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ROOFINGNew Building To be constructed of Remodeling STATE OF FLORIDA, COUNTY OF DADE. j ss 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. Date. -4.11 ,19tka Owner's Name and Address _ — � �-tJ �C. — No... ./0 ..._ . Str e e .. 417 Registered Architect and /or Engint:er 1,! Name and address of licensed contractor. L . c. ..f1 fr 0/Y Location and legal description of lot to be built on: Lot Block Subdivisio � Street and Number where work is to be done /- 4 .s._...__ _ �l .____._ __ ... -_ � �Z: Stat,ework to be do and purpose of building (by floors).... .C�� s ��` . . _ ._,�'7>.'Y. ! >!_�._' ._...�_.� 601:: ....._ e L R a.Z ' _ . 7i2 i f°°1✓L ��G_� e.. . Sits T, LF- c B, e ....n. -1. C 6 ..eliggiar no other purpose. Addition Rep... No. of Stories / Roof Covering Amount of Permit $..15 0 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 Kind of foundation Estimated Total cost of improvements $ Q ®r a 0 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 st o ntracto wo tybe performed under this pcnnit, 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 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 �4 Disapproved (Signed) Date '7 - 1 "' i t) Read, Sworn to and Subscribed before me. Date Notary Public, State of Florida Building Inspector My Commission Expires to me well known, PLANNING BOARD DATE Chairman Member Member Member Member sass.. Member Council Approved Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Date has been obtained from 4 Date 4 -12 -93 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 1005 N.E 92 Street ,1' Legal Description Tot 9-10-1/131k 3 1:15c-Rj 16-71 AP1 Owner / Lessee / Tenant Elaine Gillespie Owner's Address 1005 N.E. 92 Street Contracting Co. 42IA i ?*y /OO(it y 1( Qualifier CA/ //1 Arodhr) SS# Phone 751-03ka kR 9 Wins . Co . Address Address Tax Folio 11 9 Master Permit it, al Phone 757 -3858 Signature of Contractor or Owner- Builder Date: 11''.2 7-9 0 - ,es : MARYLOU HERNAND MY COMMISSION N M 714214 EXPIRES: October 10, 1993 Bendod Thru Notary Public Underwriters Notary as My Commissio er ** FEES: PERMIT i35 RADON C.C.F. 6 '50 NOTARY TOTAL DUE APPROVED: Fire Zoning Buildin Mechanical Plumbing Engineering Other Electrical 7 PERMIT NO. TAX FOLIO NO. 11- 32- 05-015-0150 STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements 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. Legal description of property and street address: 1005 N.E. 92 Street Miami Shores, Florida 33138 2. Description of improvement: Install new tile and flat roof. 3. Owner(s) name and address: Elaine Gillespie Interest in property: Lk.) n E C Name and address of fee simple titleholder: 4. Contractor's name and address: C A r' I OS P r )C *'t0 , a p, .-1- `/ Ron ? C\ COn +raciOr, T, i-t?At -r?, Pc; . -7, i n 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: N/A Amount of bond $ 6. Lender's name and address: N/A 7. Persons within 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 lorida Statutes, Ni V Name and address: 1 \ A 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: tV 11\ 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) .1V 1 IV VI VVIIt/11Y1`IIIV`I1M...I11 1 S nature of Owner Print Owners Name /J? / N eL ,7� l� 1 1( eJ 1 E'_ Sworn to and subscribed before me this 23 day of Notary Public Print Notary's Name My Commission Expires: O.( ,1913 . • _ I 44 /I' /�i% . „k4,11 Bonded Thru Notary Public Underwrtters 1005 N.E. 92 Street 93R209563 1993 APR 27 11:1 Miami Shores, Florida 33138 Prepared by: Carlos Arocho Quality Roofing Contractor Address251 N.W. 99th Street Miami, Florida 33150 1 STATE OF FLORIDA, COUfdW OF DADE D HERESY CERTIFY the' this is a truo co of filo original Nest to Otis office ors doq of , A 0. 19 W 8W &Sg rogf .nd and Ofilcial Saul. MAR r =f RUVGM CLERK, of Circuit d County Coovau y MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby uindc for tic approval of the detailed statement ur 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 nil 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..._November 16th .._ 19 81 Owners Name and Address Mr. &'Mrs. Gillespie , _ _ N 1005 St I, E,_92nd Registered Architect and /or Engineer .,,,. ...•••.,.a.,,,-, . ».•,- Name and address of licensed contractor Street and Number where work is to be done State work to be done and purpose of building (by new tiles in repaired areas. Gambill Roofing Repair Co•, Location and legal description of lot to be built on: Lot Block Subdivision ...._.. 1005 E. 92nd Street 9¢0 N ., /., 2nd Place, I:izmi Shores Rema w t - e arPA q,.XelaiiL1. .a.ea1C.0 aa71d repl e ,__ and for no other purpose. New Building Remodeling Addition Repairs Yes No. of Stories One To be constructed of Kind of foundation Roof Covering Cement tile Estimated Total cost of improvements $...59 Amount of Permit 3. Q Zone cubage required plan Cubage Distance -to next nearest building Size of Building Lot _ .......... ...... .................. _.._...._ Maximum live load to be bome 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 hint 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 noticcs as arc required by the Act. The undersigned agrees to employ only such su ntractors, on work t performed under pcnnit, as are licensed by Miami Shores Village. 0 .i r Remuks (Sig Disapproved Date. (Signed) Building Inspector 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 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 fads therein by him stated are true.. // / Permit No.. ,k 3 / 7 U Date / / l 6 ,,1.(ei Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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 PLinnir.g Board. A re-inspection fee of 31.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship.