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BUILDING DEPARTMENT 745 NE 91 STPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 10/161/16, Job Address 745 N.E. 91 sr. 1tt . $ . Tax Folio Legal Description Historically Designated: Yes No ?C Owner/Lessee / Tenant .5 None S t (/ 1A ii St Cam �[ LDCD Master Permit # OS 3 3 Owner's Address Phone 75 6 c Contracting Co. So 6 PERRY C0A15T,, CORP. Qualifier R.0 BErr W . PERQY SS# - Phone 59/ • /665 State # C G —co /094-5 Municipal # Architect/Engineer NyA Address `—' Bonding Company IV /A Address Mortgagor Address Permit Type (circle one). UILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIP'T'ION REPLACE DESI AREAS OF RoTTEIJ SOFFIT BOARDS AND FA c I A BOA lzOS . PA / SJT tiE W MATE kIA L . ( YI QTCN 19T,/J6) Square Ft. Estimated Cost (value) 4 0 00. 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 !cws regulating construction and zoning. Furthermore, I authorize the above -named co tractor do the 1 stated. 6igua lure of owneand/or Condo Presi ent e1 Nc ary to Owner and/or Condo President Date My Commission Expires: 0 . 03 zD �� p JORGE MERCADO 0 COMMISSION # CC 537335 • inn • L afi Ifr eOf CV FEES: PERMIT fic RADON Address 8350 N• W . 70 TW . ST. MIAN) 3310 Competency# Ins. Co. MAQy<.A140 tAUSc 4L77 `• EXPIRES FEB 13, 2000 A BONDING CO.. NC. eip C.C.F. 6( APPROVED: Zoning Building Mechanical Plumbing Electrical Signature of Contractor or Owner- Builder VV Date Date Nary as to Contractor or Owner - Builder My Commission Expires: :/flp _ _ _ _ oe : COMMISSION # CC 532335 �► n EXPIRES FEB 13, 2000 rt . .r ^'�. ! BONDED THRU � i tOf B6NBINQ Pia RA NOTARY BOND TOTAL DUE Engineering PARKING RoTTEM SOFFIT AND /oR FACIA To BE R E PL 'C D 755 SC EE MOLD ING- 0 ice 0 7,2 736 NoTE ; APPROX. TO BE REPLACED IN VARIou5 LOGAT(oNS . 9160 , glao 1 914.0 N.E. e TH. AVE, ALLEY r eREEzr WAY (Please type or print DADE COUNTY RECORDER, Wee' for recording wi 7777.) PERMIT NO. STATE OF FLORIDA: COUNTY OF DADE: .4. THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and 'O in accordance with Chapter 713, Florida statutes, the following information is provided in this N Notice of Commencement. 1. Legal description of property and street address: 2. Description of improvement: A /.1D FACIA 844RDS. PA 3. Owner(s) name and address: 745 u. E, qJ sT. ST. MIAMI SNORES F •L 3313 ,_,757 -.11: 6.7 Interest in property: Name and address of fee simple title holder: 4. contractor ea name and address: Fie$ • PERR co/Usr 350 IJ,W, 70TH. ST. /4 /AMI / FL, 33166 (A05)541 — (66,4 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: !N A imount of Bond: $ Al / 6. Lenders 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 Secti9n 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 [.ienor'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 pf recording unl ss a different data is specified) Signature of Own ?rint Owners Name .ppeared before me BETTY R I Z Y 134 this 161 day of ' QlW66‹ . 1996 Personally kn -wn to me or o prod ed I.D. rotary Public f 4 / /4 ,/d. e t) • ?rint Notary's Name ��►T PI/ d.K1T rwe s w.. ni 47 Commission Expires : o .A. G_ COMMiSSiON # CC 532335 14 clearly and prepare in duplicate. Hand deliver or 44 West Flagler Street, 8th Floor, Miami, Flor' 11 be required. FIcAadd $I MAW*0 Lion ca IHZR d 'CiiftlIFY that this is o O,uo •. O Oho 0 J lit in li is/o on ' d NOTICE OF CO r • 4..0. 09 w n . ( .1 .,c ". TAX FOLIO NO. IIA t' R'I '!" et rR2 " , Ct..•.t.- „,'CounovCao. oy � —_ �� 'l ® C. REPLACE DESI -, L4TED AREAS G 1>;IT MEW MATERIAL BONDED DeW ATLANTIC BONDING CO.. INC. n Ro f 5 OFF/ MA?C14 E XISTI /46. ..540RR.ES P6.4zA tASr COAIDOM IA) I OJM /jam-. BO ' RDS 1 p rjtJrS T,QSMA This Document Prepared By: Name: Bob PERRY GAAlsrEtt170A1 Address: 19350 14 , W , 76,14, ST APPLICATION FOR BUILDING PERMIT ,(.c ,-="' ,-="' � Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other stru, ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Villag,, Fonda, and all provisions of the Law• of the State of Florda, all ordinances of Miami Shores Village ^nd all rules and regulations of the Building Division of Miam- Shores Village sh,.11 be co :,plied with whether h-r_ in specifie -'•. , , not. A cop of apl-roved