87 NE 93 St (6)Name
Company
Phone #
Approved
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Budding Inspection Request
Date 1 Time
Type Insp'
Permit No. t
Address 31 T a e. 9
For Inspector: l� U 1 D 3 Name & Date
Re- Insp'n Fee
CO
�s 1� D3 F
A LK(//3-- „
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Time
Type Insp' n J `' 00
Permit No. PA° , D51
Name
"g
Address
Company
Phone # p�
/ 2 D - 0= 3 J
For Inspector: � 0 ite
4 -'2- °.2
Approved E r
Correction ❑
Re- Insp'n Fee ❑
For Inspector:
Approved
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Type Insp' n J I�
Permit No. fp(200Q_
Name
Address NZ 93 3L
Company - V" •0Q !/ ,
Phone # 0 3g
Re- Insp'n Fee ❑
-zoora
Date 7 9 Job Address .9°2 / 93 a'°y
Tax Folio)/ .3 L? a//7 47,y
Legal Description 4, `f - ! rj 9G
Owner / Lessee / Tenant at /,v6 Z-
Owner's Address () VE 15
Contracting Co. OAR° 6(„.GG. Address t01-80 S1) /9'e 4L'
Qualifier &o4 r. ( Z-o SS# - - Phone 9419 0
State # Municipal # Competency # 1 M/" 1 Ins.Co. g5 r6 rzI
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION ;7 ! - C'OC- '04 c
Square Ft. Estimated Cost(value) 100% --
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 as to Owner and /or Condo President
My Commission Expires:
** * * * * * * * * * * * * * * * **
FEES: PERMIT o RADON C.C.F. , 5 0 NOTARY a ,O® TOTAL DUE b' 51)
APPROVED:
L
Building Electrical
Mechanical Plumbing Engineering
Zoning
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Signature
Date: 4
as to
y Commission
Master Permit # L Z /
Phone
Fire Other
Date /1
Legal Description
Owner's Address 8? N z 93
Bonding Company
Mortgagor
Permit Type(circle one
Square Pt . j
** * *
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Z Job Address G 7 at 'E 9,3 5
Zoning
t: r1T 4 o 4 07— .teJ9 J'l IoT Z 3 J l.o•/C, ✓ l e^gv /
Owner / Lessee / Tenant (1.*
c�2 ( ) I 7 Master Permit 4P _�
Contracting Co. ' 1,a (Lk c,,a ° c?,.- , ...{a , �, 2 -S Address /3'€ 56
Qualifi A-- o 1�M1 as4.i+,e � SS - Phone - 75 - Co /8 30
State # Municipal # Competency # Ins.Co.
Architect /Engineer 6 "/ 'Li n) 4 , X / 4, rc c r Address 76,0 /0 7 /1 n ec' i) i
41) (q
WORK DESCRIPTION / a.)
S i Phone
Address
Address
Tax Folio // 8 /g e3/4 ®
ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
1""S
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 accurat
be done c'e with all applicable laws regulating constructio an
•• r• .•,a state•.
author', he -n• - .• ontracto to
tr
.0: OSEPHINE CHURCH
. 1 . i ate 1 Flanda
Signet" wn r and �rjr rgttExp, kg:130.1
.1- •T.: Na CC197545
Date: � ' n ��
A", .14 //r1 04;"4
otars to Owner and /or Condo President
"My Commission Expires:
RADON
d that all work will
Furthermore, I
ry as to C
Commission EDipriaresdf stamp name of Notary Public
Pe: sonally known OOP. Produced LD..
Type anal number pf I D. produced:
❑ DID rake an oarh, or
J I)ID NOT take an oath pi
/" NOTARYj o TOTAL DOE
No
My
**
Fire
Building 4 Y V 9, -;e1 Electrical
Mechanical Plumbing_ Engineering
Other
Disapproved Date
( Signed)
ui ding Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby uinde for the approval of the detailed statemen: ut ere plans and specifications herewith submitted for the build •
in 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 bc kept at building during pragreu of the work.
��.11
I .� p (; \, Date... 11 �. _ .11 0 q 19e.'
V
Owner's Name and Address .. . ..�Y.IJI�.(�1 -Z ,f � i .,.. No....s ?.�........... Street.Jls — .. 5. .1..
