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BUILDING PERMITPERMIT A FOR MIAMI SHORES VILLAGE Date /-/d)-00 Job Address t 1 ° Q-C7--- 9 2 5 Tax Folio Legal Description Owner/Lessee / Tenant a \ b A D M C S Master Permit # Owner's Address \ 0 /0 Z' 9 Z S r Contracting Co. 4v4-7 Cv/O S j "rte o...; Qualifier 4#t 41 L ULN -b-i State # C LAC. C c '77 G Municipal # Competency # Address Address Architect/Engineer Bonding Company Mortgagor Address I I oZ Permit Type (circle one): I LECTRICAL" PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 1 ti S 1 1' DI I g i f 00 �� .ASi` M oL.67,06 ✓ 4. F S CFTC bkyi.-\41 , I 66 PLASTE>? 4. PA b� �y 67)/ozs Square Ft. Estimated Cost (value) $ 0 U C.) 0 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 AF"FIUAVIT: I certify that all the foregoing information is accurate and that all work . : - • one in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the wor stated, / - 7 8 - ;4e Si :lure of o and/or Condo President Date ( ^/6 aPa 2 Notary :: o Owner and/or Condo President Date My Commission Expires: FEES: PERMIT Ot RADON APPROVED: Zoning Building Mechanical Plumbing Structural Engineer C.C.F. r NOTARY "d i BOND Historically Designated: Yes Phone s3 0-5 7r 7 t/ q C / Address 1 Ss s s (AD e y 5 t SS# - Phone,3 S % , 7 Own - Builder 6 Q -tea Notary as to Contractor r er -Blder Date My Commission Expires: Electrical No A Ins. Co. iN3,4 ✓!-4y.: cer STATE OF FLORIDA COUNTY OF DADE. (Signed) x S.: J ss MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT �s • '779 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 7 / f / 1/ 7 L wner's Name and Address ` 1 610 r d 1 d" -Pais-Deli q2_6+ € .15 - oS L ( No. Street Registered Architect and /or Engineer 119 O 6 E 1 Miami S h tires r FL, 1 s3 13 c 0 _Name and address of licensed contractor b lOO€Y Location and legal description of lot to be built on: �j n- ‘,....,.., / Lot Block X I./ 73 Subdivision % /1 c7 9 ,a ®5" ‘7 64'16 / Ma 0E qZ 4. ( and Number where work is to be done ate work to be done and purpose of building (by floors), state exterior colors (submit samples) r 1 in r E_.X +2.,t 1 Oel h 0 L) ¶ GC i n D) ski 4 € +r1(- and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering ‘ ,..E-stimated Total cost of improvements Si 0 0 • 1)) Amount of Permit $ ` ZS-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 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. QQ Remarks (Signed) CL. • Sc� 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 fpregoipg 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 � � CZ AR,/ Date Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Notary Public, State of Florida 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship. Square Ft. air © 1 6 W (i Legal Description J 2 � Historically Designated: Yes No �f Owner/Lessee / Tenant ��ltkr itt a ►- kAA. S Master Permit # og oa.i Owner's Address 1 kj � M i A MI c ea g Phone � IL M 1 ' 9'1 Date e- ► 0 Job Address \ l 7 Contracting Co. ��4•\ ■■ LM lI 3 Qualifier R C�1� ( L (� ‘. State # �, . E f ?,(40 Municipal # Competency # g V `T ,,$) Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): UILDING ELECTRICAL P UMBING MECHANICAL ROOFING PAVING FENCE IG WORK DESCRIPTION S M O V t l.._ ,r'C .. L ia►' k - reYlace (A)1 Sd �� ,� /6,` t , 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. