1205 NE 91 Terr (11)MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date Oct. 9, I 62
Owner's Name and Address Mr. L. Shenkel No 1205 Street ' 91ST '!'Crr.
Registered Architect and /or Engineer
Name and address of licensed contractor Miallii Shores Electric Co.
Location and legal description of lot to be built on:
Lot Block Subdivision
1205 N.E. 91st° Tarr.
Street and Number where work is to be done
State work to be done and purpose of building (by floors) 3 _ /l ___ton a ed Universal Air Conditioner
1/2____ ,_ana_..U.s_ed___Remington Air Conditioner ® In Window
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 $ 150.00 Amount of Permit $ 4
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection o the site of the work such ublic notice
or notices as are required by the Act. The undersigned agrees to employ only such sulk ntractors on w.rk to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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 A Read, Sworn to and Subscribed before me.
Disapproved
( Signed)
Building ' pector
Chairman
Member
Member .....
PLANNING BOARD DATE
to me well known,
Notary Public, State of Florida
My Commission Expires
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.
BUILDING INSPECTION DEPARTMENT
PPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date
�/ Name and Address.. ew-- e -
No / Street
Registered Architect and/or Engineer... _
Name and address of licensed contractor_ G gc-
Location and legal description of lot to be built on:
Lot Block Subdivision._
Street and Number where work is to be done
Remarks
STATE OF FLORIDA,
COUNTY OF DADE. SS.
Before me,
peared
Chairman
Member
Member .
Council Approved
MIAMI SHORES VILLAGE
Date
4C
‘i
ding nspector
te
State work to be done and purpose of building (by floors)_
old‘l_f
New Building Remodeling Addition
To be constructed of Kind of foundation.
G e:
Estimated Total cost of improvements $ Amount of Permit $
Zone cubage required _Plan Cubage_
Distance to next nearest building._ Size of Building Lot
Maximum live load to be borne by each floor__
II hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may
be sent to__. _
. c.
(Signe
•
and for no other purpose.
Repairs No. of Stories
The undersigned applicant for this building permit doc hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen s Compensation Act, being Sec:ion 5966, Compiled General Laws of Florida, Permanent Supplemert,
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 inspec ion 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 tors, mn �1ttp be performed under this
permit, as are licensed by Miami Shores Village.
undersigned authority, a notary public, duly authorized to administer oaths and take ac'(howledgments, personally up-
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 / A c „,
Disapproved
(Signed) ...6W
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires.
PLANNING BOARD__ DATE
Member
Member
Member
_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 re-inspection fee of 51.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
Date
Date /:-C
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 9 / Tax Folio / "-• 4 . 1 (' S °� c
Legal Description / /J / ��� I 1-c / � lr� C f . <.!',; // �: j ,4-7.2 7 ,) I // /ell f e.4 ,
�✓ s s /' ' /
Own /
e / Lessee / Tenant e i -;v Master Permit # 4; -3
Owner's Address
Contracting Co. :A, y'),
Sign
Date :J
Notary as to Owner and
My Commission Expires:
APPROVED:
Zonin
Mechanical
re of owner and /or Condo President
67/7/V
ARY SEAL
OAP 7e <i BARBARA ANN FUGAZZI
" i i '' COMMISSION NUMBER
AO 4 Q CC360191
** * * * * 7 � 4 * q M COMMISSI E P
`�OF f. MAR. 29,
FEES: PERMIT 1 ) RADON C.C.F. l E
* *
Fire
Building
Plumbing
Phone ?t " - f- —
Address /:3 'YS` / / , o��'. /� //• .�r.�
Qualifier-Q:01-'1 / f 00,5(4, SS# _ Phone s
State 'f Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBINGCMECHANICFING PAVING FENCE SIGN
WORK DESCRIPTION /6 49444/ 4/.4 47.o/
Square Ft. Estimated Cost(value) ' � °% cif
fc
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the ab a -named contractor to do the work stated.
(
ure of Contrad'to
or Owner- Builder
/kite; ' 4
Notary s't• Contr .. ;1FWVIOL �
IMqr
My Commission Expi es: r
• i g ZS t ` : U. NC., 1 ' 7 i
NOTARY TOTAL DUE ) 1 r
Other
Electrical
Engineering
•
different date is specified)
STATE OF FLORIDA, COUNTY 07 DA E
/41:2 G' ^ '1: t' ° c;# 4::', fru;/ c of ir:o
- :0 1'30.
Interest in property:
Name and address of tee simple titleholder:
((Lei<
Signat/ a of Owne1
Prin Owners Name
Sworn to and subscribed before me this
Notary Public
Print Notary's Name
My Commission Expires:
AP,
r
1
NOTICE OF COMMENCEMENT
day of . 19_- -•
PERMIT NO. TAX FOLIO NO. 1 / — 32 cJ r 00/ / v
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1.,Legal description of property and street address: 4.1/� / ki, 5 #1----/7"7./of /074- 7.
2. Description of improvement: 77.; /! // y ; /„
3.Ouvner(s) name and address:
/406 .:1 /b ,mac/ JA4.2 y J; 4
/J C9 4/ 1 G
t O
94R264245 1994 JUN 01 15:16
,/
4. Contractor's name and address: TRINITY AIR CONDITIONING CO. ,
INC.
13335 S.W. 88 AVENUE — MIAMI FLORIDA 33176
5. Surety :(Payment bond required by owner from'.cPntractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owner designates the following pe to receive a copy of the Lienor's Notice as provided in
Section 713.1 s(i )(b) Florida Statutes
Name and address:
9. Expiration dale of this 1s Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
, P( OFFICIAL NOTARY SEAL
0 '1c,( <. BARBARA ANN FUGAZZI
-. - * COMMISSION NUMBER
7 <4, QV? O
MY COMM SSION EXP.
F F fUI`r AIR
CONDITIONING CO., INC.
Address: C/O VERLINE MOORE
13335 S.W. 88 Avenue
Miami, Florida 33176
12101.52 2/93