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ROOFINGQualifier Signture o L PERMIT APPLICATION FOR MIAMI SHORES VILLA • 10050 N.E. 2nd Avenue • Miami Shores Flo ida 33138.305- 795 -2204 Date Id% Job Address /eP3, e0 Tax Folio Legal Description Hi rically Designated: A( /f/4 Owner /Lessee/Tenet 4) Owner's Address --s s44 95-411 Contracting Co. zva State # CC 4 /Qe)2L r Municipal # Permit Type (circle one): BUILDING WORK DESCRIPTION: 4 ,11I ( 'P4) �ipai Square Ft. Cp MCP la WIL oN Mr ' j..kp, .v14-1,1 la3OCQJ S I ! t'„". (A'3 resident Notary as to Owner and/or Condo •re - Date My Commission Expires FEES: ERMIT_ RADON APPROVED: Zoning Building Mechanical Plumbing Date •/6 lJ �3 — /s Address Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. R I OFIN ELECTRICAL PLUMBING MECHANICAL • • Af .O4C( �i ii r ;4,/ s�1b cb 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 ANY 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 all .disciplines. OW RS AFFIDAVIT: I -rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws re ing• construct .ion d z.ning. urthermore, I authorize the above named contractor • 'o the work stated. Signal of Contractor or Owner Builder N • a to Contractor o My Commission Expires e or Date - -, Mabel Vargas ' ' : Commission #DD231984 ul 13, 2007 ed Thru Idea antic : ogdingCo., I"Date 4/ot mrot ), C.C•F 0 '6 0 NOTARY BOND cdriexA.vi 2A- '..� TOTAL DUE OCT - 2003 Electrical ;"d, 30 l -it. (r11;') Structural Engineer 0 • Master Permit No. Contractor' Job Address Low Slope R • of Area (SF) Sketch Roof scuppers an identify dimen ' • High Velocity Hurricane Zone Uniform Permit Application Farm Section A (General Information) W Process No. 6' 9S� ROOF CATEGORY Low Slo 0 Mechanically Fastened Tile 0 Mortar/Adhesive Set Tile 0 Asphalti Metal Panel/Shingles 0 Wood Shingles/Shakes Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roo ❑ Re- Roofing 0 Recovering Repair ❑ Maintenance ROOF SYSTEM INFORMATION Steep Sloped Roof Area (SF) Total (SF) 4--- Section B (Roof Plan) tan: Illustrate all levels and sections, roof drains, scuppers. overflow overflow drains. Include dimensions of sections and levels, clearly ions of elevated pressure zones and location of parapets. ..! - A 1. m_. ! .1_. ► f : . .. t. Rug 04 06 01:17p 305 757 0150 Roland and Mimi Nieman 305 757 0150 C2 LA )Ore.-A— —o 7-; V.0c.- e )-Or 217 b- - 4 -�` ' (--a` - A 7/ c.e- -74, 6 !mo / bn A�vN� g, Loo3 p.1 7/31/2006 To: Current Owner 1030 NE 95 Street Miami Shores Village, FL 33138- Permit: BP2003 -1598 Address:1030 NE 95 Street Miami Shores Village FL33138- Date Expired: 3/30/2004 Dear Sir or Madam In order for us to serve you better, we need to keep our files up to date. Our records indicate that the above reference Permit has expired. The Building Department has determined that the work applied for has been completed with out the required inspections and it has been more than 180 days since your last approved inspection and thus your permit has expired as per Sec. 104.5.of the Florida Building Code. You are required to renew your permit and schedule all required inspections. In the event you do not comply with the requirements herein, the Building Department will file a complaint with Miami -Dade County Building Code Compliance Office for possible disciplinary action against your licensed contractor And /or if permit was obtained by the home owner the requirements of the Unsafe Structure Code of Miami Dade County Sec. 8 -5. (3) will apply. "The building shall be presumed and deemed unsafe and a permit shall be obtained to demolish the structure or bring the building in to compliance with applicable codes as provided herein." Please contact the Building Department, immediately upon receipt of this letter. Sincerely, Mabel Va Administrative Assistant Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY Date g--)-4/) Job Adsiress 1D /U, C. 9s •S rref Legal Description / Lessee / Tenant Owner's Address (OWNER TO RETAIN COPY) ��t;ld 0 //g Master Permit MOS i ernan 1030 0, 95 ST, Contracting Co.Otkir,A: ��, n q eO,TCn rf Address Qualifier e.._ar )0S 1 nrinn SS# Phone Ins. Co. Electrical Engineering # 3/C -0 1 759- 9317 r71 --® 3 eL Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION Tear 0 4 61d cr e - --; r rap 3 h -fie � r -ND? ©n uj 1 \-k h c\ ege,pl,al R cubero i ar sl --eL l Sra_r■ s4, S ( Le , Estimated Cost, QLI 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. G Signature of Contractor or Owner - Builder Date: g-7-9 in i Notary as too Contractor or Owner- t r.. PUBLIC. STATe o f * My Commission .ELx�ISS10N EXPIRES: OCT. 1WR19 '�. * * BONDEDIRU NOTAR1f�UBLIC. UND 1 'ERMIT' #.,.'::7./j''' :.': Tax"Fol No. /1 i2OC wZ C&7th •,D • NOTICE OF COMMENCEMENT 1111 I1 Q State of Florida 'Prepcf 1 by'• Vic,c- f1�G��1Qrlde . r+ :aunty of Dade I= ',t-`c■\`*!