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BUILDING PERMITPER4IT. APPLICATION FOR MUNICIPAI11T1C8 OF UAIJB COUNTY Date \I-7)/ 1--- ,Job dress/ ° CITY HALL OF (OWNER TO RETAIN COPY) iT_ 7�' Cew) 7Y;- ( s Doov J` MI :;IIOPES. �c) /3 —6O3 »ff T Polio fL Legal Description MIAMI ORES FLORIDA. 33138 Owner / 4( 1BI J � f)&- / 4 ""10- Owners Address X1 J and /or Condo President Signet Date: Notary as to Owner and /or Condo President My Commission Ex p ir i es TARY PUBLIC STATE OF FLORIDA I (Y COMMISSION EXP JULY 25,1995 a•�NDED THRU GENERAL INS. UND. Square Pt. 290:01 Estimated Cost(value) 3,600.00 APPROVED: Fire Other Zoning Building 1) q% Electrical Mechanical Plumbing Engineering Master Permit li 30279/ 33138 1060 N.E. 92 STREET, MIAMI SHORES, FLORIDA Phone 758 -5118 MOW? GSUt il3Ul:,J UIMINSjg Contracting Co. MOO I . ' � Address Qualifier SEYMOUR GOTHELF SS# Phone 591 -8990 State #CBC9454 Municipal Ik Competency # CBC9454 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGI WORK DESCRIPTION REPLACING 22 STEEL CSTS. WITH 20 ATW AND 1 P/W IN EXISTING OPENINGS. NO STRUCTURAL CHANGES. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUI NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, an on the attached addendum (if applicable). I certify that all work will be performed to meet th standards of all laws regulating construction in this jurisdiction. I understand that separat 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 wil . be done compliance with all applicable laws regulating construction and zoning. author'ze he abo -named contractor to do the work state Furthermore, SEYMOUR GOTHELF Si Hatt a of Contractor or Owner - =wilder Da ,e! .-D D G- 341- 780 -32 -281 A.L.. -cam CBC9454 Notary as to Contractor or Owner Builder My Commission Expires: 1 NOTARY PUBLIC STATE OF FLORIDA WY COMMISSION EXP JULY 25,1995 ** * * * * * * * * * * ** Ma THOU GENERIII:. INS. U1�D. // FEES: PERMIT ` RADON C.C.F. - eb NI I I'ARY TOTAL BUR •24/.� ��' • to Wpm 11 mug ammanIc THE UNDERSIGNED hereby gives notice that improvement will be made C) 74 to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in the Nt NOTICE OF COMMENCEMENT. DIssaiplion ol property. •1060 Ni. 92 STREET. MIAMI SHORES, FLORIDA 33138 .1.1 Permit Number Cenral dew iplion IN EXISTING OPENINGS. NO STRUCTURAL CHANGES. SECURITY This document was prepared by, ow.v_STEMEN, ..... ................ ................ ..... JMIaNAMAAWNUE 1060 N.E. 92 STREET' MIAMI, FLORIDA 33166 AgAmi SHORES FLORIDA 33138 Owner's interest in see of the improvarrare MAIN RESIDENCE. fee Simple Title hddsir (i( other than owner) Name . .... .... Connedor Addrou sol tboY) Aal.. Name of person 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 Statutes. 14.m. Address In addition to himself, Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 0 _STEVEN JONES AN-- D 106 N.E. 92 STREET , Ajj„MIAMI SHORES, FLORIDA 33138 MIAM1FLORIDA 33166 . Expiration Date: SECURITY ALUMINUM WINDOWS 5100 N.W. 72nd AVENUE • MIAMI, FLORIDA 33166 Notice of Commencentent d !us REPLACING_22 STEEL CSTS. WITH 20 ATW AND 1 P/W ,s Ir■me Sworn ...I Va0Meware •IN• 11“.• PREPARED BY: EUGENE TUERO. 5100 N.W. 72 AVE. MIAMI, FLORIDA 33166 •O WIPIAO.M v Folio Ml. —Ammunt al bond S. Sworn to and subsalltod bottrro ova this SECURITY WINDOWS 4wof NOTARY PUBL STATE OF Fi..0kIDA HY COMMISSION EXP JULY 25,1995 NolefY Pa BONDED THRU GENERAL INS. UM., BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building MIAMI SHORES VILLAGE. FLORIDA SI ❑ DATE A;f 1:1:- PERMIT N• n • �, • r ` . • (� :I � i icele .