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done •' iiauce all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named co tor to do the work stated. Sign: e of owner and/or Condo President 22 , / _ otary as t • My Co Sion x esi'ent PG OFFICIAL Y Tpp,. B <. ANGEL ; r F `I p OF FEES: PERMIT 2-i RADON APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Nw r2 Plumbing 2 ,(2 o Date ate I Tax Folio Estimated Cost (value) Signa 1 -1, NOTARY < BOND Electrical y ea .ce otary as to Con4ittortrWmipijcIn : My Commission Expires: ADIf,: k. Date TOTAL DUE Structural Engineer • WHEREAS, COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY (owner) following described property: Legal description/folio #: Lot Block Subdivision Tax Folio #: 1 � j o 05 0 L 7 requests permission to install: Th iami Sliore� VGLLGC�2 [ j Asphalt, concrete, brick pavers - j,Landscaping [ ] Other within the public road right of way of SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this SIGNED, SEALED AND DELIVERED in the presen 10050 N.E. SECOND AVE. MIAMI SHORES. FLORIDA 33138 -2382 Telephone: (305) 795 - 2207 Fax: (3051756 -8972 hereinafter referred to as the Owner of the pRW wA-1/ A PPR ori-ctf- (address) IN CONSIDERATION of the approval of this permit by the Village, the Owner agrees as follows: I . To maintain and repair, when necessary, the above- mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such time as this obligation has been canceled by an affidavit filed in the Public records of Dade County, Florida by the Village Manager of Miami Shores Village (or his fully authorized representative). • :MN d • vtr '210, r,PW t •' zra ..? . . n. ..‘ • . • .C t - - 2 , AP.: j . t.c .. ''' .4 ' . .. ... , .,!,:"..,,.,!,;„.• ....-1 / . ' ••••' ' ,, ....„4..... # • ., .,...... • . .. i..9 .....‘ ,.......:.;:.„...! . ,: . q •,:, s i. t ••.! ,:;:i:;,, i i • .'....'..,."•-•,.....,'..fr,,,;:yi . gc.w . • , . ..•.. ..... • ", .,., • .. , .,.,...,„,...„,...,.... .:„. 1 190 • 1■1,."E l.•.';.9.'i.na :'S tr 60.5 ji)ilifizIPWL PrI9F4P , • • liteykOili.';•:% .,-, ...,.. , . , . • IBOUNDARY ' SURVEY 4 hirebi.certIfy that the survey repre.:'; Isitnticl 1,herebn"; meets the mInImum'.; .4 s set forth . by the.. it Pear401 Land ,Surveyors pursuant to 4 .51511.'172.02 7 , Fla, ;Statutes. There are: ,..ipckert: ments) it 0,111 i.011;the Plat, o than ) i if' cs , ..,..., , • . )ifta .Rep u yeyor No. :, 6 or DATE': 5 ,•i • LAN N E S and '41, G R • !, ti• .*: ENGINEERS"-'LAINDT URVEYORS:riCAIND ;p1..ANNERS • • • • ..Office ddress: 359, AlcazarAvinue,•.Coral; Gables;' Florida. 33134 . •.. . „ I:, • . 0,; • Mailing :address: :cP.O,Box'.561131, Miami Flor da ••• ' • -1 ,• • 1. • s' •• -.1 , SC 1.4 I pitAwl,,,, By. ... prtwci,kri ?1.0'1 ...' .J0 . 1 '..f.,.. ..,..,,,:,... T.041 '14'1 ,. ,■ ,: 41; ;',:f; .1'...1"";;! ; 1:,!' ' 1 :1;,I !A.: ,, I r v • • BUILDING 8. LUNIN . but in J Kii ! IU; PLOT PLAN 1 1 &W .tWY 1-ftS. f® NO SCALE 1 1 - 1190 NE 92nd STREET ST., TERR., AVE., CT., .PL. Lez,al: • Lot No. 8 Block No 3 I ) Subdivision BAY LURE SPC TICP. P.GE or 1 I Metes & Bounds d NORTII ARROW • Plat booi; and Page No $$_ &# 44 -63 bUIL✓IN(_, - , or Metes & Bounds PLOT PLAti • NORTH ARROW 1aN Y F y Lft i o U' roR 1 1 - 1190 NE 92nd STREET ST., TERR., . AVE., CT., .PL. NO SCALE • 8 Lez,al: • Lot No. Block No. BAY LURE Subdivision SEC. __ T\VP. RGE 3 •