersigaA authority, a notary public, duly authorised to administer .oaths and take acknowledgments, personally
appeared.....».....«...w.......«.w.».w.... .......w.»www»w.........w............»......««.».»..w»«......w........www....ww....... ..........._«. ......www..«.....w.............
...
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the«»w«.w.....www.www».:«www ... ...
of.the above described construction, and he has carefully read the foregoing application, and that he did riga the same, and that all facts
therein by him•seated are true.
»«»...w..w My Commission Bsplres . _ .....»..ww...w «»w..»..........Nosy Public,State of Florida. »
NOTE: A re inspection 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
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT s
Permit No. � y
Application is hereby made for the approval of the detailed statement of the plans and;specifications herewith submi for the building or other
structure herein describedThis 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 ordinance of Miami'Shores:Village and all rules and regulations of the Building Division
Of Miami"es Village shall be complied with,whether.herein specified or not. A copy.of`approved plans and specifications must be kept at
building during progress of work.
1
Owner's Name and Address - No Street
Registered Architect and/or 00
Employing Plumber's Nam No Street_ - --- ----
Location and Legal Description L* L Block I R/ Subdivision
Street and Number where work Is to be performed No. , 1 S .52
State work to be purpose of building (By Flom)
New Buildings 'Remodeling Addition Repairs— No. of Stories
BATH - LAYA• - SLOP LAUNDRY CATCH .FLOOR DRINKING -- -TOTAL
CLOSETS -
-TUBS SHOWERS TORIES SINKS SINKS- TUBS URINALS BASIN DRAIN FOUNT'NS - FIXTURES
COMM..
uBT
CHECK
SEPTIC- SEWER DRAIN SOAKAGE GREASE SOLAR DEEP SPRKLR.- .SWiM•O
Tr - .
TANK CONN. FIELD PTRAP HEATER WELL .SYSTEM- _POOL
LIST Igo
CHECK
Sias Septic T Type of T Capacity Gals.
1
Feet'of Drain Tfle ' I Feet of Tank or Drain Field from Well -
Nature of Water Supply-. City—WeIL Sipe of Soakage Pit
Amount of-Permit $ , rJ--c� (wed)
umbing Inspector.
The undersigned applicant for this building permit does hereby certify that erstands and accepts his obhg ,ons an employer of labor
under the'Ylorida Workmen's Compensation Act,being Section 5988,Compiled Laws of Florida Perman t S plemant, and has com-
plied with the provisions thereof,and will require similar compliance from all_contractors or sub-contractors emplo y 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 undersi5ned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami.Shores Village.
(Signed) Master Plumber.
STATE OF FLORIDA,
COUNTY OF, Wm-
Before';me,
ADS.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 deposer 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 states]are true.
My Commission Expires Notary Public,State of Flod&
NOTE: A r6-tuspecl3on fee of$1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
"materials and/or worlsmanshfp.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Daft
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 Shore Village,Florida,
and all provisions of the Laws of the.State of Florida,all ordinances of Miami Shores Village and all rule and regulations of the Building Division
of Miami Shores Village shall be complied with,whether herein spedSed or not. A copy of approved plans and specifications,must be kept at
building during progress of work.
Owner's Name andtog
Registered Architect and/or E
Employing Electridan's Nam o- c
Location and Legal Descrl Lot, lock— �.SnbdivIsion
Street and Number where work is to'be performed—No-
State work to be performed and purpose of building (By Floors)
B,atai„,r _Remodeling -Addis R y Na Of S
SWITCH - LIGHT PLUG FIXTURES REFRIO. IRON RANGE RANGE WATER W. HEAT. SPACE STRIP TOTAL
CUTLETS -OUTLETS RECE'P'T s NO."L.AMP OUTLET OUTLET OtlTLET: CONN. HEATER CONN. HEATER, HEATERCONMMIL '
LIST
CHECK
ENT. DIST. - SERVIC SERVICE MOTORS.. MOTORS NEON RADIO TOTAL..
SW. CAH.. TEM PERM. O.t HP 1.5 HP TRANS.
I
LIST T� -
CHECK
Service Overhead Size Feeders Conduit biala SW_ A.,,ps t hi„ Amps
Underground
Type of Install& Tubing. 1i sial Mculdia&------
Amount of Permit + , (Sed)
The undersigned applicant for this building permit does hereby certify the a erstands and accepts his alions as an employer of
labor under the Florida Workmen's Compensation Act, being Section 59EK, General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar tamp om 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 agree to employ only such on k tm be performed ander this permit, as are
licensed by Miami Shores.Village. UTaster «
(S )
Eleetridam
STA' OF FLORIDA,
COUNTY OF DADE. '
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aolmowledgments, personally
appeared s to me well known,mid who,being by me fust duly sworn,uponoathdeposes and says that he Is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by.him stated are true,
My Commission Expires Notary Public,State of Florida
NOTE: A re-inspection fee of $1.00 Will be made when such re-Inspectipn is made necessary by improper notice for inspection,or faulty
materials and/or workmanship.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit
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 rales 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 Addre f IPE No street- _
Registered Architect and/or Engin= -
,�
Employing Electrician's 0o• i
Location and Legal Description K&zubdivlaiovn r
Street and Number where work is to be performed No- "" ireeF"" oS• Ca.
State work to be performed and purpose of building.(By Floors)
New B Remode]ing_ --Addition Repairs_ .No.of
SWITCH LIGHT PLUG FIXTURES REPRie. IRON RANGE RANGE WATER W. HEAT. SPACE SYMP' TOTAL
OUTLETS OUTLETS RECE'P'T'S NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. HEATER
COWLIST
M*
CHECK
ENT. DIST. SERVICE smmtcz MOTORS MOTORS NEON RADIO -TOTAL. .
SW. CAB. TEMP.-- PERM._ . . - --04-HP - I-8 HP TRANS._ _ _
LIST
r,
,
CHECK ----_ - -
�����Overhead ,�/.
Size Feeders Condor+ Sw40._._Amps /B-O Main Fuses —Amps
Type of Installation—Ccmduit Ii!� Tubings R.X.L.._,...----MeW Moulding
Amount of Permit: 7, � (Signed)
The undersigned applicant for this building permit does hereby certify#hat ds and accepts his oblige as an employer of
labor under the Florida Workmen's Compendatiou'Act,being Section 5868, . General Laws of Florida P t Supplement, and
has complied with the provisions thereof, and will require similar camphaanemall 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 agree to employ only such sub-eon on be under as are '
licensed by Miand=Shores Village,
(Sed)
:Master Electrlaian.
STATE OF FLORIDA,
COUNTY OF DADE. es'
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclmowledgments, personally
appeared..
to me well known,and who,being by me first duly sworn,upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true,
My Com nbdon Expires Notary Public,State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection IS made necessary by improper notice for inspection,or faulty
materials and/or workmanship.
MIAMI SHORES. VILiAGE '
PLUMBING' NSPECTION DEPARTMENT
APPLICATION FOR -PWMBING PER IT
Permit No.
Application is hereby made for the approval of the detailed statement of the pians and specifications herewith so' ed for the building or other
structure herein'described This application is made in compliance and conformity,with the Building Ordinance Shores Village, Florida,.
and all provisions of the Laws of the State of Florida,all ordinances of.Miami Shares 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 plans.and,specifications;nust`be kept at
building during progress of work. j /.
Owner's Name and'Addre- �; No- Stream
a
Registered Architect and/orap
Engineer •
Employing Plumbers Name No._
Location-and legal Black Subdivision
Streetand Number where work is to be performed--No. 094r1fift Street.
State work to be performed and purpose of building (By Moon)
New Building Afn::- -'-- - Remodeling Addition_ Repairs No. of Storles Z
:BATH SHOWERS LAVA- SCOP LAUNDRY URfNAL6 CATCH FLOOR. DRINKING AT - To7AL
CLOSETS SINKS TUBS TORIES SINKS _ TUBS - BASIN 'DRAIN- ROUNT•NS FI%TuRBB
Llan. v —L— ------�----
CHECK
- SEPTIC SEWER DRAIN SOAKAGE,_=GREASE SOLAR DEEP SPRKLTC SWIM•G
TANK .:CONN:. FIELD PIT TRAP HEATER - WELL - SYSTEM POOL -
CONTR:
Llai
Size Septic Tank Type of Tank- -Capacity Gals.
Fest of Drain Tile Dist. Fest of Tank or DratniPield from Well
Nature of Water Supply City Nell. Size 0 Soakage Pit__i
Amount of Permit , (Signed)
umbing Inspector.
The undersigned applicant for this building permit does hereby certify that he ds and adepts his obligati an employer of'labor
under the Florida Workmen s Compensation Act,being Section 59M Compiled Laws of Florida Permanent- plenient, and.has com-
plied with the provisions thereof,and will require similar compliance from all c ontracums or sub-contractors employ 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
im
Master Plumber.
STATE OF FLORIDA,
COUNTY OF DADE,
Before me,the undersigned authority,'a notary public..duly authorized to administer oaths and take admowledgments, 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 oarefully read the foregoing application, and that he did,sign the same, and that all facts
therein by him stated a=e true.
My Commission Expires Notary Public,State of Florida
NOTE: A re-inspection fee of$1.00 will be.made when such re-inspection is made necessary by improper notice,for inspection, or faulty
materials and/or workmanship,
��- wa." - s �t ti 3�i +�f •`L - �Z+�sY's �� r� '- ��� s"� `�� ��5 � L--r w
777
Ao
htAL'� 'Rfi .� s'.k?! ,•� .
at
4Ser
74
IF
-77
44
fi �. r .i �' .�F .�, e Y ,� f( pit �Y%����1 3 �,.•��P �. s
-MIAMI. FLoWIo�► 19
NORTON PLUMOING CO
00NTRACTING - REPAIRIND
MAINTENANCE:
ESTIMATES CHEERFULLY GIVEN PHONE;7.3807
PLUMBING IN MIAMI 30 YEARS 17 ", 0011 N. W. FIRST pPLACE
ac
Af
9 z.
L
MIim1 'RES VILLAGE, FLA. N° 5201
Eo
IOB A ��
,
ADDRESS 1
INSPECTION •`t c_ C J w� ,� —
{
TIME READY
REMARKS:
INSPECTQR DATE Z
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
//�: � ? � a:�,� II
Permit No..__1Date_ �+ _-'�J._-.....
Application is hereby made for the approval of the detailed statement of the plans and'specifications herewith submitted for the building or other
etnrctar)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 Divisior
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 Addrea.A_0 No ��• Strad..- --
Registered Architect and/or Engineer
Employing Plumber's Name_5 K&R-1 No.1'Q* 9JP_)y-&J Strad 42
Location and Legal Description Lot sBlock Subdivision
Street and Number where work is to be pw&=ed No C a2y® • z-®� _
State work to be performed and purpose of building (By Floors) --.-- - ---
New Budding—.-.- ..-_----------- Y Remodeling Addition �_- Repairs------___.. .._._ No. of
BAT" S"OWERO LAVA- SINKS SLOP LAUNDRY tJRiNALs CATC14 FLOOR DRINKING TOTAL
GLOeETB TUBS TORIES SINKS Tuns BASIN DRAIN FOUNT'NS FIIITUREI
CONTR.
LIST
CHECK
SEPTIC SEWER DRAIN SOAKAGE GREAsr SOLAR DEEP SPRKLR. SWIN'G
TANK CONN. FIELD PIT - TRAP NEATER WELL SYSTEM POOL
CONTR.
LIST
C"ECK
Size Septic Taak_�_® ® Type of T _-_._Capacity Cols.__.._-.-__.__.-._
IF
Fed of Drain Tile. •----.. r Dist.Feet of Tank or Dram Field fmm Well-__._. ._
Nature of Water Supply: CUY-Well. ct of Soakage Pit-----
Amount
it--_.._._Amount of Permit 1 p (Signed) -
Plumbing Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an•employer of labor
under the Florida Workmen's Compensation Act,being Section UK Compiled General Laws of Florida Permanent Supplement, and has coal-
plied with the provisions thereof,and will raiuire.simmilar compliance from all contractors or sub ors employed by him im the work to be
performed under this permit;and win post or cause to be posted for inspection on the site of the work such public notice or notion as are
ragnired by the Act. The under agrees to employ only onch sub-contractors, on work to be perform nada this permit, as an
licensed by Miami Shores VIDage,
(Signed) ._ -
. MastenPlumber.
STATE OF FLORIDA, t
COUNTY OF DAVE. j
Before me,the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments, personally appease
to we well known,and who,brit:by me first duly sworn,upon oath deposes and says that he is the--. _ ....
of the ab c u that he has carefully read the foregoing application, and that he. did sign the same. and that all fac
therein by lint stated we true.
My Commission Expires Notary Public,State of Florida -
NOTE: A re-inspection fee of$1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faul
materials and/or workmanship.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE.
Date l'��9' Job Address lyd WTax Folio
Legal Description
Owner / Lessee / Tenant 6-720,'F1 ��G/Y�9�f� S Master Permit
Owner's Address /..7 �o vg /0 3 Phone
Contracting Co. C dL®yY Address1/(0
Qualifier &A-oyD W, IMV.4an SSPhone ,7
State #eheO'12; Municipal It Competency # Ins.Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBI MECHANICA OOFING PAVING FENCE SIGN
- r
WORK DESCRIPTION
Square Ft. Estimated Cost(value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT) .
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize a above-named co Tactor to do the work stated.
Si over an r Condo President ature of Contractor or Owner-Builder
e: imp= X Date:
Nota r President Nota r-Builder
My Commission Expires: My
FEES: PERMIT RADON C.C.F. NOTARY TOTAL DUE t5
APPROVED: Fire Other
Zoning _ Building Electrical
Mechanical Plumbing Engineering
1
PHONE 84-0848
E. L. PERKINS
GENERAL CONTRACTOR
SWIMMING POOLS
784 N.W. 141sT STREET
MIAMI. FLORIDA
A
7.
Ald
y
w a
t
_
f
i
I
MIAMI SHORES VILLAGE
PUJMBINO pVBPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No j 5 Y?- Date 7
Application is hereby made for the spproval of the detailed Moment of the plans Sail apedfloadous herewith submitted for the bodit or other
stricture herein demtlbod.This applieodon is made in complianoo sad coafwrmtty with the Building Ordivaum of Miami Shares VdbgM Florida►
and al pr Aftu of the Laws of the Stats of Fkxlda,all aidinavoes of Miami Shores village and all rules and regulations of the Building Division
of Mtsmi Ewa Wage shop be complied with,w]Whw herein apodfled or Sot, A espy of approved plans and apedfloatione must be kept at
budft daft posm of work. �—
Owner's Name and Addrem._._�• ✓• ����@"�' Ne Z ,/0.7 s »»
RegleDered 1 sail/or Engineer _..._
Employing Plumber's Nemo No. /!-7'? strest �?.J .P"gJT
Loosdlun and L%id Dosorlption.Lot Me& /�to ,,_,
Std and Number wbers weds is to be per— / /®'3 'i"
State worn to be poshussil and (By
New. » 70o. of 8tariee....._.........
TAS' GITn " TWAL
CLOSM siwwm �p NKe us URINAL/ 10"I"IN ON ZNTC /IXTunu
LIST /
CNW09 ®✓ ®r
$TATIO Savam ORAIN SOAKAOR BRBAfe SOLAR Dov SMIKLR. Einfor
TANK CONN. FU LO PIT TRAP MCAT= Wer. gywm Moot
Lmr
Citron sG
Bios Soptio Tom,,,--- Typo of TW& Amenity Orals..._. _.. _.»_...
Feet of Dm1ADf-Fat of Tank or Drain Field from Well—
Nature
oII_
N _.. _w....
Nature of Water Surp*s CRY—Well. .Sion,of 8aalwge Plt .,.._..
Amount of BessdtPlumbing*_ t
++ .
The underdesed appliow for tits building permit does booby certify that he understands mrd accepts hie obligations as an wiployer of labor
ander&a plodils WWousn's Compenastion Ant,being Section 8988,Compiled Consul Laws of Moria Percent ftAment, and has cam.
plied with.do pwidong thereof,and will require similar compliance from all contradtars or m&contraatars employed by bim in the work to be
performed seder this permit;and will pmt or own to be posted for iospeution on the elle of the work " public Saline or notices as ore
rit,ttred by die AeL The u dwdpOd a to employ wily such sub-contrutwei on work to be performed under this nmaL as are
Rowma by>ld8: d shores Wass,
y Motor Plumbed.
STATE OF FLORIDA, ( �
OOUNTV OF DADS. 3
Before in%do undevelpoil ate',a notary p A&%d*su&mbW m admmider caths Sail'take Neots personally appeared
to well logwon,tiwecfn e3'hie► ars true. �he �d t iego�a�ppLaa�, and distho did elga diesame,and tflat all feats
' My Camaeres Notniry►pow Bente of Florida
mar foo of$LLD wdl be=Bbwhen eft v msde•neoomy by improper notloe for fifn. a w*
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMEIv
APPLICATION FOR PLUMBING !�-.9MIT
Permit No ! Data _
Application is hereby made for the approval of the detailed statement of the pians and specifications Ilerewi itt for the building or other
structure herein described.This application is made in compliance and conformity with the Building Ordinance of Miami Shares 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'a Name and Address . No.
Registered Architect and/or
Employing Plnnuber's Name -,/ No._.. .. Sired. ae--0)0 ,
Location and Legal Description Lott''.
Street and Number where work is to be Ie Fm - c - street _. ._
State work to be performea and purpose of building (By Floors) _-_-
New.Budding ___..._ ._Remodeling_ Additic►n _- Repairs..__.-------------_- No. of Stories................
BATH LAVA- SLOP LAumaRY CATCH FLOOR DRINKING TOTAL
CL®S64S
TUBS SHOWERS TORIES SINKS SINKS TUBS URINALS BASIN DRAIN FOUNT'NS FIXTURES
CONTR.
LIST
CHECK
SEPTIC SEWER DRAIN SOAKAGE GREASE' SOLAR DEEP SPRKLR. SWIM'G
TANK CONN. FIELD PIT TRAP HEATER WELL SYSTEM POOL
CONTR.
LIST
CHECK
Sime Septic Tank____ Type of T ' —_Capadty Gals.-__
Feet of Drain Tile -�Fed of Tank or Drain Field from Well
Nature of Water Supply: itlytw -Size of Soakage Pit__._..-._.___
Ae
Amount of Permit $ f (Signa)
Plumbing inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his 64 as an employer of labor
under the Florida Workmen's Compensation Act,,being Section 5988,Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof,and will require timilar 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
regyired by We Act. The undersigned agrees to employ only such sub-contractors,, on work to be performed under this permit, as are
$off by Miami Shores Village. .;,.�
Master Plumber.
STATE OF FLORIDA, er.
COUNTY OF DADE.
Before me,the undersigned authority.a notary public,dully andmaized to administer oaths and take acknowledgments, personally appeared
to me well known,and who,being by me-Bra duly sworn,upon oathdp�and-says that he is the
of the above described construction, that he has carefully read the regatag application, and that he did sign the same, and that an facts
therein by hiss stated are true.
- My Commission Expires Notary Publiq State of Florida
NOTE: A re-fuspection fee of$1.00 will be made when such re-inspectin is made-necessary by improper notice for inspection, or faulty
materials and/or wodimnsbip. 91
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
/ ....... Date»........z. ..�.5»!.°».
Permit No.»....»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 he complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. yy----
....
Owner's Name and Address...
,GP:.r.l...,�...... ....
...........
..............
...........................No............»....................—....Street...........».......................................
