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718 NE 95 St (3)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY �y (OWNER TO RETAIN COPY) a • / Date / Job Address /J 7/ 0 915r Tax Folio // 3d2 a % Legal Description elk ? 1 Pi 7//.4471 Master Permit # Owner / Lessee / Tenant i4 ) Owner's Address ! t — (. Phone Contracting Co. Qualifier State # Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ,PAVING FENCE SIGN WORK DESCRIPTION � , �� ° f;� � j � / � K y '�tio r . 0 -- f ;7; eX C'�ee J % If O� b a,,e.. e" O p'0(111)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 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Square Ft. 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. ' -e/2.L4 4 :-ignat ure Dzte: /, f Not a; * * rai "Ye of Owner and /or Cond Owner and /or Condo President My C .,mission Expires: * * * Competency IF o Preside * ss# 75 g * f T Address C,1_ Estimated Cos Ins. Co. Signature of Contractor or Owner - Builder Date: Notary as to Contractor or Owner - Builder My Commission Expires: * * * * * * * PERMIT FEE: APPROVED: Fire Other Zoning Building ' -lS -S I Electrical echanical Plumbing Engineering Niiy6F, 1 i /E �1c//i4 G Application is hereby made for the approval of the detailed statc,nI•nr u► me plans and specifications herewith submitted for the build inc of 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 i3uil.ling Divisinn of Miami Shoves Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during program of the work. Date 1 /21/ 8 a_ ,1B..__ Owner's rams and Address Sidney and Sllvia Reese _ �_ No. 718 •,.,•,• „_„ S A,.. 95 St. Registered Architect and /or Engineer n.••• nrearwrrnnmmneen Name and address of licensed contractor A.B. Martin ROofin COntractors� Inc. ����� _ µ Location And Legal do iption of lot to be built Q I.ot..11V. f Block Subdivls1on . .5 _../1_ ..I.1_ _Lilo 9 718 N E 95 Street Street and Number where work is to be done. _ ......_.. _..._ State work to be done and purpose of building (by floors) _..1 re. 4 Ply Gravel Built up roofing New Building Remodeling Addition Repairs A No. of Stories 1 To be constructed of Kind of foundation Roof °vering Estimate Total cost of improvements $•..4.,.335.QQ Amount of Permit s...3..' °' Zone Cubage required .Plan Cubage Distance to next newest building.. Size of Budding 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 l.►hur under the Florida Workmen's Conipensatiun Act, being Section 5966, Compiled General Laws of Florida. Permanent Sup iteinent, 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 oG t:te 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 pcnnit, as are licensed by Miami Shores Village. Remarks sees_ (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority. a notary Qublic, duly authorized to administer oaths and take acknowledgments. personally ap- i6 i fJJ t2 peered 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, end that hyldid sign the same, and that all facts therein• by him stated are e.. Permit No.. J...1.1 ` ” Date 74th Read, Swo bscribed before me. Disapproved .t4 Date.._.. (Signed) MIAMI SHORES VILLAGE Building Inspector BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT PLANNING BOARD Chairman Member I • ..._........ for no other purpose. ....to me well known, Notary Public; cafe�l 44,,..��tt'' 1p{1lttrmsLlC STATE OF FLORIDA; My Commission Expires:....._ CORMISSIllB ExP JUrE Y8,ID91 fiuli D'TARQ'GE Is 2 7 NDJ" Member Member _ Member _....._......_..._.,...._ Member sees_ �.._._.. ..__._.....__.... Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections OT changes to this application after approval has been obtained from the 1'L►nnir.. 13u.ud. A rc•in.pcc•tiun Ice of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti/or workmanship. Street and Number where work is to be done Disapproved ( Signed) Chairman Member Member Council Approved_ Date NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. 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. Owner's Name and Address t\- . - k Registered Architect and /or Engineer Name and address of licensed contractor K5,1`-ll_ -_il` _ ,,... 'iz s Location and legal description of lot to be built on: Lot Block Subdivision _ Date Date No State work to be done and purpose uilding (by floors) PLANNING BOARD DATE Street. - - - -- and for no other purpose. New Building Remodeling Addition Repairs No. of Stories 1 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 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 (Signe STATE OF FLORIDA, COUNTY OF DADE. j 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 a __ __ Date_S__�_ij __ Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty BUILDING ELECTRICAL PLUMBING ROOFING , Owner of Building Architect Contractor or Builder Legal Description r` ° PERMIT N9 6015 Lot Address of '1 1 s 1)\ c� Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Bl Work to be performed under this Permit- - Subdi- vision Value of Project $ DATE Contractor's License No. Amount of 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, servants or employees. Signed { f. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all o rdinances 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 responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 19 Permit $ - ry AU•OT