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ROOFINGOwner' Name and Address_____.1 Registered Architect and /or Engineer__. Name nd address of licensed contractor Location and legal description of lot to be built on: Lot_ ._. Block___ ___.. Subdivision MIAMI SHORES VILLAGE BUILDIN INSPECTION DEPARTMEN APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the det, iled statemen• of the plans and specifications herewith submitted for the build- ing or o h. :ructure her i described This t-t-licatic is made in compliance and con•o•m ty w•tli the Building Ordinance of Mia ri Shores Villane, or da, and all pro isions of the Laws e f the State of Fh.rid. all o d nances ,,f Mi ni Shores Village and all rules and regu a•ion. of the Building Div.. i of .lam Sho. illage 1- '1 ,e , o, ipl.ed with, whether herein specified or not. A copy of approved plans and specificati m must be kei at building durin progress of the wcrk. ti 4 j ) Date Street and Number where work is to be done_ G 3 h) ' �< . State work to be done and purpose of building (by floors) New Building_ Rernodeling__ To be constructed of. _ Kind of foundation Roof ov�°ring__ Estimated ". •;tal cost of improvements $__. /4-5 Amount of Permit $__. 6 ' Zone ^ubage required_ __. __Plan Cubage Distance to next nearest building__ _ _ Size of Building Lot Maximum live load to be borne by each floor. _ . ____ ___ and for no other purpose. Addition____ ____ ___ _____ __ _ Repairs_ _ _ No Street_. Notary Public State of Florida No. of Stories ,19 hereby submit all the plans and speciiications for said building. All notices with reference to the building and its construction may be sent to The unde signed appli ant for th's bulding permit does hereby certify fiat he understands and accepts his .•bligations as an employer of 1 bor under he Florida Workmen's Compensation Act being S. -tion 5966 Coi p led Gen al Laws of Florida P r anen S•ipplc nent, and h s compl ed w th he prov• cons thereof, and will require s•milar comp lance from all contractors or sub - contractors emplo •ed by him in the wo k to be p ri •med under th s pern it and ill post or cause to be posted for inspection on the site of the work su :h public note e or .otices as are requir d by the Act. The u. d, r ign..d agrees to employ only such abcontr. ctors, on work to be perforn, d der this permit as are licensed by M am. Shores \ ii : ge. Remarks_- (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to adn: :nister oaths and take acknowledgments, personally ap- peared _ to me well known, and who, being by me first d. ly sworn, upon oath deposes and says that he is the of t1i abov. de •c.• ibed istruction t: ; h has carefally read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tr ie. Permit No 0 _ ( .._ Date__ ____ Read, Sworn to and Subscribed before me. Disapproved (Date (Signed) ---- --- --- ' Buildi � g ?nspector My Com:nission 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 lft, r approval h been obtained from the Planr ng Board A re- inspection fee of $1.00 will be charged when such re- inspection is nu: ie necessary by improper notice for inspe:•t';m or fa Ity materials and /or workmanship. STATE OF FLORIDA, COUNTY OF DADE. j ss Disapproved d/ (Signed) .l ate Buildin Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT c 2 a1LA'2 Lot Block Subdivision Street and Number where work is to be done r / 9.. Z... -�e _. _. . — ._ State work yo be done and p •ose of building (by oors). Notary Public, State of Florida My Commission Expires APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed statement of the plans and specifications herewith submitt 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 iuilding 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. 7._ � _..1.�. 19. Owner's Name and Address .._.._� _ No..... ..._. L� J.. __ ........ . Registered Architect and /or Engineer Name and address of licensed contractor ..... Location and legal description of lot to be built on: and for no other purpose. New Building Remodeling Addition Repair �'. FS No. of stories To be constructed of Kind of foundation Roof Covering I CJ... c7 — o Estimated Total cost of improvements $ 7. 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 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 the work such public notice or notices as are required by the Act. The undersigned agrees to employ only p s c su • ••ntr ors, on work to be performed under this pennit, as are licensed by Miami Shores Village. � Remarks..._ (Signed) — r Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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. /V Date '7.3 Read, Sworn to and Subscribed before me. to me well known, 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 nfter 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 ROOFING Owner of Building Architect Contractor or Builder Legal ' Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA ❑ DATE V . 