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PAINT PERMITDATE 1 / q_ 2- OWNER'S NAME: / �,fv,o Al./A 2 PHONE, s -'758 -98 2_ ADDRESS — 236 /t/c= 9/5 -C . * * * * * * * ** ************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: .S CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: 3v •3 T� 7 Ce -7 ********************************* * * * * * * * * * * * * * * * * * * * \ * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls Fascia Drip Cap/Drip Edge Soffit T h iTE Roof Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features 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 t s - • : :+ -ed. Furthermore , the paint colors will be as per the attached Signature " Owner Date Signature of Contractor Date * * * * ** **************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: MIAMI SHORES VILLAGE Paint Color Approval and Agreement iv WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION Building Official Date 4/23/01 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 S •- w ``*A r� 327,(0 L- ` Registered Architect andior Engineer 9-esx.of �` N ame and address of licensed contractor �C� A (.Kr- +7a\- 1D -t9�1 i NJOY �c Iv LA—.) gv Cp� Location and )legal description of lot to be built on: Lot (v g Block Subdivisime ( >Z7 �V /46 /9 Street and Number where work is to be done b `, State work to be done an pose of buildin (by floors), state exterior colors (submit samples) STATE OF FLORIDA COUNTY OF DADE. J SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Disapproved Date Date New Building Remodeling Addition Repairs t--------- No of Stories 1 7b be constructed of Kind of foundation vi Roof Covering \ ( l -i Estimated 7btal cost of improvements S — V ' 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 per 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 undersign:., agrees to employ only suc• tr ork 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 appeared 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 fore oing plication, and that he did sign the same, and that all facts therein by him stated are true. Permit No. 48 Date `� t0 Read. Sworn to and Subscribed before me. Notary Public. State of Florida 0 19V Street and for no other purpose. to me well known. (Signed) Building Inspector My Commission Expires 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials andior workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE DateX 7 V-20/ Job Address 7 7! !mac �� sr CT Tax Folio Legal ` Description Historically Designated: Yes No Owner/Lessee / Tenant)/ i v i D j /41. ee Master Permit # 9 J Owner's Address 2- .76 N. �/ S S T Phone y gc'S - 7 5 8 — ? �' 3 Z Contracting Co TyI,�/y� l ` Signature of owner and/or Condo President My Commission Expires: FEES: PERMIT Mechanical Address Qualifier SS# State # Municipal # Competency # Architect/Engineer Address Bonding Company Address Date Signature of C RADON C.C.F. NOTARY BOND APPROVED: Zonin g Buildin 241)1. Electrical R Phone Square Ft. Estimated Cost (value) FCO.00 Ins. Co. Mortgagor Address Permit Type (circle one): UIL ELECTRICAL PLUMBING MECHANICAL ROOFING / PAVING FENCE SIGN WORK DESCRIPTIO �2�s5 /_Z c= -.✓ s�va fl/ Y 11 ,r ©< / r4 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 or or Owner- Builder Da e Notary as to Owner and/or Condo President Date Notary as o C �tracto i Date My Co . 'ssion Exp*res: ° € (1.'i".",\ : °''t ' - Vi ��) '. Plumbing Structural Engineer ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY Tl'1'E Service Repair QTY A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violatit,us Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New N1ECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUNIBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TY Miscellaneous Fixture Q'FY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds: fifty .percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for firiishea floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1° Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. r p 1 MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI-DADE Signature of Owner Print Name — Print Name i /9? -rc= Sworn t. and