FENCE PERMITDate )0 Job Address '/7 NC Vat JTI e e. r Tax Folio
• 6",4 %7 Pg pa 7 .6-4 L a :S ✓ !3 r- / i Le..s .S° 7 29
f -;d
Legal Description 4 f, r s / zems, serf / 4 O
0 / Lessee / Tenant 940 /.5i= 6 4 /A/E 7 Master Permit #
Owner's Address
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
9 7® A14 . s
Contracting Co. ref) wz:41 n E',. Address
Qualifier SS# - - 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
WORK DESCRIPTION Revza,L.0 P eat /Ce Pow 7)0,y ® r' AoAi , - 2 ,7 ?Ael e,l e
SWAP°Woox ' r,411, r74cwe'I ) /.4 ck, , {
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 as to Owner and /or Condo President
My Commission Expires:
Signature of Contractor or
Date:
/i- 3.0(,)C -0 ) C)
Phone
75 / -
r- Builder
Notary a to Contractor or Owner- Builder
My Commission Expires: -Q_ 93
** * * * * * * * * * * * * * * * **
FEES: PERMIT/6,e0 12 RADON C.C.F. ® NOTARY TOTAL DUE
APPROVED:
Fire
Other
Zoning Buildinc. Electrical
Mechanical Plumbing Engineering
Per 489.103(7) F.S.S.
State law requires construction to be done by licensed
contractors. You have applied for a permit under an exemption to
that law. The exemption allows yogi, as the owner of your
property, to act as your own contractor even though you do not
have a license. You must supervise the construction yourself.
You may build or improve a one - family or two - family residence or
a farm outbuilding. You may also build or improve a commercial
building at a cost of $25,000 or less. The building must be for
your own use and occupancy. It may not be built for sale or
lease. If you sell or lease more than one building you have
built yourself within one (1) year after the construction is
complete, the law will presume that you built it for sale or
lease, which is a violation of this exemption. You may not hire
an unlicensed person as your contractor. Your construction must
be done according to building codes and zoning regulations. It
is your responsibility to make sure that people employed by you
have license required by state law and by county or municipal
licensing ordinances.
9 00- V 9 r/
Village Use Only
Owner's name(print)
Permit No.
DISCLOSURE STATEMENT
Date Owner's signature
9 / %:
4,1 ! `/
7
1
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AIMD
MID
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PR0PE211 LI.JE •
- NOT INCLUDED AS A STANDARD FINISH, FENCE CAN
STA. NED AS ALTERNATE.
.SPECIFICATIONS
- WOOD. FENCE TO BE- A MAX. O O' HIGH.: ;
- ALL MEMBERS TO BE . P T W000 SOUTHERil PINE.
- W000: " POST TG: BE• AT NOT MORE - . THAN '
2
7 F, la, NAIL A.LL. 4 .s DE5
- - Top E'or,
Frio col4=Era
T1kREC ALL: _ 4.. S Bar/
2:- 0 8E401AJ Gr•A D E
- TWDCC ROWS .r ..• .. _• RAILS SHOULD BE pROVIDED:.
B OARDS TO .BE r sa X 6`..0 DOG EAi
- ALL NAILS TO BE GALVANIZED - .TYPE.
1
THESE PLANS ARE APPRO LlUILDING PERMIT
El WITH NO VARIAN:7'. F. fl 'I ; .STED IN "REMARKS"
NO OTHER DEVIAT'O S !".: . • ••• F;* • • ')ING VD ZONING
ORDINANCES VIILLEE ' : Y tISTEI BELOW.
ALL OTHER APP; E • .E 1■;•:D L. LIUST !E COMPLIED
WITH BY ALL PAT(TIES.
FIRE DEPART. •
PUBLIC
POLICF. DEP;::',. •
BUILDING .
PLANNING & Z :
VILLAGE COUl:t.l
REMARKS:
r,.. •
APPROVAL
PRELIMINARY: FINAL:
COMPLIit ;
BY MIAMI &IOU::
SUB CONTRACIC::". • .
ING REGULATIONS WHETHER JR NOT SPECIFICALLY INDICATED HEREIN.
• Qr. ...•■•••••••■
te
4
1
New Building Remodeling Addition
Maximum live load to be borne by each floor...
