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ROOFINGPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address 970 N.E. 92nd Street Legal Description /0 ' /71- L 5 cad/ o I ) "WA / Owner / Lessee / Tenant Jack H Gainey & W Louise H Owner's Address 970 N.E. 92nd Street phone 661 -3145 Contracting Co. Quality Roofing Contractor, Inc. Address 251 N.W. 99th Street Qualifier Carlos Arocho phone 751 -0382 State# RC0058627 Competency# 17889 Ins. Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Folio)/ ��;{9/ d' / / /fp.� ster Permit # slolda, Permit Type (circle one): BUILD ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION Tear off old roof, (flat roof only) tin cap 30 lb. felt as per building code, mop on with hot asphalt 2 ply fiber glass and paint roof with a uniform coating of alumnum roof paint. Square Ft. a-Y _Sc Estimated Cost 44 ; , (y7, 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. 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. Signa u of Owner and / •r Condo Pre dent Signature of Contractor or Owner - Builder Date: /2 f fr 'r I Date: % _/S-9 /1'74_, C Notary as Owner and /or Condo Pre Notary as My Commission Expi{ic qy PUSL[C. STATE OF FLORIDA. * * * MY aitIMISSI0N *WIRES: OC . 10. 1991 BONDED THRU NOTARY PUBLIC U ERWRITERB PERMIT FEE: APPROVED: Zoning Mechanical Fire Contractor or Owner -Buil er My Commission EXpirkOTARY PuSLId. STATE ®KL6f31BA: -- * * * MY C MMISSIONAE 19 XPIRES: Q T. 10. , BON THRU NOT Y PUBLIC U DERWRITE Other Electrical Plumbing Engineering BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ Date 19 _ _ _ • I9 !% •� PLUMBING ❑ PERMIT N? 8085 Contractor's License No. 7/ R OOFING p C - 7 1 - Owner of Building ❑ Work to be performed under this Permit Architect Contractor , , or Builder i i . .'-0 Legal Lot Description I BI Address of Building ' ` t " 1 CONTRACTOR or BUILDER t' Subdi- vision Sq. Ft. Value of Project C.` *■ . 1 Amount of 11 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 re,pon sibility for work done by his agents, servants or employees. Signedb- { ' LAC • (INSPECTOR) BY 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 wort( done by either, myself, my agent, servant or employee. BY AUTHORITY 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 Lawt of the State of Flor'da, all ordinances of Miami Shores Village end all rules and regulations of the Building Division of Miami Shores Village shall be complied with whether herein specified os not. A copy of approved plans and specifications must be kept at building during progress of the work. t_ 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_ /4 `i' / 7 Block / � 9 Subdivision Street and Number where work is to be done 21 _ / Q__ State work to be done and purpose of building (by floors)._ Date- 0 `° 19 L° __ __ _ - -- No.. 2 No -0 Street__ A Notary Public, State of Florida Building Ins. ctor My Commission Expires — -- and for no other purpose. New Building .___ _ ____ Remodeling Addition i,--P Repairs No. of Stori s / To be constructed of Kind of foundation Roof Covering 1 Estimated Total cost of improvements $_ 1 A .p 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 specificatio s fo 'd ng. All n c ith reference to the building and its construction may be sent to C a/ __ j ° a 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. 0 �$ Remarks (Signed) __ `, 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 true. Permit No dri ;-ir ___ ____. -____ __ ___ Date____I _ - 2 . 7 - Read, Sworn to and Subscribed before me. Disapproved (Signed) ANNING 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT B1 N9 5317 Work to be performed under this Permit_ DATE 19 Contractor's License No. ro Subdi- vision Address of Value of II Amount of Building { Project $ il 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. Signed.— .INSPECTOR 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 pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY .CBOT ° >•° 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 work to be done and purpose of building (by floors)__ 00 ix( Permit No STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDINM 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. Date Date Building Inspe Date /s /70 3 s ,XXciLs 74-o E 574 -- -- — and for no other purpose. New Building - Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering____ ' 0(c_ t U Estimated Total cost of improvements $ - - -1 / P S r 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 ,-C1 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 f�-- 2 �C _ 22L 7 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. -5 7 Read, Sworn to and Subscribed before me. , Street. 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot 1 MIAMI SHORES VILLAGE, FLORIDA DATE /a PERMIT IT? 13967 Work to be performed under this Permit Bl. Subdi- vision Value of Project $ Contractor's License No Amt. of Permit $ 195 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 drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER Signed "' BY •' `INSPECPOR 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 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. 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 Divisfon 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 ' 11 �///t' - _ '' � , - t ! No Street Registered Architect and /or Engineer Name and address of licensed contractor_ I C'' ��. x _ 11 `G: !i . 15,' -/ /" Lot.5:__ 1. 7 Block 4 Subdivision Street and Number where work is to be done ° State work to be done and purpose of building (by floors) , %' ` _ _/j" ' , / ,'_ -_ / Location and legal description of lot to be built on: MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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 $ h .`? 0 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 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 sue bcontr Ors, on work to be performed 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 — — 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 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.