plans and specifications must be kept at build.ng during progress of the work. Dat::_ . I / 2 _ _ . _ - - Owners Name and Address. I /4)4 __ No. < 71_ _ i eet_ / _ �7 _ / Name and address of licensed contractor _ _ _ N _ Ul - _ 0 0 Location and legal description of lot to be built on: Lot __ __ Block ___ ____________ ____ __ __ __ Subdivision Street and Number where work is to be done 7I l_v si 6 Registered Architect a dj,ngineer O peared _ New Building To be constructed of STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved - - - - - - - - - - - - - - - - - - - - - - - - - - - -D a t e (Signed) L =U _ • -'i - is Building I pector a'. MIAMI SHORE$ VILLAGE Chairman Member Member --- - -- -- - -- - -- -- - - Council Approved - NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. BUILDING INSPECTION DEPARTMENT PLANNING BOARD _ State work to be done and purpose of building (by floors) PA j /J s _ .; /� /.f -i t "ic /i_.�__IM - / .g 1 ? (.44 Gam) . !_' =E- C .(✓ -7 .f__ -- f ie / Coda oe C 7.f ' __1 Remodeling V Kind of foundation Estimated Total cost of improvements $._ / Amount of Permit $ Member __ Member ___ Member ..._ DATE and for no other purpose. Addition Repairs ; No. of Storie. _ 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) Zone cubage required____ .___________ _______ .,c..___� _Plan Cubage Distance to next nearest building__ 1. ___; Size of Building Lot___ Maximum live load to be borne by each floor I hereby s gy itt all the plan n specifications C id building. All notices with reference to the building and its be sent to _tLU� Roof Covering 64-2, ► 1 ek►c. Notary Public, State of Florida My Commission Expires construction may Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- __ __ 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 ._ — /V b _ _. _ ____ _ ___._ Read, Sworn to and Subscribed before me. .__ Date Disapproved ___ _ . __ _ . _ __. __. Date making corrections or changes to this application after appr:. ‘, I has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty 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 Registered Architect and /or Engineer J y �� Name and address of licensed contractor d J 2 4 GYI ' Q 655 , '. ,4 / Location and legal description of lot to be built on: Lot Block y 1= Subdivision on S and Number where work is to be done �< ® 5 ,_ Star work to be done and purpose of building (by floors)::, z , e' {.4•..ci •.� £ a �- �_-� c� _ �'�.e!' J' 7th � _. -.6:=. - New Building Remodeling X I hereby it all the plans and specificatio be sent to / r € Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be made for making the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 4Ite_ s � �c 2 No 7/ 5 Street_ _ 6 .1 PLANNING BOARD DATE and for no other purpose. Addition Repairs No. of Stories 6 -� Roof Covering Q 00 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 s fo said building. All notices with referee , he buil i g and its construction may y � -`�to X55 27 ('� �� 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 - (Signe OF FLORIDA, COUNTY OF DADE. j 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. p Permit No. -_ 2_S' �" Date J Read, Sworn to and Subscribed before me. Disapproved_______ Date._.._( ® Notary Public, State of Florida Building spector My Commission Expires Member Member Member Disapproved Date corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty BUILDING ELECTRICAL PLUMBING Owner o Building 5ga,s kW z , E C+ Architect Contracto or Builde Legal Description Lot / •.. s o, ) Address o 7/4 44/V E' 92" 9 Building 20 S T s p•._'. . . "or . b.i.