Disapproved __
(Signed) 6 e,- ) X
Chairman _
Member
Member
Council Approved
Building Insp
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re-inspection fee of 51.00 will be charged
materials and/or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approyal 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.
p Date_iPi ?/` _ -! / 9 ‘ __ _ +rJ ,
� 19.6 t
Owm<�r's Name and Ad dress_ � • C _ _ U � .___ No._97Q_.' /_vi v Street_ —
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____9_7_Q ./Y4.. :_.9 •�
State work to be done and purpose of building (by floors) APO/ Ile A/ / _ /(V . -_ "//V
To be constructed of Kind of foundation.... Roof Covering__
Estimated Total cost of improvements $ Amount of Permit $
Zone cubage required Flan Cubage__ _.
Distance to next nearest building._..___ . .. Size of Building Lot
I hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may
be sent to___._ °___. 4 -- -
The undersigned applicant for this building permit dot hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen s Compensation Act, being Sec :ion 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
)_2�
die
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, u:: 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 ( \g' 7
Date -- -- -_q F/ 4 7 . -
ANNING BOARD_
._Date
and for no other purpose.
Repairs No. of Stories --
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires__
•
DATE
Member
Member --
Member . _._ . _ ....
Disapproved ___ .._ Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
NFw G14AIrd L. IN1L F`Ewc.0
. k-- f a x— x - - tr — �% -- mac : • _A — o ft.
a . �
Col ; ��
f. .
Application is hereby made for the approval of the detailed statement or me plans and specifications herewith submitted for the build
inc 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 13t "4 L0 e !'. • t1 `"�
Street and Number where work is to be done
Disapproved .4
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
ui • i ng nspcctor
Date
Date..._ 19 c ' .19
- No. ... �. .. .... Street A.r. 9 -
Registered Architect and /or Engineer , .,,,- „.<,,,,,,,,,,,,,,
Name and address of licensed contactor _...,,
Location and legal description of lot to be built on:
Lot Block Subdivision
State work to be done and purpose of building (by floors) , 6✓L' 6 /1 . �` ®� aF) ,5 r i✓�v r8 i� _ / �?c ” ( ycc,
e4 e)9 evv ~s s --/ 4-9 lee. z 9z0 em
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimate Total cost of improvements $. 0 0, a G
Amount of Permit $.
Zone cubage required .Plan Cubage
Distance to next nearest building Size of Building Lot
1110
lfaxunum 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 Honda Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida, Penn.rnent Supplement,
and has complied «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 sit of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such s}bcontractors, • • ,. to be performed under this
perrnit, as are licensed by Miami Shores Village.
Rem.uks (Signed)
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,
therein by him stated are true
Permit No X01° Date 019).1 Read, Sworn to and Subscribed before me.
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 that he did sign the same, and that all facts
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 51.00 will be made for making corrections or changes to this application after approval has been obtained from
the I'I.rnnir.;; Board.
A re ,n.peution fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
•
f' L
Ixi_
9t
t! /L• /
, C ' 1 , , '1•,T(%�0,
BUILDING ❑
ELECTRICAL
PLUMBING
ROOFING
1
MIAMI SHORES VILLAGE, FLORIDA
❑ Date
❑ PERMIT N° 9874
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal Lat I
Description � Bi
Address of - ,
Building ' / r � .'
CONTRACTOR or BUILDER
Subdi-
vision
Sq Ft
Value of
Project
C.fr(
BY AUTHORITY
Contractor's
License No.
19 _
H Amount of
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 an
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.
N
Signed f (INSPETOR) BY .' ) iJ�, �..'. r ` , '
In consideration of the issuance to me of this permit I agree, /to perform the work covered hereunder in compliance with all ordinances and regulation,
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
Owner of
Building
Architect
Contracto
or Builder
Legal
Descriptic
Address
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
ELECTRICAL ❑ P E 1IM IT o
PLUMBING ❑ 7908
ROOFING ❑
Work to be performed under this 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 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'grdinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assum'tc responsibility for work
done by his agents, servants or employees.
..
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and reations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
Signed: BY
INSPECTOR
BY
DATE '
Contractor's
License No.
J
AUTHORITY
195 aV
I
r
n
Lot
Bl
Subdi-
vision
,f
�
sq. Ft
f
Amt. of
Permit
/
$ (.
Value of
Project
$ /,'
Owner of
Building
Architect
Contracto
or Builder
Legal
Descriptic
Address
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
ELECTRICAL ❑ P E 1IM IT o
PLUMBING ❑ 7908
ROOFING ❑
Work to be performed under this 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 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'grdinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assum'tc responsibility for work
done by his agents, servants or employees.
..
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and reations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
Signed: BY
INSPECTOR
BY
DATE '
Contractor's
License No.
