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958 NE 91 Terr (12)BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot r ti CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT xt 6102 Work to be performed under this Permit_ Subdi- vision DATE _ _ 19. Contractor's License No. Value of - r Amcunt cf 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 dtseribrd 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 an plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may he 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 rrspnn sibility for work done by his agents, servants or employees. Signed.t .__ ii�Src 1OR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation. 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. BY AUTHOP..DY , • APPL11 CATI ®N FOR = U9L Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other stru ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Villag -, F ?orida, and all provisions of the Law of the State of Florida 311 ord'nances of Miami Shores Village •nd all rules and regulations of the Building Division of Miam Shores Village sh 11 be co ..plied with whether h r in specifie-' not. A cop of apt row d plans and specifications must be kept at bu:ld.ng during progress of the work. Owner s Name and AddressT ? . - %4C le_ -/ - -- - --- -- -- -- - - -- -- Registered Architect and /c -: Engineer Name and address of licensed contracto New Building To be constructed of Estimated Total cost STATE OF FLORIDA, COUNTY OF DADE. ss. Chairman Member _ Member .. _ _ __ _ _ ._ Council Approved NOTE: A charge of $1.00 will the Planning Board NUAN SHORES V LLA E UILDING INSPECTION DEP TM[ NT Zone cubage required____ _____ ____._ ____ -_ _Plan Cubage Distance to next nearest building Size of Building Lot__ Maximum live load to be borne by each floor Location and legal description of lot to be built on: Lot_________________ _- Block _ __ ___ ._ ___ __. __ _ Subdivision_ Street and Number where work is to be done. __99 State work to be done and purpose of building (by floors )__ Remodeling Building Inspector Date__ I (-_ J . Member Member I N Dat _ ___ No. PLANNING BOARD _ DATE Street__ _ 19‘i /, 94;1 – - - -- --- --- - -- ----- - - - --- - -- -- - and for no other purpose. Addition___ _ _ __ ____ _____._ Repairs________ _ ._ .__ __ _ No. of Stories __ _ _ __ Kind of foundation_ __ ____ ._____ __ ._ Roof Covering_ _ of improvements $ _ _��` F _Amount of Permit $ 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 ^ ompliance 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 i specti•n on the a of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such suontra Tors, on }rk to be e fq y arned under this permit, as are licensed by Miami Shores Village. Remarks-- - - - - -- (Signed) -- l� Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, per o sally 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 C__ ;, Disapproved _ .._ _ Date (Signed) Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires .. _ _ _ Member _- __.._- -._ __ __ _ Date Disapproved . _ _ _ Date be made for making corrections or change to this application after appr has been obtained from 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. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE DateW ? Job Address c l Ss,. , 9 V l ' i. Tax Folio Legal Description e 01°, jA" 1 / ' Historically Designated: Yes No Owner/Lessee / Tenant �� j - /, .s Master Permit # Owner's Address �i Contracting Co. ,� + �'�� 3 :, . ` Address / � � :1,5% State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ECHANICA ROOFING PAVING FENCE SIGN PA-c, KA- "_1 C-ko,4 Square FI Estimated Cost (value) A. (C91.) WORK DESCRIPTION J9 //- AA) 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. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable 1awsregu7ting construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. 4, 1 Notary as to Owner andor My Commission Expires: FEES: PERMI APPROVED: Zoning Mechanical Sjiiafu of owner and/ n Pr sident RADON / 7 L4 C Phone M. Notary as to Contrac or or My Commission Expires: , ALAN L. SHEPPER x ‘a■ , COMMISSION # CC 710604 - EXPIRES MAR 1, 2002 •74` O BONDED TRU OF ATIANTIC BONDING CO., INC. C.C.F. / NOTARY TOTAL DUE 491p4 ALAN L. SNEPPER COMMISSION # CC 710604 EXPIRES MAR 1, 2002 B ONDEDT U ATLANTIC BONDING CC., INC. Building Electrical /- i r Plumbing Engineering