`.er it MIAMI SHORES VILLAGE, FLORIDA /0 DATE / ZC /0 199_ Contractor's License No. PERMIT N° 7686 Work to be performed under this Permit Bl. at any time if the work is not done in compliance with such ordinances or if the pla permit is granted is the understanding that the contractor or builder named abov regulations pertaining to the work covered hereby whether shown on the plans sibility for work done by his agents, servants or employees. Z Value of Project BY Nkiv CNsr 472. vvgas ,n) 4 . ,e T fl iT Amt. of Permit I p e. • construct the building or to M rn p cation herefor in strict compliance wi all ordinances per aining thereto and with the understanding that the work will be performed in compliance with plans, drawings, statements or specifications that may have been submitted to and appr. •d by the proper municipal authorities. This Permit may be revoked stall the equi ment or device described in the AUTHORITY li- are hanged without authorization. A further condition upon which this sumes',the responsibility for a thorough knowledge of the ordinances and s .: statements or specifications and that he assumes respon- By INS In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complian e with r 9 ordinanocs gpdgqeggl ons;! perta'•in thereto and • Ftrict conformity with the plans, drawings, statements or specifications submitted to the proper authonti s of MiaammiS h6fes i age: ' pe e i for all work done by either myself, my agent, servant or employee. NTRACT • ' O1' BUILDER MIAMI SHORES VILLAGE, FLA. JOB ADDRESS , N? 6302 INSPECTION r . 4 L T, z ��-�' ��✓ TIME READY4 - 1 3 REMARKS : INSPECTOR_ DATE MIAMI SHORES VILLAGE, FLA. N° 6241 JOB ADDRESS 7, I 4 / INSPECTION 7 ' t f TIME READY ( REMARKS : • , - ' •:• „ INSPECTOR ttA DATE (Signed) ----- --- --__1 Registered Architect and /or Engineer Building Inspector 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 Owner's Name and Addresi `7` No Street___d" Name and address of licensed contractor__ N A: 11 � _ � Location and legal description of lot to be built on: Lot Block b A Street and Number where work is to be done �/� State work to be done and purpose of building (by floors) Read, Sworn to and Subscribed before me. /D (f /Id•f /0 / • ri r �; and for no other purpose. New Building Remodeling Addition Repairs No. of Stori �� `� To be constructed of _. -__ _.- ;_____ . _ Kind of foundation �.___ - >___�._ ,_ -' Roof Covering — - ;__..�______ ___ F_ Estimated Total cost of improvements $ Amount of Permit $ F . ``�� Zone cubage required .. plan Cubage _ __ _ _ __e 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 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 -___ (Sign f / STATE OF FLORIDA, COUNTY OF DADE. j 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 w Date Disapproved Date / Notary Public, State of Florida My Commission Expires PLANNING BOAR DATE Chairman Member Member Member Member Member Council Approved __ Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for ins materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA DATE 17 ' f 19 o PERMIT Na 5621 Contractor's License No. CONTRACTOR OR BUILDER C ,t Z f i Work to be performed under this Permit r- L • - T /t4 C- c c':t r,�� Architect 6 c 1-' • A` T Contractor or Builder Uk ' r• i` I ..z , t. , rte, e hca e , •' 7".4 s t,! I C.. Legal Lot d= Sub--- Description f/ . 11 _ Bl vision Address of % Value of y mount of l Building // F '� L / / Project $ f 1 I A Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device descAbed in the applica- tion 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 respon- sibility for work done by his agents, servants or employees. le Signed ^` INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance w all ordinances arid regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autho es of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY A1190T *ei. BUILDING ELECTRICAL PLUMBING ;QOFING )wner of 'ilding Architect Contractor or Builder Legal Description Lot 0 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE___1" N C' 5472 Contractor's License No be' 7 PERMIT 7 Work to be performed under this B1 ;, 1 4.. • . • - 14=-2 5 . / a 4 • • Subdi- vision Address of Value of ..-..-: ,-/ ._ It- , I ) I Amount of Building 79 .: 7 • 47 Project $ ti 1. I 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 applica- tion 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 respon- sibility for work done by his agents, servants or employees. Signed: 4 --../ - ff. .1,> (-ra...-"/ ,'.. 1!- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in camphorate%) with all ofg irlAIreire d regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABSOT BUILDING ® MIAMI SHORES VILLAGE, FLORIDA Date � - Z1 19.4 ELECTRICAL ❑ PLUMBING ❑ PERMIT N? 9296 Contractor's ROOFING ❑ License No. Owner of Building V 11 e i L ..