FENCE PERMITOwner's Address
Contracting Co)
Qualifier
State #
Architect/Engineer
Bonding Company
Mortgagor
FEES: PERMIT
IMMO
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date / 2 tIg � Job Address ` ,�Q' ,�J
l ea/t 6-7 �l Tax Folio
Legal Description
/ Tenant y e-14C. 36 /.
?emit Type (circle ore): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAYIN _FE SIGN
WORK DESCRIPTION x /L��G G N,/4 1- v / —
Square Ft. )' /; k
Estimated Cost (value) /6e9 a s
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 _o 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.
OWNERS 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.
Notary as to Owner and/or Condo President Date
My Conunission Expires:
RADON
APPROVED:
Zoning % '` J Building
Mechanical
Municipal #
T ?/fe . at G Jl/Y
C.C.F. /
Address
Historically Designated: Yes N
SS#
Competency #
Address
Address
Address
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Electrical
Master Permit #
7 2
Phone ? '7/
Phone
Lelia—
Signature of owner and/or Condo President Date /of
r � of Contractor or Owner- Builder
No . as to Contractor or Owner - Build
My Commission Expires:
BOND
it
Ins. Co.
TOTAL DUE (/t;
Plumbing Structural Engineer
Date
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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
Registered Architect and,or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on: // ��� / 9 4
Lot l 2, Block `, Subdivision P" r 4l
ion
si
Street and Number where work is to be done 4 / % /( �L / cr
State work to be done and purpose of building (by floors), state exterior colors (submit samples)
'=( e- 4 /� �. (A2 <
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of _'„..-----_ Kind of foundation , ` /`mil- Roof overing
Estimated Total cost of improvements 5 49ee ` PP Amount of Permit $ V G�� —_ —_
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 is permit; and will post or cause to a po for inspection
on the site of the work such public notice or notices as are required by the Act. The undersigned agr tcy employ only sych su co tracto . on ork o be perfor / ed
under this permit, as are licensed by Miami Shores Village.
Remarks Signed ^t
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 f., going application, and that he did sign the same. and that all facts therein by him stated are true.
Permit No.
Disapproved
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date
Date •-3
No. 6 Street
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
19
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved 1 ate 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 and or workmanship.
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APPLICATION FOR BUILDING PERMIT
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 `- (ill Q 1 —01 0()C \O
Registered Architect andior Engineer o �, r� `
Name and address of licensed contractor \ n - l .� ll� k_ Lc, 1� o �' b� -
Location and legal description of lot to be built on:
Lot Block / ' n Subdivision
r
Street and Number where work is to be done `l - ` N
22',-.x/
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Permit No.
Disapproved \ Date
(Signed)
Building Inspector
State work to be done and purpose of building (by floors), state exterior colors (submit samples)
Remarks (Signe
PLANNING BOARD DATE
Date e /f/ 193,r
No. ' 5 ( ' Street�L%
V and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
�
To be constructed of Kind of foundation Roof Covering
e Estimated Total cost of improvements $ 01 OP,49' ® Amount of Permit S v ® 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 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'
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.
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 foregoin application, and that he did sign the same. and that all facts therein by him stated are true.
Date 5 er' Read, Sworn to and Subscribed before me.
Notary Public. State of Florida
My Commission Expires
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 and or workmanship.
•
LOCATION MAP
CERTIFIED TO:
4;- Zara c/
DATE
MAY- 4- /988
ORDER
588/13
DRAWN BY
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LEGAL DESCRIPTION:
1049. /040 . /061 / o n E! POArxe •
According to the Plat thereof, as recorded in Plat Book9
at Page 101 of the Public Records of Dade County, Florida.
J.F. LOPEZ & ASSOCIATES
555 East 25th St Suite 2Ii'
Hialeah. Florida 33013
1305) 836 -1822
836-0937
t
the
9I' 5'T
United 6tatea Depart.ieIL of tlousin6 and utban Uevelulmeut, delineates
herein described land to be situated within Zone 7C0
trt
90T" 57.
3P
3
LANG SURVIVORS • LAND KANNtit • CONSTRUCTION •UMVtTS
1 HEREBY CERTIFY That a survey of the property as described in the too egoong caption
has been made under my direction, and meets the minomun technical standards set forth
by Florida Society of Professional Land Surveyors pursuant to chapter 072 027 of Florida
statutes 1 further certify that this Sketch of Survey Is an accurate representation of Such
survey, and is true and cornet t0 the beat of my knowledge and belief. and that no visible
encroachments exist. except as shown
NOTE: NOT VALID UNLESS SEALED WITH P.ea•rlwui Land Wne,e. Na 1001
AN emaOSSED SURVEYORS SEAL. SCAR PI Pletle;,
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0-7L • Re 6. N: 490
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Sit& 1 (h Ut. SCALE: I "= ?01
„I/ 57 ST
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�V fun0pi ®
THIS IS A BOUNDARY SURVEY
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