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55 NE 94 St (2)AFEUOCA OON0 FOR BUOL®0N13 OTC RMOT 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 .' • D Registered Architect and /or Engineer . /1 4 / 1 / 1 7-r Name and address of licensed contractor L Location and le al descriptio of lot to be b ilt on: Lot / G 1 d Block ... Street and Number where work is to be done State to be done and purpose of building (by floors) OF /Y .47k7c 7 '4 re t ee e e , ee // 40 New Building Remodeling To be constructed of . .___._...._ .. -. Kin Estimated Total cost of improvements $. Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor Date of found %ire ,er4 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 Ce .- : ws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from a ontr• ors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted fo spe 'in on the si ; of the r such public notice or notices as are required by the Act. The undersigned agrees to employ only such ubc actors, on or yo erformed under this 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 the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No ® 4 r 7 Date... j � -_._.. f Read, Sworn to and Subscribed before me. Disapproved (Signed) -.. Notary Public, State of Florida Building Inspect' My Commission Expires ANNING BOARD DATE Chairman / Member Member Member Member . Member Council Approved MIIAM SHORES VOLLA C BUILDING INSPECTION DEPARTMENT Date No.. &.de'C Subdivision.MAW and for no other purpose. Addition Repairs No. of Stories on Roof Covering ri`° Date Amount of Permit $ Plan Cubage G' U 4. Size of Building Lot ,)/• Street /// ' , ?' C 0 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 such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. John VI., Nelson P AID BY 3-25-52 YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER . s • ADDRESS N.E. 9 th Sto LEGAL 19=.e18 bl. . MS Sec. 1 RECO f") DA AE TAX /L17- BUILDING 0 MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ Date - 19 _ PLUMBING ❑ PERMIT N9 10666 Contractor's License � " ROOFING ❑ icense No ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Description Bl Address of l' ( 7 ' Building CONTRACTOR or BUILDER 4 Su visio n Sq Ft Value of �_ _ 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 or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed• " 1 (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 done by either, myself, my agent, servant or employee. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description ❑ PERMIT N? 7372 Contractor's License No. ❑ Work to be performed under this Permit Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA BL Subdi- vision Address of �, Value o f II Amount of Building , • Project $ ' - II 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 or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. DATE -? 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 19 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ' MIAMI SHORES !TILL GE. FLORIDA PERMIT N. 527 d tgctoA r El 0 Architect Contractor or Builder Legal Lot Description o '+ Bl.�' Address of n , - Building CONTRACTOR OR BUILDER Work to be performed under this Permit Subdi- vision t Value of a, Project $ ? e (� CO ' -. d:T t :; / Amount of Permit $ Signed.BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereundefin compliance with all ordinances and regulations , ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- =epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 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 application 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 lime 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: *er in the statements or specifications end that he assumes responsibility for work done by his agents, servants