-`( V�oo� f �on�ro t of , °i �sl N,t.o• 9q Via n'! ►- (Li • 33 so Pa THE UNDERSIGNED hereby gives notice that improvement will d e made to certa real oroperty, and in accordance with Chapter 713, Florida Statutes, the following �' information is provided in this Notice of Commencement. N itl 1. Description of property: (legal description of the property, and street address if P7 P P P Y� 9 P P P Y� (+� f4 ri available) 2. General description of improvement:LTfC,-\ - G\ �f • �����,r�I� IO() 0.C. 95 ST, // ' l5Q -c)3 1O t Shc,ce5,n b. Interest in property: 3. ' Owner information: a. Name and. Address: c. Name and address of fee simple titleholder(if other than owner): 4. Contractor : (name and address) (Q(L0. ' q fa": oC C�(1 �C1 er �TinC • /Cad "� c. V I - OCI'1 Ref . 33 [So S. Surety: j5 I N�� C 1� �T. P<I• co-,- , a. Name and Address b. Amount of bond2 6. Lender: (name and address) 7. Persons with 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 and address) S. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) ;worn to and subscribed before me this oe)4 RTATE OF FLORIDA COUNTY OF DADE I HEREBY CERTIFY that this Is a true •' of the orlginp{ filed in this office on /, day of (.PA .(C , A. D WITNESS my hand and Official Sae/. Quit CimeiR Cam 6b< 7 Signature of Ow i / day of , 1991. NOTARY PURE Sr Yk bF - 10 1 998. My Commission Exp iNybMISSI EXPIRES: OCT. 10. BONDI* Mani' P~ Street and Number where work is to be done 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. .19.�� Owner's Name and Address ....4 a'����:.�. _. No.....�!�. Street ..... Registered Architect and /or Engineer - .....•••• ei... :rte:,ret._rme:•n:ns -- Name and address of licensed contrpctor....�f'(... • :. `� Location and legal description of lot to be built on: Lot Block Subdivision / 2� St to work to be done an pti;pose ildi (by floo�)... j a • /. _ G .._ ._ _..__... _.__ J_�. ..: ....... for no other purpose. New Building Remodeling ' Addition Repairs f� M No. of Stories To be constructed of Kind of foun Roof Covering Estimated Total cost of improvements $.... ,..� GG -� Amount of Permit $,. 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 such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) ,R*A Zone cubage required 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 s ted are tru 9 , tC � l / Permit No .__b_� `� ..._._.. D to 1 3 C Disapproved /f (Signed) f _Z f l Building In ector. Chairman Member Member ...... _. Council Approved NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection materials and /or workmanship. Read, Sworn to and Subscribed before me. Notary Public, State of Florida ommission Expires DATE to me well known, PLANNING BO RD Member Member Member ...- - Disapproved Date or changes to this application after approval has been obtained from Date is made necessary by improper notice for inspection or faulty Owner's Name and Address. 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. Registered Architect and /or Engineer ........... Name and address of licensed contractor.. - 514 a �•�'• ''� �— / .� Date / / A, , 19`7 No /G 3(' Street.... Location and legal description of lot to be built on: Lot Block / Subdivision d Street and Number where work is to be done ® 3 d 4 :S" 9 " 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 $ �— 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 arc 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) STATE OF FLORIDA, COUNTY OF DADE. j 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 e. v Permit No Co . 6 ' Date If_ / 0 7 Read, Sworn to and Subscribed before me. Disapproved Date ( Signed) t t / Notary Public, State of Florida 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.