966 NE 92 St (4)Application is hereby made for the appro \val of the detailed statement ui toe 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 ....A/
Registered Architect and /or Engineer
Name and address of licensed contractor ..l!/7.q i2 V /
Location and legal description of lot to be built on:
Lot Block o // Subdivis
Street and Number where work is to be done ...9.. j �c._... .
C_ R
ate work to be done and pu ose of budding (by floors)...4.t �r.._._
R/ VV li//fr //4®n7 L.I.�12 /a A .14
Disapproved
(Signed)
o ....e'Qa F7:
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date
Date.. ,/q
02 7, /979 1
f
/b EN Ems / ' Z2N6
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation oof Covering
Estimated Total cost of improvements $.. -, Amount of Permit $....., t 'O
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 w m
ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors eploye 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 s ntractors, o to be pej/ormed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)......
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
therein by him stated are true. ��
Permit No. .�1l q g� .
4- Date. =.IA
Read, Sworn to and Subscribed before me.
to me well known,
Notary Public, State of Florida
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
\icrnbcr Member
Member Member
Council Approved Date Disapproved ...................
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
die I'I.uanir.:4 Board.
A re inspection fee of $1.00 will be charged when such re - inspection is made necessary by improper notice for inspeetirrse or faulty
materials and /or workmanship.
"/
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.
Owner's Name and Address._.. D N ®r' No.
Registered Architect and /or Engineer s
Name and address of licensed contractor IY _6 b P V 4 ve
Location and legal description of lot to be built on:
Lot Block
Street and Number where work is to be done
Permit No
Disapproved
(Signed)
MIAMI SHORES VILLAGE
division
At"
Date
Bu •mg Inspector
Date
r
State work to be done and purpose of building (by floors)
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 $ iS 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
`I `2
X73 w�
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 s ch public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be perf rmed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
Street
Date 1 2) — 32 Read, Sworn to and Subscribed before me.
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 ted true.
Notary Public, State of Florida
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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
PERMIT FOR MIAMI SHORES VILLAGE
Date Z - I'/- /9 Job Address '966 W. qa A)o. Si'. Tax Folio 1 1 - 31D10 - 006 - 0/c,10
A M D PL GOLDEN GATE PK Pe 7-54
Legal Description SOT 155 t_oT. 511E se X /4o Historically Designated: Yes No
Owner/Lessee / Tenant D E 1J I I5 T1 IJSM A N Master Permit #
Owner'sAddress9/0lo N•E. 9a sr. MIAAM1 51l0RE5 , FL. 33138 Phone (3 65) 15 -96/f'
9aa7 -s-LA) 6 ,9 "1/4,7)/" 4..
Contracting Co. MIAMI BRICK CBIJTRACTTR5 / !JJC . Address
Qualifier PE" ,Q o
State# CGC 03 S$'7/
Municipal # Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor /v`®P.\,v x"51 Me RAE, 1 SIG
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION REMOVE A5P14ALT PP-NE 4100 I1JSTALL BRICK PAVERS
Square Ft. 94o sF
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
FEES: PERMIT RADON
Date
Notary as to Owner and/or Condo President Date
My Commission Expire + 'r . � Leona LaPato
4 i t . My CC missioi n CC552773 EVES
May 5, 2000
� '
OED ThRU TROY FAIN INSUAN, ,l+b.
APPROVED: l
Zoning Building `?y 171
ss# /a6 - 3 6 - 95a 7Phone
Address P o,Tox /qb'''/ R 1VEr;.5 X71 ', 04 /41r9
Estimated Cost (value) 2 5D®. °®
Signature of Contractor or Owner- Builder
Notary hs to Contractor or Owner - Builder Date
My Commissio Expi res:
? — O F7CIAL INIVTARYSEAL
G OL UA LALLIEWIAND
NOTARY FJBUC grATIE OF FLORIDA
C MMISSMN NU. CC74911r3
MY C / i:. 3 J ? l'UNE 7 032
Tor- 3W$— q 007
Electrical
Ins. Co. ALL Eqv /Ti Pee
C.C.F. j rf5 V NOTARY BOND 300
Date
TOTAL DUE ,
Mechanical Plumbing Engineering