or employees. ' BY AUTHORITY APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY I, /t e,4AA/ /�'&y , , hereby apply for a certificate to re- occupy the single family residence known as : (address) Legal Description: Lot: /9'F, e for /a Block I hereby certify that I understand that the zoning of the property is for single- family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the referenced property is being used for single- family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. Applicant Print Name //o,e 4AN , Miami Shores, Florida. PB & PG: /04 Date -3 ^8 -200/ **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: (t"`�� 2/6 - 3°351 Contact Name: 4aeQAN ,4& bc2 Telephone: 0346) 7S Buyer Seller lRealtor Company Name Application Fee ($50) paid: Cash 7 Check No. Inspected by: ' PiW7 U Approved // Denied Date Comments: PAGE 1 OF 2 CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for purposes of re- occup pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single - family residential purposes 1 AMI SH • RES VILLAGE, FLORIDA ate of Certific . ion: f - P - t THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE - FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. PAGE 2 OF 2 q PERMIT MIIT APPLICATION FOR MIIAMII SHOES VILLAGE Date `/ — / "91 Job Address SS 9 nj sr Tax Folio Legal Description Historically Designated: Yes No /Tenant Wee2/NOM/ 4 Master Permit # LOS S /s/&- �4/ re sr Phone (305) 756— / (9010 aar 76v /A- (l= Ge- Address g37 _ gcl3 g Owner's Address Contracting Co. Qualifier State # Municipal # Architect/Engineer Bonding Company Mortgagor Address ] Permit Type (euunpe one) BUILDING ELECTRICAL PLUM 14IING MECHANICAL ROOFING PAVING IFIENCIE SIGN of owner art Notary as to Owner and/or Condo President Date My Commission Expires: oaado President FEES: PERMIT RADON Date SS# Phone Competency # Ins. Co. Address Address WORK DESCRIPTI N 11 ,'' S —�-- , -- zedt0144' zor: ca 0.e'P NIdg2 /nl ANO,NS77$61. GY41,#) L • /ill F-70 -i4.4 0, _ Square Ft. Estimated Cost (value) �'� 2 30C: 2 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: Ty that all the foregoing information is accurate and that all work will be done construction and zonin�1 ermore, I authorize the above -named contractor to do the work s ted. e of Con'. .: ctor or 127 er -Bur der WARNING TO OWNER: YOU MUST RECORD A NOTICE O1F COMMENCEMENT DENT AND YOUR FAILURE TO DO SO MAY RESULT IIN YOUR PAYING TWIICI E FOR IIIYPROVIEMENTS TO YOUR PROPERTY (11] YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OIF COMMENCEMENT.) Signs Notary as to Contractor ref Owner - Builder My Commission Expires: 4 .PRV P v�G s t��AR YA T 1Ei 1 n OOMC�sno klUGB�*W L -1 � a + cc797277 4` eN �a> 011 EXPIRES OF FV O Q DEC. 17,2002 C.C.F. NOTARY BOND y� compliance with all applicable laws regulating APPROVED: Zoning Buil�� �1 v" 4.00 i Electrical Mechanical Plumbing Structural Engineer TOTAL DUE Date Date 0 Disapproved (Signed) Owner's Name and Address.. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: milIAmil SH IREE VaLLA[L1C BUILDING INSPECTION DEPARTMENT AFPLDCATDON FOR E ;UOLDONG P RMOT Application is hereby mndc 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. Lot Block Subdivision Street and Number where work is to be done -J� - 4/ State work to be done and purpose of building (by floors) ? Ile. