BUILDING PERMITAPPLICATION FOR BUILDING PERMIT
?by made for the approval of the detailed statement of the plans and specifications herewith submitted for
ing or other strut:m..2 herein described. This application is made in compliance and conformity with the Building Ordinance
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address
Registered Architect and /or Engineer
Name and address of licensed contractor
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
p,
l ° 9 No
Location and legal description of lot to be built on:
Lot Block Subdiv*sion
Street and Number where work is to be done
State work to be done and purpose of building (by floors) _
Estimated Total cost of improvements $ - 1 m s
be sent to________
the build -
of Miami
rules and
approved
'19f'
Street
and for no other purpose.
New Building_____ Remodeling
To be constructed of Kind of foundation Roof Covering
Addition Repairs No. of Stories
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
-
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 a work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcgr ,actors, on worko 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 ‘2___ Date___ 1--1- 7 - 6 S Read, Sworn to and Subscribed before me.
Disapproved pproved C Dat
(Signed) Public, State of Florida
-��-il
Building Insp or My Commission Expires
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.
_ d
�
For License Year
OCT. 1, 1966 - SEPT. 30, 196_
Type of License:
A copy of Metropolitan Dade
County Certificate of Competency
must accompany remittance from
all contractors.
Amount:
A
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date tp/!o`Cj5 Job Address ((145 V.1 Q5TN 6-T. Tax Folio l\ 3ao(o b 14 Z(030
Legal Description Historically Designated: Yes No
Owner L OZ 5 • 'fw i ( E S - Master Permit # 3 8 Sr: /
Owner's Address t Kxks 7,1. � q 5 L J l Phone S 7 3- (, ‘,00.
Contracting Co j ET ( ST21cf ICA � , t 7•c. , Address q2CI I - pp .
Qualifier 14A -{i1/4S ' T E t 3C,b SS# ( Phone (o62 7 J3 S 0
State #R13 COto . 4 7(p Municipal # 30 2q5 2.q 44 Competency # I g7g Ins. Co.
Architect/Engineer 14 /A. Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one)
WORK DESCRIPTION IbV E Tea 1 A ETj GT l OKI'S (5F 1 L„ (t l 6, �1.4S LC. Ft
-�i r1t e W - 1 2 44 NT •TEat a R
Square Ft. 2 ca ob Estimated Cost (value) * 8 DoO
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 (1F 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 -n: contractor o o the work stated.
Signature of Owner and/or Condo President Date
ary . to 0 ' er and/or Condo President Date
My Commission Expires:
O � P aY P11 OFFICIAL NOTARY SEAL
!i JO ANN ZALESKY
=f * COMMISSION NUMBER
4.11r-0 Q CC395957
Ii. ' e MY COMMISSION EXP.
' OF RP JULY 27,1998
FEES: PERMIT C 37 ► RADON
APPROVED:
Zoning Building
Mechanical Plumbing
Signature of Contractor or Owner- Builder
Date
o /51c1s
Date
ary to Con actor or Owner - Builder
My Commission Expires:
O RY P OFFICIAL NOTARY SEAL
�* B !� JO ANN ZALESKY
= * COMMISSION NUMBER
4. v.u.., C C395957
7 Q Q MY COMMISSION EXP.
OF P.O JULY TOTAL 27DUE , 1998
C.C.F. NOTAR
Electrical
r
Engineering
.
PERMIT NO. TAX FOLIO NO. t‘ .70(0 b 14 54,3o
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Legal description of property and street address: 10q - q5 f l I 640
3313S
2. Description of improvement: RMOvC * R.P - e e -<M e ``" ()
3. Owner(s) name and address:
A► 'ti 64- -rne( - 5 F 33 ► 30
Interest in property: - > nlE.:r2-..
