ROOFINGPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
ate 6 - 8 - 93 Job Address 1284 NE 92 Street
regal Description /25
owner / Lessee / Tenant Mr. Higgins
owner's Address 1284 NE 92 Street Miami, Fl,
:ontracting Co. R.T.I. Services, Inc.
'ualifier Donald D. Greenleaf SS# Phone 274 -2933
Kenned & Ely
4� CCC- 024404 Municipal �l' 151987 - Competency 4i~ Ins.Co. Y Y
,rchitect /Engineer Address '
4onding Company Address
lortgagor Address
'ermit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
FORK DESCRIPTION Replace flat 90# slate roof back with a single ply roof system.
Repair one area of leakage with rotted wood. Install a 11/2" plumbing projection.
repair and or replace all cracked & broken tile and glue all loose tile w /RT 600.
square Ft. 300 Estimated Cost(value) $2410.00
EARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
;O MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
'0 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING - YOUR
IOTICE OF COMMENCEMENT).
,pplication is hereby made to obtain a permit to do work and installation as indicated above, and
'n 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
)ermits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
IWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
)e done 'n complian•'- th all applicable laws regulating construction and zoning. Furthermore, I
,uthori.e the/labov ed contractor to do the work .
or Condo President t
600 Xii/Le)
%6-i.c---Ci
ary as Owner and /or Condo President
ly Commission Expires: Wotaty Pubi6c, State of Fork
Wry Comm'ssion Expires arch 19, 1994
Bonded thru Maynard Bonding Agency
:* * * * * * * * *
'Notary as / o Contractd'r or Owner- Builder
My Commission Expires: r ,
f, , '4 a q
eonc.:ed t:iru age, ,, c, -�, , ,fit rr
* * * * * * * **
' EES : PERMIT '' , g' 4l3 RADON C.C.F. 1 ti ® NOTARY TOTAL DUEL9 /a
,PPROVED: Fire Other
,`, /
■ Zoning Building ` Electrical
Mechanical Plumbing Engineering
Address 10850 SW 113 Place 11210 Miami, F1.
Contra
Date:
Tax
Folio// 42i0 OS ".?Q
Master Permit 17MW
Phone
757 -9006
or or Owner - Builder
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.
Owner's Name and Address R ?_ch Sheinberg
Registered Architect and /or Engineer
Name and address of licensed contractor A1- 31 rinf P ' _ ! { OOf'1.T
Location and legal description of lot to be built on:
Lot
Street and N
State work to
and for no other purpose.
Addition._._ X Repairs No. of Stories..._.
Roof Covering
Estimated Total cost of improvements $ i00 o ss Amount of Permit $ 5 b d 112
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot
New Building Remodeling
To be constructed of Kind of foundation
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 41 Spt.1 (r.__ DO1 -t fl CD- In y o :
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 F rida, Pennanent Supplement,
contractors or su contractors employed by him
ec 'o on of the work such public notice
to be .erformed under this
and has complied with the provisions thereof, and will require similar compliance from
in the work to be performed under this permit; and will post or cause to be posted fo
or notices as are required by the Act. The undersigned agrees to employ only such
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
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, th e has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. i ( `�
Permit No._ __ �'_ a_9 3 Date � Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Block
Subdivision
umber where work is to be done ' 1 284 N E 92nd 5 t
be done and purpose of building (by floors) F' ou ply built
Chairman
Member __
Date July 12
No 1284.
oIno$_ S �o- - 8th -_.st
up gr ^vel roof- lorid , room
yyr
,19
Street T
E 9 2nd s t
Da 4
Notary Public, State of Florida
Building Inspe f r My Commission Expires
PANNING BOARD DATE
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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N9 2707
DATF 1I ; 195
Contractor's
License No.
Work to be performed under this Permit
B1
Subdi-
vision
Value of
Project $
Amount of
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 drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed. BY
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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY 0
Owner's Name and Address .. ., _... '
Registered Architect and /or Engineer
Name and address of licensed contractor
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
No Street
Location and legal description of lot to be built nn:
Lot Block Subdivision
/a Street and Number where work is to be done � 7 2.7. .p � p ,.. -.
State work to be done and purpose of building (by floors) ^ - - tat-) =E
// — / 4 - ,19
and for no other purpose.
New Building .. Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundatios,. Roof Covering
Estimated Total cost of improvements $ T 9 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 pennit 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)
STATE OF FLORIDA,
COUNTY OF DADE.
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._... 1 ® Date 41 P /6 - � Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chainnan Member
Member Member
Member Member
Council .proved Date Disapproved Date
OTE: A charge of $1.00 will be shade, for making corrections or changes to this application after approval has been obtained from
the tanning 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.