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965 NE 92 St (8), PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY c�/ 5 G (OWNER p TO RETAIN COPY) / Date Address / (D �� / n 2 57 Tax Folio //3 a -d lD a o(g" - 00YO Legal Description T d���G�aa ./ig p� / ?291/ Master Permit # /fM Owner / Lessee / Tenant 3 oS ? ) z_ Owner's Address 9 (C 9 01 S /-• Phone Contracting Co. Qualifier State # R))9,1 7 Y J /) l=D ( C 00a063) Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION A ,r / tie-Lof Oa f■dii (( 4 `, Id I f N� 7 Square Ft. 7 O Signature o Date: Notary as to Owner My Cc,.missior. �. * PERMIT FEE: 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 roperty Owner and /or Condo Address a 170 op. h3c,Ig 6 /v) ss# Phone 7 . -D 6 7 Competency# - 2C ) y Ins. Co. President Expire' Wf Y P.J3LJC STATE' OF FLORIDA * Y*G1 .II" s c* 1 :X JU *24, 1995 * BONDED THRU CE . i'iL I„S. Uw "D. APPROVED: Fire Zoning Building-4 t /i Mechanical Plumbing Address Address Address Estimated Cost ( s7©, °p Notary as to My Commission * * • e, Electrical Engineering Contractor or • e -Builder Expirtff'ffIWY PU31%C STATE 3F FLORIDA * !IV 1,4 7ISSIO*EXP JG01 4, 1995 * BONDED TRRU GENERAL IIS. UND,. Other • Of Owner `STATE OF FLORIDA - COUNTY OF Contractor Address ' 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)' 96 5 SA General description of improvements M - E;n; P / /ocl 1011:41 74 Address Owner's interest in site of the improvement. Fee Simple Title holder (If other than owner) Name • v OSL LZ Address 4 16's u G 9a 51. • P pf)s4,#1 f/y t � 7 0 0/4 c:o cicd, At t,) ) 94 ),044 / A, 330- a/70 al>l) . - In addition to himself, owner designates STATE OF FLORIDA coin, ne ' 1 HEREBY CERTIFY that this is a e t — nmooay of the original filed in this ffice on ` l Y 1 a . day of WITNESS my hand and Official Seal. Clerk Circult Court By .Surety - c 4 \ \" �� s ir► A .Address Amount of bond $ AP ? , Any person making a loan for the construction of the improvemen . 3 :A 3 - t`f liL�rL 1 Name Address Person within the State of Florida designated by owner upon whom notices may be . served as provided in Section 713.13(1)(a)7, Florida Statutes. Name Address to receive a copy of the Lienor's Notice as provided Statutes. Expiration date of Notice of Commencement (the expiration date is 1 recording unless a different date is specified). THIS SPACE FOR RECORDER'S USE ONLY - in Section 713.13(1)(b), SIGN Tl1RE or or other documents year from the JOSE C, PRINTED SIGNATURE OF OWNER Florida date of SWORN,TQ AN 1I SUBSCRIBED BEFORE, 44 ' `' DAY OF Mo J , �:. 3.9, z NOTARY PUBLIC <I J ' �) qv► Sine ( 0 1 0 i �R / , `' . ,, PRINTED NOTARY SIGNATURE OF FLIOA NOTARY PUIC MY COMMISSION EXPIRES M�Y COMMISSION EXP 2401995 BONDED . UND. thereto by him statedue g tr � ue. Permit No.._. .11. -1 Date 43 Disapproved (Signed) MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT BUILDING INSPECTION DEPARTMENT .11 is herd)). made for the approval of the detailed statement or we plans and specifications herewith submitted for the build ire or other structure herein described. This application Is made in consplianee and conformity with the Building Ordinance of Miami Shares Village, hlorid.s, anti 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 ..._.... -87 ... , 19 .._._ Owner's Name and Address .R,AR.NA.EL R. i Magi& P1261).1.,4 _ No 9�'.. Street NE %nib ST . S ' / e sob Registered Architect and /or Engineer � � X /440 None and address of licensed contractor... !�R.PEM/1.4 ..&ecE...a• /o 0.. W 7TI,f kit Mri9MQ ria..33 /4e Location and legal description of lot to be built on: // 5021) �6 6 d e lie Y' Lot I I Block Subdivision.G &DEN 6/9"tg: R(. Ah?A/� • P8 7 P6 4 Street and Number where work is to be done.. 9 "A!E QUA 5t s.0. e.1... Awa State work to be done and purpose of building (by floors) __. ..... _... -__............. /A/Sir.09 L 1, ..;.. /... 4, AI Pr o r' .s ' Qx ,v CO f 0i . 4 #.tz..... t°rvec and for no other purpose. Ncw Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $...>' 84r.U.0 Amount of Permit $s.. Zone cubage required plan Cubage / Distance .to next nearest budding Size of Building Lot J —.0 N. /'Y O Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. Al! notices with reference to the building and its construction may be sent to un.irr.icncd applicant for this building permit does hereby certify that he understands and accepts his obligations ac an employer of labor under the 'r londa Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida. PermAnent Supplement, and has complied c,ith 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 su ntractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) Building Inspector Date. 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 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 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires to me well known, PLANNING BOARD DATE Chairman Member Merobcr Mcmbcr Member .. . Member _.._...,- Council Approved Date Disapproved Date NOTE: A rh.srge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Ilo.erd. A re rn•peetiors fee of 31.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building V 11.1. Architect Contractor or Builder Legal Description Lot 0 4•- - ` E CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE - a� PERMIT B1 N° 7933 t Contractor's License No. Q BY AUTHORITY 19� { � Work to be performed under this Permit Subdi- vision Address of f -', ' c/ Value of 1 Amount of 3 - Building ` Project $— I Permit $ 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 applica- tion 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 drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. t� Signed' l'-'k--) t �- � \ ' t - INSPLOTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all, dinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of, atilt Shores Village. In ac- cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employes. i ABBOT r 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 Subdivision_ Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. ss • 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, whethe herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. State work to be done and purpose of building (by floors)_ Date Date__ _., � No ° Street -e-' and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering I'l 0 Estimated Total cost of improvements $ PLAN G BOARD DATE Chairman Member Member Member 3 ao FT. 5' - 1Zcai La3c>o1> Amount of Permit $ Zone cubage required_ flan Cubage _Size of Building Lot Distance to next nearest building 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 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) 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 / R 3 Date 7 G C ' Read, Sworn to and Subscribed before me. Disapproved /4572 Date = __ )) �d �� Notary Public, State of Florida (Signed) Building Inspector My Commission Expires Member Disapproved Date Member Council Approved NOT charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plannin Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper n-)tice for inspection or faulty materials and /or workmanship. }�Eu.'. 5• -R worn 'FENC -P lox • D � '3 t