166 NE 93 St (5)Date 4. i Job Address
WORK DESCRIPTION
PERMIT APPLIC
Signature of owner and/or Condo President
Legal Description
Owner/Lessee / Tenant ►C,A(-,
Owner's Address l (n (n N IC; 4 o.S
Contracting Co. C /\Q 1
Qualifier
State # Municipal #
Address
Phone
Square Ft. Estimated Cost (value) . j 1 tJO 0
Date Signature of Contractor or Owner- Builder
MI SHORES I¥IL
SS#
Competency # Ins. Co.
Address
Phone
Architect/Engineer
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
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.
o
Z ee
Date
Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder
My Commission Expires: My e Y scion - - _ --
, n (� e 0 PF i1 ..c '.;.
T !, .-,':.:§i..7 :_ .. cr 1. C�C 31
0' c nv C CKI 5C- : -ZC 7:AP.
flP Ga :q 171 „
P
FEES: PERMIT 1 10 RADON C.C.F. . S NOTARY TOTAL DUE t * - 4 s
APPROVED:
Zoning Building 1 /`� Electrical
Mechanical Plumbing Engineering
Date
?v=7-
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 / „2..e
No. /!r^ iia Street 9 �S7
Registered Architect and /or Engineer � `/ / d-3 /- 2 4..d- 5
Name and address of licensed contractor ��i ���/fv® �.zs.ST /;€'/C;,. � /lam �- ? ✓� ���� 1
Location and le 4riiption of lot to be built on: // s !",,,241 /3 9, 90
t
Owner's Name and Address
Lot La 7P/ Block
23
Street and Number where work is to be done
APPLICATION FOR BUILDING PERMIT
laA77 /77 C , A. , '7 /7,97t ' � � � /� F..Qe14 .�Ji�� _ eras t . /9/Ze.riA,, 4e / 0 ", :
�•
7,/e) .)9 . / /'7"/1 WA/ /�.'.t; .s . ®f�T, ��TH �' r/ ?E ''$' '�l�' f� an r r nno they purpose.
New Building Remodeling �� Addition Repairs
•
/0X /6
State work to be done and purpose of building (by floors), state exterior colors (submit samples) Eit / J Z '/ O.
1b be constructed of C Kind of foundation
Estimated Total cost of improvements S / 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 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.
Remarks
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 foregoing application, and that he did sign the same. and that all facts therein by him stated are true.
Permit No.
Disapproved (\t Date
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council 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.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Subdivision 9 /7/ /��` � e�L -! f hop
oz6rr
Date ° 1 / 116 / 42 4 Read, Sworn to and Subscribed before me.
9,174'M
6161.0' ArrA,
Roof Covering L.- F
S � 1�l
Notary Public. State of Florida
No. of Stories
T APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Dated 3 - " O 1( Job Address I Cat C q 3ni Tax Folio//,a4 f ,1,11
Legal Description bfr qS' / a3 *5 /YIP Master Permit #
/ Lessee / Tenant (AZ f KA1k-& NNE � c CAA
Owner's Address 1 1k U1- NE c13 rd }
Contracting Co. 4(1)/'�,-
Qualifier SS# - - Phone
State # Competency #
Architect /Engineer. Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one) BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION 1; k 4 ( , ) 63-n • QV IA, 9c o dpi r
1
Square Ft. 208D
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 Ow -r and /or Condo President Signature of Contractor or Owner- Builder
Date: •
N .nry :s to Owner and /or Condo President Notary as to Contractor or Owner- Builder
* E iii
/G // /(i
qa' My Commission Expires:
* * * * * * * * *
PERMIT FEE: APPROVED:
-0 o�� Zoning
Mechanical
Fire
Address
Date:
Plumbing
Ins. Co.
Estimated Cost CQ.�Z�
Other
Phone I S 4 14 (
Electrical
Engineering
Date
.3 -2.z - 6 13
WORK DESCRIPTION PLA
6LAL o J�
Square Ft. 4 IOo . - t4-
PERMIT APPLICATION FOR MIAMI
Job Address 167-(1. N L c
Legal Description /4 1-/,51/
/ Lessee / Tenant (2/1 I 4 ---110".A-
Owner's Address
Contracting Co
Qualifier SS#
State # Municipal #
(tat NL 93 5�
Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING
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
authori e above -named contractor to do the work stated.
Signature of owner andpAst=aescridextfgEt Signature of Contractor or Owner- Builder
Date 0`4-4/ j°
�d►; Na 66197545
,Aar as to Owner a
y Commission Expire
** *
APPROVED:
*
* 4( **
RADON ' C.C.F. 6 T/ D NOTARY , "l <OO TOTAL DUE 7
Fire
Zoning Buildin
Mechanical Plumbing Engineering
k
*
- IC44A. ( rt7CW. i LTatt , v.
4440
Date:
SHORES VILLAGE
Tax Folio d -OW /3 3t* O
A
Master Permit # 147
Phone 7 -S 1 - 4 14 1
Address fit,
Phone
ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
1 CLQ-
�,� ilci �h�.J w;,od.Ou..)
Estimated Cost(value) 4 1 000 - io U U
w�► ra icA
1 " rcvwi
Notary as to Contractor or Owner- Builder
My Commission Expires:
Other
Electrical