� Z r� R S� Architect Contractor or Builder Legal Description Address of Building t{ I ..6. 4 - ( f 0 • .. {G. ( _ Lot 4 G. 7_S— l + Bl Z.. 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with and 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 th plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named ab$e assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whetjter shown on thg plans drawings or in the statements or specifications and that he assumes respon• sibility for work done by his agents, sery ts at employees. ❑ Work to be performed under this Permit 7ls N`c,_ 7/S r' Signed • LIN SPECtOR) BY— /,u " ' .7 l .; Subdi- vision / t ? L.. I Sq. Ft. Value of I I Amount of Project $ /L>c.� "` I I Permit $ 4 In consideration of the issuance to me of this permit I agrpe o perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawjt tatements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this emit I assume responsibility for all work one by either, myself, my agent, servant or employee. Li, I CONTRACTOR or BUILD1R BY c, A THORITY Disapproved Date (Signed) M CAM I SHIRES Val-AGE 1 D 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 Ne done and purpose of building (by floors) BUILDING INSPECTION DEPARTMENT APF= 'LIGATION 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 2 street !t ..._.. Notary Public, State of Florida and for no other purpose. New Budding Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering � ,o Estimated Total cost of improvements $__U' n 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). . • _ • _ c -, _ 'l r 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, 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. 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 81.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. s r •3 y , . 9Fe 1 /1/ / ey 5 q6 — 615" – 16 - c r 11) BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Led Description Address of Building In consid ation of pertain' o and in In apeepting JIis permit I CONTRA MIAMI SHORES VILLAGE, FLORIDA„ DATE ' PERMIT N? 8006 Work to be performed under this Permit / Bl. Subdi- vision ntractor's License No Signed. INSPECTOR the issuance to me of this permit I agree to perform the work covered hereunder in compliance strict conformity with the plans, drawings, statements or specifications submitted to the proper e responsibility for all work done by either myself, my agent, servant or employee. OR OH SUILtIER BY AUTHORITY 194 ,e f Value of ,,,, 1 Amt. of \ - Project Permit e. ' % t___ 2 ________ This perm is granted to the contractor calm der named above to construct the building or to install the equipment or 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 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 respon- sibility for work done by his agents, servants or employees. By with al.grdinances and risuktns: authoritMi of Miami Shores .......... -____-_--- Chairman Member _ Member . MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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. Ordner's Name and Address 1 Cr- P ../. Registered Architect and/or Engineer._. Name and address of licensed contractor. Location and legal description of lot to be built on: Lot...) /- - 740.4/Block 7- Subdivision._ Street and Number where work is to be done 7Z -C )_/-& 2/ State work to be done and purpose of building (by floors).. )-°__/: - Date . C—street y ce .and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation. Roof Covering. 44. — ( 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 foi said building. All notices with reference to the building and its construction may be sent to._ _ The undersigned applicant for this building permit dot hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act. being Sec:ion 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 su actors, on work t be perfo ed under this permit, as are licensed by Miami Shores Village. Remarks.. (Signed). STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, . 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....:9‘ 2. — Disapproved Notary Public, State of Florida ...,-;1,.. ,___,..._____ ( Signed) ..... __ - - . . _ ___ .14, Building Ins.