Name and address of fee simple titleholder:
4. Contractor's name and address: l �� t e.. t (ON1 Co 7S -) q ZQ 1
• -`( 2 �� . a4Y 1-t ��zn 2 4 t -r '53 1 4-
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within 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: I.-13 Z Rcsr?" .t GO aq S 4.e . c .57 5T
AAA i 5d-sco2c Ft 3 - 5 3S
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address: C t b U e z 09 5 q - ST
■
i (Z65 l�rl - 63k58
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date specified)
Signature of Owne
Print Owners Name LVZ,. _
Sworn to and su
sp
ribed before
Notary Publi c h
Print Notary's Name IT _AEI zE 0
My Commission Expires: 4lq 7
NOTICE OF COMMENCEMENT
S .
O G THOMAS TELESCO
* COMMISSION NUMBER
� � �l i' ^ Q CC278431
9 /'�. Q� MY COMMISSION EXP.
_ oF F4 APFi_._._ x,14)97.
!.' �"7� Cu C Prepared byTT: -- retee. 0
m is•41 aCrtater,19QS
1..0210n, cO Y O ;
0.415 Ovr
sir
j OP
c' c ' j a 5 a 1.
% j11unde
�;�, e
sa
ADE
of fho
EnC.)E Z ( Oct
95R411272 1995 OCT 10 11:23
Address: 119,k 'r tO2
fZ . (3, l- 2B61Z F .
3""btSA
123.01 -52 2/93 cO
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.
;, 4 -/_,`
Date- - ,, 19
Owner's Name and Address = si 4 _ � < �� No Street
Registered Architect and /or Engineer v)
Name and address of licensed contractor () ^ c,
Location and legal description of lot to be built on:
Lot Block Subdivision..._._
Street and Number where work is to be done 0 e) ' > )
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 Ropf Covering
� .p
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 pennit 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 t the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subco tractors, o work o e pperformed under this
permit, as are licensed by Miami Shores Village. q ; ti
,, .
Remarks (Signed) I 'yf=c* ) 4 , t ;� = `
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 tjue.
Permit No._ 1_ Date . Z ` Read, Sworn to and Subscribed before me.
Disapproved Date_
i , ,, 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 51.00 will be charged when such, re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY) a ��(
Date , 1 474 7 )/Job Address /O4S )7L - ��� o� Tax Folio 1/ •✓ � 11/N,��"/
Legal Descriptiong / / ' Master Permit # 5c F
Owner / Lessee / Tenant w1�Z
Owner's Address /Dfr )7ce9 9S . / Phone 5� -‘ aa7)
Contracting Co. ,/j 1-. Address �/6 /7/ 6 •
Qualifier SS# - /) Phone lflf- 0 3
State# Competency# eg7 % ir Ins. Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
f Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION
4xelL li - c_
Square Ft.
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
will be done in comllisinrA with A>> s e
Furthermore, I authoriz Ogif9'3•
��, . �{bioSEeliteOUitllll;Hcontrac or
l�_ { Notary Public, State of Ronda
F. a1 I. :Myptmtsston Exp. April 30, 1996
.r . � � No. 0C197545
Signatur o Owner and or Condo President
Date: r/7
ature o Contractor or Owner BUT aer -
e: 7 /
/� Personally known DOR Produced I.D.,, Pint type or stamp name of Notary Puhl
y ype and number of 1.D. produced: ' � d ./rsona!ly known OR Produced I.D.
N ary,� as to Owner an•.. . _ _ _ �' � tar�as to Contr °'bi4 �s �
to a an oat , or
My Commission Expires:7. DID NW an th. y Commission Expi ' lj take an th, or
�k 1k �k �!' * * * * 1 NOT tare an oat , �
• • Other
PERMIT FEE: APPROVED:
Zoning
Mechanical
j7 412)
/1 90
r oO
lbw°
Print type or stamp name of Notary Public
Fire
Building
Plumbing
Estimated Cost o?aT.
information is accurate and that all work
laws regulating construction and zoning•
to do the work stat ;d.0t,P;p,�c JOSEPHINE CHUM
;Notary Pubic, State c1 Fonila
•My Commission Exp. April 30, 1996
R:.* . No. CC197045
Electrical
Engineering
•
:41