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roo _►g Estimated Total cost of improvements $ oe .o-0 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, Compil er and has complied with the provisions thereof, and will require similar compliance from all co. in the work to be performed under this permit; and will post or cause to be po Ile for inspe or notices as are required by the Act. The undersigned agrees to employ only such sub permit, as are licensed by Miami Shores Village. Remarks (Signed Date. Building Inspector C 1 Date ,I9 Street_ Notary Public, State of Florida fT , _g/,f S;/2 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. / z Permit No I Date l I / Read, Sworn to and Subscribed before me. My Commission Expires PLAN G 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 such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. I Laws of Florida, Permanent Supplement, actors or sub - contractors employed by him ion on "site of the work such public notice n 'work to be perfo r ed under this 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. 'i-.I k 1_ r Date f'° / , 19r� Owner's Name and Address ._.. - .. � ` No •-. Street___ • ,47, ... Registered Architect and /or Engineer Name and address of licensed contractor�r�¢ , ' r y.��.-��r.`- 6 c-cP - ' Location and legal description of lot to be built on: Lot /9 4 e 2, Mr /t Block Disapproved (Signed) MIAMI SHORES VILLAGE / �� BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT fd.ci - 0 -- ® 19 m.. Subdivision._. / s- // L L S� ` .z"1 OA / Street and Number where work is to be done. irrA/ .. } .�► State work to be done and purpose of building (by floors)_ �.■ and for no other purpose. New Building Remodeling Addition £ Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ �� 9 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 buiding 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 Permit No-4 7 Date ` -Read, Sworn to and Subscribed before me. STATE OF FLORIDA, COUNTY OF DADE. as • 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 cftrefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. /f N otary Public, State of Florida 1L i' Bui1: ing Inspector , ' Com issio` Expires PLANNI G BOARD DATE Chairman 1 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 81.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. CIER.TIFIICA'll'IE OF OCCZJP \ - A CY MIAMI SHORES VILLAGE, FLORIDA BIDING DIVISION N® 1208 Miami Shores Village, Florida, 6 -1-61 Owner, Agent or Tenant of Building GUI .)0 T„ CASERTO Lot 19 & E �, 18 Block_ 4 Subdivision MIAMI SHORES '` 1 Street Address 55 N.E. 94th Street Approved use by occupancy SCREEN P Remarks 1539 This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Vi age pertaining to the erection, construction, alteration or remodeling of buildings o s uct PLAN CUBE 650 Tax Value 325 • i • ! OWNER BUILDING DIVISION • OWNER'S NAME __a a x .-. C gl• t Cam - T . A, PRESENT ADDRESS S 10 • C.+ • - LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) �' �5 -e,• 11? t'- LOT n e °Sa eg, BLOCK 4• SUBDIVISION Pled ",',d Wotes 6. 1- GENERAL CONTRACTOR on re—. ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. t C i s DATE 4- 2- (� � ....)' � ^ PERMIT FEE $ 0 II BUILDER'S BOND NO. DATE A00I 7b ®IZ. . ZONE REQUIREMENTS CU. FT. fi J LHG. el? Os .t (0$� PLAN CUBE B t o_ CU. FT. { _,Qp-^ EST. COST $ ?g& (') . DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: 0.�y . M� y DAA � TE a- c6 S= c. NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCRIPTION 'r1 c^,., p Arco /� V 2- - 7 1,Q .��, N h a, ( 1 a--.) � h zs1 ° u rco A Od ( hl A, ■.--, ALTERATION 0 6 DESCRIPTIO ∎G + C�i i. FA-7. b ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED) TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. / i. t ISSUED 6 I- (,n( / BY 1 � 1 TO & ' ' 1J' \ '-' 73 C (t_ - I a BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE 'INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION I - �il -(�( '��r• ROOF 6 4 /112,5 POOL S �R4 BEAMS & LINTELS FRAMING ` 0`.,' u'afl, AIR COND. FIXTURES - FINAL S , ^. p uJi CLEAN UP SLAB SEPTIC TANK SLAB SOLAR HEATER SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE S SEPTIC TANK I S SEWER I $ SOLAR HEATER $ GAS I $ FIXTURES - t INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING $ RANGE CONN. TUB & TOP OUT MOTORS' $ FIXTURES - $ SEWER t SEPTIC TANK SOLAR HEATER FIXTURES GAS SPECIAL PERMITS PERMIT NO. I DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. S MOTORS' $ FIXTURES $ t uJ. c• /1,4) c/le S / r/1.3 G. `tt / BUILDING INSPECTIONS ' CONTRACTOR PERMIT NO. NEW BLDG. CONTRACTOR PERMIT NO. NEW BLDG. INSPECTIONS I DATE TFMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL PLUMBING PERMITS & INSPECTIONS PHONE FEE $ REPAIRS 1 DATE ALTERATION ELECTRICAL PERMITS & INSPECTIONS I DATE I ALTERATION I ADDITION I ADDITION BY RE- INSPECT' BY APPROVAL TO POWER CO. FOR SERVICE DATE BY PHONE FEE S REPAIRS RE- INSPECT' BY CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 681 Owner, Agent or Tenant of Building Lot 19 * 18 Block 4 Street Address Approved use by occupancy Remarks. Tax Value 225.00 Miami Shores Village, Florida, 1/1/58 Della L. Childs Subdivision 55 NE 94th St, Screen Patio Enclosure Miami Shores Sec. #1 This Certificate of Occupancy is issued to the above named QWX1Ar for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. BUILDING DIVISION N9, 1491 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla , r Owner, Agent or Tenant of Building Lot. 'Block �' Subdivision Street Address r . Approved use by occupancy Remarks: This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known cs the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. . BUILDING DIVISION MiAMI SHORES VILLAGE, FLA. N? 1732 JOB ADDRESS INSPECTION REMARKS:i INSPECTOR - TIME READY 2 DATE Owners Name and Address . ... Registered Architect and /or Engineer Disapproved (Signed) ( MDAMD S_-{0 ES V LLAGL Building Ins r or BUILDING INSPECTION DEPARTMENT APPL OCATOON FO E UOLDONG PE MOT 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 bc complied with, whether herein specified or not. A copy of Approved plans and specifications must bc kept at building during progress of the work. Name and address of licensed contractor �.• t : T Location and legal description of lot to be built on: Lot Block Subdivision r Street and Number where work is to be done State work to be done and purpose of building (by floors) • Date. No.SS... and for no other purpose. New Building Remodeling Addition Repairs No. of Stories / To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 7 —7 e 0 b Amount of Permit S. 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 CVorkmen'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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed). peared 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- 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.. 412:. oQ Date / ( 2 / — 7 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires ANNING BOARD DATE Chairman Member Mcrrber 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 in.t,cction fce of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved / r Date._ Z ' � .f , , . (Signed) ._ � 1 `� - "- Building Inspecto M 6AM D S H 0 R/aS VOLLAGE BUILDING INSPECTION DEPARTMENT APPLDCAT0®N FOR LAUDING PERM10T 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 . . " % 0. (bt � ;,p. � � 5�. .`; No. � Stmt Registered Architect and /or Engineer Name and address of licensed contractor !cam P i1e_iz Location and lega descii tion of lot to be h t on: Lot. lc/ / ? l 9!- Block Subdivision Street and Number where work is to be done �� -- '.1 Ste work to be done and purpose of building (by floors) Date /4, i- . .> r_ - ✓, 1 • and for no other purpose. New Building Remodeling. Addition. Repairs No. of Stories To be constructed of Ki . of foundation Roof Covering Estimated Total cost of improvements $_.