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FENCE PERMITPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date // - i/ - 9.2. Job Address S/ 7 Al . E. 71 5'T. Tax Folio // .. /*/ ,fz?e'er Legal Description fr./ d%� -S Owner / Tenant ( ?Al2l6 / / M c rormrck Master Permit # Owner's Address 5/7 N. E. 9/ 67 Phone 75 Contracting Co. QLU/lef / Address Qualifier ss# Phone State Ifr Municipal tk Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING SIGN WORK DESCRIPTION Repla.Ce. C a.1k1 t it4k k Loos Fe.N« 'a.V+na Square Ft. APPROVED: b 54012m. aoo 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 autho.'.ze the above - named, contractor_ to do the work stated. Signature of owner and /or Condo 72;AL/ Notary as to Owner and /or Condo My Commission Expires: NOTARY PUBLIC STATE OF FLOIVA * *MY*COMMISXON EXPI ES 5/09/94 Bonded thri► Stemble �.,.,,,,�,��.- FEES: PERMIT Jeep President Zoning 1.40,eoa,-cc. 6'4J Pmn <ypc sc..up name of No y P Ldc PrefsAm P known DOR ProdugRgIN s to Contractor or Owner- Builder Ty )e and number of I.D. prodayd:Commission Expires: D DID take an oath, or * * ©- DIDg\IOT tale an oath* RADON C.C.F. 56 Mechanical Fire Building Estimated Cost(value) Signature of Contractor Date: Plumbing or Owner- Builder * * * * * * ** NOTARY /' TOTAL DUE ( Other U Electrical Engineering 0 0 Gate / 127' West House 84' 5' Chain Link Fence ----- 5' Wood Fence Driveway 6' 70' 57' 8' 7 , r J. Disapproved -t (Signed) k ,:. Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement ur 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 iiuil. ling 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 . /.%1tS...kai .441....d.1�. - .k•L• /4• • .-• -- ._. No..5l. .Z_..._. Str r e- 9. - Registered Architect and /or Engineer / .1 I r r Name and address of licensed contr4ctor .1.•11_...L..C.e::., f l . .. r2.' 5 .... ... ., i9V •._ Location andlgal description of lot to be built on: /1 4 v ' / 9 /,. 2 D ./ P b -L 1°7 Lot ' J,where Block s�?..? Su ' vision....... ..d a- r , ° ll t7 d... S___ � Street and Number where work is to be done � _ ! / _ •. � G � ..� . � ..._..... .._.._.___....._._.�._... •— State work to be done and purpose of building (by floors) c/C , £../�.L°...C�- .. ..s..? F` e l , ..� _... ..,�. 0.6.. ..1t! .t .._.._._ _..._ .__ and for no other purpose. P7L. New ' g P/ Remodeling G � L Addition s� Repairs... No. of Stories / To be constructed of C, ..F. Kind ofiet+adelion 4WD Covering Estimated Total cost of improvements $.. t 7 - �6� Amount of Permit $r .J.�..' 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 crrtify that he understands and accepts his obligations as an employer of Libur under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Perrnxnrnt Sup )Iement, and has complied w ith 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 pcnnit, as are licensed by Miami Shores Village. Remarks. .._..... (Signed) /-1/ 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 e.. Permit No.._.._ 1 le I Date � " +.1 41 Read, Sworn to and Subscribed before me. Date ITV ? ?r•:, rewwxwe•, •,r. err.:e Notary Public, State of Florida My Commission Expires to me well known, PLANNING BOARD DATE Chairman Member Member Member Member .. .. Member _.._..... Council Approved Date Disapproved Date NOTE: A charge of S1.00 will be made for making corrections or changes to this application after approval has been obtained from the Pl,innir,g Board. A re inspection fce of 31.00 will be charged when such re- inspection is made necessary by Improper notice for inspevtirm or faulty materials and/or workmanship. C' I 5) 7 !U A 1 ST n ► a tin; h� yes P 756 9.0 07' 123.03 -94 Legal: Lot No. 9 (17 19 BUILDING & ZONING - ADMINISTRATION PLOT PLAN 100 N e, 1d b ST., TERR., AVE., CT., PL. NO SCALE Block No X NOTE: 1. Show existing buildings and additions. 2. Show distance from property lines to buildings and /or new additions. 3. Locate septic tank or sewer and electrical service. NORTH ARROW Subdivision Kam , SEC. TWP. RGE or Metes & Bounds Plat book and Page No / -37 THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT ❑ WITH NO VARIANCES ❑ WITH VARIANCE(S) LISTED IN "REMARKS" NO OTHER DEVIATIO°'S FROM THE MIAMI SHORES BUILDING AND ZONING ORDINANCES WILL BE PERMITTED. UNLESS SPECIFICALLY LISTED BELOW. ALL OTHER APPLICABLE STATE AND COUNTY LAWS MUST BE COMPLIED WITH BY ALL PARTIES. FIRE DEPARTMENT PUBLIC WORKS BUILDING DIRECTOR PLANNING & ZONING BOi;i=,:) VILLAGE COUNCIL . PRELIMINARY: REMARKS: Authorized Sgnature APPROVAL FINAL: Date COMPLIAi!CE WITH THE SOUTH FLORIDA BUILDI.G CODE AS ADOPTED BY MIAMI SHORES V�ILL ,GE 1S REQWRED. THE ARCHITECT, BUILDER SUB CO::TRPCTORS ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. APPLICATION FOR BUILDING PERMIT Application is hereby mode for the npproyal of the detailed statement ur me plans and specifications herewith submitted for the build • inc or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and n11 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. C . & , Owner's Name and Address mss' le ei 7 '✓� ... No. »� ...... Street._. - ft _ /e6 is `2i W.1/.674?*- — ... Registered Architect and /or Engineer a � .,, ----•... •- •.,,-• ............... ...... „ ,,... � � 7. Name and address of licensed contactor CNSe 1 .e_.. .. * <I 7r' �_ Disapproved....(. Date (Signed) t. MIAMI SHORES VILLAGE Building Inspector BUILDING INSPECTION DEPARTMENT Location and legal description of lot to be built on: Lot ” ' ` . Block - _ Subdivision ,a Street and Number where work is to be done . �7.. �... _ • State work to be done and purpose of building (by floors)...-- 2.115 1 ,6(4 Keex ._.sS. a;��r� -!`• .tr'<�� and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of fAindation Roof fovering Estimated Total cost of improvements $ q/...5--412....f--- Amount of Permit $. V - ©.6 Zone cubage required plan Cubage r ..... Distance .to next nearest building. Size of Building Lot .�C' '/ ". .. Maxirnum 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 under > igncd 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 Nsith 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 to of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subce tractors, o.�.rk to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. i 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 facts therein by him stated are true. Permit No.._.. &3 .. • Date 4 / . 1 t4* Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chainnan Mcmbcr \Icrr,bcr Member Member .. .. Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or clrnnges to this application after approval has been obtained from the I'Lurnir, 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 and/or workmanship. 1 S 2 )- Lf 97