912 NE 95 St (2)BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
❑ DATF 4� 195
❑ PERMIT N? 5160 Contractor's
License No. f -
0
a rLa
• c; :"
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building G
1,'
MIAMI SHORES ILLAGE. FLORIDA
Work to be performed under this Permit
Bi
CONTRACTOR OR BUILDER
Subdi-
vision
Value of _
Project $
Amount of j .
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 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
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 responsibility for work
done by his agents, servants or employees.
Signed .� , , BY:
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered Alereunder 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 ac•
cepling this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
AUTHORITY
Owner's Name and Address
Name and address of licensed contractor
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
7. {�
STATE OF FLORIDA,
COUNTY OF DADE. j ss
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.
,19
�. R t G- i-fi, /) S c.y.fc✓" No 5 Street .4;
Registered Architect and /or Engineer
t sc• � c_ •� ,� / � C.
Location and legal description of lot to be built on:
Lot Block Subdivision
.L)'
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 $ Z a al Amount of Permit $ h . a
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 (Signed) X2 °c �,— 2 � �.d
e
l
Date../4/4
h
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 ` Date — * 7 Read, Sworn to and Subscribed before me.
Disapproved Date. .'.
Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
PLANNING 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.
PHONE PL 4 -5527
Re: Permit
Job: C. D. Richardson
912 N. E. 95th Street
Miami IDhorea, Florida
PAINTERS, INC. OF FLORIDA
821 N. E. 79TH STREET
MIAMI - FLORIDA
s
Date .Ster /// /if/Job Address 9/a AV. e . 9.0 /411415/Wax Folio
Legal Description G m 7r &via? '1, m911 /< J Aga/00504/
Owner/Lessee / Tenant
Owner's Address 7 42 NE • p5 s9� /��a►i Sr'/oiPES fc. 33/35'
Contracting Co.
Signature of,
p r" 0 6
Not
APPROVED:
Zoning
Mechanical
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
er an or Condo President
K✓) ow - % y m7
9 / / /r?
as to Owner and/or Condo Presid t Date
mmission.Expires .......
Notary Otioiir. . S;dtc ii Florida
My Cororn. expires Fah *5,2111)1
No. CCo24567
Bontl thru Arthur J. Gallagher & Co.
FEES: PERMIT RADON
?(r7
r
Date
Historically Designated: Yes No k
Address
SS#
Competency #
Address
Master Permit #
Qualifier Phone
State # Municipal # Ins. Co.
Architect/Engineer
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING
� MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION ! r ea �P �R1 �/�- 7E
00
Square Ft. Estimated Cost (value) /,3, 000
`C ^1 ^'- " -
Si a ature of Contractor or Owner - Builder
+/p (9rsov)Q //y K40 u by me_
ti
Not as to Contractor or Owner - Builder
Commission Expires:
LEOTI A COURTNEY
Notary Putlic, State of Florida
lig My Corruj. expires Feb 2i, 2001
No. CC624567
Bonded thru Arthur J. Gallagher & Co.
Electrical
4°M5
Phone Oar) 7.4 5Z' (- 94)99 /3 °s
7 g " Y86F /30 6 —505"4r
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 requiredfor 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 regt1i ting construction and zoning. Furthermore, I authorize the ab• - • ed con o ..: e work stated.
Date
9 / / /,n
Date
BOND
TOTAL DUE 4? eg'
Plumbing Engineering
Legal
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Job Address c (2 / l( Qi
Tax Folio fl iv B/
7/74/aevgar
Master Permit ioW57
&:)
Square Ft.
Signature
Date:
PERMIT FE D :
Description
� f
/ Tenant `��1` �,� � / 7 �C{;M� c�-�
2 .9S [1jt, -61,-C>
Lessee
Owner''s Address
Contracting C
Qualifier
State#
Architect /Engineer
Bonding Compaay
Mortgagor
Notary as to
My Cccwisri.or:
Permit Type (circl e): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION ( ( '2i C 7 1-100 S / Cud( Z
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.
Furt ermore, I autho. the above -named contr - to d.• e k stated.
•
•r wner p
T' / f
1
•
and /or Condo President
0 f ' i1 1
Signatur
Date:
f
Competency
SS#
n a or Co o President
Expires: NOTARY PUBLIC STATE OF LORIDA
* h1Y•CeiTo :SIGN Exr" OCT. 1" 10,1994
- BONDED T1*W GENER1L INS. U *.
APPROVED:
Zoning
Fire
Mechanical Plumbing
Address
Address
Address
Address
Building Q,-
Estimated Cost
Phone ^ 759 - 110 8 .
Phone
Ins. Co.
Electrical
Engineering
(L)
C
• ntractor or Owner - Builder
Notar as to on rac •r or O*�e -- g1,,� 1 7��
My Commission Expires�� TARY PUBLIC S�'.. s 4. EUt- r51a,.
�
* * * t� C09�iN�ISS IN E: P. SC T =13 ,1944
BONDED THRtiGENERAi7110. WO.*
Other