RegisteredArchitect and/or Engineer. ....»......................»....»».... ........».............................
Employing ElectriciansName:. &O-T u s..................s.......... ..... . ......................................
Location and Legal Description Lot......»...........•...............................................Block..................».�—..............Subdivision.............................................
Street and Number where work is to be performed—No... a�.���...��i..�r`�...1Q ,r�Cl~!l»�..».Street.......................,....»............_..........
...........
Statework to be performed and purpose of building (By Floors)........ ».......................................... .....».».......»....»..................................
New Building...........»..................Remodeling......................».......Addition._`:.....................Repairs..................... ....».»....No. of Stories....................
SWITCH LIGHT PLUG FIXTURES REPRIG. IRON RANGE RANGE WATER W. HEAT. ACE STRIP TOTAL
OUTLETS OUTLETS RECE'P'T'S NO.LAMPS OUTLET OUTLET OUTLET CONN. HEATER CONN. N TER HEATER
LIQ'
CHECK
ENT, p1ST. SERVICE SERVICE MOTORS MOTORS Neon RAD10 TOTAL
SW. C,.ALS. '1'ENP. PERU. 0.1 HP 1.5 HP TRANS.
CLIST
LIST
CHECK
Service Overhead SiFd
ze eeers.......»....».....Conduit onu ................Main Sw.............................Amps....................» .....................
Underground "'Maio Fuss"' ".Amps
Typeof Installation--Conduit......................Tubing........................B.X.L.........................Metal Moulding.»».» .....».»..»...»..».....................................
Amount of Permit.$. .... :.,.b.». ...........»
....................»..........».»........ (Signed)..... '. ..».� ».. ».»�. ...».».................. ......
Eltctttcal Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and a his obligations as an employer of
labor under the Florida Workmen s Compensation Act, being Sectign 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contmoors 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•rontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)-.4i... .. ... ' ..,a ... .................::........». ...........
Master Electrician.
STATE OF FLORIDA, / y
COUNTY OF DARE.
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.
................»..»...........My Commission.� ....................»....».». ........................».Notary Public. She of»Florida.»..........................
res
NOTE: A re-inspection fee of $1.00 will be made when such reinspection is made necessary by improper notice for inspection, or faulty
materials and/or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Applica is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other herein described. This application is made in compliance and conformity with the Build Ordinance of Miami
Shores Village, orida,and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and
regulations of uilding Division of Miami Shores Village shall be complied with, whether herein specified or not.A copy of approved
plans and spedfica ons must be kept at building during progress of the work.
lfor
SC
Date_ .. .. ,1
Owners Name and Address.. ...........--.-.._..--._._ .. _ ............................... No. l it✓�--_.. S _a..�iQ 3�!l-_.........
Registered Architect and/or En --- _...
�.
Name and address of licensed contractor..... --, "" ��� -
����� .�..�.......----_..._.....__.._._._..._7. _-------..��.....�------------------------
Location and legal description of lot to be built on:
Block.__................_......__--.Subdi on----_._...--_--- - _ __...._ ...--._............._..........
Street and Number where work is to be done.----- is —(). -,
State work to be done and purpose of building (by floors).. __ _.........--------------------_._
_. _,- .�.___-. •._.-----.._.__ _..___. _ -_.._and for no other purpose.
New Building_....._.._-------------- Remodeling..__._................- Addition.........Repairs---------------__..._.__. No, Sto ........_........---.-•
To be constructed of ...._._._...._. .. Kind of foundation_ . .. ._ _----- ----------•. Covering. ---
Estimated Total cost of improvements$_.° �sP_x_. .o ._. _Amount of Permit $...a.L __------ ---...._....._ .. .............._.._.._
Zone tubage 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 the plans and specifications for said building. All notices with reference to the building and its construction may
besent to_ _ _._ _. _ _...._--•----•-- _. _._ _ _ -•- ..... ---..••.. ...... .....•---•••.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966,Compiled Cenral Laws of Florida,PermanentSup lenient,
and has complied with the previsions thereof, and will require similar compliance from all contractors or sub-contractors employ y him
in the work to be performed under this permit; and will post or cause to be posted ects for inspsite of the work such u -notice
or notices as are required b the Act.The undersigned agrees to employ only such to be perform der this
permit, as are licensed by by
Shores Village.
Remarks - _ (Signed) -_
STATE OF FLORIDA,
COUNTY OF DADE. J m'
Before me,the undersigned authority,a notary public,duly authorized to administer oaths and take a owledgments, personally ap-
peared _ . _._ _ - - .....
_ ._.......... -,- _to we well known,
and who,ye by me first duly sworn, upon oath deposes and says that he is the..__...._..---_------.------------------------------__.__._.....-•-•------,---._..-.._
of the aboveescribed construction, that he has carefully read the foregoing application,and that he did sign the same,and that all facts
therein
Permit No "" 7Z_, ._. Date�� �� _ Z., Read,Sworn to and Subscribed before me.
Disapproved ----_...-__---------.---------------------_____
(Sed) - Y Notary Public,State of Florida
Inspect My Commission Expires___.__._--------
PLANNING BOARD ---_----_____-_--_-_---._--_DATE
Chairman _.__.__..._M _ __ _ _. _. 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.
d
r j
R MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
llvCs-'�
Permit No.Qf4iq s 3-986-"•
Application is hereby made for the approval of the detailed statement of the plana 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 l+lorlda,all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shalt be oomplied with,whether herein spedfied or not. A copy of approved plans and specifications must be kept at
budding during progress of work.
J. RICRAMS
Ownor's Name and Address...._. No Street.—.—
Registered
treet ._.Registered Architect and/or Engines A SSROES n A.
aCMr, GAS CAR '
P. 1 gl'N E. 130 ST No. IAI�9I'FL
M
_l'l Nttano. _ ... N fid...:w. �...,,,.,..._ i
�� S LMML aa 40Cb �L 1 I86 SBC. BAY BR> ZE
1240 N.E. 103 ST., 0 P.15.42=25
Street mad Number where work is to be performed—No Street....._......_.._......_...__.
State work to be performe8 and purpose of building ) 1 150 LB RORZ L.P. GAS CYL. INSTALLED FOR COOKING & BBQ
MWLACING 120 G e� ]NC AG INSTALLATION `.. _...._ _._.................._ ...._..._....... ... .
New Building __......— tion _._ Repairs......._......._....... No. of Stories......... ........
BATH LAVA. SLOP LAYNDRT CATCH FLOOR DRINKING 70TAL
CLOW,
TUNG SHOWERS TOIIIEs 61NKd SINKS Tuss URINALS BASIN DRAIN FOYNT'NG FIXTVREs
CONT".
LIST
CHECK
same SEW" DRAIN SOAKAO& DREAGa SOLAR Daae BMMI.R. aWIN'G
TANK 'CONN. FIELD PIT TRAP HEATER WELL STSTeN POOL
CON".
LtGT' r�
CHECK
Sire Soptic Tank ? Type of Tmk _. _ _ ...._..—Capacky
Feet of Drain TSML--- Feet of Tank or Drain Field from Well__
Nature of Water Supply: City Weil. Size of Soakage Plt_. ... ... .. _..___. _. .._..
Amount of Permit = (S ) ` f— Plumbing Inspector.
Tlm undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an anployer of labor
under the Florida Wori=en s Compensation Act,being Section 5988,Compiled Cenral Laws of Florida Permanent Supplement, and hex com-
plied with the provisions thereof,rad will requiro similar compliance from all Contractors or sub-contractors employed by him in the wort' to lx%4
performed under this permit:and will poo or own to be paw for inspection on the site of the work such public notice or notices as are
req:tired by die Act. The undersigned agrees to employ ody such sub-ooutractors„ on work to under this pertuit, as are
licensed by Miami Shores Village.
Meet Plumber. .._
STATE OF FLORIDA.
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 swom upon oath dapOser saw sign the tams, and dnt t�! his
of the above described co on. that be has careful),► taia the Ioregoing and that he did
therein,by him stated ars true.
Nc�Tnfv ��fBlir c�GTE OF F I.iIR M A �.4..�tC'
My CI Ltibi�F '- 1*4 • . Notary Publio,State of Flodds
J
NOTE: A re4upectioa fee of$1.00 will be nada wb=00016 nom prod=is web- aP by irapopn nodes for hopection. or f m*
materials and/or wadcmansw
x .
N. E. ► 0 3 s T— --�--
p D
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G 4,6 r NK p6
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1
PACC Cryo( F
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j ARS r, 0c r?,4
OLD LOC4T"IG� K
r�X
7
pT � -
M1
A :- -E7 G7&STC0 R P* A R
r_¢l.I_ No, E. 130 s. 1240 N E- .► o3 sr
NO. MI-AM 1 871 83 53 Mi- t.
• ^ I
•.a a�
MIAMI SHORES VILLAGE 1
' BUILDING INSPECTION DEPARTMENT �\ '
APPLICATION FOR BUILDINP' PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build=
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida,and all provisions of'the Laws of the State of Fledall ordinances of Miami Shores Village and all rales 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-0&'z
Owner's Name and Address 1 f No.� Streets f�
Registered Architect and/or Engineer
Name and address of licensed conActor -9 -b t ��10C-r e- o'00Y.4 I Z-w �
Location and Leg/al description of lot to be built
Lot ! Block_-- k S
Street and Number where work is to be done, ��® ife ` Ata .2;r
State work to be done and purpose of building (by
and for no other purpose.
New Building Remodeling_ Addition Z40-000, No.No. of Stories
To be constructed of Kind of foundation= Roof Covering
Estimated Total cost of improvements —Amount of Permit $
Zone tubage required » Cubage
Distance to neat nearest building Size of Building Lot
Mto iamm 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 cm9ruction may
be Sent to
The undersignedcant 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 prov�s�ons thereof, and will require similar compliance from all contractors or sub-contr ctors employed by
in the work to be performed under this permit; and will post or cause to be posted for insp on on the site of k such
or notices as are required by the Act The undersigned agrees to employ •only such on work
permit, as are licensed by Miami Shores Village.
