Loading...
PAINT PERMITaUILDING --=LECTRICAL PLUMBING Owner o Buildin Contractoroe, or Builder t d' 1'4""ILAWF PERMIT NC 4313 Work to be performed under this Pe Architect v Legal Lot BL Description Ado """ ;e4440 4 4- 1 CONTRACTOR OR 1U1LDI MIAMI SHORES VILLAGE, FLORIDA DA Subdi- vision nesPaercii Contractor's License No. of Building *,a9 ,,, I. 6 ( ii ,oi: Value of A or• Project Address of n , pmennitt. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be drawings, statements or specifications that may have been submitted to and approved by the munic .7 ; any thne if the work is not done in compliance with such ordinances or if the plans are changed au , Wn, --- ligrapted is the understanding that the contractor or builder named above assumes the respvnsib4lity . it thorough to the work covered hereby whether shown on the plans or dra or in er tr, .P..1 done by his agents, servants or employees; Signed' By ..- In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with thereto and in strict conformity with the tsor specifications sulunlited to the proper Le l a ting this permit I assume responsibility for done by Nottnig,my agent, servant or APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) , Job Address 59g I/ Tax Folio // L < / /9 (Ai( ` Legal Description Ai- t"" �(Q'� Master Permit # ,�lf , 1 0't � 4 14ner / Lessee / Tenant °, L' `i 0 c Owner's Address ✓7I' ) -, / ". Architect /Engineer Address Bonding Company Address Mortgagor Address phone //5` Contracting Co. Address Qualifier /1/4/, e., SS# - - phone State# Competency# Ins.Co. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost % l0 /2C� 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. 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 work stated. natur of O /or Condo President Signature of Contractor or Owner - Builder te: Date: 43.00 carer n �OKIUA No ary s to Owner anY �rnP IL 16 , 19fl; Notary as to Contractor or Owner - Builder My Commission Expires: My Commission Expires: * BONDED RU STEM814-ADAMS & S1 Ei PERMIT FEE: APPROVED: Fire Zoning Mechanical Building Plumbing Other Electrical Engineering 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 State work to be done and purpose of building (by floors) STATE OF FLORIDA, COUNTY OF DADE. Jas • Disapproved Date (Signed) 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. Owner's Name and Address......... -- E!.?�, ci' e e > No 3 0 Street. /.r.0 " - '+'"," Date = r'• ,l 31c. 6 )-7- ,19 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 $ / V ® ' Q 6 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 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 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) 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. Notary Public, State of Florida Building 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.