489 NE 95 St (7)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date 11 - 26 - 199ffob 489 N.E. 95th Street Tax Folio // go 4 706 /9' 4 9 f
Legal Description GG -2 ,! 4 ge 53 A/A.r,SP('•L Master Peanit. #
Owner / Lessee / Tenant Richard
Owner's Address 489 N.E. 95th Street
Qualifier Carlos Arocho
Grande
Contracting Co. pualit R oof in g Con Address 251 N.W. 99th Street
State¢ RC0058627 Competency{ 17889 Ins. Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING' ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIC
WORK DESCRIPTION Tear off old roof to wnoc1 r9Prk. tin rap 30 lb. felt, mop on
with hot asphalt one layer of GAF modified Ruberoid.
Square Ft. 34 sq. Estimated Cost $ 5,000.00
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE T
DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YO
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, an
on the attached addendum (if applicable). I certify that all work will be performed to meet th
standards of all laws regulating construction in this jurisdiction. I understand that separat
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work.
OWNER'S AFFIDAVIT: I certi that'all the foregoing information is accurate and that all wor
will be done in compli •ce ith all applicable laws regulating construction and zoning.
Furtheriggre, I author ijze •ove -named contractor to do the work stated.
Signature of Owner and /or Condo President
Data InfiJ1,(/ l/- ?C, - -/ R /
( x ^f, -4A a,v747 9
Notary as to Owner and /or Condo Presgpt
M ii i11O Y PUBLIC. STATE OF F
My C ommsson EXp Wd MY C b1MISSION��( PIRES: OCT. 10. 1993.
,* BOND THRU NOT# r PU9LIO Yi1lWll�Ti'Rf�y
PERMIT FEE: APPROVED: Fire
Zoning
SS# phone 751 -0382
Building
Mechanical • Plumbing
Phone 375 -5740
Signature of Contractor
Date: / /•- c /41 q /
/(2A
Notary as to Coo $ der
My Commission $gcgiSION EXPIRES: OCT. 1 1993.
.L y DED THR*NOTARY PU IC UNDERWQ'TER4. *
•
Other
Electrical
Engineering
or Owner- Builder
MIAMI SHORES VILLAGE
APPLICATION FOR REQUEST FOR RELIEF
CODE ENFORCEMENT
OWNER (S) NAME.
TELEPHONE NUMBER.
MAILING ADDRESS.
ADDRESS OF LIENED PROPERTY:
LIENS AT ISSUE:
CASE No. (S) DATE OF LIEN (S) CURRENT AMOUNT
TOTAL: $
REASONS WHY RELIEF SHOULD BE GRANTED (attach additional sheets if
necessary)
** *TOTAL AMOUNT WHICH YOU PROPOSE TO PAY IN FULL
SATISFACTION OF ABOVE REFERENCED LIENS: $
I (WE) request relief from the above referenced liens for the reasons herein set forth
SIGNATURE OF APPLICANT
SIGNATURE OF APPLICANT
Application is hereby urndc for the approval of the detailed statement cm we 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 ... l ... !'e .1.27.1"
Name and address of licensed contractor C.T. 4 e
Location and legal description of lot to be built on:
Lot Block
Street and Number where work is to be done
State work to be do and purpose of build' g (by floors)...
New Building
To be constructed of
Estimated Total cost of
Zone cubage required
Distance to next nearest building
Disapproved
(Signed)
MIAMI SHORES VILLAGE
Building Inspector
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date
Subdivision
Date
Remodeling Addition
Kind of foundation
improvements
S" I/ 7v
Amount of Permit S.
.Plan Cubage
Size of Building Lot
No Street
and for no other purpose.
Repairs No. of 5 ories
f —
Roof Covering . 7//gL
Maximum live load to be borne by each floor
I hereby submit all the plans and s for said building. All notices wit reference to the building and its construction may
be sent to.. �"+ 1e) •..... .! 5/ ... .- C.!/..I., h1. /. -. J9
The undersigned applicant for this building perinit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Honda Workmen's Compensation Act, being Section 59G6, Compiled General Laws of Florida, Permanent Supplement,
and has complied ssith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed tender this permit; and will post or cruse 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, p s work t+ be . formed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
CC J 7
Notary Public, State of Florida
My Commission Expires
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, said that all facts
therein by him stated are true.
Permit No.._.U/ _- Date 1)* Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
Chairman Member
Mfcrr,bcr Member
Member . .. Member _.._.....
Council Approved Date Disapproved Date
NOTE: A charge of 51.00 will be made for making corrections or changes to this application nfter approval has been obtained from
the I'Lrnnir.;; Board.
A re m.pe(tion 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.
Disapprove
(Signed) .
Chainnan
Member
Member .
Council Approved
State work to be done and purpose of building (by floors)_______
A
New Building Remodeling
Zone cubage required
Distance to next nearest building..
Maximum live load to be borne by each floor_
Date
MIAMI SHORES VILLAGE
BU .DING INSPECTION DEPARTMENT
APPLIrITION 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.
Date C —
Owner's Name and Address ,ea.c..5 No. fet street...dee . 2P 5 -
Registered Architect and/or Engineer..
Name and address of licensed contractor -i-
Ideal Roofing &Sheetmetal Works, Inc. 261 N.E. 73rd S. iltarzt, F10.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 4 /A% 4 '' S 5 >f L
2- /- je ",) ,5""ei ‘4./
and for no other purpose.
Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ r Amount of Permit $
_Plan Cubage
Sisserefmfittileliagazat
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 docs 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, Pennanent Sup lenient,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contracto mplo
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the
or notices as are required by the Act. The undersigned agrees to employ only su actors, on wo
permit, as are licensed by Miami Shores Village.
Remarks
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 th foregoing application, and that he did sign the same, and that all facts
therein by him statd are true.
Permit No._ Date
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspector A ommission Expires.
PLANJIW BOARD DATE
Member
Member
Member
_Date Disapproved
42 14.le
Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hr•en obtained from
the Planning Board.
A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper note for insp.. :ion or faulty
materials and/or worlunanship.