% 6 Amount of Permit $ Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be bo=ne 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 e era Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance fro1 - 11 contr or sub -eontr rs employed by him in the work to be performed under this permit; and will post or cause to be posted r inspection on the site of a wd'rk such public notice or notices as are required by the Act. The undersigned agrees to employ only sup subcontractors, on wor o be/performed under ,this permit, as are licensed by Miami Shores Village. C „_„ , • Si ned" .- Remarks ( g ��'; ��� , rl Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 - Permit No / Date Read, Sworn to and Subscribed before me. , to me well known, Notary Public, State of Florida My Commission Expires P BOARD DATE Chairman Member Member Member Member ._ Member Council Approved . .. Date Disapproved Date NOTE: A cl:::rge 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, he of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. and who, being by of the above lescr therein by hu4 sta ( Sig MIAMI SHCM.RES VILLAGE BUILDING INSPECTilrON DEPARTMET APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the pans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance aid 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 witl whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Registered Architect and /or E I eer tt Owner's Name and Address__ To be constructed of_ _ 8 • Kind of foundation_ Estimated Total cost of improvements $ Zone cubage required V I hereby submit : 11 the be sent to STATE OF FLORIDA, COUNTY OF DADE. d ss. Council Approved Name and address of licensed contractor Location and legal description of lot to be b{a on: Loin 4 E Block 4 Subdi Street and Number where work is to be done State work to be done and purpose of building (by floors ) New Building Remodeling Addition Before me, the undersigned authority, a notary public, duly authorized to peared - pro Da e Distance to next nearest building rizz Maximum live load to be borne by each floor Repairs No. of Stories / Roof ( erg 1 . Amount of Per $ �- Plan Cubage -.7, 09 .1 14 Size of Building Lot A ar ` pecifications for said building. All notices with reference to the building and its construction may The un.'igned applicant for is building permit does hereby certify that he of labor under the Florida Workmen's Compensation Act, being Section 5966, Co and has complied with the provisions thereof, and will require similar compliance in the work to be performed under this permit; and will post or cause to be posted or notices as are required by the Act. The undersigned agrees to employ only such permit, as are licensed by Miami Shores Village. Remarks ( Signed) e first duly sworn, upon path y p p poses and says �t he is the ed construction that he h is ully _,...a th f doing and that he new Permit No __ J Y U 1/ )` Date / Disapproved ,�__ / ��Date or Chair PLAN �G BOARD_ s Member Member Member Member __________________ Member Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made nec materials and /or workmanship. Not ead, Sworn to and Subscribed before me. My Commissi No 4 A Streetll_f /O? 1 N• A• and for no other purpose. un derstands and accepts his obligat'ons as an employer m. fro General aws of Florid .' e t Supplement, f all ont . ctors or su _ . act • s e.• ployed by him s pe on on the s'. °- . e .rk . sch public notice con, actors, n - o t .L ?y. - rformed under this minist oaths and take acknowledgments, g personally ap- y Public, State of Florida n Expires DATE MAR 2 1 1952 to me well known, Date application after approval has been obtained from ssary by improper notice for inspection or faulty PERMIT APPLICATION FOR MIIAMI SSW ES VIIILILAGTE /✓ // , 3 �l6 / 9 °5740 s' Date .51/7/43 Job Address .5 A/6" 9 1 t 17- ' 4 Tax Folio ST °` Legal Description 7 / ( Owner / Lessee / Tenant A/0 2 Pt N 4 J -6 &L7S . Master Permit ikjW7 Owner's Address -SS 99 ST Contracting Co. 6 Address Qualifier SS# - - State 1i Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDI ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN vWORK DESCRIPTION 2 A I58)) E yi T /x/ b- tu t b v P To S Notary as to Owner and /or Condo President My Commission Expires: Phone 7-5 8 - 2 6 0 Phone c c' 4` L e w 14 L 6 2/1-/55" cx.