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ROOFING PERMITS** * APPROVED: PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date -//4> > Job Address � � c7 L 1 t s Tax Folio I 1 J o � CQ 't © I Legal Description Ltrr L L . R14/1, Owner / Lessee / Tenant ( sAll4fAcrr Master Permit a° 7' Owner's Address 6>3 L l 5� Phone ��//�� 7c OO G`f/�Ad 1:1) Cif Contracting Co. * /26201,,e4 Address Qualifier /S S eb /l/Zy Phone �� 7 0 � /' I�.GOD�L`� nn //,, �� State If Municipal # Competency # 16(31 'ZLs.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIG? WORK DESCRIPTION u 4(.4 _ — f3% Zt7' ��OUJZJ FI J T >Z�r�f� / 3L� � `l �'�Z�s� / ha i , M/ ) ©,L it ® ©Q„ Square Ft. O 00 Estimated Cost(value) O � &90 51012 Ss v FI /4 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 INTENT 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. Signature of owner Condo Pry dent Date: Not ry as to 0:0er snd /or • • President My Commission ENpires• NOTARY PUT. , STATE OF FLORIDA AT LARGE MY COMM .ON FX ?11235 APRIL 25, 1993 ,f BONDED T?9 2Z1 NeCiZLEZEa1Y & ASSOCIATES * * * * * Signatur Date: f Contracto i. e_. - ist,ilder � N tary as to Contracto • 1. y Commission Expli iea : LTC; STATE OF FLORIDA AT LA&GM MY AO .AISSION EXPIRE:3 APRIL 25, 1993 J BO;,;') :D TNELI HUUZ::ZLE311ItY & ASSOCIATES eL-Builder * * * * * * * * FEES: PERMIT .1 . 1 i"" RADON C.C.F. 4.7 0 NOTARY TOTAL DUE 746 Fire Other Zoning Building .11 Mechanical Plumbing Engineering 'tKrl l 1 W • state of Florida - county of Dade BATH OF FLORIDA COUNTY OF DADE HEREBY CERTIFY that tia original :led in this office WITN my hand and Ofiici Clerk Circuit Court lax Folio NO. NOTICE OF COMMENCEMENT 92R22 12 19 ?2 JO 10 14:01 Li LO El -* PLci4 HE UNDERSIGNED hereby gives notice that improvement will be made to certain real ,roperty, and in accordance with Chapter 713, Florida Statutes, the following nformation is provided in this Notice of Commencement. . Description of property: (legal description of the property, and street address if available) /WA IN fecOer. f /9/rlr 2 ' )9 7' Z 7 uth- / FB l0 /d �7t1 6/4 /l 32 e6 0/3 012 0 . General description of improvement: /QE —/: . Owner information: a. Name and. Address: C67,11//Clap T /f/1. 9l 57 ,t?. .+99/ b. Interest in property: c. Name and address of fee simple titleholder(if other than owner): . Contractor: (name and address) C4/ 44/ I?ae /7A" r 210,i„ G , /(6• b. Amount of bond$ the date of recording unless a different date is specified) final 94t6 D / C 041/ 0 T S ,c6c - T G 3 eV ( 9/ $T ,r'/ , , Z1 61 41 •corn to and subscribed before me thi' i)7/ day of Signature • 'Own My Commission Expires: /or/Z.02 • . Surety: a. Name and Address . Lender: (name and address) . Persons with 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) In addition to himself, Owner designates _ of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Expiration date of notice of commencement (the expiration date is 1 year from , 1992. STATE OF FLORIDA, COUNTY OF DADE. j ss. MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statc.,n•nt os toe 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 budding during pregreu of the work. BUILDING INSPECTION DEPARTMENT The undersigned applicant for this building permit does hereby certify that he understands and ac of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General La and has complied kith the provisions thereof, and will require similar complianc - contra in the work to be performed under this permit; and will post or cause to be • •sted for insp ctio or notices as are required by the Act. The undersigned agrees to employ only uch subcon pcnnit, as are licensed by Miami Shores Village. Remarks (Signed).. Disapproved ate.. (Signed) Building Inspector Rea PLANNING BOARD DATE Date..._..._. June .._._.__._ ........_. 19.. 85 Owner's Name and Address .. . .. .6.3....h(...E......9..1.....S. h2.2.L..... _ _ No...._ _. Street._ E .. Registered Architect and /or Engineer ,,: ................ ......*,,,.,,....,,, „,.,� „,.,<. Name and address of licensed contractor Pa.em eh. t b Ro o >5 - R.Lte C o . r I n e _ 2 3 5 5 5 NW 74 Stn e e. Location And legal description of lot to be brilt on: ]'' Lot.... Block .( Subdivisions . g L.. en2.. /1_., p.L .../,.%'/..2-.0 r Street and Number where. work is to be done 63 N 91 Stnee State work to be done and purpose of building (by floors) 2e- 1499 ` gat n00 `: 8 1/2 b . 30# 1 a4phatt ie.eU4 g gnave.e and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements S•••• see e • Amount of Permit & c2 0 '.ii?- Zone cubage required .Plan Cubage Distance .to next ne.vest budding. 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 b be sent to.. ...PC2IThe112.4 R.a.a.. -.R-i. .e....C.o....,..... , 3555 N . W. 74 Stne • • • • on r on ding and its construction .t, M- Lam-L F.eon -.d epts his obligations as an emp s of Florida, Permanent Sup iI or sub - contractors employe of the w.rk sucl k • • Jar Tom E. Pa.emen d, Sworn Subscribed • f • e me. yer rent, y him else notice under this Before me, the undersigned authority, a notary public, duly authorizcd to administer oaths and take acknowledgments. personally ap- peared So.M... Patm.etc. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. C:.o.n.tna.c,t011, 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.. In Permit No f 4 Z' Date Y' k a Notary Public, St e of Florida NOTARY PUBLIC STA TL,QF, My Commission Expires... 1.H�U GENERAL INSURANCE Utl) MY COMMISSION EXPIRES JULY 30 1986 Chairman Member \fcrr,bcr 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 1min the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspectitm or faulty materials and /or workmanship. BUILDING ❑ DATE *P ' cs / " %S 1 95 ELECTRICAL ❑ PERMIT N? 12992 r _ Contractor's PLUMBING ❑ License No ROOFING [a / Work to be performed under this Permit Owner of II Building v . � `• LA,--. ,6.. .4Sj --- . -_.,r `'— - 4.es. -J Architect contractor t or Builder .-` Legal Lot II Bi. Description Address of _� Building . ; „ ° f MIAMI SHORES VILLAGE, FLORIDA This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or dra gs or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY t ". /^' IN$PtkroR In consideration of the issuance to me of this permit I agree to rforin the work covered hereunder in compliance with all ordinances and regulations In accepting this permit I assume responsibility for all work pertaining thereto and in strict conformity with the plans, drawings state engk or specifications submitted to the proper authorities of Miami Shores Village. one by eith , myself, gent, servant or employee. 1•440.• / ■"4-4 /21 CONTRACTOR OR BUILDER BY Subdi- vision Value of Project $ f � I Amt. of Permit $ ' d Owner's Name and Address 1 Registered Architect and /or Engineer r 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 , 19 -- - No. Street 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)__ New Building____ Remodeling To be constructed of Kind of foi dation Roof Coven_ 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 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 subctractorn work to be performed under this permit, as are licensed by Miami Shores Village. Remarks____________ — (Signe STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved Date (Signed) . and for no other purpose. Addition____,. Repairs No. of Stories to me well known, Notary Public, State of Florida - -I 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 L - 1 Date Read, Sworn to and Subscribed before me. 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. s 17,