Remarks
(sign-
STATE OF FLORIDA,
COUNTY OF DADE. J SL
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, by me first duly sworn,upon oath deposes and says that he is the
��e bc, es in by him ib construction,that he carefdlly zead the foregoing application,and that he did sign the same,and that all fads
Permit No Date Read,Sworn to and Subscribed before me.
Disapproved V Date
Notary Public,State of Florida
(Signed)
Buckling W Commission Eap
PLANNING BOARD '-----DATE
Chairman Member
Member Member
Member Member
Council Approves Date . Disapproves 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. e.
Aire on fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection'or faulty
materials li orlmranship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build.
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with,whether herein specified or not.A copy of approved
plans and specifications must be kept at building during progress of the work. ,
1` Dat ,19.�.a..
mei s Name and Address...M......L.... W h i»t tley..._. ....».»..»..�.., ..... Na
Aeglstered Architect and/or Enginoee............... ..��...... ...,. ... ,.�..,....,,.........,p..,. ........,....,.... .,«..,.
Name and address of licensed-contractor A n d.r em s _R h n f'_ f_ Zyq, jl
Location and legal description of lot to be built on:
Lot_. »»». ..._.. _.. Block.»»»...».....___ Subdivision.....
Street and Number where work is to be done..». . Q
State work to be done and purpose of building (by floors)
.....» . __.._ and for no other purpose.
New Building... —.-_...-.......... Remodeling....................-.... Addition........-.........._._. Idepaira»»... No. of Stories.......
To be constructed of.............._..-_.----» Kind of foundation.. ... ._..._._...._..�i...».... Roof
Estimated Total cost of improvements $_-U-0-LQ Almount of Permit
Zone tubage required-_..... Cubage._..._.._. ..
Distance to next nearest building-.--- ize 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_--_. _. F t. 200. _ ._.AAS .�39'S_�.Q S2f 7.xlg - .IX11IT Q�.... ......... ...._.._........_...._.._...................... "
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 Cenral 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 blit notice
or notices as are required by the Act.The undersigned agrees•to employ only such subcoipvctor4fon work to er this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
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,pamoogany ap-
peared — _ . .. ......
to me well known.
and who,being by me first duly sworn, upon oath deposes and says that he is the....__.......... ...... ..».».._..
of the above described construction,that he has carefully read the foregoing application,and that he did sign the aant%and that all fact
therein by him stat a
/„� y
Permit No. Da `
te. ` ead,Sworn to and Subscribed before me.
Disapproved Date
(Signed) _.. Notary Public,State of Florida
B~ ding Ins or My Commission Expires
NING 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 er changes to this application after approval has been obtained from
tine Planning Board.
A re-inspection fee of $1.00 will be charged when suds re-Inspection is rale awry by baps notice for inspftom or faulgr
materials and/or workmanship.
s
MIAMI SHORES VILLAGE, FLORIDA.,
MUDI G ❑
ELECTRICAL. DA ' 95
PLUM MG ❑ PERMIT N? 8249 C.ontractos s ►,
,license No v
R00MG ❑
❑ work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder ,,
IScli-
Legal Lot lI BL �
Description vision
Address of �° Vclue of Amt of
Building + Protect $ Permit $
This permit is granted to the contractor or budder named above to eonstruct the building or to install the equipment or device described in the application-
k herefor in strict compliance with all ordinances pertaining:_thereto and with the understanding that the work will be performed in compliance with any pfaas,
drawings, statements or specifications that may have been s ibmitted to and approved by the proper municipal authorities. This Permit may be revoked:at any
time if the work is not done fn eompliaace with such ordinances or if the plana are changed without authorization. A further condition upon which this.. is
granted is the understanding that the contractor or builder—mmed above assumes the responsibility for a thorough knowledge of `"ordinances and re�atioas.
pertaining to the work covered hereby whether shown on the plans or drawings or in the statem or specificatio%and that he es'responsibility'for work
—done by his agents, servants or employees. t >' r
Sigaed:
DWE=R
In consideration of the issuance to me of this permit I agree to perform the work covered her der in compliance with all or ces and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications sub .tted to the proper authorities of 16"6 Shores Village.
Ia accepting this pernq�ij assume responsibility for all,work done by either, m ,my agent, t or employee.
M R OCRs BUILDER 13Y AUrfMKM
S 1P 04 6'7.6. /,.! �rX.- 75,c
fi Art'
K16
MIAMI SHO'�_ES VILLAGE .� � 3Ye�I BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the appmeal of the detailed statement of the plans and specifications herewith submitted for the build.
lag other structure herein described. This application is made in compliance and conformity with the Bu Ordinance of Miami
Shares Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date..._ ._... ........,19
.
Ownerme s Naand Address....... . .�. I t.. .3. q� .._-------------------------------------- No. _���� Street.__Ali fi &.31-P.S. 1_
Registered Architect and/or ..._..................................-.._....__......._. .............-.. ......
Name and address of licensed contractor_._-
Location and legal description of lot to be built o • /� `
_------_------
_---- Block. ------__1. ..�----- Subdivision. .�!.�'�. ��� L.ful
Street and Number whererwork is to be done.... QW_ ► D _ ._.._ _._. _
;State work to be done and purpose of building (by floors)
------- __.__ ____. __ _...-and for no oth�purpose.
New Building_.. _.._-.-----_----- Remodeling-_..._.............. Addition-._.�. Repairs.......................... No. of Stories....alp!.__._............
To be constructed of--1,95..... .. Kind of foundation-AM.._.._-•----•---_--•----.----.._._._..._.._ Roof Covering_.....� ���....__._.._..
Estimated Total cast of improvements$-. '� r-=.•-_ .._-Amount of Permit $....._���. .--_......__....._.._-----------------_.__.---
Zone cubage required.__-. __ _. .,_,_-/-� --=.-.----i .Plan Cubage...._...__-----�_____._-.....__-........-..._.____.......................
Distance to next nearest building_.____�'L_s _.7�". .._. .... .Size of Building .
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 � :�'_�'__ » ............................--------
The undersigned apftt 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 Ceneral 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 subcontr , on ormed under this
permit, as are licensed by Miami Shores Village.
Remarks __-- (Signed)
STATE OF FLORIDA.
COUNTY OF DADE. ss'
e
Before me,the undersigned authority,a notary public,duly authorized to administer oaths and take acknowledgments, personally ap.
peared _ _ ___.._ _ _ -------•--
to we well known,
and who, gg by me first duly sworn, upon oath deposes and says that he is the.._.........................._................._..._........___.........._..._.._.._
tof the aboveherein bydescribeos Ghon, that he has carefully read the foregoing application, and that he did sign the same,and that all facts
him stated an true.
Permit No. __ Date.- Read,Sworn to and Subscribed before me.
Disapproved _ Date_
�- -- Notary Public,State of Florida
(Signed) _ --_.----..- -.-_ -------. ____._ . . .___...._ .__
Buil-�g Inspector My Commission Expires_..............................
_._
PLANNING BOARD.
Chairman .__._...__.. _ ___, .___ ,__. _ Member __._.._....................___.__._....
Member .__ __ ._.._.__ __.._ ._.. _ t .. _ Member
Member ......... __- __ __.. _.. _ �r __ Member _
Council Approved— _._Y_ _.____._ __ _+:.:..—Date Disapproved ----------_--------------------------------------------------------------Date
NOTE: A charge of $1.00 will be made for makingcorrections or changes to this application 4fter approval has been obtained from
the Planning Board.
A re-inspection fee of $1.00 will be charged when such reinspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
MIAMI SHORES VILLAGE ��
BUILDING INSPECTION DEPARTMENT Y-7"7
b121 1l✓
APPLICATION FOB BUILDING PEBJIT
Application is hereby made for the approval of the detailed statement of tlo plans and apps herewith.submitted for the building or other structure herein
described.This application is meds to compliance affil conformity with the Building M*oance of Miami Stam Village.Florida.and all provisions of the Laws of the
State of Florida.all ordinances of Miami Shares Village and all n•nles and regulation of the Building Divislon of Miami Shores Village shall be complied with,whether
herein specified or not.A copy of approved plans and specification must be kept at building during progress of the work.
Owner's Name and Address 1.00+4, X.�C"9W Na IA 160 Street/46f 103 -
Registered Architect and/or Engineer
Name and address of licensed contr�tor k
.1[�
legal description Location and tion of lot to be built on: 3oZ�
p
�! r
Lot/ Block Z& Subdivision ,�.ov�Lee7P 6I 'G ,',Wi _� s
Street and Number where work is to be done
State work to be done and purpose of building iby floors),state exterior colors(submit samples)
and for no other purpose.
New Building Remodeling Addition Repairs No.of Stories 7,
lb be constructed of Kind of foundation R000f,./Coovering
Estimated lbtal cost of improvements 8 wd�l Amount of Permit$ cy�ti
Zorn cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be home by each floor
I hereby submit all 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 budding permit does hereby certify that he understands and accepts his obligators as an employer of Labor u the Florida Workmen's
Compensation Act.being Section 6966.Compiled General Laws of Florida,Permanent Supplement.and has complied with the thereof.and will require similar
compliance from all contractors or sub-contractors employed by him in the work to be performed underrid will post cause to be posted for inspection
on the site of the work such public notice or notices as are required by the Act.The u only such tom on work to be performed
candor this permit,as are licensed by Miami Shores Village.
Remarks wigned)
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 cnnstr•uotion,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. Z f!2/S/ Date Bead.Sworn to and Subscribed before me.
Disapproved Date —
Notary public,State of Florida
!Signed(
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE:A charge of 826.00 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 826.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials andior workmanship.
rr—
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address t7AO �..-1 � Tax Folio
s
Legal Description &
Owner / Lessee / Tenant `4 Master Permit 0
Owner's Address Phone
�! Av u d Wbab Eo F'aau�a d
Contracting Co. +y�'?. Address 1752 �• Iaka►.��1 �� qtr a9as3S
Qualifier aM ES lI. U"d SPhone 3CZ• Z57-I RZS
State -AftZ4q Municipal # Competency Ins.Co.
