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PAINTDate Legal Da pfon Historically Designated: Owner/Less= / T' pp ,, Owuer's AddreSS 5 3 3 & 4f3 f S f ✓)(;Q , C .o S Pi . Phone /( ° 7 ST s" ' Contracting Co. Qualifier State # ( :� y flA 1 Municipal Architx0inginy::• Boning Compa y Mort gor ) Permit Type (cir llz one): U �� 1 ELECTRICAL WORK APPROVED: Zoning Mechanical ESC FEES PERMIT I NI' MIT APPLICATION FOR MIAMI SHORES VILLAGE dab A 53 3/ Vg /C'/ S7' c - G (cvico /ZO o M ; / , 7e0 ." 1,577 = Address Fa? ,S7,/7/- V/f A ON wL W Signs o o CCT2iS Pt 1 Noy as to O at Jc *4 t fit. My Commission EI llv RADON Building `t ,/{q/q to PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN SS# Tax Folio !�� ° �����•�(�0��/�.�' Competency # Square FL Estimated Cost (value) S 00 WARNING TO OWN= YOU MUST RECORD A NOTICE (IF C NCEMENT AND YOUR FAILURE TO DO SO MAY lamm.,17 lakT, PAYING TWICE 7CIiIMPROVEIVEENTS To It UR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR ILENDE2 OR AN ATTORNIEY 3EFOR2, I ZEC 1 RDING 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 AF'FIDAVTT: I certify that all the foregoing information is accurate and that all w will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the w r- stated. N.tary as to ` t . nnIgli lag Date My Commissi n ExpiresC stir ° r �;°''' NO-TAT! IS ' ,f�{{fi�.. T. S:.d u ' O . z 1 IV1V lnr" .",V IV. LJ! .._ s " :•. C.C.F. NOTARY BOND Electrical Yes N© Master Permit #, Ins. Co. Phone _ C TOTAL DUE :numbing Structural Engineer Date pp NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. // ,20 `O /f "' /P 3 6. 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: 53 3 /V 0 9/ Si° 1;7 /• , 3 2 A ` O/ 41 /23 0 nA4,4,9u Se 2. PF /O -3 7 Bee Lai 2. Description of improvement: r 4 . h rt 3. Owner(s) name and address: a1 t (cc etc S 3 2 AJ C q/3- Si • ,L1f G1_ nr Q 3 F1• 33)2 &"" Interest in property: CW Name and address of fee simple titleholder: - Ph l //t6 ‘ N2' `� 4. Contractor's name and address:V i 7i(1 Rr/ dpeogS /../S _Z4Yc 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 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 Statutes. Name and address: 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: 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) S.gnature of Owner ! Print Owners Name RLL.t 1( S G • R to d► c • Sworn to and subsc red before me th Notary Public Print Notary's Name T / Y it k S NOTARY PUBLIC STATE OF Fl j 1DA Y CO � /WON EXP.. MAIL t My Commission Expires: STATE OF I LORIDP, COUNTY OF DADE 0 f$a223Vek29127 Me this Cs a Prua copy oQ the es y!ue! fi1od ie 6hfj offsce on �„2 „dz;y of A. o. � t WiF\f033 my h d and Official Son!. INN IVEY' nl .,ERIc ofCrrc uit and County Court • J 9983801/ 13 1999 JILL 22 09:43 Prepared by: /.1.l /// --'7-%/Tl- /e-) Address: ,g.?‘ S* 1/ T r ' �l � % 11 A. 1230152 2.93 1 1 L )i) > , \, - -.. ..... :- i ) , ) ) ' : . I ._...L / i , ,, , 1 f i l ....\ ,, i i ./..y ! . , ,, ..-.6- _.,.. 3 j , /4 ' / 1. ( . ( 1 / I ( 1 - 1-.----- -- 1 1 ; STATE OF FLORIDA, as. COUNTY OF DADE. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMET 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 regula- tions 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 Ergine°r Name and address of licensed contractor Location sad 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) Date , 19 - - ----------------- -___ -- -_and for no other pus -pose. New Remodeling__________ —__ Repairs_, No. of Stories_-- - To be constructed of_______ _ Kind of foundation Roof Coven:f g Estimated Total cost of imnrovemen.tc ____________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 uncersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. , i t Date Permit No a ��'' " Read, Sworn to and Subscribed before me. E � ' Disapproved _ Date_ (Signed) Building Iiaspector My Commission Expires Notary Public, State of Florida to me well known, 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. 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 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 regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plats 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: Lot__ Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) Date Building Iuspector My Commission Expires__ PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved— Date Disapproved , 19 ____ No.