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ROOFINGDate 91 Job Address 7 � Tax Folio ��� `_, 7 Legal Description •. �, v Owner / Lessee / Tenant ( ._ N ✓I��G Master Permit it, " / ' ,0 Owner's Address / �7 /�� /r � Phone 7 I ' 2/ Contracting Co. 6���,;,�' � Address Qualifier SS# - - WORK DESCRIPTION rize the above -named contractor 9 Signat�}/�e�i G / Date: r aut APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 2i 0( /© - President to do the work stated. ,/,41/ Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Square Ft. Estimated Cost(value) A n e 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 Signature of Contractor or Owner- Builder Date: " 470 iOSEPHiNE CHURCH i- sL�1'/f v o' � i a Nntary Piibbiit' State of Fiona ary as to Owner ans? .d Commission Expires '+ ►.o; ' No•CC3975f5 Notary as to Contractor or Owner- Builder My Commission Expires: ** * * * * * * * * * * * * * * * ** FEES: PERMIT, 6 1 - RADON C.C.F. NOTARY ece TOTAL DUE 5. Fire Zoning Electrical Mechanical Plumbing Engineering Other Legal Description Owner / Lessee / Tenant C•�Li/9 //P 6-CJ� T G� Master Permit #41,1/3 Owner's Address 9/ i,G /� S÷ Phone Contracting Co. �cS � 7 -. C Address /5 -3/ /• • /rc''4.49'!/ /144. Qualifier . / Phone ( fe S'- (1Z 3 cec State # O57.53r 1 Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMB // ING MECHANICAL ROOFIN PAVING FENCE SIGN WORK DESCRIPTION /QP /�ac9 �' �� may /�5 /IJp Square Ft. Ft. i 700 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Z Job Address 9/ X/ / 90. S Tax Folio if 420 ' 6 bat /WA/ 401; 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: ** * * * * * * * * * * * C./0 * * * +� * gyp ** FEES: PERMIT �2/40/. RADON C.C.F. .3 , 5�0 NOTARY TOTAL DUET c `✓ V APPROVED: Zonin Mechanical Estimated Cost(value) ( r eel Si_• -ture of Contractor or Owner- Builder D. te: 4,-- 1/.. 2 3/9/ / �,3 /9/ as to Contractor or Owner- Builder y Commission Expires: Fire Other Electrical Engineering Plumbing geek Return to: (enclose cell- edoreiaed stamped ererelope) Name: . 4 A Address: This Instrument Prepared by: C Address: ei'5 A(. of. /a � - r �► - a-i ?/ ?/6 State of Florida County of My Commission expires: Ctartt DU Cr Property Appraisers Parcel Identification (Folio) Number(s): SPACE ABOVE THIS UNE FOR PROCESSING DMA Address In addition to himself, owner designates 01 i } Permit No. NOTICE OF COMMENCEMENT General description of Improvements /C Q P I eepu. Owner C / 4 14, S ( Ai , S1 Address /iq, 3 Owner's Interest in site of the Improvement Fee Simple Title holder (If other than owner) Name to receive a copy of the Lienor's Notice as provided In Section 713.13(1)(b), Florida Statutes. STATE OF FLORIDA COON Y O r DP.DIZ 1 FlcRDe C" riry that this is — --� n ih; ° n a t ue C ' or the r, of Vlli ^: r t hand and .lnd Of cia' Scat. i, �ci� � NOTICt OF ',MMI!i `VAENT FR 713.la RAMCO FORM 400 92R49%264 1992 DEC: 16 16:25 SPACE ABOVE THIS LINE FOR RECORDING DATA The undersigned hereby gives notice that improvements will be made to certain real property, and In accordance with section 713.13 of the Florida Statutes. the following Information Is provided In this NOTICE OF COMMENCEMENT, Legal description of property (Include Street Address, If available) 9/ Si A - . 9 "=" rte, • ,9.n ,•. �l �3� /3y Address _ Contractor / S Z Z . L • Address / Z1/3/ Al r uJ r / Ci C9pa ‘4, Surety Address Amount of bond $ Any person making a loan for the construction of the Improvements: Name Address Person 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 Expiration date of Notice of Commencement (the expiration da 1 year Irom the d of recording unless a different' date Is specified). Sworn to and ubscribed before me this / CO dayof � , 19 �iT /��i A c c ry ; nature Printed Notary SIP nature Printed Signature el BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA CJ ,: ❑ DATE ❑ PERMIT N° 6286 Contractor's ,.- License No. ❑ Work to be performed under this Permit J Owner of / Building Architect Contractor f or Builder Legal Lot Description — Bl Address of .. Building r v 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 herefor in strict compliance with all ordinances pertaining thereto and with 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 drawing or in the statements or s+'+ic'fications and that he assumes responsibility fcr work done by his agents, servants or employees. s• ,¢ In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertainin• thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cep ' hermit I assu - rpcnsibility for all work done b ei =r��- :� servant or employee. CR OR BUILDER Signed. INSPECTOR Value of 11 Amount of Project $ H Permit $ BY AUTHORITY , . Subdi- vision BY: 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. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block oo,� Subdivision l. Street and Number where work is to be done _.l State work to be done and purpose of building (by floors) /a y To be constructed of Kind of foundation LJ N Date__ -_ 7/ Y Date ' f Z New Building Remodeling Addition Repairs.._ ! 5J . Read, Sworn to and Subscribed before me. Permit No P Disapproved j � Date (Signed) Notary Public, State of Florida a! ✓,��!° :�'.; � Buil ing Inspector My Commission Expires Street..__` ,19 `- u= „ and for no other purpose. o of Stories Roof Covering Estimated Total cost of improvements $ 4 S_._ 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 5968, 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 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) + 1 P STATE OF FLORIDA, COUNTY OF DADE. j 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 tree. 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 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. t/ Date Owner's Name and Address._... ...... e0 /7 Registered Architect and /or Engineer Name and address of licensed contractor P /-7,/?_ Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) Street 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 $ - 4/ 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, 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 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 pennit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, ss COUNTY OF DADE. 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. r–` Permit No i /_— Date = Read, Sworn to and Subscribed before me. Disapproved Date L '>- Notary Public, State of Florida (Signed) `\ Bi ing 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.