314 NE 94 St (7)BUILDING INSPECTION DEPARTMENT
APPLOCATOON FO 8000_OONNO PERRailOT
Application is hereby wade 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 prggress of the work.
Owner's Name and Address .
Registered Architect and /or Engineer.
Name and address of licensed contractor
Locat . a •. cg descrip ' n of lot to utlt on:
Lo / I'�Ji� �.,1 /2 � G -J/ Block
Street and Ntber where work is to be done
State work to be done and purpose of building (by fl
New Building Remodeling
To be constructed of kind
Estimated Total cost of improvements $. -.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
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
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General L
and has complied with the provisions thereof, and will require similar compliance from all contra
in the work to be performed under this permit; and will post or cause to be posted for 'nsp -, io
or notices as arc required by the Act. The undersigned agrees to employ only such • - -': -
pcnnit, 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
geared
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 Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Building In
MlOAM0 SHORES V lL.LAL
Addition
tion
D
Chairman
Mfcrnbcr
Member
and for no other purpose.
Repairs No. of Stories
Roof Covering
accepts his obligations as an employer
of Florida. Penman •nt Supplement,
r sub - contractors iployed by him
e site of the wor such public notice
work to be r= rformed under this
oaths and take acknowledgments,
Notary Public, State of Florida
tor Commission Expires
personally ap-
to me well known,
PLANNING B!r' D DATE
Member
Member
Member
Council Approved Date Disapproved
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval
the Planning Board.
A re inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice
materials and /or workmanship.
Date
has been obtained from
for inspection art faulty
d.
Date 2/e9 `i Job Address
i
Legal Description - 14e2,at 2 e /o
6;;;;;C)/ Lessee / Tenant AaAl kQn)-(A.,
Owner's Address JP/ /t/: 94 4L. .. .
Contracting Co. £CtAzi. MB1L fQ,vLe.2_ ,
Qualifier ggmi Iry SS# 7/0 - /0 -size. Phone 70- AWLS'
State # Municipal # Competency # /aU,SO Ins.Co. 4 �,,��_���,,,� '
Architect /Engineer Address Q`��
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING (FENCE) SIGN
WORK DESCRIPTION `_ 4._tai . 9 7~ .3 [.' ;i.i ej P. _ -/ e- ec.K�L
22 ...5 PTP &la — rte/ / aata..
34 EaMrd 3 Ft. /oTI4L .j8' Estimated Cost(value) 71i, 00
9
WARNING TO OWNER : YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorizehe above -named contractor to do the work state
4
Signatu
Date:
SEAL
: 0 . � li JULIA A REID
�' ;. 5 : COMMISSION NUMBER
CC313304
.w Niv OMMISSI N EXP
*17 tr t * ' OF FA O S PT 7997
Notar 1 2s to Owner a
My C$minission Expire
FEES: PERMIT v RADON
APPROVED:
i•,
IPIERMIT APPLICATCII
or jgor,Condo President
of
y-
J /4 A/ el* 1'4 Tax Folio
N FOR ti' HAMII SHORES VIILLAGE
og' .101/1 <2L./
Master Permit # 3W
Phone 7-(T - - 11 / 2 -
Address 64' / /VW /1/ A - .
S'!?' atu
Date: GG
Not 'ry' as to Cont � p( OFFICIAL {NOTARY SEAL
My Cpinmission Exp4r t JULIA A REID
/ ' ; COMMISSION NUMBER
:7 '- Q CC393304
tY t7 ��0" � { lY COMP ISSION MW
SEPT 7,9997 ��
TOTAL DUE , "/�
Other
Electrical
Engineering
n
8g NOTARY
C.C.F.
Fire
Zoning Buildin
Mechanical Plumbing
ra /7 Owner-Builder
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