710 NE 94 St (8)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address - 71C NE 9r ,$ / • Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant %r 6 lj.
FEES: PERMIT 3
Contracting Co. ( L
Owner's Address 7 / C N, / '' / c/ ,S ° Phone
v' l. � � �. /NL' � > I r 5 s l ( R
M RS
)OW/E
Address
Ii
Address
Qualifier SS#
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION C� G „ �� ' e
�^ f
Square Ft Estimated Cost (value) a
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.
)6371 Zhi;- -
Signature of owner and/or Condo President Date Signature of Cractor or OAer- Builder Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
RADON C.C.F.
NOTARY
Master Permit #
Phone
'1
,
C
otary as to Contractor or Owner- Builder Date
oron r. :;, ROTARY 9ZAI i ,
o e ei SANDRA l!4ONTIE .
* COMMISSION NU BE i'
.:�I;v Q
CC401261 Y
ire, "R e? MV COMMISSION •F.1± . c
of F1. AUG. 17,,•"J? j
TOTAL DUE i!
APPROVED:
Zoning Building
Mechanical Plumbing Engineering
Electrical
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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 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.
To be constructed
Disapproved Date.
(Signed) ( %/ ,'
Building Inspector
1
Owner's Name and Addres ' '���' 7 Street—P.-V
treet_ P..-V .
Registered Architect and /or Engineer
Name and address of licensed contractor - -Jae /4' 5 ?If
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
State wor to be done purpose o b ilding (by fl
New Building Remodeling Addition
Chairman
Member
Member ...... __.__._. •-- -•__ - •
Council Approved
NOTE: A charge of $1.00 will be made for making corrections
the Planning Board.
A re-inspection fee of $1.00 will be charged
materials and/or workmanship.
Member
Member
Member
Date Disapproved
j/ ,.i/ 6
rem _ 2 '� Q � . `:•
- ®� e
and for no other purpose.
Repairs � No of Stories
Kind of foundation Roof Covering
Estimated Total cost of improvements $. i .-
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 w• k to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks... (Signed)
STATE OF FLORIDA, 4
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..__.. — Date
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
or changes to this application after approval
Date
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
Address of
Building
Lot
Li
❑ DATE 195
❑
PERMIT N° 6399 Contractor's
License No.
MIAMI SHORES VILLAGE. FLORIDA
❑ Work to be performed under this Permit
CONTRACTOR OR BUILDER
4
Bl.
Subdi-
vision
Value of
Project $
Amount of
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
herofor 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 cr 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 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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
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.
Date....S_sEPT.E_P_vi .Eta 2-L. , 19 3 7
Owner's Name and Address.... C... NP..)• Q - . .► t14,,?.. .k„..D._ No 7 Street M eA> • //G SY
Registered Architect and /or Engineer...4..Gfe...q_Q.j' Pi .7r-r,
Name and address of licensed contractor ‹• tel: i% A.Q. a..k..7
Location and legal description of lot to be built on:
Lot
Disapproved Date
(Signed)
Block Subdivision Ne1 1 A M,
Building Inspector
Chairman
Member
Member
Council Approved Date
NOTE: A charge of $1.00 will be made for making
the Planning Board.
A re- inspection fee of 51.00 will be charged
materials and /or workmanship.
Street and Number where work is to be done
State work to be done and purpose of building (by floors) Z gt_ s 1 ._!q. ee.
and for no other purpose.
New Building x Remodeling Addition Repairs No. of Stories o
To be constructed of �..RE...5 Kind of foundation -O "c_ i2 E T_ Roof Covering
Estimated Total cost of improvements $ -j Vii__ �?va..G.i „ , '= Amount of Permit $ (-= .0
Zone cubage required 1.1. Plan Cubage__ 1 � 0
Distance to next nearest building. e� Size of Building Lot_..! ® 7t t 2 . 410
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 C.. . ea fr.2.r� _t7 7.__.I`1 -sue- 1_•.(. S fr-qies _.
The undersigned applicant for this building pennit 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 ublic notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be perfgtin 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 stated are true.
Permit No Date Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
My Commission Expires
Member
Member
Member
Disapproved
SY
Notary Public, State of Florida
corrections or changes to this application after approval
Date
has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
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' E • 1 ttached plat represents a recent
mate In me or under my direction and is true and correct
my knowledge and belief; also that the building
oundation '. r• wholly wiihin the title lines as shown
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1 1 I _E- 1 ... i_ 11
•
Owner's Name and Address_.. " f 3 �
Registered Architect and /or Engineer....
Name and address of licensed contractor z_0.:t_.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done._..Y /d
State work to be done and purpose of building (by floors)
New Building Remodeling
To be constructed of Kind of foundation
Estimated Total cost of improvements $ -7 - °
Permit No
Disapproved
(Signed)
Building I pector
Chairman
Member
Member
Council Approved Date
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.
Date
7 6 -
Date
No
Addition
PLANNING BOARD DATE
Street.../ 6-1
h
19
and for no other purpose.
Repairs No. of_SSsrie�9
! of Covering
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
bor under the Florida Workmen's Com ensation Act being p d a
, Pennanent Su pkcment,
ployed by him
ch public notice
Armed under this
ors or sub - contractors
n th - site of the work
o . , ork to be
STATE OF FLORIDA,
CCUNTY 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.
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.