- for A P My Commission Expires.. LANNING BOARD_ DATE 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. Date ..... ./ ' 4.7 Read, Sworn to and Subscribed before me. 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 Name and Address._.L A._ No..? f Street Registered Architect and /or Engineer _. .�� I Name and address of licensed contractor -.. __I !✓ •` ..zfL -r1 / ✓ � § e ° I ' -' L _ l / d 0 /I Li .1,-- ( Location and legal description of lot to be built on: Lot Block Subdivisio CJ ' Street and Number where work is to be done 7 _ ".. -___ __� / I I ? State work to be done and purpose of� building (by floors) ? L I — ,,/ ' 21 4,4. c ,- �1 �lli -�! 6s_ _ '+✓= v �+c_- i1.. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundat' tn Roof Covering � S% L 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 subcontractors, qp work to be performed under this permit, as are licensed by Miami Shores Village. , Remarks (Signed )._. "k„ 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, 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 Ca ___ Date Read, Sworn to and Subscribed before me. Disapproved / Date.__.. / „- ( Signed) Building Inspector Notary Public, State of Florida My Commission Expires PLA' NG 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 81.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 71,3^ Nom. 9/ .57" Tax Folio Legal Description Historically Designated: Yes No ✓ Owner/Lessee / Tenant ,9Z77 - >" R 2. 3� Owner's Address 7 we 9/ Contracting Co. �j [20f2 P ` Qualifier ,779/72-' State # Municipal # F - .2000 /24-5 r R / ®& /9 ��c - Square Ft. /„2 e e2 G> Estimated Cost (value) Master Permit # Phone 7 — ,o', Address 6.3 - 'c' c5vv SS# _ 5:24> -5 79 7 Competency # F-2000 Ins. Co. Sr2 2 7&c? O Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION I /LG NO14 /5Wee ='e9 .c 0,9 .G`X /A7• 4 % 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 authorize the above -named contractor to do the work stated. Signature of owne d/or Condo Pr i - nt r ate Z alfrt Notary as to Owner and/or Condo President Date My Commission Expire' ,�� A R r ∎ U' FEES: PERMIT " &' RADON APPROVED: Zoning Building Mechanical Plumbing 7 sh4) Za4 >A1 Notary as to Contractor or Owner- uil er My Commission Expires: I BOND 4F C.C.F.' ' NOTARY e of Contractor or Owner- Builder Date Electrical TOTAL DUE CY M ) 2 Date Engineering ALLEY i N 7 STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved _ _ � r (Signe - • ,. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPAR'T'MENT 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 March 10, , 19___ Owner's Name and Address S 4 eS '18Z8, In¢ a No. ___ 9Q$Q_________ - Street Bi.aGayn@ Registered Architect and /or Engineer Gerard Pitt Name and address of licensed contractor____ & Cartledge, 108 NE 101st St. Location and legal description of lot to be built on: Lot. - 5- 6- /- Block ub ` isi P 1�e5xeral_ ___ _l F _ - 716,736, N. ` E. 93rid S't., 9120-40140 I 8th Ave, Street and Number where work is to be done__:7_ }7'_} i t 5, 55_NE_-if-1 t - - -9t - - - - -- State work to be done and purpose of building (by floors )__ _Gr_rUr _Apra+ 42 Unit Apartment (Group__of Buildings__ — _ - -___ and for no other purpose. New Building .____ __$_ __ . Remodeling Addition Repairs No. of Stories 2 To be constructed of C_.1:1•S31. Kind of foundation Reinf Concrete Roof Covering Tile Estimated Total cost of improvements $____229 Amount of Permit $ 19540 Zone cubage required A. -,_] _____flan Cubage__ � Distance to next nearest building _Size of B uildin g Lot ____ 5 - 7- -9- Plaza 1'ed• Maximum live load to be borne by each floor 0 e r s . ft. let Floor, 0 __ er s ._ ft. 2nd t'loor I hereby submit all the plans and specification orgniti"b Qltig.4ll RErtignilli 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 ins ection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su actors, on k to be per tined under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Date PLANNING 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 sta -dd are tru Permit No ' La_ - 1. -- Date Larch 10, 1949 Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires 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. 