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ROOFINGBUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder .�-- Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT 'N° 12750 Work to be performed under this 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 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 drawi ' or in the statements or specifications and_ -that he assumes responsibility for work done by his agents, servants or employees. ( ''''.. ys - Signed: `" �,,r . "`.a. .. ' `�- BY s` r INSPECTOR 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 with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume respo /ibility for all work done, by either, myself, my agent, servant or employee. • CONTRA TOR OR BUILDER Bl. r 1 Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ BY AUTHORITY Date 61.5/7 Job Address /2 3 3 /v f f.3 ST Legal Description9 L 1/45 / 40,j , Owner / Lessee / Tenant Owner's Address / '3 LJ 13 5 ' Contracting Co. Q / 6 , /7 /�oa /1 y �, Address 3t'o /KR/ /06 S?- g Qualifier 677 A 6 -ra /J ✓ / Phone 7 S f$S State # < «c / /I7S Municipal # Competency 41: /49- Ins .Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING / PAVING PENCE SIGt WORK DESCRIPTION /e'i p » /e J C!/ I,se if !/ii ,/ �r 7 , ' //o fe 4o/ a/a'or (8aCY'e/ IVa raa/. / Square Ft. Estimated Cost(value) 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 aa work wil: be done in compliance with all applicable laws regulating construction and zoning. Fur,th=rmoce, - authorize the above -named contractor to do the work stated. Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: ** * * * * * * * * * * * * * * * ** FEES: PERMIT © ,A2 RADON C.C.F. i eS O NOTARY TOTAL DUE JO 4 APPROVED: PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Fire Other Zoning ' BuildinR� / )f E1ectrica1 Mechanical Plumbing Engineering Signa Dat Tax Folio // o' 2 D� Master Permit # 3 /c 9.Z_ x..,„4,24bee/ Phone re of Contractor or :Owner- hui f ' Notary as to Contract. "' �ira hider My Commission ExpiresM' Commission Expires May d 7', 1993 State work to be done and purpose of building (by floors) Disapproved Date_ (Signed) b tor Building Inspe rer f. 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 ( q ) , 19 Owner's Name and Address ti �+ r b 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 Jas° No Street and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation_ Roof Covering l� z 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 "e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub actors, on work t be performed under this permit, as are licensed by Miami Shores Village. Rem (Signed)_ s' 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 d `� f��> Date f S� _ - Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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 in erials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder .�-- Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT 'N° 12750 Work to be performed under this 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 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 drawi ' or in the statements or specifications and_ -that he assumes responsibility for work done by his agents, servants or employees. ( ''''.. ys - Signed: `" �,,r . "`.a. .. ' `�- BY s` r INSPECTOR 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 with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume respo /ibility for all work done, by either, myself, my agent, servant or employee. • CONTRA TOR OR BUILDER Bl. r 1 Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ BY AUTHORITY Date 61.5/7 Job Address /2 3 3 /v f f.3 ST Legal Description9 L 1/45 / 40,j , Owner / Lessee / Tenant Owner's Address / '3 LJ 13 5 ' Contracting Co. Q / 6 , /7 /�oa /1 y �, Address 3t'o /KR/ /06 S?- g Qualifier 677 A 6 -ra /J ✓ / Phone 7 S f$S State # < «c / /I7S Municipal # Competency 41: /49- Ins .Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING / PAVING PENCE SIGt WORK DESCRIPTION /e'i p » /e J C!/ I,se if !/ii ,/ �r 7 , ' //o fe 4o/ a/a'or (8aCY'e/ IVa raa/. / Square Ft. Estimated Cost(value) 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 aa work wil: be done in compliance with all applicable laws regulating construction and zoning. Fur,th=rmoce, - authorize the above -named contractor to do the work stated. Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: ** * * * * * * * * * * * * * * * ** FEES: PERMIT © ,A2 RADON C.C.F. i eS O NOTARY TOTAL DUE JO 4 APPROVED: PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Fire Other Zoning ' BuildinR� / )f E1ectrica1 Mechanical Plumbing Engineering Signa Dat Tax Folio // o' 2 D� Master Permit # 3 /c 9.Z_ x..,„4,24bee/ Phone re of Contractor or :Owner- hui f ' Notary as to Contract. "' �ira hider My Commission ExpiresM' Commission Expires May d 7', 1993 State work to be done and purpose of building (by floors) Disapproved Date_ (Signed) b tor Building Inspe rer f. 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 ( q ) , 19 Owner's Name and Address ti �+ r b 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 Jas° No Street and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation_ Roof Covering l� z 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 "e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub actors, on work t be performed under this permit, as are licensed by Miami Shores Village. Rem (Signed)_ s' 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 d `� f��> Date f S� _ - Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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 in erials and /or workmanship.