61 NE 93 St (7)•
Date 1 Job Address (0 1 N.I.L. 6 13. 1"
Legal Description S L'( 2-0 i( 0/Z1' M SEd N-11>
Owner / Lessee / Tenant IV � ( "TO tJ () t4 L-.O IA oil Master Permit # ° b�
Owner's Address CP 1 IQ. ' • .9 '� °sT Phone V — 6 1q O9
Contracting Co. DAYr.1 -
Qualifier SS# - -
State # Municipal # Competency # Ins.Co.
Architect /Engineer
Bonding Company
Mortgagor
Permit Type(circle one):
Square Pt. O /, <
Sig
Da
Notary as to Owner and/
My Commission Expires:
** *
FEES: PERMIT
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
*
WORK DESCRIPTION , f'�I � I c1 i i- exl i .21 GSI2_ Go o
l' 117e0c,e .
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SONNY 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.
wner and or Condo President
-President PIO k, ?FICIAL NOTARY SEAL
- zr SCOTT W DAVIS
* COMMISSION NUMBER
CC255237
�c *w COMWIISSION #XP.
F FN. J h 26,
C.C.F.
Fire
Buildin
Mechanical Plumbing
Zoning
Tax Folio 1 \ 2 d20(0 G 04-107
Address
Address
Address
Address
Phone
ECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Estimated Cost(value 1 / 000 x°C
Signature of Contractor or Owner- Builder
Date:
Notary as to Contractor or Owner- Builder
My Commission Expires:
* * *
TOTAL DUE
t
P `/"
Other
Electrical
Engineering
Date
Type Insp'
Permit No.
N
Address
Company
Phone #
For Inspector:
Approved)
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
(.9 .l ,NlZi
Type Insp'n
Permit No.
Name
Address
Company
Phone #
Date Time
For Inspector:
Approved) I
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
(1v
S/-
<0 ef-o-cl-
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Dat v e
AAILe_
Type Insp'n A
Permit No.
Na A
Address lP ( /.'")) o 3 JfJ \
Company m
Phone #
For Inspector) i 7) ° A Name & Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Time
Type Insp' /^
Permit No. .
Namd�U/� _
Address / �1 // S
Company
Phone #
For Inspector:
Approved 1,
1
Correction
Re- Insp'n Fee
JILDING ❑
:LECTRICAL ❑
PLUMBING ❑
KOOFING ❑
'`architect
=ontractor
'r Builder
.egal
)escription
"..ddress of
building
Lot
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 3856
❑
Dwner of
uilding
DATF
195
Contractor's
License No.
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of Amount of
Project $ Permit $
This permit is granted to the contractor or builder named above to construe the building or to install the equipment or device described in the application
ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
lrawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ime 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
, ertaining 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
one by his agents, servants or employees.
Signed 'BY
INSPECTOR +'' N.
In consideration of the issuance to me of this permit I agree to perform the work cover-id hereunder in compliance with all ordinances and regulations
'ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY e
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._
Registered Architect and /or Engineer
Name and address of licensed contractor 0 —
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done G / G- > Z'
State work to be done and purpose of building (by floors) L r ,- 2/ Z1 "' .
and for no other purpose.
New Building Remodeling. Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ Do 0 o 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) 4 rsl /2 j4 - 1 —
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
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. / �j
Permit No ..__ Date v — / - J Read, Sworn to and Subscribed before me.
Disapproved
(Signed) fft.)
APPLICATION FOR BUILDING PERMIT
MIAMI SHORES VILLAGE
Date
- - v . tz y J('LV net
Building Inspecto
BUILDING INSPECTION DEPARTMENT
ate
/� y/ ,19J
No ,� / Street.! ! ,
/
to me well known,
Notary Public, State of Florida
My Commission 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 Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Date 1/30 , Job Address GI NE 93 ST . Tax FolioILL:4Q4_ _ ®y10 #/.
Legal Descriptio � � (
/ Lessee / Master Permit P
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Own a
er's Address._.!__- E 9 , 5`P .
Contracting Co._MDL02 MgggQ.,e,-r0R15 (N
Qualifier •• _ MARrVIM_ - . C'.a4.26x1,
Phone Ns) £a-le 3 30 •
Address
PLUMBING MECHANICAL ROOFING PAVING PBNCIt SIGN
c&L :2M (Z) hams ; ?ClACJAP ' 0.At.
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE.,TO DO.
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECDtatm: Q tJ R
NOTICE OF' COMMENCEMENT) .
•
Application ie hereby made to obtain a permit to do work and installation as indicated apove, end'
on the attached addendum (if applicable). I certify that all work will be performed to meet'the
standards of all laws regulating construction in this jurisdiction. I understand that 8e$rste
permits are required for ELECTRICAL, PLUMBING, SXGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all Mdrk' 11
eri�
be done in compliance with all applicable lawn regulating construction and zoning. Purthoe,�,;Y;
authorize the above-named contractor to do the work s •ed.
L G &,,
Sign�ib of owner and /or Condo President
Dat : ' / O r 1 NC 5 AL
JERALEE gar NOTARY PUBLIC STATE OF FLORID
• ..246743
IYPre`S.41den�L)cP DEC 161346
* *
* *
C.C,F. 5a
'EES: PERMIT �k I "1 RADON__
.PPROVED: Fire
Zoning Buildin
Mechanical
MAY 19 '93 9:31
S .nature of Contracto
Date:
y as to Contract
NOTARY TOTAL DUE.
Other
Electrical
Plumbing_. Engineering
13055548967 PAGE.003
rn v
• 3 .. • ti •
•.. •
'•, ttt:�i'3
Owner SuXldif..�.
,I .:r :.:,
. 1.
r or
Commission Expires i
CC NOTAhY PUBLIC STATE-OF j #� FDA
,, :1 :5c_,ON NO CC24 .70. r;.
�fY4Y COMI. "IS9TON EXP. DEC. 1 SA,M.1
* * * * * * Re
il rk NOTICE OF COMMENCEMENT
Gam
Name _J u soN SA1-6 j
,subscribed before me this day of
xpires:
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Legal description of property and street address: (01 A C q - rcL .
M oar 9- o L 33 i
2. Description of improvement:
3. Owner(s) name and address: Su1J0n1 SALomon) (c( !JF, q3' 5'f . M I AN I 5 ��' `. �
Interest in property:
Name and address of fee simple titleholder:
6. Lender's name and address:
b✓tTAIESS my hand
HARVEY RUVIN, C
993
93R4-00346 1993 AUG 12 14:17
A.�. 19
4. Contractor's me and address: MOI? - \ 1)6CO2.4 TrW-, A3 I SS 4 4VC- %:•";:t
b
31441
5. Surety:(Payment bond required by owner from
Name and address:
Amount of bond $
J1RJ OF FLORIDA, OUNTY OF RADA
contractor, if any) t HEREBY CERTIFY that this is a tr o py of Om original fit , , this office . .
do
ii - - 2 —
d Ofjkial Seal.
f Circuit and County Comity
�d�>e
7. Persons within 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:
8: In addition to himself, Owner designates the following person(s) to receive a copy of the Cienor's Notice as provided in
Section 7 13.13(1)(b), Florida Statutes.
ame and address:
ition date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
III date is specified)
Prepared b
H
dress: k S�--
�"YII C U P t
12301.52 2003