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62 NE 93 St (3)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) 6/2/(4,oi3 S7 Date - 7'fc /- q( Job Address Legal Description k "; Owner / Lessee / Tenant ( / /' 2 G ';A// Owner's Address • /_) Contracting Co. r14')/ (f)(1 . ?! . Address State4 ��: y :1 Competency# Architect /Engineer Bonding Company Mortgagor WORK DESCRIPTION C,' ie/? f��2► 't0� � - r' Y Signature of Owner and /or Condo President Date: Notary as to Owner and /or Co resident My Commission Expires: * * * * * * PERMIT FEE: APPROVED: Zoning Mechanical 0 6 S r /4 /14 Sitiorr S Fire Building Plumbing Address Address Address 1 Master Permit # 7 Tax Folio // Phone Engineering Qualifier � 7et% �✓% w/.? ! Phone �_ I ,9 l ! u 4 C d � Ins. Co. �.�J✓Pr!? l Square Ft. Estimated Cost � . �'r" (, §otary as Contractor or My Commission Expires: * * * * * Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL /PAVING FINNCE SIGN WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT MO 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. :: 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 anr. zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of Contractor ,or Oianer- Bu :.ider Date: er- Builder * ther, O ---�- Electrical WALK BUILDING ELECTRICAL PLUMBING tO OFING Li CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N9 6360 Owner of Building Architect :; ontractor or B -der .ega1_ Lot Description � Bl. — DATF l °5 Cantractcr s Li censer No. Work to be performed under this Permit— Subdi- vision Address of Value of Amount of Building Project $ Permit y_ This permit is granted to the contractor or builder named above to construct the building or to install the equi?n_ent or device described ii the application he_efor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in complianc: v:ith ar.y n.ara drawngs, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may 'c^ r.vokcd at acy time ii tiie work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon VwTicl- this perrnit is grant =d is the understanding that the contractor or builder named above assumes the responsibility for a thorough :cnowledce of the ordinance; and renlatio! pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specificationu and that u at he assumes res❑ )nr ibiliiy for virr }- 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 ordirencoi cnd regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shor :s Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subrr.itte far 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 one 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 y� Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision ( � �,, Street and Number where work is to be done 1,/..�._� ' ' purpose g ( Y ) Ar"� State work to be done and ur ose of building b floors and for nc other purpose. New Building Remodeling Addition _. Repairs No. of Sto°ie= To be constructed of (Signed) -'J APPLICATION FOR BUILDING PERMIT Estimated Total cost of improvements $... C2 C' ._ 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 constrlIctier bray be sent to The undersigned applicant for this building penn.'t 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 ) STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary pablic, duly authorized to administer oaths and take acknowledgments, personally ap- peared to rig 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, ar. that all facts therein by him stated are true. Permit No ,' Date Pt- < f ' - 3-) Read, Sworn to and Subscribed before me. Disapproved �. Date_ -_- Notary Public, State of Florida MIAMI SHORES VOLLAGE SUILD[NG INSPECTION DEPARTMENT Kind of foundation Rcof Covering Date // ° // '° 19 °4 d No ei = Street ' 2 ' / Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member .. _. _ Member Council Approved Date Disapproved Bate 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.