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__ Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: STATE OF FLORIDA, COUNTY OF DADE. ss. BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Permit No _ Date Disapproved D e (Signed) V1!�: Building Inspector Council Approved MIAMI SHORES VILLAGE • PLANNING B09 No Date , 19 Street_ A, Lot -- ' ' , Block Subdivision __ ; Street and Number where work is to be done ___. _ __� State v be done and pu . • se of building (by floors) A• and for no other purpose. New Building _-:__Remodeling Addition Repairs No. of Stories To be constructed of C} Kind of found tion .e.�itl _ma Roof Coverin ___ Estimated Total cost of improvements $ 2 2_ - __ _Amount of Permit $ Zone cubage required ®1 ____ _Plan Cubage t_ _S 3 Distance to next nearest building f _ of Budding Lot � � g_ - I I f) '1 t k D, Maximum live load to be borne by each floor___ (2 4 iitt t — �it� �° __ t' Le I hereby submit all the plans and specifications for said b ng. All notices wifi reference to t e bug and its c 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 s u c pntractors, on,grk to be performed ender this permit, as are licensed by Miami Shores Village. Remarks (Signe l 1 n ' -� _/) t i2 ' T - 1 ; 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 ha carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated i e true. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires DATE Chairman / ,� °� Chairman ____ __ _ ? Member Member ...__ _____ 0. I. Member Member _ S 1 . 2te Member 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. �7 ,� I `' / 0 ‘ ij ¥ eve/ 5 Date / � Job Address ��J /I � �� '91 �7'� �{Jl1M��.S��i9/Z�Tax Foli S2 o Legal Description/424 9S // Owner / Lessee / Tenant 44 4V Master Permit 46 ,P5 ( 5 9 Owner's Address 7/fr 1)/ ?1 Phone Address (' %' 6 /S , ✓ G3---7 . -- Contracting Co. Qualifier <), State 1fr k /3 Municipal # Competency # Ins.Co. Architect /Engineer / Address Bonding Company "J f ( Mortgagor /!✓ Address Permit Type(circle one): BUILDING ELECTRICCAL PLUMBING MEC AL RO PAVING FENCE SIGN WORK DESCRIPTION ,A 4A! d'' � — - �J� /i Square Ft. /'e c/C [ Estimated Cost(value) 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 oning. Furthermore, I authorize the above -named contractor to do the work stated. • Signature Dat( f✓ 71d1s� i er and Notary as to Owner My Commission Expires. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Condo President Ti5,0 ** * * * * FEES: PERMIT 0/ RADON APPROVED: - corv�uo esi } Public -Slate of R ary as My Commission ExplreVy Coma s August 21, 1995 CC138088 Zoning Buildin SST Phone ( 7. - 7 -- 0 Address Signa Date. re of Contractor or Owner- Builder to C sion ••. ° ja • MY COMMISSION / CC •.r:, • EXPIRES: March 10, 1997 „ Band flint Noisy Pubic Undewriha C. C . F . Ifi LOP NOTARY TOTAL DUE Fire Mechanical Plumbing Engineering * ** Other Electrical Cr' ;;(`; ^. CCU\ ' OF DAD2 Vf` _ ' �:I !'... : l9F% of Cio A ., •• ..-. Co 6. Lender's name and address: Interest in property: Name and address of fee simple titleholder: Signature of Owner ,p Print Owners Name 6'T Sworn to and subscri•: • 'afore me this Notary Public •■ NOTICE OF COMMENCEMENT PERMIT NO. TAX FOLIO NO. 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 addf.►ss: 74‘.6 L' • 9/ Si. 0rM I SI/Diet- 5 Ft- 2. Description of improvement: 4 9G• 11 � / ' I k. I sly / i 44 i Shia kh s F 3.Owner(s) name and address: 7�5"/Y 9 f J 4. Contractor's name and address: ��'—c--r 1 6 - 25T1s' o7,,f'x/4 ,4 zi f/ /sue. 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 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, , ,' �/ G� / r Name and address: /l - 777 '✓'D''� f�i� / / � *et � S �� L 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) 0 Prepared by: fir/' ✓�'� ‘ / /e IRINA CONIGUO Notary Public -State of Florida My Commission Expires August 21, 1995 CC138o88 tt /1 t Print Notary's Name f/ t.in to My Commission Expires: 21M 93R280557 1993 JUN 07 10:11 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. Date 44, d 19 0 Owner's Name and Address R" fr o• Street_ Registered Architect and or Engineer Name and address of licensed contractor / 61 / 44-44'441/4/ / /'i 4) �� iiigrUd Location and legs escript l t to be built on: Lot I/9 ' Block Subdivision i1 i _'' Ii ! i7 ' l J // Street and Number where work is to be done 7 Ate VA.