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1218 NE 95 St (6)Street and Number where work is to be done_ / -.� MIAMI SHO �ES VILLAGE (BUILDING INSPEC IO 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 7 } .P_/2__69 Registered Architect and /or Engineer Name and address of licensed contractor. di4e At Location and legal description of lot to be built on: Lot___ Block Subdivision Date .ft 73, No.Jt, " r Street 9 Notary Public, State of Florida G State work diz pe done and p +.ose of b ilding by flo s ----- - - - - -- A" 7 0 3 - New Building Remodeling Addition To be constructed of Kind of foundation f Coverin Estimated Total cost of improvements $ ®�' Amount of Permit $ ' • d Zone cubage required plan Cubage Size of Building Lot and for no other purpose. Repairs No. of Stories Distance to next nearest building 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 0- e site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only s 1i subcontract.., on wolk to be performed under this permit, as are licensed by Miami Shores Village. Remarks _ (Signe 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. '-r- Permit No 1 _ _�_ ' &- Date _ Read, Sworn to and Subscribed before me. ff Disapproved y (Signed) �!'5 ', �✓2 - � Building In;:ector 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 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Architect Contractor or Builder Legal Lot 11 Description 131. N9 6762 Work to be performed under this Permit_ f DATE Contractor's License No. 19 Subdi- vision Address of Value of 1 i Amount of Building r Project $ II Permit $ 1 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, s:rvants 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 ac• cepting this permit I assume responsib:lity for e11 work done by either, myself, my agent, servant or employee. BY AUTHORITY ABROT PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date Job Address / f 0 NE �$ 7,44/ Tax Folio al/ 3 .z l (1 it o fti Owner / Lessee / Tenant Pir P1i;p L - a VAS�e APPROVED: aF Legal Description J Owner's Address Z5 w∎ t. Phone Contracting Co. /1 M `- t N 1:vjU, - (1"% .S �{.., hC-. Address /71O/ .7. 10 9 11; Qualifier 14OVMer e_- PI 0 ri SS4i • Phone07 ` /IO State # Municipal # Competency elta48 I ns.Co.5TaT . -€ tit Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING 7rg- MECHANICAL ROOPING PAVING FENCE SIGN WORK DESCRIPTION Rte° \ k.C._e c� Did pGkr,ko e. tv V Square Ft. Estimated Cost(value) ' . /V4 e0I V6/`3(2 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, anc 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 autho ze the above -named contractor to do the work stated. Signature of owner and /or Condo President Date: ine_ ier` "' mi AR SEAL Notary as to Owner and /or .UNRMIAIM RI idilit>IOE OF FLORIDA My Commission Expires: COMMISSION NO. CC182931 MY COMMiIBION EXP. FED. 25, 1996 ** * FEES: PERMIT l / 1 -. 5--t2 RADON Zoning Mechanical * �$k `/ Signatur of Date: CS01,gIc. c%J0N r'. E.. Notary as to Cont My Commission Exp Fire Building Plumbing 4i;P Master Permit`s Other actor or Owner Builder OFFICIAL NOTARY AMMAN atlObMtYM l► t! A W MMIS&ON NO. CC MMISSION EXP. FEB. 25, 1996 * * * * * * * * * / 1 • ** C.C.F. /L �0 NOTARY TOTAL DUE 1 a / 219 Electrical Engineering PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY .44 (OWNER TO RETAIN COPY) Date /1 /? -50 Job Address ;2 . 99 TI Tax olio y�; � � l''jl0 • r71 % Eh) es c c. ;> P6 /t)-- J Legal Description ,�,, -f-S /,) 1-3 /6/ � /K rT . Master Permit. i 3 Owner / Lessee / Tenant Dc d-e r cam L < v T„ c S Owner's Address /� 1 / �/� �� Phone Contracting Co. = Z;g ( ) - n Address - r ' /Je A,4; . Qualifier ��� ) ' SSA ; Phone - / ' State# C. ry--) ; ,,,^. -) Competency# J g Architect /Engineer Address Bonding Company . Address Mortgagor Address Permit Type (circle one): �INGf)ZLECTRICAL PLUMBING MECHANICAL PAVING FENCE SI. 1 \n WORK DESCRIPTION 9 -mr ©r �- o co;)fi �1 ro 3 c S b ,4 e d \ y + t fl O con t � .1 Square. Ft. Estimated 'Cost ; I S WARNING TO OWNER: YOU MUST RECORD A NOTICE OF CaMMENCEMENT AND YOUR FAILURE DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF Yc 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, or on the attached addendum (if applicable). I certify that all work will be performed to meet t. standards of all laws regulating construction in this jurisdiction. I understand that separa 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 we; will be done in compliance with all applicable laws regulating construction and zeal= Furthermore, I authorize the above -named contractor to do the work stated. Signature of sane Date: /0 -/Cji l , 414Qff and /or Condo President /1 7%,i Zoning Mechanical P• a is, /9 9 / / 9 a My Commission EXAe M PUBLIC, STATE OF FLORIDA. * * MY COMMISSION EXP*S: OCT. 1* 1993. * BONDED THRU NOTARY PUBLIC UNDERWRITERO PERMIT FEE: APPROVED: Fire S gnature of Contractor or Owner- Builder Date: /0-0 2 c Ins. Co. Notary, as to Owner and /or Condo.- resident Notary ae to Contractor or Owner - Bpi ,Ider My Commissige y � p p s 4 OFF RIDA. * BONDED HRU II UOLIC o UN RWR T Other Electrical 9 9 5)- Plumbing Engineering tf∎7 CT °LGr■1 C�:i:d''v I g ;._ f ' .� ?rLc c pY of Its ;,-r.)1 ''I '' /day of A. D. as�� cizz:a :t Cour: State of Florida :minty of Dade a ; Tax' Folio No. // - . 1 -� -/ eiogo • 1 NOTICE OF COMMENCEMENT G ./ Lb (A # 1c _ Pre cosec - by : Q u.a l , iZn ty j n o f 5•( N- w. 99 5T. n� �Jc , 33c.so I-��CcYI'�• I THE UNDERSIGNED hereby gives notice that improvement 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. Description of property: , ( / legal description J sscriptio & . n of the property, and street address if available) // 3 ,O(, /`'► 4 109 0 As ! ?, /3, 2 ,Sc. 3 f3 /0-37 General description of improvement: Contractor: (name and address) 5. Surety: a. Name and Address b. Amount of bond$ 3. Owner information: a. Name and. Address: Lekiasscr 19.18 fJ F . ct s ST & 1'c1. cAn': , Shores ( T=1 o d e\ b. Interest in property: c. Name and address of fee simple titleholder(if other than owner): .25 .w .. q9 ST. N'i; c,mi F/c. . 3,7% /J c. 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) 9. 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 an subscribed before me this id A IV A, eA Al A 4 (--6/A Ip tar y Pt. bl ic / 4 14 / : ./ _ Signature ofd n••r day of NOTARY PUBLIC. STATE OF FLORIDA: My Comm i ss iMYrCOFdIKIp513 l jRES1 OCT. 1o.- 4-003. BONDED THRU.NOTARY PUBLJC UNOBRWRITERS. , 1991.