Architect/Engineer Address
Bonding Co n Address
� Y
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL. PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN ,
WORK DESCRIPTION
Square Ft. Estimated Cost(value) aL5-00
o�
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO f44
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.
0 'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be ne in compliancwVith all applicable laws regulating construction and. zoning. Furthermore, I
au er'ze a ve con tactor to do the work stated.
Signature Q .Iatener And/or Condo President i ture of Contractor or Owner-Builder
Date: Orel
r ,
Notary as,todOwned a ONotary as to Contractor orOEM
My Comimiss""ion EAp re DEAtiNA JA FEE My Commission Expires: m m� J�� 4
NOTARY PUBLIC SPATE OF FLO1D p �V a D�L °
COMMISSION NO.CC335M s e ica
e �
Iff CO ION .1438 * * * * * * ►°off 305447 :-r
o2p�bded tV yp�e
FEES: PERMIT •RADON C.C.F. /r-!rV NOTARY
• ���dellttetto0 a
APPROVED: Fire Other
Zoning Building Electrical
Mechanical Plumbing Engineering
x ,'k+•ifi�fioba's
. tO1HEFEfkOC� ` "� "`"_ ' METROPOLIT•AN DADI C Wty?
METRO-DAbt"O ACC:ER BUILDING
BUILDING CODECOMPt.IANMDEP RTMENTA• " �' _�i E� ��5�itd 4` L ? ,;.,.�by � ���z+Cua � � � t��
-' c.rµ `b '` _ r• - - METRO-DADEFL7AGCER�BUIEdtki37.' '
' :A40..WES FLAGLEfV;SR�EET o
MI4 FLOR1Da4..3313CrIMA`
S
FAX,S305).,37529 8:.
�w a
PRODUCT CONTROL NOTICE OF ACCEPTANCE
Nord Bitumi Revised October 11,1993
600 Guy Paine Road
Macon, Georgia 31208-3678
Your application for Product Approval of Nord.Roofing Systems under Chapter 8 of Metropolitan
Dade County Code governing the use of Alternate Materials and Types of.Construction,and
completely described in the plans,specifications-and calculations as submitted by Nord Bitumi,has.
been recommended for acceptance by the Building Code Compliance Office to be used in.Dade
County,Florida under the Specific.Conditions set forth in pages 2 et s an the Standard
Conditions detailed on page 3.
ACCEPTANCE.No: 93-0210.4(R)
Gil Diamond,.RE.
Product Control.Division
Supervisor
EXPIRES: August 1, 1996
"PLEASE NOTE"
THIS IS THE COVERSHEET,SEE ADDITIONAL PAGES FOR SPECIFIC
AND GENERAL CONDITIONS.
This application for Product Approval has been reviewed by the Metropolitan Dade County Building
Code Compliance Department and approved by the Building Code Committee to be used in Dade
County,Florida under the conditions set forth above. -
APPROVED: NOV 0 8 19 9 3
Charles Danger,P.E.
Director.
Building Code Compliance Department
Metropolitan Dade County
• 4•
s �
Nordpoly
Specification Speo� a NP-101 Np-�
• ®®® ® 4c.' - *,.-per
Description Des
Nailable Deck-
Nal
No Insulation
Nallal
Acceptable Wood Decks Salim
��i1 ��iJrL'L1� Materials Ma
Appropriate Fasteners App"
Fiberglass Base Sheet Acca
(Nord Base Sheet, NBS, (Wh
p- Type G-2 ASTM 4601) Fibe
Nordpoly Membrane (No
Nord Approved Coat:'19 NBS
The General Recommendations and Application Procedures in this manual shall apply in O
(When Required)
-46
addition to the following recommended specifications. Deck should conform to Nord Nord
Bitumi U.S., Inc. general requirements.
Salle
1. Over the entire surface lay one or applications with mineral surfaced Nort
more plies of fiberglass base sheet Nordpoly see Page Al and Drawing
(Nord Base Sheet, NBS, Type G2, 0785-02.
ASTM D-4601). Lap each sheet 3"
(side and end laps) and mechani- 4. Apply coating over entire surface of
cally attach to roof deck in the roof and flashing as per coating
accordance with manufacturer's manufacturer's specifications
specifications. (smooth surface membrane only).
2. Starting at the low point of the roof
install one piy of Nordpoly mem-
brane over the entire surface
following application procedures for
Fully Adhered systems. All side laps
shall be not less than 4", end laps
not less than 6", and be fully
adhered and buttered.
3. See Drawing No. 0785-01 for
flashing details. For flashing and lap
n • JAI x •
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date J;;a*, ! Job Address Tax Folio
Je
Legal DescriiWon ITmrically Designated: Yes No
C51mm/Tenant �.Jo I lC.wyMasterPermit#
r'Ownes Address S4,oW-e Phone 3DB�✓a--s Od
Conuawng Co. /� Address
,
Qualifier SS# Phone
State# Municipal# Competency# Ins.Co.'
AmhitectiEngineer Address
Boudingtompany Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION A-Q-LX1eAl dA- d` -0/ante �Jl 1.�11� `IP
Square Ft. Estimated Cost(value) d
WARNING TO OWNER: YOU MUST RECORD ANOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO,SO MAY RESULT IN YOUR
PAYING TWICE FOR 0WROVEMENTS TO YOUR PROPERTY(IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hmeby 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 perfonned to meet the star An, of all laws regWating construction m this jurisdiction. I understand that separate permits are required for EL CnUCAL
PLUMBING,SIGNS,POOLS,ROOFING and MECHANICAL WORK
OWNERS AFFIDAVff: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
conshuction Furthermore,I authorize the above-named contractor to do the work stated.
�/-O?Y
S' odent Signature of Contractor or Owner-Builder Date
OF
No as to an or MW&jsfj Notary as to C tractor or Owner-Builder Date
My Commission Expires: pMUc::4ATE OF FLORIDA MY Commission Expires:
CONVAMION NO.CM4103
FEES: PERMIT RADON C.C.F. NOTARY BOND
APPROVED: q TOTAL DUE
61
Zoning Building Elechical
Mechanical Plumbing Shuchual Engineer
_v
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: OD /
OWNER'S NAME: tJa 'c, A PHONE: 3 cu-7.�-,ro
ADDRESS: /c 340
ADDRESS OF SITE:
CONTRACTOR& LICENSE (if applicable)
COMPANY NAME: PHONE:
All Elements on the site must be listed and indicate the color to be painted.
Walls
Fascia &.4i e 0
Drip Cap/Drip Ede Gv ti
0
0
Soffit
Roof A11Aoo Cn
Flower Binsti
it//r9
Shutters �'X;1A
Awnings �1
Chimney
Doors and door jams z
Garage Doors ,'
Railings
Fences r7 e
Decorative Metal A
All brick (simulated or irgular).
Stucco Banding i '
Any other stucco features 1//.l
Accessory Buildings
Other
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate
and that all work will be done in compliance with all applicable laws regulating
construction and zoning. I authorize the above-named contractor, if applicable, to
do the w k stated. Furthermore , the paint colors will be as per the attached
sampl
s as'v/
/. P
gnature of Owner D to Signature of Contractor Date
APPROVED: WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
Building Official Date 4/23/01
r PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date .. -o G Jab Address Tax Folio
111 32-01"G
l / Historically Designated: Yes
`O�a ae
/Tenant 1 ;e l �s' Master Permit#
Owner's Addmss-- _/.2 44 o .4Z f /y:� S Phone 7 S 7 §-0
g r! S't 11 9
Co. 4J �/J/cc �''��' '�- '-- Address 7 ®7 w / ! iY
&,-- Ss# - Phone
Stwe# G- ' Municipal# CmnDetenco Ins.Co.
Anchitact/Engineer Address
BondiugCompimy Adder
MMVW Address
Permit Type(drde one): BUILDING ELECTRICAL PLUMBING ME CAL ROOFING PAVING FENCE SIGN
r
WORK DESCRIPTION !1/ �- /000,0,
G
Square Ft Estimated Cost(value) f&O
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAUX=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 wmk 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.
O AFFIDAVIT-. I certify thffe the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
on and zoning. F I authorize the above-named contractor to do the work stated
rgnabue of and/or I�'�'�'- _ 1 Siinaie of Owner.Builciff
7— 1
Notary to Owner ar Date Notary as to Contractor or Owner-Builder Date
My Commission ARY MBIICSrAT&OF RDMA My Commission Expires:
COMMISSION NO.CC714103
COMM65ION MAP.1
FEES: PERMIT D RADON C.C.F.•NOTARY SO' BONDOC�
APPROVED: TOTALDUE
ZM* Electrical
Mechanical Plumbfi* S
• STATS OF FLORIDA PERT No.
>f�
DEPARTMENT OF HEALTH DATE PAID:
FEN PAID:
ONSITE SEWAGE TREATMENT AND DIS,'POSAL SYSTEM RECEIPT #_
CONSTRUCTION PERMIT �
CO STRUCTIONb PERMIT FOR tet.:
[ I New Sgstem [ Esistiag System G ] . Holding Tank �'� -= Innovative
[ ] Repa* [ "] Abandonment [ ] TemporaryAr
, [ ]
APPLICANT:
PROPERTY ADDRESS
LOTS � SLgCKs SUBDIVISION: oe
[SECTION, TOWNSHIP. .RANGEr PARCEL NUMBER]
.: PROPERTY ID #: [OR TAX ID NUMBER].