J
AUTHORITY
195 aV
I
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___ ' ./7 Block ! Subdivision
70
Street and Number where work is to be done_
State work to be done and purpose of building (by floors)
New Building Remodeling Addition
Permit No
Disapproved
( Signed) e/L °-,,, ._...
Building Inspector .
Chairman
Member
Member ..... _.
Council Approved Date
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.
eco-44)
Date �4
Date
�® Stree
No
ANNING BOARD DATE
orn to and Subscribed before me.
Repairs No. of Stories .
(241 ,
and for no other purpose.
To be constructed of Kind p o w foundaic Rgof C,avering
Estimated Total cost of improvements $ Amount of Permit $ (� / l i e/
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 for inspection on the site of the work such ublic notice
or notices as are required by the Act. The undersigned agrees to employ only such s bcontractors, on work to be performe,nder this
permit, as are licensed by Miami Shores Village. *1
���
Remarks (Signer � �.�- � 1•
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 t . _ - : the.
of the above described construction, that he has carefully read the f going ap. 'cation, and that he did sign the same, and that all facts
therein by him stated are
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
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 81.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
' ^' --- ��~ ' ~�°�7'
`
Owner' • Name and Address
Registered Architect and /or Engineer._.
Name :•nd address of licensed contractor
Location and legal description of lot to be built on:
Lot. __ 4/-1 _. ` :) __.. Block.
Street and Number where work is to be done.
New Building
- Remodeling
To be constructed of - Kind of
Estimated " dal cost of improvements $ _
Zone •ubage required __. ..
Distance to next nearest building_ _ _
Maximum live load to be borne by each floor
STATE OF FLORIDA,
COUNTY OF DADE. Ss.
and who, being b
of th abov. de
therein by him st
Permit No._.__
Disapproved _.
(Srd --
Chair inan
Member
Member
Council Approved
Building Inspor
MIAMI SHORES VILLAGE
done and pure ' a of building (by floors) __
/7_
Date__
BUILDIN" INSPECTION DEPARTMEN'
APPLICATION FOR BUILDING PER/
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or o ht.- structure hen•i, described This : iilicatic.• is made in compliance and con-orm ty with the Building Ordinance of Mia. ii
Shores Village, Florida, and all pro' isions of the Laws c f the State of Florida all o•d nances of Mi Inn Shores Village and all rules and
regu'ations of the Building Div.:: .i of :•.nam: Shoe. illage •h '1 ,e ^ovipLed with, whether herein specified or not. A copy of approved
plans and specificati ms must be kept at building durin progress of the work.
e No.
/ w���^
Addition._ -U _ _ -._ __ . Repairs_
Amount c f Permit
_Plan Cubage
____ . _ .___Size of Building Lot
n .- - - ---- -
-- ---- --- -- ----
Subdivision_
hereby submit all the plans and speciii,•ations for said building. All notices with reference to the building and its construction may
be sent to
The unde signed appli -ant for th 's bulding permit does hereby certify twat he understands and accepts his obligations as an employer
of 1 bor under he Florida Workmen's Compensation Act bc S 'tion 74166, Col pled Gen • al Laws of Florida. P r. anon Snppk rent,
and h s compl ed w th he prov - cons thereof, and will require s'niilar col n ran :e from all contractors or subcontractor:; cmplo ed by hint
in the wo k to be p rf -med under th•s pern it: and •• ill post or cause to be posted for inspection on the site of the work such public nob e
or •otices as are requir d by the Act. The u. d, r ign :•d agrees to employ only such bcontr. ctors, on work to be perforn, d der this
permit as are licensed by M am, Shores \ il:ige.
Remarks-
Before me, the undersigned authority, a notary public, duly authorized to administer oaths ..nd take acknowledgments, personally ap-
peared _
,psi bfii=srd ly , worn, upon oath, epores and sus that he is the _
ibed istruction t L. has eially read theeoregoing application, and that he did sign the sane, and that -11 tacts
PLANNING BOARD
D. "e
Date
Member
Member
Member _
Disapproved
i
No. of Stories
Roof Cov"rg_
Notary Public State of Florida
y Com:nission Expires.
DATE
(Stned) - _.f?.= — - f " 47L-
Read, Sworn to and Subscribed before me.
and for no other purposed
to me well known,
Date
NOTE: A charge of $1.00 will be made for making corre /tions er changes to this application after approval h be n obtained from
the Planr'ng Board
A re- inspection fee of $1.00 will be charged when such re- inspection is m• le ncces:,ary by improper notice fir inspe•••t•on or It ty
materials and/or workmanship.
ao
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