195 D PERMIT N? 15590 Contractor's ❑ License No Work t be performed under this Permit 's 4 I CONTRACTOR OR BUILt ER Signed• Subdi- vision Value of Project BY $ Amt. of Permit $ This permit is granted Ito the contractdr or builder Tamed'. above to construct the building ot'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 plane, i 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 contracdor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby wheth r 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. BY " y +, ' , J .A k INSPECTOR , In consideration of the issuance to me of this permit I agree to pe orm the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity wit the plans, drawings, statem 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. C t AUTHORITY PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY r ( OWNER TO RETAIN COPY ) Job Address 1(9 I 1 E 93 S+cee 1 Tax Folio / J' t / 6 deL e / Master Permit # ,4747 (1 :1- d M. Va YI E v /4(Y`1oT0 4 (�� (I 13 S-tree - Date Legal Description47 Owner / Lessee / Tenant Owner's Address Contracting Co. 1 ' cin L RoDfl nq Co(Npn� Address s r/E 1s s k + Ins. Co .L j c'r +7 004 at, 1 Qualifier DAU I l II I u 1-1 SS# Phone /y State# c Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): l BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION Re(ooc ape. e (0 ?-1 - < cr o i n c1 kk 5e4,015 5 CIe�f � r Lack f / R e (oV4 cp p. iS o-F 4 �te Con -q rwr) C e: n� r�vG 1 1 1 Square Ft. 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. c a ® Estimated Cost 6 3co. ac?/ Signature of Owner and /or Condo President Date: Notary Aso Owfier and /or My Commission Expires: * * * * PERMIT FEE: APPROVED: Zoning Mechanical Competency # Condo President MARY PUBLIC STATE OF FLC^ID'1 P.;;AY 13 98 DEOED T i3U GE IRA!. d :S. b.). Fire Building Plumbing Phone 75 Signature of Contractor or Owner - Builder Date: (01 (el ‘ 44.J as to Contractor or Owner- Builder y Commission Expires: .64/44/4:u 11 6 7 4 11 tar Electrical Engineering * - •9 I R 1 14 3 62 ERMIT # itate of Florida ;ounty of Dade m :tar P b1 STATE OF FLORIDA COUNTY OF DADE I HEREBY CERTIFY that this is a true copy of the original filed in ?his office on / day of A4,1 A.D. 19 7� WITNESS ntiy hand and Official Seal. Clerk Circuit & COUNTY COURTS By 2. General description of co(nc �.c Se.5 A Lf (0,Vrvi 1 6. Lender: (name and address) Tax Folio No. // J #4W' 4^ NOTICE OF COMMENCEMENT HE UNDERSIGNED hereby gives notice that improvement will be made to certain real iroperty, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: (legal description of the property, and street address if available) Ho E l 93 1_b� 21 I 3- i m5 c • improvement: - 9e - uC c kc. R 1 e(Cz C 3. Owner information: r1 q a. Name and. Address: ((^r10 c W6 ` (1 93 f) lc, r'c',c b. Interest in property: &dile'C c. Name and address of fee simple titleholder(if other than owner): 4. Contractor: (name and address) (tram (2nerroi c C(hf t 3 R5 — PE f.5 S T 5. Surety: Y a. Name and Address b. Amount of bond$ 7. Persons with the State of Florida designated by. Owner upon . whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes:(name and address) 9. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. ?. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) 9()Crfj by J i a Vuty. ■S85 '.porn to and su before me this 0 day of F�4/(2?) f' U ef/1'l / c r2 Signature of Owner My Commission Expires: �•� tx,«c( Co - C S(a•>e 9b1 net , 1991. fio[,ir'I rum 1C STATE IV FIOP.Tf1A DOlha T!I U LtiiE,AL (US. fl,:i Street and Number where work is to be done.... To be constructed of land f nd Estimate Total cost of improvements $.... MIAMI SHORES VILLAGE ‘ ‘s' -,e BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby sonde for the npproyal of the detailed statement u► ine plans and specifications herewith submitted for the build inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Maml 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, wheth 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 . Registered Architect and /or Engineer t Name and address of licensed contractor 4. / %:..�.�•.. Location and legal description of lot to be built on: �f� Lot....l "•-C / Block � l � I Su ivision.lf'G.. ..... _____ Stat ork to and osc of built! (by f1ry) _ ...._.__ and for no other purpose. New Building Remodeling Addition Repairs... »» N No. of Stories...... _ R oof Covering. .0 ............. Amount of Permit $...30 .t ...._ Zone cubage required Plan Cubage Distance .to next ne. rest building Size of Building Lot Q Ott,.•J••t<t•••t..- tt Itfttltn ! 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 per:nit 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, Prominent Sup ►Icnient, and has complied .pith 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 arc required by the Act. The undersigned agrees to employ only such subcontractofs, on work to be performed under this permit, as are licensed by Miami Shores Village. Remuks (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, 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.._ f�..If/. Date. . 11 _..........._._ Read, Sworn to and Subscribed before me. Disapproved Date.. (Signed) Building Inspector • Notary Public, State of Florida My Commiuion 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 i'1.innir.;; Board. A rc inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection oe faulty materials anti /or workmanship.