SYSTNM`KUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065,
F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SAFTISFACTORY
PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED,AS A
BJWIS FOR ISSUANCE OF THIS PERMIT, REQUIRE TER APPLICANT TO MODIFY THE PERMIT APPLICATION
SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AM VOID. ISSUANCE OF THIS PERMIT
DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING
REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
AT
SYSTEM DES AND SPECIFICATIONS
T [ � GALLONSP TIC T /AEROBIC UNIT CAPACITY MULTI-CHAMBERED/IN-SERIES I, l
A I ] GALLONS / GPD CAPACITYMULTI6.CHAMBERED/IN-SERIE9 I-� ]
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANKs 1250 GALLONS]
GALLONS DOSINGANK CAPACITY [ ] GALLONS ® [ ] DOSES PER 24 HRS # PUMPS I ]
, S ,+st.'�rt ai 40
D [ l SQUARE FEET PRIMARY DRAINFIELD SYSTEM _
R L ] SQUARE FEES SYSTEM
_ A TYPE SYSTEMS [ �I STANARD L ] FILLED [ ] MOUND I ]
I CONFIGURATION: [ ] TRENCH [ BED
N
F .LOCATION OF BENCHKARK: .' ( € � fi
I ELEVATION OF PROPOSED SYSTEM SITE E°2' 41 ] [ 3/FT3 [ABOVE BEL-*j-BENCHMARK/'REM==CZ 80I
E_ BOTTOM.OF DRAINFIELD TO BE [4,z-- l /FT] [ABOVV 8FLTl j BENCHMARKIAEFERENCE P0I0
D FILL REQUIRED: [ ] INCHES EXCAVATIONQUIRED: [, i INCHES
MSTALf OF LOAD COAM 9MD
0 I-INnER OOTTON OF ORAINHO 0
T
H IMMET
N EL W- 41101-
BOTTOM OF OW."]F LO ELE`IATI
R
FERMERG OF CAVAPU'63 AREA SKML R
UNDER M51 LONGER TM]WE
SPECIFICATIONS BY: PROPOSE®A08 aPT[O(t� ® ,1� 9H TRENCH
APPROVED BYs ITLN: �''' ..�--�' t ®
DATE ISSUED s '> ? EXPIRATION DATE:` - '
ea
DH 4016, 12/99 (Page 1) (Previous Editions May Be Used) Page. L of 3
pL 1 Health Department
pt.l Appllcant
pt. :Ingtalle;lCont[actor-
Tt-4;Building Department.
1
1 j
p
raww 4N+tl+�►�''�"rl�4�i�M��IM�f. ' �
t
colowtierm-
�Ih 2t
- l -
im
M
r
a
$ fit' '' t'���� ' ,� "�.• f ��:.
-
!lPPRQYED8Y1 �'Rr�tli� tt }l �+MM
y J y Sr
p S 4 •
:
4 STATE OF•FLORIDA PERMIT
DEPARTMENT OF HEALTH
ONSITE SEWAGE DISPOSAL SYSTEM
c� SITE EVALUATION AND SYSTEM SPECIFICATIONS
Was
APPLICANT: "'�� .� AGENT: 6f 4®®_ l(r f 0
LOTS- -`✓ BLOCK: SUBDIVISION:'
G a ' e-
PROPERTY ID #: [ ct f pwnssh pt s (P,jr o. or Ta umber)
4
TO BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLO , 0 OTHER QUALIFIED PERSON. ENGINEER'S MUST
PROVIDE REGISTRATION NUMBER AND SIGN AND SAL E ` CH AGE OF SUBMITTAL. COMPLETE ALL ITEMS.
sa--==aaaaaaaaaaaaa=apataaaaaa=aaaaaa —===aaaaaaaaaaaaaaaaaaaaaaaaaM�aaaaaaaaMaaa----as--x�:
PROPERTY SIZE CONFORMS TO SITE PLAN: [ ] YES ( ] NO NET USABLE AREA AVAILABLEt ®i ACRES
TOTAL ESTIMATED SEWAGE FLOW: :70 ® GALLONS PER DAY [RESIDENCES-TABLE 1 / OTHER-TABLE 2]
AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [1500 OPD/ACRE OR 2500 GPD/ACRE)
UNOBSTRUCTED AREA AVAILABLE: G 0 SQFT UNOBSTRUCTED AREA REQUIREDt .047 SQFT
BENCHMARK/REFERENCE POINT LOCATION: ,�. It. g
ELEVATION OF PROPOSED SYSTEM SITE IS 2 5f- [INC 9/FT] [ABO W ENCHMARK/REFERENCE POINT
. THE. MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE. FOLLOWING FEATURESs
<_ SURFACE WATER: _ /I/ O FT DITCHES/SWALES: _ tf-"G FT NORMALLY WET? ( jy YES [ ] NO
WELLS: PUBLIC: s FT LIMITED USE: FT PRIVATE: FT NON-POTABLE: FT
BUILDING FOUNDATIONS: _ FT PROPERTY LINES: S FT POTABLE WATER LINES: FT
SITE SUBJECT TO FREQUENT FLOODING: ( J YES (4"NO 10 YEAR FLOODING? J YES [G]10
10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: d/ FT MSL/NGVD
`SOIL PROFILE INFORMATION SITE I d (t SOIL PROFILE INFORMATION SITE 2
Munsell E Co or Texture Depth Munsell #/Color Texture Depth
oto p J? ®, to
to
to to
to to
-to
„ to
to =;I �' 41 wy oto
to j// to Z
to to {
to to
USDA SOIL SERIES: `� t „' USDA SOIL SERIES: r
`s
OBSERVED WATER TABLE: INCHES [ABOVE j BELOW] EXISTING GRADE. TYPEi PEACHED / APPARENT]
ESTIMATED WET SEASON WA TABLE ELEVATION: INCHES i 'EXISTING GRADE.
HIGH WATER TABLE VEGETA ION: [ ] YES [ NO MOTTLING: [ ] YES [ ] DEPTH: -Z,9 INCHES
SOIL TEXTURE/LOADING.RATE FqX SYSTEM SIZING: G DLPTE OF EXCAVATION: INCHES
DRAINFIELD CONFIGUR; "TTX ] TRENCH [ BED [ ] OTHER '
(,SPECIFY)
REMARKS/ADDITIONAL CRITERIA:'
SITE EVALUATED BY: Ju DATE -Q�
I
Page 3 of 3
DH 4015,10!88(Replaces HRS-H Form 4015(Page 31 which may be used)
(Stock Number: 5744-003-4015-1)
INSTRUCTIONS: a
-PERMITNUMBER: Permit tracking number by County Health Department
APPLICANT: Property owner's full name.
AGENT: 9 Property`owPer's legalay authotized representAve.
LOT,BLOQQ,-SUBDIVISION? ® .Lot,-blgckZand subd IoMforio�-<
PROPERTY ID NUMBER: 27 character number for property (property.appiaiser-11)number o7 section/to4vahiptrauge/pIrcel number).
PROPERTY SIZE: Check if propertr:at site conforms to submitted site plana Records net usable aroaavailable-lot area exclusive of
all paved areas and prepared road"beds within public rights-of--way:or,
yasements and exclusive of streams,lakes,.,
normally'wet drainage ditches,marshes,or other such bodies of water."
SEWAGE FLOW: Record the estimated sewage flow for the establishment frons Table I (residence)or`Table"2(non-residential),
Chapter I OD-6,FAC. Record the authorized sewage fiow'for the lot based on net usable area and water su#0 y
(1500 gallons per day per acre for private water supplies aDd 2500 gpd per acre for public water supplies). If
authorized sewage flow does,not equal:or exceed the estimatea_sewage flow,the application must be denied.
UNOBSTRUCTED..ARE)�:, Record the s44,are feet of unobstructed area available and the amount required..-Unobstructed area must beat
least times as:large as the dralnfeld absorption area and at-least 75 percent of�e.unobstructed area must meet
-minimum setbacks In Chapter 106-6,FAC.,The unobstructed area must be contiguous to the drainfield
BENCHMARK INFORMATION: Record the location of the benchmark. If using a.surveyor's benchmark record the actual elevation. Record the
elevation of the proposed system sate in relation(above or below)to the benchmark.
MINIMUM SETBACKS: Record minimum setbacks which can be meet to all listed features. 'Actual measurements must-be recorded or
"NA"for nonapplicable features. Features on site plan,or within 75 feet of the applicant lot must be measured.
_ The location of any public drinkingwvell within 200 feet of the applicant's lot must also be verified.
FLOOD INFORMATION: Record information on lot's subject to flooding. For lots subject to flooding record 10 year flood elevation*for
site and.actual,site elevation:
SOIL PROFILE INFORMATION,,, ' Two soil profiles within the proposed absorption area,to a minimum depth of 6 feet or refusal are required. Soil
identification will use USDA Soil Classification methodology(Munsell colors and USDA soil texture$).. Refusals
must be clearly documented. Provide USDA soil series if available,record"UNIc"if the series.cannot be ,
determined.
WATER TABLE: Record the depth of the observed water table at the time of the evaluation. Mark:perched"or"apparent"-as
appropriate..Record the estimated wet season water table•-el6yation bi sed on site,evaluation,'USDA'soil maps,
and historical information. Indicate if there is high water table vegetation present:,Indicate if mottling is present
_ and depth'.:
SOIL TEXTURE: Record soil texture or loading rate for system sizing.
DEPTH OF EXCAVATION: If applicable record depth of excavation required. Record"NA"if not applicable.
DRAINFIELD CONFIGURATION: Check drainfield configuration.required. If other,specify type..
ADDITIONAL CRITERIA: Record any additional remarkspertinent to site or installation. Ex. dosing'required..
SITE EVALUATED BY: Signature-ofevaluator,title,and;date of evaluation. Professional englneers'must seat all documents:submitted.
ELEVATION WORKSHEET ELEVATION OF BENCHMARK/REFERENCE POINT IS:
BENCHMARK SITE I SITE 2 SITE 3
[+]SHOT H.I. H.I. H.I.
