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1241 NE 91 Terr (10)Owner's Name and Address._ Registered Architect and /or Engineer 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. Name and address of licensed contractor �- / Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done i , ,-,../7 l ' — ..-_� State work to be done and purpose of building (by floors) » r Date , 19 No Street and for no other purpose. New Building �; ._..,Rernodefing Addition Repairs No. of Stories To be constructed or?" ` ' v " " - "Kind of foundation Roof Covering 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 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 J .. , �, , , : . � The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup` ement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. / / Remarks (Signed) .ice STATE OF FLORIDA, 1 ✓ _ -,7,-. COUNTY OF DADE. i ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No /(,.., Date Rea Sworn to and Subscribed before me. Disapproved .1 Date (Signed) �� % ' ' " t Building Inspector Notary Public, State of Florida My Commission Expires PLAN NG 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 heen 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. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami 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 contractor L/,1 7 09 - 4.9 Location and legal description / criptiioon of lot to be built on: .g/ �f1K Street and Number where work is to be done State work to be done and purpose of building (by floors), state exterior colors (submit samples) A A((..& C /f /`r 7 - /'C J l • * /--/) ,e.,9,4- 94 s ' L 69/cid .t' "..5 "? c7t',c % AcJ!) , T/ F7,tJ•• New Building Remodeling To be constructed of 67.c1AS7"9 4 - 4 " . " i‘.t'e-- Kind of foundation MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Subdivision � 2 / ,a t j' Permit No. Disapproved Date (Signed) Building Inspector and for no other purpose. Addition Repairs No. of Stories mot/ /7 c''r, Date 19 c ' No. ‘ " e / Street /6 Roof Covering cam? Estimated Total cost of improvements S _ 1.0 °7cx Amount of Permit $ Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all 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 obligatons 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 inspect 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 su contractors. on work to be performed under this permit. as are licensed by Miami Shores Village. > Remarks ISignedr Date 047 /if Read, Sworn to and Subscribed before me. es- e gk87 STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared - 7''' and who, being by me first duly sworn, upon oath deposes and says that he is the C Ai ( . 7 - 7 0 L - 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. Notary Public, State of Florida My Commission Expires to me well known. PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and.or workmanship. PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY CITY HALL 'OF ( OWNER TO RETAIN COPY) jignimange, MIAMI SHORES. Date JULY 24,19,b Address / )_ y / Legal Description, (r4 fi 6' 3 / cie ` 1 , Master Permit. . ,1 / 57 r €4;:er%1 Lessee / Tenant Owner's Address Contracting Co. Qualifier SEYI"OUR GGPHEI$ ( CBC 9454) State# CBC 9454 Architect /Engineer Bonding Company Mortgagor Square Ft. 45.74 �G %�/ ,✓� r 9 / j;41 MIAMI SHORES SECURITY WINDOWS /SEYMOUR GOTHELF CBC 9454 Address 5100 vil e/ / Competency 1 SS# Address Address Address Estimated Cost Phone N , "7 Tax Folio /1-- 14, f mac, / er t;p. 3 379 -0304 N.W. 72 AVE. MTWT, FTA 11166 Phone Ins. Co. 591 -8990 Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION REPLACING 4 ATW WITH 4 AYW IN EXISTING OPENINGS, NO STRUCTURAL CHANGES. 665.00 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 will be done in compliance with all applicable laws Furthermore, I authorize the above -named contractor to •• the work stated. eA Signature of Owner and /or Condo President Date: 1,11i.k Notary as to Owner and /or Condo President„ My Commission Expires: L H *HI! PERMIT FEE: APPROVED: Zoning Mechanical Psi 'S /99 Fire regulating construction and q t Building ~�, / \ Electrical Plumbing Engineering Signature of Co tractor / Date: uqr„e= J JC- Notary as to Contractor or Own My Commission * pires, Other ` or Gwne Boil all work zoning. r :gilder !ATC FLOR:rA* therein by him stated are true. Permit No..___ Disapproved A �� (Signed) Buildin MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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 Budding 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...% Owner's Name and Address ....J RI) £ .1..LI I -; ._ No treet 1 _ EAR R Date pector Registered Architect and /or Engineer 1 Name and address of licensed contractor _..— Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done _._.. ..y l .. 4/ t L _c. .. L._ — <- ..L ..,c St purpose of building (by floors) a work to be � '.. done and pu `? o..► J P FA-2.E _ _..... 0A - R ...� PP'' Ro - .-.f�.i 4 _ Q.... -. O J and fo r no other purpose. 1 � r �- >�- p r1� ' . New Building Remodeling Addition Repairs ` No. of Stories Date.. 1 L /-_,. 0 „R ! 1.111..,_ PLANN11l(C BOARD Notary Public, State of Florida DATE Roof Covering To be constructed of Kind of foundation ti , 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 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 empoyer 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 bin: 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 / rs, on work to be perfo.-mea nder this permit, as are licensed by Miami Shores Village. . )� _ Remarks ( Signed )1111_ ... . STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared --- Commission Expires 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 a Read; Sworn to and Subscribed before sae. Chairman r y Member Member Member Member 1111.. _ 111:1_ - -- -11_11._. _..._._....... 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 herr. abtained from the Planning hoard. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for ins ectinn or faulty materials anti /or workmanship.