>/Tec Square Ft. Estimated Cost(value) sL2 O- o 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 statgd. Signature of owner and /or Condo President Signature of Contractor or Owner - Builder Date: Date: S5 7/7 73 ota:•' as to Co My Commission E ** * tr * * * * tr s2 iY it tY tY it t7 ** FEES: PERMIT 145 Q19 RADON C.C.F. / NOTARY `42 TOTAL DUE C: APPROVED: Fire Other Zonin Buildin Electrical Mechanical Plumbing_ Engineering Oevriers ; ...Z7v0,e GE?u.S T lei kio /: To de / /7S7 / o!;nc 7 6 /nave/. 5E.2WCE 4 LLEA/ A f-x x x EX Gep7 3' A " 75.0 /0 Edve /.7,„/e /v,4 N 4 / ":Z0 Page 2 of Z Qat. 4U Aod To loc Itssort t4. O• 256 'oc 1 SEC77ON 4 / f ISO 4,-/s 7: d/ /-790/V V/ek) /(Y BotTs 4/%)04f T.S' 6 Ea I sr CeS 4) 11 2'2 ' e r zi'oc cirrit x2 x 16"beel) SECT/ Oa B 7 Exist cgs 44// /fr /2 2"xio' Date Job Address 5594 STREET MIAMI SHORESTaa Folio 1132060130560 Legal Description LOT 19 &E 4 LOT 18: BLOCK 4 ; SUB MIAMI SHORES SEC. 1 AMD Lessee / Tenant IVOR & PILAR HEGEDUS Owner :s Address 55 NE 94 STREET MIAMI SRORE„ FLORIDA 33138 phone 758 -7800 Contracting Co. ACTION POOL BUILDERS. NC. SS# , Phone 962 -4426 Competency 0 .Ins.Co. KEYES Square Ft. Estimated Cost(value) Bonding Company Address Mortgagor Address Permit Type(circle one : BUILDING ELECTRICAL PLUMBING MECHANICAL 1' PAVING PRNCE SIG WORK DESCRIPTION Address 5755 FOWFRT.TNE ROAD FTL.A, k'1. My Commission 8ter Permit P 5 ' /✓`� WARNING TO OWNER: YOU FAUST RECORD .`A. NOTICE OF COMMENCEMENT AND YOUR FAILURE Tn SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU IN'h TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit t� do work and installation ma indicated above; on the attached addendum (if applicable). I certify that all work will be performed to mc=L, standards of all laws regulating construction in this jurisdiction. I understand that separ, permits a r= quired for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOPING and MECHANICAL wow. OWNER'S AF be done in authorize t I certify that all the foregoing information is accurate and that all work wil ce with all applicable laws regulating con t ruction aldizoning. Further pre, amed contractor to do the work stated. / / ���, ---- 7 — / - ---, Signature of.Contractor r Owner- Builder Date: otary as to Cont- ctor or Ceder= Muilder gam® • ^. `' . bail .D T H U GE "E:Pa t7 tz o C7 t� Q C.C.F. k e NOTARY SAL,. Fire Building`'' L C / �J / Electrical Mechanical Plumbing Engineerin* ** Ot PERMIT APPLICATION F • MIAMI SHORES VILLAGE Date Job Address 55 NE 94 STREET MIAMI SHORESTax Folio 1132060130560 Legal Description LOT 19 &E ; LOT 18: BLOCK 4 ; SUB MIAMI SHORES SEC. 1 AMD 0 �/ Lessee / Tenant IVOR & PILAR HEGEDUS Square Ft. Estimated Cost(value) 7 0 Master Permit # Owner's Address 55 NE 94 STREET MIAMI SHORES, FLORIDA 33138 Phone 758 -7800 Contracting Co. ACTTON POOL BUILDERS, INC. Address 5832 FUNSTON STREET HWD, FL 33023 Qualifier STEVE GRECO SS# Phone 962 -4426 State # r'PCOn9AAA Municipal # Competency # •Ins.Co. KEYES Architect /Engineer VFKT[a gpvAsArT.TT Address 5755 POWERLTNE ROAD FTLA. FL Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIG1 WORK DESCRIPTION SWIMMING PnOT. CPA PATTO WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE Tr` SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY ( IF YOU IR3`; TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated abo._ on the attached addendum (if applicable). I certify that all work will be performed to week. standards of all laws regulating construction in this jurisdiction. I understand that separal permits are eq red for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFI be done in co authorize the Signature o Date: Y 1� of _^ N• t = as to and ��c;:G�ii °doC Is re'si4ent My Commission Lrxpi r.es: P C ":.... ?iC I ..1 APPROVED: I certify that all the foregoing information is accurate and that all work wil with all applicable laws regulating constrac and zo ing. Furthermore, med contractor to do the work stated. r Condo President Sig Da t re of Co mIctOr or Owner -B. 1 er Not as to Contracto. or Owner= $iildes My Commission Expii eitY PUSLIe STATE OF FE.ORICi1 fiY CCEMSS i CP: MI. MAY :1,1995 SO :DED TIiRU GENERAL Tfa. W O. FEES: PERMIT 5 RADON C.C.F. NOTARY TOTAL DUB _)" Fire Zoning - Buildin_ =r• Electrical Mechanical Plumbin_' y ' � � gineering Other THE UNDERSIGNED hereby gives notice that improvements 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. Legal description of property and street address: LOT 19 & g 3 OF LOT 18: BLOCK 4 SUBDIVISION MIAMI SHORES SEC. 1 AMD 55 NE 94 STREET MIAMI SHORES, FLORIDA 33138 2. Description of im9rovement: SWIMMING POOL, SPA & PATIO 3. Owner(s) name and address: IV1R & PILAR HEGEDUS 55 NE 94 STREET MIAMI SHORES, FLORDIA 33138 Interest in property: 100Z FEE SIMPLE INTEREST Name and address of fee simple titleholder: _VA 4. Contractor's name and address:. ACTION POOL BUILDERS INC 5832 FTTNSTON S 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: N/A Amount of bond $ N/A 6. Lender's name and address: 9. Expiration date of different date is spec Signature of Owner Print Owners Na Notary Public j \, PERMIT NO. TAX FOLIO NO. 1 132060130560 STATE OF FLORIDA: COUNTY OF DADE: Notice of NOTOCE OF COMMENCEMENT ' 93R 186677 1993 APR 14 10:5 N/ A Sworn to and subscribed bete me this 43 dad f j Print Notary's Name ,/,p v4 -, .>kFrV My Commission Expires: • Frirk11; Pv::LIC STftTE or !'omm 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be sery by Section 713.13(1)(a)7., Florida Statutes, Name and address: N/A 8. In addition to himself, Owner designates.the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: N/A ncement: (the expiration date is 1 year from the dale of recording unless a 5 'b(4S CCYAiSS1ON EXP. hAY 15,1995 Prepared by: JENNIFER WI .i.7 MC Address: 8832 FTJNSTnN STRF,FT HOLLYWQQD. FLpRJ1)A 1'4)21 i yy .v.... -•v . (305) 771.0426 b.UNOARY SURVEY OF; L 1S, AND THE EAST (ONE HALF) OF LOT,1B, BLOCK 4, OF "MIAMI SHORES • SECTION. 1 AMENDED" I ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 10, PAGE 70 OF THE PUBLIC RECORDS .OP ,DACE' COUNTY, FLORIDA. b ADDRESS: 1055 N.E. 94 ST. MIAMI, FLORIDA. FL000 ZONE X FIRM COMMUNITY 1REOSS,PANEL 0093 F /1/4/8 II NE A. l g, 3 ' V 1 ove a ./,,i.... 4% 0 >$o, t 1 e. i „. ,m, • .k I / •7' R 0 0 4. fy 8 � AV 111,"14.1.te 1 YI EMILIO V.I. ,RSO w R.L5, 4410 • PLOk10A V CERTIFIED TO; aSv1p16M! O• DA'111 11 4P O t// � o4 ..rwrw s..tM��L OCEANMARK BANK,FSB,IT3 SUCCESSORS AND /OR ASSIGNS. -VOR R. ANO FILAR HEGEDUB UNITED LENDERS ASSURANGE,rNC• MERIDIAN TITLE INSURANCE COMPANY. FROM S.)5 594 2051 WITH G3 STANDARD APR•12.93 9 TOTAL PAGE : 001 FAILURE PAGE NONE • SEAL; NOT VA•I0 DN EtALE;f' ORE W(T19 1N' 1; m t a mmD L M.D 11U11V[ `IOR'0 SEAM. • TOTAL P.01 /A OI› ° Naltt, ?PO 6AN9' pweww HkmtQM twGpg NOT AO,YPACTEP rep oWN@IIYMw, L)Iawrg•OY.WAv, 01 5AA(MI11Tl' • CERTIFICATE 'Nis 15 TO GERTIPY TWAT ( NAVE RLCENTLV EUNYEYED THE VRONER4'' DESCRINao IN THE PO14EG0040 TITLE CAPTION AND NAVE {CT OR POUND MONVWCNTS Al INDICATED ON THIS'KE'1CN AND THAT PAID AOOVE GROUND IVRVEY ANO 6KETCN ARC ACCURATE AND NMI THE MINIMUM THNiCAL OOANOARO■ VON 4ANO SURVEYING VNQQR RULC 2lN` A. f.A! I e. ADOPTCO Y YNC FLORIDA DOAND OI AND i RVEYONE. DEPT. S Ot %. VUNTNEN CERTIFY YHA"' THIS An OP 11 ' . Date S .