1
H.I. L ]SHOT [ )SHOT J-1-SHOT
I
Mill - o -
■■■I■■11������'��■r1■■■r■■■■■1■1■■■lir■■
4 STATE OF FLORIDA PERMIT #
4°
DEPARTMENT ,OF HEALTH DATE PAID -�-�
ONSITE SEWAGE DISPOSAL SYSTEM FEE PAID
APPLICATION FOR- CONSTRUCTION PERMIT"-, RECEIPT ,#
Authority: Chapter 381, FS & Chapter 1OD-6, FAC
van
APPLICATION FOR:
,[ ] Now System [ /I Existing System [�] Holding Tank [ d-�Temporary/Experimen "
t&T
[ ] Repair [�} Abandonment (d] Other(Specify)
a
APPLICANT: TELEPHONE: G
AGENTS - L ;
MAILING ADDRESS:
TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. ATTACH BUILDING PLAN AND,TO-SCALE
SITE PLAN SHOWING PERTINENT FEATURES REQUIRED BY CHAPTER 1OD-6, FLORIDA ADMINISTRATIVI /CODE.
aaoaaa==000a=e=aaaca=sass====a=Baa======aaa�o=== -- -- aa�a�aaaa�=aao===
PROPERTY INFORMATION (IF LOT IS NOT IN A RECORDED SUBDIVISION, ATTACH LEGAL DESCRIPTIO OR DEEDJ_
LOT: BLOCK: SUBDIVISION: J �� r•, DATE OF t
�- SUBDIVISION:
PROPERTY ID ,$: (Section/Township/Range/Parcel No.] ZONING:
PROPERTY SIZE: ACRES [Sgft/43560] ,. PROPERTY WATER SUPPLY: [ ] PRIVATE [`�. '] PUBLIC
PROPERTY STREET ADDRESS:-
DIRECTIO 8 TO PROPERTY: dZ
1
BUILDING INFORMATION RESIDENTIAL [ ] COMMERCIAL
y
Unit .Type of No. of Building # Persons Business Activity
To Establishment Bedrooms Area Saft Served For Commercial Only
Al
3
( 4
( ] Garbage.Grinders/Disposals [ ]: Spasfbot Tubs [ ] Floor/Equipment Drains
( ] Ultra-low Volume Flush Toilets [ ] Other (Specify)
i
APPLICANT'S SIGINATURE. DATES LA,
II.
DH 4015,10195(Replaces HRS-H Form 4015[Page 1]which may be used) Page 1 Of 3
(Stock Number. 5744-001-4015-1) 1
INSTRUCTIONS:
APPLICATION FOR: Check type.of permit,if"Other'specify type in bleak. s-
APPLICANT: Property ownq's full name.
TELEPHONE: Telephone number for applicant or agent.
AGENT: Property owner's legally authorized representative.
MAILING ADDRESS: P.O.box or street,city,state and zip code nailing-address for applicant or agent.
LOT,BLOCK, Lot,block,and subdivision for lot(recorded or unrecorded subdivision). If lot is not in a recorded subdivisioa;a copy of the lot
SUBDIVISION: legal description or deed must be attached.
DATE OF SUBDIVISION: Official date of subdivision recorded in county plat books(month/day/year)or date im orignaapy recorded. Dividing an approved
lot into two or more parcels for the purpose of conveying ownership shatl be considered a subdivision of the lot. -
PROPERTY IDd: 27 character number for property. (Health Department may require property appraiser!D#or section/township/range/parcel number.)
PROPERTY SEZE: Net usable area of property in aeras(square footage divided by 43,3W square feet)exclusive of all paved areas and prepared road
r.beds within public rights-of way or easements and exclusive of streams,lakes,normatly wet drainsge ditches,Vis,or other
such bodies of water. Contiguous unpaved and noneompacted-road rights-of-way and easements is with no subsurface obstructions
may be included in calculating lot area:
WATER SUPPLY: Check private or public.
PROPERTY ADDRESS: ;Street address for property. For lots without an assigned street address,indicate street or road and locale in county.
DIRECTIONS: Provide detailed instructions to tot or attach an area map showing lot location.
BUILDING INFORMATION: Check residential or commercial.
TYPE ESTABLISHMENT: List type of establishment from Table II,Chapter 10D-6,FAC. Examples: single family,single wide mobile home,restaurant,
_ doctor's office.
NO.BEDROOMS: Count all rooms designed primarily for sleeping and those areas expected to routinely provide sleeping accommodations for
occupants.
BUILDING AREA: Total square footage of enclosed habitable area of dwelling unit,excluding garage,carport,exterior storage shed,or open or fully
screened patios or decks. Based on outside measurements for each story of structure.
p PERSONS: Number of persons residing,using,or working in establishment. For residential establishment,2 persona per bedroom aro
assumed.
BUSINESS ACTIVITY: For commercial applications only. List number of employees,shifts,and hours of operation,or other information required by
Table U.Chapter 10D-6,FAC. ;
FIXTURES: -- Mark each listed fixture with-number installed or*NA'if not applicable. _
SIGNATURE: - Signature of applicant or agent. Date application on day submitted to Health Department with appropriate fees-and attachments.
ATTACHMENTS:- A site plan drawn to scale,showing boundaries with di ons,locations of residences or buildings,swimming pools,recorded
easements,onsite sewage disposal system components and location,slope of property,any existing or proposed wells,drainage
features,filled areas,obstructed areas,and surface water. Location of wells,onsite sewage disposal systema,ice asters,and
other pertinent facilities or features on adjacent property,If the features an with 73 feet of fle applicant-lot. Location of any
public well within 200 feet of lot.
For residences,a floor plan(residences)Mowing number of bedrooms and building area of each unit.-For nonresidential
establishments,a floor plan showing the square footage of the astablishm a t,all plumbing drains and fixture types,and other
features necessary to determine composition and quantity of wastewater.
MIAMI SHORES VILLAGE, FLORIDA
BUILDING 1-1 DATE 195
ELECTRICAL ❑ PERMIT N° 9869 Contractor's
PLUMBING F-1 License No. _
Work to be performed under this Permit
Owner of
Building
Architect
-ontractor
or Builder
Subdi-
Legal Lot 131. vision
Description.
Address of Value of Amt. of
Building Project $ II Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
J.
Signed: BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ DATE 195
ELECTRICAL ❑ PERMIT N° 9 819 Contractor's
PLUMBING ❑ License No. _
Work to be performed under this Permit
Owner of
Building
Architect
-ontractor
or Builder
Subdi-
Legal Lot I 131. vision
Description.
Address of Value of Amt. of
Building 4Project $ 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
i
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ DATE 195
ELECTRICAL
❑ PERMIT N° 9804 Contractor s
PLUMBING
F-7-1
License No.
Work to be performed under this Permit
Owner of
Building
Architect
j Contractor
or Builder
Subdi-
I Legal Lot II Bl. vision
Description.
Value of Amt. of
Address of
Building Project $ I Permit $
i
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
C granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed: BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility, for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ DATE_ 195-
ELECTRICAL ❑ PERMIT N0 15004 Contractor's
PLUMBING ❑ License No.
ROOFING ❑ Work to be performed under this Permit
Owner of
Building _
Architect
Contractor
or Builder
Legal LotII gI Subdi-
Description. vision
Address of Value of Amt. of
Building Project $ Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed:— BY—
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ DATE 195
ELECTRICAL ❑ PERMIT N? 141.7 8 Contractor's
PLUMBING ❑ License No
ROOnNG ❑ Work to be performed under this Permit
Owner of
Building _
Architect
-ontractor
or Builder
Legal Lot II BI, Subdi-
Description.
vision
Address of Value of Amt, of
Building Project $ Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
r
Signed: t ' BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
MIAMI SHOPES VILLAGE, FLORIDA
BUILDING ❑ DATE. 195
ELECTRICAL ❑ PERMIT N? 14270 Contractor's
PLUMBING ❑ License No. _
ROOFING ❑ Work to be performed under this Permit
Owner of
Building
Architect
-ontractor
or Builder-.---
Legal
uilder_ _Legal Lot II BI. Subdi-
Description, vision
Address of Value of Amt. of
Building Project $ Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above, assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed: — BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ DATE 195
ELECTRICAL ❑ PERMIT N° 14045 Contractor's
PLUMBING ❑ License No. _
ROOFING ❑ Work to be performed under this
Owner of
Building-----
Architect
uilding_ __Architect --
-ontractor
or Builder --
Legal Lot II BI, Subdi-
Description vision
Address of Value of Amt. of
Building Project $ Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed: — BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ DATE---- 195__
ELECTRICAL ❑ PERMIT N? 14116 Contractor's
PLUMBING ❑ License No.—_ __
ROOFING ❑ Work to be performed under this Permit-----------
Owner
ermit—________Owner of
Architect
-ontractor
or Builder--------
Legal
uilder_ _____Legal Lot II BL Subdi-
Description vision
Address of Value of Amt, of
Building Project $ Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
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 ,
M �❑
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑
DATE 195
{ ELECTRICAL ❑ PERMIT N° 10121 Contractor's
PLUMBING ❑ License No. _
Work to be performed under this Per
Owner of `
Building
Architect
-ontractor
or Builder
Subdi-
Legal Lot II Bl. vision
Description.
Address of Value of Amt. of
Building f" Project $ II Permit $
�.
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements sir 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 alliwork done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
` MIAMI SHORES VILLAGE, FLORIDA
BUILDING DATE a_f"". 195
ELECTRICAL ❑ PERMIT IV? 11871
Contractors 1`
PLUMBING ❑ License No
ROOFING ❑ Work to be performed under this Permit
Owner of
Building L' _ y.. ,r<,r {,, 0 je_
Architect
Contractor < ,.»
or Builder f
Legal Lot II Bl, Subdi-
Description vision
Address Of s ',� Value of r'-C< Amt. of
Building Project $ Permit $
i
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 app plication
herefor in strict compliance with all ordinances pertaining thereto and with the undfzstanding 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 itesponsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed:
INSPECTOR
In consideration of the issuance to me of this permit I agree to perfointhe work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER ��- BY AUTHORITY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ DATE_ " " - "' 195
ELECTRICAL ❑ PERMIT W? 13427 Contractor's
PLUMBING ❑ License No.
