270 NE 92 St (5)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNT
(OWNER TO RETAIN COPY) g' 03 �3
Job Address 2 70 A/ 9A Sr Tax Folio ,LZ,21 /3 3581
Legal Description Lam]" 44 oetec 2 r 5 /®/2[:5 46 ' Master Permit #
Owner / Lessee / Tenant /p� P'J / 7'2:
Owner's Address ,2 70 Ne y Z 5 Ai. ,s' / /O/ ES
Contracting Co. x,/ CO) , R Address ,45O . A/ ` S s f
Qualifier 0 $/■77 S SS #�$ phone l6.2 O 5 - 7 9 7
State# Competency# Ac,00 Ins. Co. 800
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION /eft,p1/4--- ' /J7 /fie rep.
3 ,1$ I /tor htsieW/9 - T
Square Ft. ‘ c
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. 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 w stated.
Signature of Owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
* * * *
PERMIT FEE: APPROVED:
9 r A® Zoning Building Q / / 0s
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1:47:4" , Mechanical Plumbing
1' 3.
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Fire
Estimated Cost
phone 757 c
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Si 'ature of Contractor or Owner- Bui
ate:
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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 July 5, 1990
Owner's Name and Address Robert F r i X Na 7 7 n N. F stre9.2 n r-
d S t aet
Registered Architect and/or Engineer
Name and address of licensed contractor
STATE OF FLORIDA
COUNTY OF DADE.
23 sqs.
}SS.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Obenour Roofing 7357 N W Miami Ct. Miami, F L -33150
Location and legal description of lot to be built on:
Lot 34'14% ef Block 9.5 Subdivision
Street and Number where work is to be done
State work to be done and purpose of building lb:-x. .Lave exterior /submit sarnr' "
Reroof entire residence and install new Clay'S Eli y ri -`ale
PLANNING BOARD
1
and for no other purpose.
New Building Remodeling Addition Repairs r e r o o f No of Stories
To be constructed of
1-30, 1-90 Kind of foundation wood Roof Covering S tile
30.00
Estimated Total cost of improvements $ 7,000.00 Amount of Permit S
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
7357 N.W. Miami Ct. Miami, F 3,31Sn
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 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 permi d 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 agree.. r only such su 'ontra =tors -.n ' t• e performed
under this permit. as are licensed by Miami Shores Village.
Remarks (Signed) slii /✓ 4
Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
JRMAS n. flhenour
and who. being by me first duly sworn, upon oath deposes and says that he is the c o n t r a c t o r
of the above described construction, that he has carefully read the foregoing application, and th e did sign the same, nd that all facts therein by him stated are true.
Permit No. 3 Xlo Date Re , orn to and SubscribIbef e me.
Disapproved Date A5&441.443.e
Notary Public, "tale of Florida
Building (Signed)
- My Commission Ex ires�Ot Y Public State of Florida
y r Expires Feb. 18, 1993
to me well known.
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 anthor workmanship.