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246 NE 92 St (3)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address Z i y I Tax Folio Legal Description Historically Designated: Yes No > Owner/Lessee / Tenant c Owner's Address -." CNlkt*<--- Contracting Co. Qualifier State # Architect/Engineer Bonding Company Mortgagor Address OWNER'S AFF laws regulating S FEES: PERMIT AVI ary as to Owner and/or Condo President Date My Commission Expires: Municipal # I c; ify that all the foregoing information is accurate d zoning. Furthermore, au orize the above -name RADON C.C.F. SS# Competency # — Address Address Address that all Master Permit # s Phone - 1 ° S - r4P . c= )6 Phone ac or or Owner Builder Permit Type (circle one): BUILDING ELECTRICAL ' L MBING 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 A1TORNEY 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 requir % for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. :, • c.. tr pi/ Notary as to Contractor or Owner- Builder My Commission Expires: y.p 7 will be done in compliance wi all the work stated. NOTARY BOND TOTAL DUE plicable Date APPROVED: Zoning Building F /7 Electrical Mechanical Plumbing Engineering Legal Description //0G 6 Owner / Lessee / Tenant 4 / e PERMIT APPLICATION FOR MIAMI SHORES VI]L]LAGE Date 7 / a CVOL) Job Address 2 /"t 9,2 pc/57 Tax Folio Owner's Address Master Permit # ,Al i; Phone 1 7 a - "7 qff Contracting Co. CG L 5 / 4 t h Cat Y) Address Qualifier � / S ) SS# Phone / ` / ,4 Sri') State # Municipal # Competency it /0 Ins.Co. A/01/ / Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUI ING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN J; (44 WORK DESCR %PTION � / �� / �y Q �' ` /U� 6 Square Ft. Estimated Cost(value) / U U • d 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 cons uction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Sign Date: ture of owner an(i /or Corti President '7/? /cy Notary as to Owner My Commission Expi ** * * * FEES: PERMIT- APPROVED: rFConndo '-P e3 x - - (1 AG ;if'r„L''IuL. NOTAFI SEAL . <. SCOTT W DAVIS : WUMeflR CC._552.37 y C RADON C.C.F. Fire Zoning Build Mechanical Plumbin Signature of Contractor or • er- Builder Date: 1/70/4q Notary as to CRp t KttALQ ?B»i+l My COmm1SSlOi ` L (* COMMISSION SION NUM5EN k ry (,F. : CG25'S237 l .I ,4T 141V OOMWiSSION _XP. * * * ! (*r * ,;!;.. * 243 1:? 7 ** • Z OTARY _500 TOTAL DU Other Electrical Engineering 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 regula- tions of the Building Division of Miami Shores Village shall be complied with, whether, specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. • 1 /� Da ��`/ - — — , 19�S Owner's Name and Address (/) , / o 4 /� �y No.-- _- - - - - -- Street__ State work _.to be done and purpose APPLICATION FOR BUILDING PERMIT Registered Architect and /or Engineer_____- - Name and address of licensed contractor Location and legal description of lot to be built on:. Lot_ � d Subdivision Street and Number where work is to be done MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT ilding lb flours)___ and for no other purpose. New Building______________________ Remodeling______,._________ Addition Repairs No. of Stories _To lle conaructed of_____________ Kind of foundation _____— Roof Covering 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 be 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 suc, - - subcontractors, o work to e performed under this permit, as are licensed by Miami Shores Village. G Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. se. Permit No Disapproved Date (Signed) _ • Date_ Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires_ _ PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved_ Date Disapproved -- -_ —�-- 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. _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. BUILDING ELECTRICAL PLUMBING Owner of Building _ Architect___ Contractor or Builder Legal Lot Bl. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 3525 Work to be performed under this Permit Subdi- vision Value of Project DATE 194_ Contractor's License No Amt. 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 al! 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 regula- tions pertaining thereto and in strict conformity with the Flans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING 1 Owner of Building >t • Architect Contractor or Builder Legal Description „• 1 yG2`' Lot "CONTRACTOR OR BUILDER MI MI SHORES VILLAGE, FLORIDA PERMIT N9 3525 Work to be performed under this Permit \ I Bl. Address of f P� Building 2 ec/ ( ) / - 1 x„ . '/7 Subdi- vision Value of Project o .:'.'; !h' ("nrstrif'"fioh 0ov ' e' P'r Usiurrior° i;r,:,rr; GEneral Linitau, ,s .) 'iou or, rar,+iorrd in ee ve yci4 f!:2t Board office beforo agartine eho Nrf1 El csind ire 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. a \ /- Signed: DATE d 19 NSPECTt3R In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with al tions pe,rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper aut Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. Contractor's License No. Amt. of Permit By C IF: BY AUTHORITY finances and i�g P es of Miami s 4ci!