785 NE 95 St (4)BUILDING El MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL ❑
Date 19_.r
PLUMBING ❑ PERMIT isT9 8421 Contractor's
ROOFING ❑ License No
Owner of
Building
❑ Work to be performed under this Permit
Architect
Contractor
or Builder L _
Legal Lot
Description B1.
Address of
Building
CONTRACTOR or BUILI1ER
�.n
Subdi-
vision
Sq. Ft.
Value of I1 Amount of
Project $ 11 Permit $
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 pt drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed (INSPECTOR) BY
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 accepting this permit I assume responsibility for all work dont by either, t4pelf, my agent, servant or employee.
BY AUTHORITY
MOQMO MAUMEE VB1 LA Es
BUILDING INSP CTOON DEPARTMENT
APPLDCATO N F 00 BUOLDDONM pC RG%JOI'
0
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, whejher herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
• -2.o
�/ Date: ,.G , i
Owner's Name and Address � j / � , 4 G r � r y r r l No. 7 5 _ Street.._
Registered Architect and /or Engineer C_ Mi fr' 5 ezr_r_ 11- .. .s 6 L_
Name and address of licensed contractor.. /K- (.I y(_I?.) C C. _._ _
Location and legal description of lot to be built on:
Lo. . Block .. . Subdivision_.
)
State work to be done and --I IA- p.
purpose of building (by floors)_ _ .___!�- L _ _ _� j
Street and Number where work is to be done._
and for no other purpose.
New Building.... ..._ _ Remodeling . Addition.. _ __ . - . Repairs_ _. No. of Stories __..
To be constructed of . Kind of foundation .Bgof Cgyering._ _ ... ..
C v
Estimated Total cost of improvements $._ .. 1 � D -- . 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 .. . .._ .....
Permit No
Disapprove
(Signed)
Date
Date -
Building Inspector
(Th
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 rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint
in the work to be performed under this permit; and will post or cause to be posted for inspection on the si of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, k to 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 tateyl are true.
t
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANT 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 u. •h re- inspection is made necessary by Improper not ce for inspection or faulty
materials and /or workmanship.
Ell..;er)/ Lessee
L.-Owner's Address
Contracting Co.
PERMIT APPLICATI
Date ` °3 Job Address S �c °)5 SY
I ''
i Legal Description ig4,,Ij�
0 - pi vuh)
Qualifier SS# - -
State 0 Municipal #
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
st tz
N FOR MIAMII SHORES 'VILLAGE
Competency # Ins.Co.
Address
** * * * * //-5 FEES: PERMIT- RADON C.C.F. NOTARY 5
APPROVED: Fire
Zonin
Mechanical Plumbing
Tax Folio JJ z5 al 4
/ Tenant �GK -' (kg---i E2
Master Permit #
Phone ( ° 1 3 � O B1
Phone
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 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.
Architect /Bngineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
RK DESCRIPTION 55-S)1Ga-i--.) w ' NJJ�"`� S ( �� �'J
1 Lo 1Se 4. C.F� 1-D
Square Ft. Estimated Cost(value) A
Signature of Contr dtor or Owner - Builder
Date :6'" /i //'9
tr
TOTAL DUE 0Z 91.e
1.e
**
Other
Electrical
Engineering
METRO DADE
MIETROPOLIT4NpADE COUNTY, FLORIDA
Binnings Pan American
2.805 N.E. 185 Street
Miami, F1. 33163.
APPROVED: JujY Q, 15991
E_RODUCT CONTROL _ROTkCE - 4F AC.CEPTAIICE
PP. Mq
v1F 1 DAADE (: 1=r 1 1 1 - 11
BOARD_OFRULESSANIL111?PEALS_ CZT] C.E O AG.C.EPT'AIICE
ROAnn OF RULES AN0 A
CODE Erirnnrp.1Fr11
1111F tot()
111 rl6Y 151 rMrFr
rninr.li. FLOPIDA 1112r1 PI/
Your application for. Product Approval. of. Set.ies_J I _i.4_Aa..urn.inum_.S.inyle
iLung_Ninsle.w_UH=R3 .5. under Sections 203 and 204 of the South Florida
Building Code governing the use of Alternate Materials and Types of
Construction, and completely described i_n the plans, specifications and
calculations as submitted by Miami Testing 1;abgxatory Be94KtA.MTla- 1471
.(incl , FER) dated March 22, 119 ClQMPft ative Fisher_. _
Associates dated 4- 22 -91. has been accepted by Product Control to he user
in the Unincorporated areas of. Dade County under the Specific Condition!
set forth on pages 2 -2b and the Standard Conditions on Page 3 fott;lazet
Products
ACCEPTANCE No.: 91- 051Q_2 (l ja
Gil Diamond, P.E.
APPROVED > �Ju),YQ� 1 Product Control Division
Supervisor
EXPIRES Marc}3 22,_ 1995
* * 1?LEASJdE *
TIiIE_IE�1iE COOERSJIEET, SEE_ ARD> iT_ I4NAL_PAGES�9d_:il'_ECICEIC-4/2D GEHER11L
=MINIONS
(305) .375 -2612
This application for Product Approval has been accepted by the
Metropolitan Dade County Board of Rules and Ap- to be used in the
Iricorpor_ated and Unincorporated areas of Dade under the c:ondi.t:i.clr
set forth above.
Oi=4, _g_y
Charles Danger, E .E
Deputy Secretary
Metropolitan Dade County
Board of Rules and Appea t.,