�N oz �� Fr �'. `�, f ���,t!� JrN� j q a J j. 1 � �L F � 41;.1,:.,4''' k y, Lot Bl. Signed. / Subdi- vision Q i Work to be performed under this Permit Value of Project $ Amount of Permit $ rf. 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 ai 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. r' INSPECTOR 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 vrith the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume respopsibi �y for all work done by either, myself, my agent, servant or employee. �.�f._ -e t• a /• ,i• CONTRACTOR OR BUILDER BY AUTHORITY ' 6 o / I cf �% 36 6 `MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT JZ� 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. Owner's Name and Address.. Jai-1m 0 N E 5 &c, i) nr ; Orr: Registered Architect and /or—Engineer ,,11 Name and address of licensed contractor JON Location and legal escription 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) and for no other purpose. New Building n Remodeling. Addition. 120/ Repairs No. of Stories ./ To be constructed of_-_C -_ .3 Kind of foundation Re/ ,v PO re kj Roof Covering t4,. Estimated Total cost of improvements $ fj -_] 0 Od 0 0 Amount of Permit $ �- Zone cubage required Plan Cubage- _Cp ✓L o C rq J /4' 61,2, fl.. ; 2 Distance to next nearest building e2, Size of Building Lot A Maximum live load to be borne by each flo I hereby submit all the plans and specifications for sad building. All notices with reference be sent to CM - JOHN j ® kt -� 1 STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR BUILDING PERMIT ss. . R Date a r 19C CO No 1 (© Street b\ w c l 2 - f o r%I - R V '7/ L S L fj p 1 /g w a-r ,89 o/ 23 to the building nd jts ,construction may 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 sum tractors, on work to bey 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. Disapproved Date Notary Public, State of Florida (Signed) 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. Registered Architect and /or Engineer and address of licensed contractor.. Location and legal description of lot to be :wilt on: Lot Street and Number where work is to be done State work to be done and purpose of building (by floors) New Building V Remodeling Disapproved (Signed) (/.1 .CI 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 f 19 Owner's Name and Address. -J' // • `� b PI S No Street Block Subdivision o d e � oo F t-o c' st, i 0 _ �t � A - and for no other purpose. F.' Addition � Repairs No. of Stories 9 To be constructed of . Kind o oundation C "" ' ' .1/ C-- Roof Covering C ° -11 9 Estimated Total cost of improvements $ `C • Amount of Permit $ • e -4) 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) 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 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 Permit No O Date ' / v ,1` Read, Sworn to and Subscribed before me. ate Notary Public, State of Florida .. / 7 / z. 4 fi to me well known, Building Inspector 4! 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 shade 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 ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot Pl CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 9824 Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE ! 