ROOTING ❑ Work to be performed under this Permit
Owner of
Building ---�''
'j Architect
-ontractor
or Builder
Legal Lot Bl. 8ubdi-
j Description I vision _
I
Value of
Address of (7Amt, of
I Building Project $ A�—�/ I) Permit $ '
i
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
fgranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
i pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
i ..
Signed: ! �vie j` 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.
i
CONTRACTOR OR BUILDER BY AUTHORITY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ DATE 195
ELECTRICAL ❑ PERMIT N? 13497 Contractor's
PLUMBING ❑ License No.
ROOFING ❑ Work to be performed under this Permit
Owner of
Building
Architect
-ontractor
or Builder
Legal Lot 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: "" .' " ' 'y
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
i
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ DATE 195
ELECTRICAL ❑ PERMIT W? 13660 Contractor's
PLUMBING ❑ License No
ROOFING ❑ Work to be performed under this Permit
i Owner of
j Building
i
Architect
-ontractor
or Builder
Legal Lot I Bl. Subdi-
Description,
vision
Address of Value of Amt. of
Building Project $ Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
jgranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
Y pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
i
Signed: BY
INSPECTOR
i
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
i
i
w CERTIFICATE OF OCCUPANCY
' MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N? 1042
Miami Shores Village, Fla.,
Owner, Agent or Tenant of Building
Lot Block Subdivision
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
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 1755
Miami Shores Village, Fla., 3 � _
Owner, Agent or Tenant of Building
I
Lot ` Block— %6 Subdivision
Street Address '0-U
Approved use by occupancy
Remarks: +
This Certificate of Occupancy is issued to the above named_ A '1t I,
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 os 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 SHORE VILLAGE, FLO ID_ ,
BUILDING
ELECTRICAL ❑ DATE— —195
PLUMBING ❑ PERMIT N ��, fir' } r� � . Contractor's
ROOFING ❑ a' 4 = License No. _
— ❑ Work to be performed under this Permit-------
Owner
ermit____------Owner of
Building --- ---- ---- --– ----
Architect
Contractor
or Builder
Legal Lot I Subdi-
Description — Bl. vision
Address of Value of Amount of
Building _ I 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 ac-
cepting 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.------ - -------- 19—=
ELECTRICAL ❑ PERMIT
E R M i N9 6755 Contractor's
PLUMBING ❑ License No. —
ROOFING ❑
Work to be performed under this Permit—_--
Owner of
Building
Architect
Contractor
or Builder
Legal Lot Subdi-
Description — ___ _ Bl. vision
Address of Value of Amount of
Building Project S _—_ Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed: — _ INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In 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 ,v
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
DATD_ 19
ELECTRICAL ❑ PERMIT
PLUMBING ❑ U s 5 Contractor's
License No.
ROOFING
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal Lot Subdi-
Description — Bl. vision
Address of Value of Amount of
Building _ Project S Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed: _ _INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac,
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY Bear
MIAMI SHORES VILLAGE, FLORIDA
BUILDING Q DATE " x zA 19 &4
ELECTRICAL
PLUMBING ❑ PERMIT N 6635 ` + Contractor's
ROOFING ❑ License NO.
❑ Work to be performed under this Permit��'_ r � `
Owner of
Building
Architect ' ----- -
Contractor
or Builder
Legal Lot subdi_
Description — — # _-- Bl. vision
I
Address of " Value of - I Amount 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 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:_&) F� �' INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances artd 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 oaar 'p
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ DATE__.- 19
ELECTRICAL ❑ PERMIT
PLUMBING ❑� N U 6636 Contractor's
ROOFING ❑ License No. —
❑ Work to be performed under this Permit._____
Owner of — —
Building _--_-
Architect _ ---- -- ---------- — --- -
Contractor
or Builder
Legal Lot �' Subdi-
Description _ Bl. vision
Address of Value of Amount of
Building Project $ �, Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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: _._ �r_z_•} INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinance9'cmd.reggJations
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 A6.0,
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ DATE_ 6 is
PLUMBING EICAL ❑ PERMIT
N p 6646 Contractor's
LJ r G
❑ License No.
ROOFING
❑ Work to be performed under this Permit-
Owner of f
Building 'J, — -
Architect _--
` Contractor
or Builder f 7L
Legal Lot I Subdi-
Description _--__—.-_--___. Bl. vision -
Address of . ; t � Value of �I, Amount of ) �;,✓
Building 1 r' 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: INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance.with all ordfr61ncer 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 asset ,
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑ DATE- T-- 19—=
ELECTRICAL
PLUMBING PERMIT N0 6704 Contractor's
�. License No. -
ROOFING ❑
❑ Work to be performed under this Permit----
Owner
ermit—Owner of
Building '----- --__ -- - - ----- -
.:
Architect
Contractor
or Builder -
Legal Lot II Subdi-
Description —_ _____ - Bl. vision
Address of Value of Amount 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 applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed: -_ ___ INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances amd 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 -0T --e
"Village of Miami Shores N° 4653
JOB
ADDRESS
INSPECTION w d —
TIME READY
REMARKS
E
I
I
I
I
I
INSPECTOR DATE - •�
I
I
I
Village of Miami Shores N° 4846
j JOB
ADDRESS
I —
I INSPECTION
j TIME READY 3 `3
REMARKS -
I e . `f`n f a
I �}
I �R �J,z.-a. a.,✓C�
I
I
I
I INSPECTOR DATE 5'_ Z3
I
I
A
cl,�
Village of Miami Shores N° 4874
JOB 7-- z
ADDRESS � Z `` A'
INSPECTION �-f��''�4 C �..� SEA? �-
TIME READY F 0
REMARKS
INSPECTOR DATE
ADDRESS 1240 N. E. 103 St. LEGAL Lot {#1 B1#186-13ay Breeze RECORD GARBAGE TAX
�1PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT
,V.O• 1042-1-30-51 NUMBER
A., T.. TYREE 1951 $12- 00 12-31-_51 $12.00 1-10-51 16129
OWNER'S NAME - I PRESENT ADDRESS LICENSE NO. PHONE "J.
A.T. Tyree
JOB LOCATION (ST. OR AVE.) LOT BLOCK SUBDIVISION
1240 N.E. 103rd St. _ 1 I 1£36 I Bay Breeze
GENERAL CONTRACTORI ADDRESS I PHONE NO. I LICENSE NO.
P & A Swimming Pool
f-� /q.,,,-,PUILDER'S BOND
BUILDING PERMIT NO.
130427 7-8-_5252 PERMIT FEE $ " .00 NO. 15$ DATE
ZONE REQUIREMENTS CU. FT. PLAN CUBE '.$1jOO Tax W? e EST. COST $ -ti"IL: Gr
DAC'T E
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:
TYPE STORIES I ROOF CONSTRUCTION I INTERIOR CONSTRUCTION
NEW CONSTRUCTION
DESCR IPTI ON
S'i9IPMING POOL
REPAIRS
ALTERATION I DESCRIPTION
ADDITION
APPROVED REJECTED REFERRED TO COUNCILI REASONS
SUBMITTED TO PLANNING BOARD
RE-SUBMITTED TO PLANNING BOARD
REMARKS
SUBMITTED TO VILLAGE COUNCIL
I r�JJ l /4 ' '� 7 n. ...�`.
CERTIFICATE OF OCCUPANCY NO. ISSUED-t �: J BY I ; TO 0n
BUILDING PERMIT AND INSPECTION RECORD-MIAMI SHORES VILLAGE
BUILDING INSPECTIONS
INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY
FOUNDATION 'J
BEAMS&LINTELS
FRAMING
FINAL
CLEAN-UP
PLUMBING PERMITS & INSPECTIONS
CONTRACTOR PHONE �)
PERMIT NO. DATE - FEE $ U
NEW BLDG. I ALTERATION I ADDITION REPAIRS
SPECIAL PERMITS PERMIT NO. DATE E
TEMPORARY SERVICE $
SEPTIC TANK S
SEWER $
SOLAR HEATER $
GAS $
INSPECTIONS DATE BY RE-INSPECT BY RE�-INSPECT BY
ROUGHING
GAS
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES
ELECTRICAL PERMITS & INSPECTIONS
_CONTRACTOR I A, O-e PHONE
PERMIT NO. r! DATE FEE $
NEW BLDG. I ALTERATION ADDITION REPAIRS
SPECIAL PERMITS PERMIT NO. DATE FEE
TEMPORARY SERVICE $
H. W. HEATER CONN. $
RANGE CONN. $
MOTORS $
FIXTURES $
INSPECTIONS DATE BY RE-INSPECT BY RE-INSPECT BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES&FINAL
APPROVAL TO POWER CO.FOR SERVICE DATE BY
.X
Village of Miami Shores N° 4806
JOB 5,4?-
ADDRESS .4?-ADDRESS
INSPECTION T•J 41a
TIME READY
REMARKS P o
INSPECTOR DATE
Village of Miami Shores N° 4706
JOB A T c F
ADDRESS
INSPECTION
TIME READY
REMARKS
vie,
I INSPECTOR DATE Z2'4Z
f
I
I
A ,yTj
T
Villave of Miami Shores N° 4545
li
JOB �w
ADDRESS-
INSPECTION-
TIME
DDRESS INSPECTION_TIME READY S f:&&.2
REMARKS
INSPECTOR DATE
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
NY 1604
Miami Shores Village, Fla.,
Owner, Agent or Tenant of Building �3 (!
Lot Block Subdivision
Street Address 1 'a -4
Approved use by occupancy
Remarks:
This
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 Ps the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection,,construction, alteration or remodeling of buil ings or structures.
j a o p --j'&4 V
BUILDING DIVISION