Registered Architect and /or Engineer C4' fi
Name and address of licensed contractor c)W xi
Location and legal description of lot to be built on:
1 4_ Lot 22 K LOT- 23 Block 3 Subdivision
Street and Number where work is to be done a.. C' _ .._ . S
State work to be done and purpose of building (by floors)
Ncw Building Remodeling Addition
To be constructed of
Estimate Total cost of improvements $
The undersigned applicant for this building permit does hereby certify that he understands an
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Cener
anti has complied ss ith the rovisions thereof, and will require similar compliance froi
in the work to bc performed under this permit; and will post or cause to be posted for
or notices as are required by the Act. The undersigned agrees to employ only such s
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
PLANNING BOARD
.,:,. „,...,.......„.,..,.....Vt.
and for no other purpose.
Repairs No. of Stories _
Kind of foundation Roof Covering
9QO
Amount of Permit S.._ Q. �
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.. SA(> E app S S
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer
peared
Notary Public, State of Florida
My Commission Expires
DATE
accepts his obligations as an employer
s of F . = Permanent Sup tlemrent,
or s .co actors employed by hint
e sit of th work such public notice
wo to (+ • rmed under this
oaths and take acknowledgments, personally ap-
....to me well known,
and who, being by me first duly sworn, upon oath deposes and says that "ie 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 ar true..
Permit No.. -. Date ) /V) Read, Sworn to and Subscribed before me.
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 froze
the Planning Board.
A re- inspection Ice 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
wI. ►A AIAIf�
PLu,vwiI�IV
Owner of
Building
Architect r.
Contractor F _ t
or Builder�
Legal Lot j Bl.
Description
•V
b/
AC •R OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE•
PERMIT ,
T° 56-24
Contractor's
License ' No.
Work to be performed under this Permit.,
Subdi-
vision
/ /0f
4_7
Address of s ` Value of .. A mt. af� G t -
Building i / .: Al,. 1 a f .- 'r Project "j ` q�e'� Permit• , /7 ••..
This permit is granted t 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
atany 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 knowl a of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans' awing§ of in the statements or: specifications that he fumes respon-
sibility for work done by his agents, servants or employees. q ' r• i ' •:
w Signed Bye ` �/' Or
• INS CTOR
In consideration of the issuance to me of this permit I agree to perform the work covered h reunder in compliance with �1 _ordinances an reguJtions
pertaining thereto., . in trict conformit - e plans, drawings, statements or specifications submitted to the proper autEdrt es of Miam res'V' lage.
In acceptingthi, pe i assum - .. . ty for all work done by either myself, my agent, servant or employee.
BY
AUTHORITY
;UILDING
LECTRICAL
'LUMBING
f/
)weer of 1 `'- f - ,'
3uilding Ls'. i � 1.)Li. -L •r
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N° 5624
Work to be performed under this Permit bet.i, —ter*
Contractor's
License No. / f'('F
- 194_7
architect
= ontractor --
ar Builder 0 ;114 A:11- -'
.egal Lbt B1. Subdi-
)escription
1 i. vision _
a ddress of Value of + S. I Amt, ofd F 4.
wilding 7 `• s Project `�jr �j j ' "'
J Permit /.;:l17 •
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-
lation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
,fans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
.t 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
,ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knawled a of the ordinances and
egulations pertaining to the work covered hereby whether shown on the plans pr-drawingt or in the statements or specifications that he pesurnes respun-
- ibility for work done by his agents, servants or employees, - .' i •' -. ;-
Signed • v • ' - By A , 0.
IN/ OR
In consideration of the issuance to me of this permit I agree to perform the work covered hireunder in compliance with all ordinances and regulations
lertaining thereto in strict conformit % - e plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
n accepting this permit,` - assume • ty for all work done by either myself, my agent, servant or employee.
CONTRALI R OR BUILDER
BY AUTHORITY
APPLICATION FOR BUILDING PERMIT
Location and F legal description of lot to be built oxr:
-
Lot_ a 4_ ... -- Block Subdivis'_on_ -__!
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
MIAMI SHORES,VILLAGE
BUILDING INSPECTION DEPARTMENT
Remarks (Sig-red)..
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 Ordirrance 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.
Date : , 19
Owner's Name »and Address
Registered Architect and /or Engineer
Name and address of licensed contractor
No Street
and for no other purpose.
New Building ____________ -_- Remodeling Addition Repairs No. of Syories
v
To be constructed of __t_;___,'_."_z _ _,___ Kind of foundation,_ Roof,Covering__ ,
Estimated Total cost of improvements $ 1 ' R te; ' _____�Amoun. of Permit $__ /_,z
Zone cubage required #.. flan Cuba e
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 teat he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5936, 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. ?' -
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 Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Merr ber -
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or ch<.nges 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.
.1W t
0 h.
•
o.
g °x 3/1 X.3
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