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709 NE 93 St (2)PERMIT APPLICATION FOR MIAMI SHORES' Date £ /9 Job Address o q N t CL 0 ) Tax Folio Legal Description , Historically Designated: Yes Sa/1 �• t_ re_ Owner/Lessee / Tenant ' , f IN/ / Q,` U C�'�0 Master Permit # Owner's Address 1cq N e- q3 . Phone �� — qz7,. Contracting Co. 0 Up A( ✓- Address Phone Qualifier SS# State # Municipal # Competency # Ins. Co. Architect/Engineer R[ - Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ,/ £ Yjc e t).4 -5 Square Ft. Estimated Cost (value) 9(3-- 0 U 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. Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT RADON C.C.F. Signature of owner and/or Condo President Date Signature of Contractor o wner- Builder Notary ./ to Contractor or Owner- Builder My Commission Expires: 401 , CYNTHIA SCHMIDT My Commission CC320331 * Oct 03,11397 Bonded by HAI % R ,ape C00-422A 555 NOTARY TOTAL DUE Dat APPROVED: Zoning Building k ' 5 7/2 Electrical Mechanical Plumbing Engineering Street and Number where work is to be done Remarks STATE OF FLORIDA, COUNTY OF DADE. Permit No.__ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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. Name and address of licensed contractor „ Location and legal description of lot to be built on: Lot Block Subdivision_ ss. Date___ 7. Date Owner's Name and Address ✓J1% �!G /__�, _% Jrn__'i No.__ Street__4_ Registered Architect and /or Engineer ,19 State work to be don: and purpose of building (by floors)_ b ��Fl ' _____ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 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 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 fo ection on the sire of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such be ntra ors; workC to be performed under this permit, as are licensed by Miami Shores Village. (Si Signed g )_i -- 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. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared • Read, Sworn to and Subscribed before me. Disapproved Date - 2 Notary Public, State of Florida (Signed) �` , �. cu 2 Buildin g Ins ector p ` %' My Commission Expires �� -�� PLANNING OARD 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. BUILDING ELECTRICAL s PLUMBING Owner of Building Architect Contractor or Builder Legal Description Lot a �s MIAMI SHORES VILLAGE, FLORIDA DATE 194_ Contractor's License No. PERMIT N° 7755 Work to be performed under this Permit ` r' Bl. Subdi- vision Address of * Value of Amt. of $ � f ,; Project Permit t rd ji 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, 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 contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: ``,'.. By t Ih1SPECTOR In consider tign f the issuance to me of this permit I agree to perform the work covered hereunder in compliance all ordinances n ee�IIatfons pertaining tlteret ar�*dd • s t conformity with the plans, drawings, statements or specifications submitted to the proper au rities of MiamiSlles'Villagc. In accepting thisJppertni I ass responsibility for all work done by either myself, my agent, servant or employee. fir 1 OITRXCTOR OR BUILVER BY AUTHORITY PERMIT APPLICATION FOR MIA; Date /1 - 2 5-7 7Job Address 7e ct foe i 751", Legal Description Historically E Owner/Lessee / Tenant r � a< �'�L1tUU � 4 i' Owner's Address ` ' y, �� Contracting Co. Qualifier SS# State # Municipal # Competenc! Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ( T R vL/ _ FIRoAtt E1 ©e 6 gEEA1 r ' rv1 Square Ft. Estimated Cost (value) 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 owner and/or Condo President Date Notary Ls to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT APPROVED: Zoning Mechanical RADON Building Plumbing C.C.F. Tax Foli ,'nctrcc C40-40 Addra L't ra Purc'Vl1itc 5050 Signature of Contrac or or Owner -B /der Date 1(T otary as to Contractor or Owner - Builder Date My uo ' f 1,.! t dO RY SEAL : % — c'�5 - �"- f� Si iAONT1EL 1 � '' 'c� ,,, , „ ! . :ice}ON NUMBER Ls j C4O1261 -17- om. 4 . -�_ r ,� 0 ;;d9ISSION .EXP. `-a1 v\-P tAk;tcA. a leas Electrical NOTARY `Tk U BOND aloonliht G et Engineering 214 PERUVIAN PEACH -B 190 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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. �? / /�,� - /� � may, Date /( -�� 19 `� US,I,J 91 c� LV/T R c.E. ( 014/*/A)o. 7 f Street Ce/ Owner's Name and Address Registered Architect and /or Engineer Mme and address of licensed contractor 1 Z 01 4 Location and legal discription of lot to be built Lot 1 / 4 k �" Block 6 ddd Subdivision 7 L. et and Number where work is to be done 7 ®9'2) ( 93 p t to work to be done and purpose of building (by floors), state exterior colors (submit samples) G/9-n A-7 �) Remarks (Signed 3 /1 32d6 /,a -PA- /N r )(T 0/2 - and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of /I Kind of foundation Roof Covering L I` timated Total cost of improvements S _! a Amount of Permit S � r i Zone cubage required 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 Plan Cubage 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 with the provisions thereof. and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed •der 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 unde ed : • •es to employ only ch subcontractors. on wor to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA COUNTY OF DADE. } ss. Before me. the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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 :..plication, and that he did sign the same, and that all facts therein by him stated are true. Permit No. -xiclii50 7 Date 1 D 7 F Read, Sworn to and Subscribed before me. Disapproved Date (Signed) 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 $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 andior workmanship.