195 Contractor's License No / Amt. of Permit $ 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. Signed • BY INSPECTOR 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 I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 1 Villa je of Miami Shores JOB J c if) ,s, N9 4318 ADDRESS / (, ,Q . �• INSPECTION / / TIME READY REMARKS INSPECTOR DATE 4:- 2 ° g N° 435'7 f il lti9e of Miami Shores JOB Jo 4)E S ADDRESS 00 ® 4). INSPECTION T 43.A ; TIME READY REMARKS U K w " INSPECTOR DATE G - R. \iliage o f Miami Shores JOB ADDRESS INSPECTION TIME READY f.. REMARKS \? ,1J N° 4398 .l INSPECTOR DATE o Village of miam. Shores N9 4609 JOB ✓ ,-, k w e_cAi rail, , ADDRESS O;% r /J G, e72 -,,, d i G �� INSPECTION d6�' 1 '.4 ,P TIME READY .7(e..96-4,/ 7- / 7,5 6 REMARKS INSPECTOR DATE 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. i - c � Date � 2 , 19 Owner's Name and Address: , C 7 T' �• / IA A N � ` � :2 ' E t afr ` r ' r _ - -- - - - /} No1 ._ Street L Registered Architect and /or Engineer h (' V ' / ' 7 l /r' . /'T T It' �j Name and address of licensed contractor PA- LA- i6 QP 8 sr 0 vl 1/ E e Location and legal description of lot to be built on: Lot Block / Subdivision _ 0 6 0 /14___. Street and Number where work is to be done_• State work to be done and purpose of building (by floors) __— Szir__m 4 1 Distance to next nearest building 1 O and who, being by me first duly sworn, upon oath of the above described nstruction, that he as is therein by him stated ar tru Permit No Disapproved (Signed Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT n� � 2-vf 7 , X5 and for no other purpose. New Building � 5 Remodeling Addition Repairs No. of Stories '' To be constructed of__( I ,5 Kind of foundation__ 0 //' F An S' 7L1`___ _______ o of overing f /VI r ist 2 7.i A' f II Estimated Total cost of impr y 0 vements 0 -0- e ) Amount of Permit $___JI___ Zone cubage required i L _______Plan Cubage `-? 0 ,_, I Size of Building Lot X / 1 g` 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 l � • .[�✓ s r E 1 7 S e( )f .c I/ ) [ , . R l v ?° 4A / AAA r i— 4 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)_ 7 Ty - 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 to me well known, deposes and iys that he is the efully read a foregoirrg application, and that he did sign the same, and that all facts Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNI G BOARD_ _1 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. tt -ett k. C 0%4 k'ZUQut(2.. 0)0 T m. 290 ° (.0 L e 1/0 Le) Pe z Is SI 0(91 14V ,t1 19'00 C k OW0err AakAiK. 4 0 tti eft b LT _t * 4 S tIcr ke PP e&tu Lse7 o.0‘ 1 14 t g. f=v 9-COrLt s rb GO-W-4 r0 Tv -C e-ct --- tcyUL • is cr CLoP"6 ,S4 %VC o% SID L 1 a. - 15 stt T 6--- /4 - .- c•`), g b ( S 1 ()C ' / 0 ' e 1VASTO ■ e - ' „ - to ob 4 ALL bt,.) ep / / , , IS- tt -ett k. C 0%4 k'ZUQut(2.. 0)0 T m. 290 ° (.0 L e 1/0 Le) Pe z Is SI 0(91 14V ,t1 19'00 C k OW0err AakAiK. 4 0 tti eft b LT _t * 4 S tIcr ke PP e&tu Lse7 o.0‘ 1 14 t g. f=v 9-COrLt s rb GO-W-4 r0 Tv -C e-ct --- tcyUL • is cr CLoP"6 ,S4 %VC o% SID L 1 a. - 15 stt T 6--- /4 - .- c•`), g b ( S 1 ()C Legal Description 1 Mortgagor Square Ft. B ignatu Date: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address / ///• 952- '5) Owner / Lessee / Tenant 7 � je5 . L5;$ /Ie,i) I 1 /3/tJf,,5 Owner's Address /O J 7J ) ,5"/ , Contracting Co. 4 (//P& Qualifier 'd,cVr(1) e .S1 / SS# )- Phone Address ( o //I XDIfe/!�H ,DQ.,7i,9 5 figs . Y/ i Address Estimated Cost(value) 0 73''• S� Signature of Contractor or Owner- Builder Date: 4'T�' 93 e Notary as ont rg or, or Neftuftilder My Conuni s s i on ISO 44 MY COMMISSION # CC260247 EXPIRES • .._a February 17x1997 BONDED THRU TROY FAIN INSURANCE, INC. * * * NOTARY Phone /✓ ` S' S' Ins.Co. v TOTAL DUE ) , r 5 a Other tt 1.6 9 Electrical Engineering