subscribed before me this 9 Signat SEAL: 1 ,ly, . Tiat:ac• Pti ANGELA c oMxas• Q CCU mC V Signature of Contractor / Qualifier Signature of Notary Public - State of Florida SEAL: Sworn to and subscribed before me this day of PERMIT APPLICATION Personally known OR, Produced Identification /7 Personally known OR, Produced Identification Type of Identification Produced: Type of Identification Produced: Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE 4/7/0 Zoning a,' S�, Electrical Home Telephone 3G5 -. _ 7 S - g — yg 3 / Mechanical Business Telephone was — S —'2 3.0 Plumbing Demolish Fire Shell Only Public Works Foundation Only Structural Other Building Official Add'I Detachment Other PROPERTY OWNER New Construction Name nv? a j , 1 , "1,d /c 2- Enclosure Address 736, N' 9/ s' ' /�/.¢1Yl / J fGl—c S d / — '�c� 33 /3Q Home Telephone 3G5 -. _ 7 S - g — yg 3 / Repair Business Telephone was — S —'2 3.0 Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other Page 4 OFFICE USE ONLY ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond . 00 ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ (¢.005 /sq.ft.) State DCA (Radon) $ Code Enforcement Fine Zoning Review ISSUING OFFICIAL REVIEWED AND PREPARED BY: (sq.ft. = x/1000 x ¢.60) (¢.01 /sq.ft.) PERMIT APPLICATION CHECKLIST ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ L , 7 DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2"`° AVE., MIAMI SHORES, FL • (305) 795 - 2207 • FAX (305) 756 - 8972 • http : / /www.miamishoresvillage.com Step 1. Step 2. Z3( /tie ` 57-5-7- Address Apt. Folio Number /1 g2"6 0/9 0 4 Lot ir _9 Block 3 Subdivision PB ! q I PG Current Use of Property oe'N7'4z Proposed Use of Property Tenant Information Job Address: PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other /Jo9/o1- , 74 6 PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. PERMIT APPLICATION INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION /L,/ , yo z. — 5 3313,P City State Zip Description of Work %"'y Zoning Linear Feet Square Feet Units Floors Value of Work . 5 1) 0 . Bldg Value "Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name MIAMI SHORES VILLAGE • . Paint Color Approval and Agreement DATE: (1vC h , 70D 2. OWNER'S NAME: r aiv i d j. Hri PHONE: 3pm -► - cii53 Z. ADDRESS: ?,1 N q I ************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 5f n -,P CONTRACTOR & LICENSE (if applicable) COMPANY NAME: Q'.�, /* * * * * * * * * * * * * * * * * * * * * * * * * * *� Decorative Metal Roof Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors I i cc t b . Railings Jas fc- Fences .A\ All brick (simulated or regular) U1,1 Stucco Banding Any other stucco features Accessory Buildings Other APPROVED: Building Offic' 5 /OD/© ct Date PHONE: * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls � _i ht" h\u:L - 0+ 00_bcI Fascia J , ,in; 4-e Drip Ca /Dri Edge to k1 {-c, I rot P P P g I o Soffit (v hi -1--e 1668 845 WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 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 work stated. Furthermore , the paint colors will be as per the attached s m les. Li ,0 1'(a tto .* JDZ \ Signature of Owner Date 'g Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 4/23/01 DAVID J. MAHER 236 N E 91ST, # MIAMI SHORES, FL 33138 -3128 Pay to the order of VAG4 -Fed P CITIBANK, F.S.B. 95 201 SOUTH BISCAYNE BOULEVARD, SUITE 3100 MIAMI, FL 33131 THE CmBANK PRNATE BANK Memo // I: 266086 5 544 ct�b nk® 63 6 595 1993 31009121 _ /.� Date / 9etfl '5 ;2492- 6e0 ss 1 $ '7 4 7 / "' Dollars L'.1 Smeolty roan. a. 310091219211' L993 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 -795 -2204 Permit Number: BP2002 -503 Printed: 3/11/2002 Applicant: DAVID MAHER Owner: MAHER DAVID Contractor Address: Local Phone: Cellular: Parcel # 1132060190440 Legal Description: 6 53 42 EL PORTAL Job Address: 236 NE 91 ST Fees: Description Amount FEE2002 -1449 Building Permit Application Fe$60.00 FEE2002 -1450 CCF $2.40 FEE2002 -1451 Notary Fee $5.00 Total Fees: $67.40 Building Permit Permit Status: Approved Permit Expiration: 9/7/2002 Construction Value: Work: EXTERIOR PAINTING AS PER AGREEMENT (OWNER BUILDER PERMIT) Signed: $3,500.00 Page 1 of 1 Total Fees: $67.40 Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. (INSPECTOR) BY: PB 9 -101 LOT 8 -9 BLK 3 LOT SIZE 100.000 X 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. 