—__—__ _ Street.._. and for no other purpose. Repairs No. of Stories____— __.___ Roof Covering_---_— _____ ___________ New Bnilding_________________ Remodeling________________ Addition_ To be constructed of_______________ Kind of foundation – Estimated Total cost of improvements $ 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 be 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. 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 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) 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. BUILDING ELECTRICAL PLUMBING Owner of ., Building Architect Contractor or Builder Lggal Lot Description Address of Building_ COXTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE I Lis .71 194 Contractor's License No. PERMIT X" 4891 Work to be performed under this Permit Bl. Value of Amt. o Project Permit This permit is granted to the cont actor or builder named above to construct the building or to install the equipment br device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with am plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit ma' be rcl Act! at any time if the work is not done in compliance with such ordinances or if the plans ar��..change without autlkorization. A further condition upcn which thi, permit is granted is the understanding that the contractor or builder named above aee tht r ponsi ty fair a thorough knowledge of thc ordinances ai: regulations pertaining to the work covered hereby whether shown on the plans dr the t- er- cifications and that he assumes re,pon sibility for work done by his agents, servants or employees. ✓ d , Signed: Subdi- vision 4 SPECTOR By Jo- /E., c In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami SI ores Villag In accepting this permit I assume Tcsp for all work done by either myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA I DATE 194 PERMIT N? 4891 Contractor's Work to be performed under this Permit_ t o lb Bl , Subdi- vision — Address of j Value of Amt, of ,' �` • Building - ` - ' Project Permit,. This permit k granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation hereAfor 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 m authorities. This Permit may be revoked at any time if the work is not dune in compliance with such ordinances or if the plans are change ,without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assuines the reKponsibility for a thorough knowledge of the ordinan�,es and regulations pertaining to the work covered hereby whether shown on the plans or drawings i- lie statetncqt`C Y7t' i!ifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed• • By *SPECTOR 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 xvith the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume respon�Is Mike y-for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY Date / /<< Job Address =� � // %/ al,Description ( . PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Lessee / Tenant i l i '. ti S a !/1C 2 Master Permit 1F & 3' Owner's Address ,6 `71( q /9 Contracting Co. . - t �% { � Address Qualifier Af/NEe, SS# - State # Municipal # Competency # Architect /Engineer Addres Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING f ENCE SIGG WORK DESCRIPTION -Efa ery/4E/14 02 wa-(( o 0/ 4 ) vtc' ''' l F('? ; report d - 12 ,oh4li Square Ft. Estimated Cost(value) APPROVED: Zoning Tax Folio // �' � : Phone S ,'y 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 YOUF 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 in compliance with all applicable laws regulating construction and zoning. Furthermore, authorize the above -named contractor to do the work stated. e r4.6 Signature of owner and /or Condo President igna ure of_ s_at . -sr Owner- Builder Date: Da :746A7 /a,r9 i- Notary as to Owner and /or Condo PresidentNotary as to Contractor or Owne:::::::: My Commission Expires: My Commission Expires: 1/e/2�,�,- NOTARY FU8LIC STT� ** * * * * * ,� * * * * MY COACISSIQN tXPIfbS */09/94 * �/�t 8ond3d thru Stembiet ti 1 & Sw r FEES: PERMIT l iii` RADON C.C.F. o � NOTARY J 7 0 O TOTAL DUE i l 6 Fire Other Building C i 4-5 / ) ) t Orlti Electrical Mechanical Plumbing Engineering