(' r State work to be done and purpose of building Iby floors), state exterior colors (submit samples). // Cr- <' C t 4() and for no other purpose New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation / Estimated Total cost of improvements S / ((a Amount of Permit S or( es 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 t is permit: and will post or cause to be posted for inspection cn the site of the work such public notice or notices as are required by the Act. The undersigned agre to employ only such subcontractors. on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Permit No. Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date • G � Date I � Read. Sworn to and Subscribed before me. PLANNING BOARD DATE 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. Notary Public, State of Florida Building Inspector My Commission Expires Chairman Member Member Member Member _ Member Cm;.ncil Approved Date 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship. • 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 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 WA%1 19 Owner's Name and Address Z IN? IOL Str Registered Architect and /or Engineer Name and address of licensed contractor /� Location and legal description of lot to be built on:// � "/ 010617 f Lot Block Subdivision Street and Number where work is to be done I 6 C - l „ State ork to be done and purpose of b g Ib�loors�l, st exterior ors ( ubmit samples) � �� (_gL D4C— Q 13�J` a 4_ 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 Amount of Permit S L +1/' 0 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'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 ill 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 agree employ only such subcontracto , on ....,.. to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed STATE OF FLORIDA Notary Public, State of Florida COUNTY OF DADE. } SS. My Commission Expires A ±' l8, 1489 Before me, the undersigned authorityeaadieti " y( 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. Council Approved Date Permit No. Disapproved \ ` Date (Signed) Building Jl� Inspector Inspector PLANNING BOARD DATE Chairman Member Member Member Member Member MIAMI SHORES VILLAGE Read, Sworn to and Subscribed before me. C �G 9C9 S� the pndtake acknowledgments, personally appeared Notary Public, State of Florida to me well known. My Commission Expires 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 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. • Owner's Name and Address 7777.\. 4 �4 ... Registered Architect and/or E' e 1.00' State work to be done and purpose of building (by floors) be sent to... Disapproved (Signed) MIAMI SHORES VILLAGE cgrstcre cct an ngtnt r. •... 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 , `'�. 4 • ( 11 Date Date.. v .... ITV .......... 1,7,1.1 7777 ... •-- ......._...._ �2..1 Notary Public, State of Florida PLfNNING BOARD DATE Chairman Member Member Member Member 7777.. .. Member 7777_ Council Approved Date Disapproved and for no other purpose. New Building Remodeling r Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 0 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 su it all the plans d specifications for said buildin All notices ith referetve to the building. and its construction may ( b . § 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 Su 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 arc required by the Act. The undersigned agrees to employ on arch .'t_=•.ntractors, o. ork to be performed under this I P 41 permit, as are licensed by Miami Shores Village. Remarks (Si STATE OF FLORIDA, I 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 fore oing application, and that he did sign the same, and that all facts therein by him stated are truer Permit No.._... �+? ? " Date . r 2 -2 Read, Sworn to and Subscribed before me. Building Inspector . My Commission Expires NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made neesasary by improper notice materials and /or workmanship. • to me well known, Date has been obtained from for inspection or faulty • ': •