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 1 assume responisibility for all work done by either myself, my agent, servants or employes. (Contractor or Builder) BY: MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: Aixzcf, `>i Z ®o 2 OWNER'S NAME: />/f / 6 1. ,�iiez PHONE: 3o,s_ ?S8 -9 ? 2 ADDRESS: 23 /V e- 53-, — ************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: .52.0r4e- — .2349 , 7 sr CONTRACTOR & LICENSE (if applicable) pvr�e✓ COMPANY NAME: A/ PHONE: * * * * * * * * * * * * * * * * * * * * * * ** ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls LT ■6 * ( ; 4sct -J -,4 cn - 4 Fascia lit/�►i�� Drip Cap/Drip Edge 44/,‘,/,;--6r Soffit Roof Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors L7. ee.ve ( e ,,cfg 61 iy, Railings Girr Fences n \ \ .4 �� ‘te , Decorative Metal I V ��� All brick (simulated or regular) A/ " 01 � ®o0' Stucco Bandin g O � � Any other stucco features 1'�, U Accessory Buildings Other APPROVED: 0 m N 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 . Furthermore , the paint colors will be as per the attached Signature o Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION Building Official Date 4/23/01 , PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 11-7-6-9 Job Address 234. /A( ff • 90 Tax Polio Legal Description Letk Vr L ( 3\ � * 3 1 c k Square Ft. Estimated Cost(value) ** * * * �j* FEES: PERMIT 4" t / 6 APPROVED: tP P (/B OFFICIAL NOTARY SEAL 2 1 -7- 0 ( BARBARA ANN FUGAZZI c i * COMMISSION NUMBED{ '4 (c CC360191 9 e k F q. MY COMMISSION EXP. eF ‘.O C. . .. . Zoning Buildin Mechanical Plumbing Date: My Commission Expires: 1/ • U 3,2010 19 0110 5 6 / Lessee / Tenant a/ ??milOR , Master Permit k V Owner's Address 4 u s Phone 7S/ '7 1/ Contracting Co. OLA'Ue 2• Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Permit Type(circle one): WORK DESCRIPTION AN i I.L /T / G / v s E - Y /Z= l o✓ CoC Address ECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN 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 t above -named contractor to do the work stated. Signat • owner and /or Condo President Signature of Contractor or Owner- Builder Date: j � � Notary as to Owner and /br Condo President Notary as to Contractor or Owner-Builder My Commission Expires: A/C'S * * * * * * ** NOTARY TOTAL DUE 0 744 Fire �� _ / Other 1 Electrical Engineering 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. 97k; Registered Architect anchor Engineer Name and address of licensed contractor Permit No. Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date --� Owner's Name and Address No. ce3 Street 17 09/3' Location and legal description of lot to lie built on: �d /� y� Lot ©// Block �J Subdivision 1/ J ®� / 9 v �( Street and Number where work is to be done r/ 3 ' ill E 9/ l /1 1 1. J )/ague 5 State work to be done and purpose of building (by floors), state exterior colors (submit samples) � 7 , 4 // / . > y/ A , , / � ` 0 C) C ,C 4' ,/ // �/ il r/I/, /. 1 6 e 6ie4�/�� gm/x/` / \\ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of 0 of foundation �f Roof Covering / :Estimated lbw] cost of improvements S ' v 9 0 ' ems Amount of Permit S"/ Q / � (O (Pd ` //0 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot a "y 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 ca The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligators 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 pro ' '.ns 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 • ost . 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 suc subco.tractors. •n woto be performed under this permit. as are licensed by Miami Shores Village. Remarks (Signed I 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 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. °3/,r7 Date 0 Date Read. Sworn to and Subscribed before me. Notary Public, State of Florida 8 7- I9 90 Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anchor workmanship.