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DRIVEWAYPERMIT APPLICATION FOR MIAMI SHORES VILLAGE D a t e 5-15-96 ` " � J o bb A d d r e s s 6 8 5 N . E . .. 93 Street Tax Folio r / 3 C b Legal Description .. f � o` < A' h5 Historically Designated: Yes No Owner's Address 685 N.E. 93 Street, Miami Shores Contracting Co. Adco Patch, Inc. ' e. 5 /l/ Signature of owner and/or Condo President Date S� y , •9.6 Notary as to Owner and/or Condo President Date My Commission Expires: O T1CIAL NOTARY SEAL I VA ROMAN NOTA,:Y PUBLIC STATE OF FLORIDA C^ IML33 =ON NO. CC375231 MY CO H ress:o �' EXP. MAY 26,1998 l.EES: PERMIT 'Y0. 0 0 RADON C.C.F. . S70 NOTARY Address Phone Electrical r / - a, Owner/Lessee / Tenant Mrs. W o 0 d Master Permit # 3 �7 D� (305) 754 -6867 3091 NW 129 St., Opa Locka Qfif- Eddie J. Barnes SS# Phone (305) 681 -2196 State # Municipal # Competency # E - 140 Ins. Co. Travelers Ins Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Repair driveway /95p /9 — Square Ft. 460 Estimated Cost (value) $460.00 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. Signature of Contractor or Owner - Builder 57/s7 46 Date otary as to ..actor or O / e :,4 i1 ,4.4...i.'., , " " `' My Commission Expires: 1 , cciv :sz.:;c _ <;;..;.._ ci TOTAL DUE ' O . S6 APPROVED: Zoning Mechanical Plumbing Engineering C1 3 7LA ;3 4`,3a cF A 51,1aLys ?EtIOIT, NTh W'S,C1C742`)12.CTED "RS;5■04"1 me effi.w.,A v9.7.; fv.10 zONVIG otADVAEs ';'11(11)E. LISTED BELO. ALL C■11711-P, 5itNg i:tUT LE c,omP FE D717.,\;‘,*, • :.; y . _ 4 1 TAMI • -11.;\;1•;Aii:: tRZ:Iaz ICGVMQICkWfill Teta:SOUTH. F.LORIDP, BLDit.';G CODE AS *1\10.161',V4S,VI.t.L.TAf....1s,r1-upt,r6a. Ma' 1;CI-11TEC, C/31•11-0,CIC,5S-ME:=01.U,RC!LD T1 1 I0 LEDGE OF ALL ta 11,*RE1,3W:i\MISSMalErice-INCISi 07-L1E1:ALLY' INDIGAIEW KUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ HO OFING ❑ ❑ owner of kiilding Ut�v. ``.rchitect ontractor 3r Builder -egal )escription 'address of wilding Lot MIAMI SHORES VILLAGE. FLORIDA DATE_._] t I • 6 Contractor's License No. PERMIT N° 4314 Bl Work to be performed under this Permit A oLt • Subdi- vision Value of J O � Project $/ - -- This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, dawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ime if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upop.,which this permit is _ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the or• • ces d regulations 'ertaining to the work covered hereby whether shown on the pla or drawings Ain the stater nts or specifications an• tha he ass „ res ibility for work tone by his agents, servants or employees. /�, � !✓ Signed" "! _. i v_ BY INSPECT In consideration of uance to me of this permit I agree to perform the wor covered hereunder in compliance with all ordinances and - • tions , ertaining thereto and in pfrict c formity wit Ii the plans, drawings, statements or s )ifi$tions submitted to the proper authorities of Miami Shores V -•e. In ac- _opting this permit I some res onsibility flr all! work done by either, • self, r r agent, servant or employee. OCOALti L1-4 CONTRACTOR' OR BUILD1it 1 Amount of Permit $ 195 AUTHORITY ems. APPLICATION FOR BUILDING PERMIT 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 • b MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision. Disapproved Date (Signed) State work to be done and purpose of building (by floors) lf__ � ,19 o t_7 Street 7 S - 9 7 1 Street and Number where work is to be done and for no other purpose. New Building Remodeling. Addition V Repairs No. of Stories To be constructed of Kind of foundation Roof Covering / Estimated Total cost of improvements $ 0 0 Amount of Permit $ 1 `) 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, Pennanent 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 s' •f the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on • o be pe .rmed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. j 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. ►e of the above described construction, that he has carefully read fo�e going application, and that he did sign the same, and that all facts therein by are Permit No.__ _ = ' 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 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.