RE-ROOF PERMITSDate %J Job Address gel t/
Legal Description "- E o� cq / � L , YLr 1 rum
Owner / Lessee / Tenant ,1 Rodo Master Permit #0:
Owner's Address ��� `N ��-� �\ S'� �E�a �ow., S�oc� Phone
\
Contracting Co. 'A A.i \xi . Address \a &•
Qualifier C M. SS# Phone ksz \ zPC ■
State #00- 11,SS7aL Municipal # Ob00lAtt1 Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANI ROOFING PAVING FENCE SIGN
WORK DESCRIPTION e -�rb 0 \ c e ate \ t s . e �O \\e Cc� ` 6 k t) 1 �*oo\ ,
`i c,
i c*Nt \p,M,k., tiketC
Square Ft.
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the above -named contractor to do the wok stated.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE - 155 -21-ei k'
% oe5 o V 01/4112
Estimated Cost(value)
Signatu a of owner
Date : //0:2—
Vi 14641 �rJ -el i
8ry as to Owner an r *lt tV * e of Lan.., ii.m� c of Notary Public
4 y cf R•ITgR d I.Da
My Commission Expires 1 ,,,J; numb o I.D. produced:
APPROVED:
Zonin
❑ I)ID take an oath, or
** * * * A DID NOrT taker oath, * *
FEES: PERMIT pit-6,o RADON C.C.F.
Fire
Mechanical
Tax Foliof/ /oW � �� �'‘'5t2 f
Signature of Contractor or Owner- BuiNder
Date:
.; L -.. .,.--, -- --' 4 C. :7-5 ' . /' /
y as to Contractor or
Myommission x
Epire
( -3 77 1 -- CSC° c. . ri ' r1G3Lit. 5 7ii:'<
:9y .'T
* * * * AiDD y.ni ' "t ^. n * r,':1 , � � )4
® NOTARY 1 TOTAL DUE /4 Si
Other
Electrical
Plumbing Engineering
t 7 i /
S tate of Florida
County of Dade
THE UNDERSIGNED hereby gives notice that Improvement 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 Description of property:(legal description of the property, and street
address if avaiIable). �c�'fp `- L/VZ5/ ea, 60
AM, 100 Nil
2 General description of improvement:
- bCnS \�►J c� \ \CS
C � l
cc 4? s \ COV�C�t�� \*, r Vir‘4\ O C&% .
b. Interest in property: • _ �• ce g�` °d
• , e' tri, o 4ft;L�,
c. Name and address of fee simple tltl eho t Wagifb, �f; '
`
3 Owner information:
a. Name and Address:
4. Contractor: (name and address)
5. Surety:
a. Name and Address
b. Amount of bond $ • • u\�.l
6. Lender:(Name and address)
T3 \ L(
7. Persons with 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)
\ e x -J\e p So S
8. In addition to himself, Owner designates of
to receive a copy of the Lienor's Notice as
provided In Section 7.13.13(1)(b), Florida Statutes.
9. Expiration date of notice of commencement (the expiration date is 1
year from the date of recording unless a different date is specified)
Sworn to and subscribed before me this
TAX FOLIO N O . / ' / 3 o t Or y
NOTICE OF COMMENCEMENT
I g n a t u r e of Clry ter : JOSEPHINE CHURCH.
day of ... / ? , .44I PuWial SI
May Commission Expires
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N
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al
ot4an twn
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be
4
U
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approyal 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 Jan. 28, 1958 , 19
Owner's Name and Address.... Alex..2.0ornae No.967 N.E. Street.91 Terr.
Registered Architect and /or Engineer
Name and address of licensed contractor.._.QO.Q1, RIICkf_-_IfC, -- _Of_.N1$IOi,..., ___PQSkce__ Q Lem,. Coral Gables
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 967 91 Tarr
State work to be done and purpose of building (by floors) clean. _ and - __CQ51t...X:S?Qf,_..re ,4f3ftlal
and for no other purpose.
New Building Remodeling. Addition Repairs No. of Stories 1
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $.._276.OQ 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 employer
of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks ( Signed) rilgol _- .... Roof. .- Inc.._.Qf ._gland.
STATE OF FLORIDA,
COUNTY OF DADE. 1 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 � Read, Sworn to and Subscribed before me.
Disapproved ate !
� t-
(Signed) \ -- .
Notary Public, State of Florida
Buildin 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.
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement in me 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.
,19
Date..._.. 1
Owners Name and Address ... :1. :.. b 'ect"_ »» ' .4 ® >� _. No....�. .... Street._..' ... `
Registered Architect and /or Engineer
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 . — gl
...._ \._.
State work to be done and purpose of building (by floors) _ . . . ... 'IWt
STATE OF FLORIDA,
COUNTY OF DADE.
Chair ;nan
Member
SS.
MIAMI SHORES VILLAGE
Building Inspector
r.,
Wt. III Ift ,wtrt
R
peared
11,,11.
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof CAvering
Estimated Total cost of improvements $ 1 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 employer
of labor under the Florida \Vorkmen'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 on the site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such ntractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks.. ........ (Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
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 e. .
Permit fi Date 0 i Read, Sworn to and Subscribed before me.
Disapproved 1` Date. ._........_
Notary Public, State of Florida
My Commission Expires M _...._......._..—. _._..
PLANNING BOARD DATE
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 nfter approval has been obtained from
the Pl. Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspevtitn► or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
APPLIrr' TION FOR BUILDING PERMIT
Application is hereby made for the ipproyal 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.
Owner's Name and Address_ ..._.G ;�_ /l! (!.. � ' 721 — < 7
Registered Architect and /or Engineer.......
Name and address of licensed contractor
Location and legal description of lot to be built on
Lot_- ..... > Block
Disapproved � - Dat
(Signed)
Building Inspect
BLI : INSPECTION DEPARTMENT
Subdivisio
Street and Number where work is to be done 2
State work to be done and purpose of building (by floors)__
Permit No._L 7" Date
Chairman
Member
Date c: 3 —.—
No Street._
and for no other purpose.
Addition Repairs No. of Sllories
New Building Remodeling
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ ` r ®� Amount of Permit $ '
Zone cubage required S - -,99 ' 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 s c b uildin 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 4f a site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such �su • j1+ ac wore. be rmed under this
permit, as are licensed by Miami Shores Village. / � '
Remarks.. - - - .... .. - -- -- - - •• - -- (Signed). . , � :� (��d�
Read, Sworn to and Subscribed before me.
ov�r„rnJZ_
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
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.
Notary Public, State of Florida
My Commission Expires
NING BOARD . DATE
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 fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.