-- 26 Job Address N L VS T' C 7 Legal Description 1 0wne Lessee / Tenant Owner's Address . /VL 9v 7 c7_ Contracting Co. 6e0U; • Address SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION / / / 5 , i9 4 1-724-Z-0 , 2 `-" /' /'w /ooM Square Ft. J T WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT MID 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 h= above -named contractor to do the work stated. gnature of owner and /or Condo President Signature of Contractor or Owner - Builder Date: Vz6/4 N - Date: Notary as to Owner My Commission Expi APPROVED: IPIEIlSFMIT AIPIPLICA JrION IFOIIa MIAMI SHORES VIILLAGE k ` C P i!ii 1 07 NAL Or v t „ ndoss� ' COMMISSION NUMBER CC255237 7.■ c• MY COMMISSION EXP. Op rk0 .1k0 25 19 7 Fire Zoning Buildin Notary as to Contractor or Owner-Builder My Commission Expires: Mechanical Plumbink Estimated Cost(value) . / 7 FEES: PERMIT " 0 (15 e/ RADON C.C.F. NOTARY TOTAL DUE Tax Folio Master Permit # Phone 76 - P5 00 * o Other Electrical Engineering • A-PLOCATDON9 FOR UDLDONG PERMDT Name and address of licensed contactor To be constructed of Kind of foundation m_ Estimated Total cost of improvements $ j5OO Maximum live load to be borne by each floor M0AMO SHORES V0LLA( E BUILDING INSPECTION DEPARTMENT Applic jon is hereby uinde for the approval of the detailed statement or rile plans and specifications herewith submitted for the build • inc or othr structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores a' Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and rt•gulatio`hs of !tc 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 2'2€ 2 yCciaUS Owner's Registered Architect and /or Engineer /Z OWVer Street and Number where work is to be done State work to be done and purpose of building (by floors) //A/ :&C; The undersigned applicant for this building permit does hereby certify that he understa of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled G and has complied kith the provisions thereof, and will require similar compliance from all in the work to be performed under this permit; and will post or cause to be posted for insp or notices as arc required by the Act. The undersigned agrees to employ only such subcon permit, as are licensed by Miami Shores Village. Remarks (Signed)-.... Date Building Inspector Chair:nan Member Member .. - Council Approved Date NOTE: A charge of $1.00 will be made for the Planning Board. A re- m.pection fce of $1.00 will be charged materials and /or workmanship. U Ncw Building Remodeling Addition Repairs I hereby submit all the plans and specifications for said building. All notices with reference be sent to.. ... Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE 1,1. , t.... t„ •,,,,,M,',,,,.t - . Location and legal description of lot to be built on: Lot Block Subdivision j / J M ... _. dam /mils oe®/ _._ �?• 3 aid' and for no other purpose. No. of Stories oo f Covering Amount of Permit Zone cubage required Plan Cubage Distance •to next nearest building.. Size of Building Lot to the building and its construction may accepts his obligations as an employer ws of Florida. Permanent Supplement, or sub - contractors employed by him e site of the work such public notice work to be performed under thia 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 slat d g true. Permit No..—.M _ >< Date .._. I.©,. . )... `'L r/ Read, Sworn to and Subscribed before me. Disapproved Ei (Signed) Member Member Member _.._..... Disapproved Date making corrections or changes to this application after approval has been obtained from when auch re- inspection is made necessary by improper notice for inspection cz faulty