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940 NE 95 St (12)} SS. STATE OF FLORIDA COUNTY OF DADE. 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 building 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 4`2- 7 19 Owner's Name and Address 1/ e No /h' Q ,Street ?$ s - .e Registered Architect and/or Engineer Name and address of licensed contractor ��ViP'fi�,JP/4 Locatio d legal description of lot to be built on: 0' Lot �� Block Subdivision d° / / ;As e 7 &I/ � 1' � bdi Street and Number where work is to be done 4 0 / v - F �^ S tl/" t° P State work to be done and purpose of building (by floors), state exterior colors (submit samples) 41_ 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 S 00/ 6 Amount of Permit S p ztri%' 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 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 obligatons 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 onl ' such subc..tr: tors. on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared Disapproved Date 75 7s7 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. r Xe 1 97/ Date %, Read, Sworn to and Subscribed before me. 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 $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty 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 building 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 (/' cam lit !oe / `' e ze j Registered Architect and /or Engineer Name and address of licensed contractor D (.t/ (/L e Location and legal description of lot to be built on: Lot Block Tie L /� Y Street and Number where work is to be done '7 (2 / - E. ? 'e t ' 7 State work to be done and purpose of building by floors), state exterior colors ( (s submit mples) C /) //- y l.._ v�' V 41- t -e / V © and for no other purpose. New Building Remodeling Addition Repairs No. of Stories 3 To be constructed of Kind of foundation Roof Covering O t Estimated Total cost of improvements S L ' Co , Amount of Permit $ 6 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 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 obligatons 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 o ly such sub n 1:ctors, on work to be performed under this permit. as are licensed by Miami Shores Village. / (Signed) � 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 appeared 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. Disapproved (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Date Date Read, Sworn to and Subscribed before me. Date y /t. F 19 � No. flf 0 N EStredt S t' 'e ` Notary Public. State of Florida PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 1 5 - 1 Job Address 91 47 ° Are qS sr. Tax Folio Legal Description Historically Designated: Yes Owner/Lessee / Tenant rres.44K 1-4 —I) Master Permit # 4 J Owner's Address Contracting Co. Qualifier J State # Architect/Engineer Bonding Company My FEES: PERMIT 'o N 9 . ST s f/oree5 33 / P hone Pei a e046"/ NHS C ∎ 772.Pru7?rA S Address /4 teas 4-51as.. 3 $3 Zar $ Ai' SS# ? Phone 76 Municipal # Competency # a•• Address No .. mmission Expires: to Owner and/or Condo President to ,1:444. Verona C Bau stark * , !1 * My Commission CC610722 e Expires March 15.2001 f t do 0 RADON C.C.F. Address t'$ 267 7203 pfr- Ins. Co. /0n0enc 6e, Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Ar-Pii\' P d0A. b 7 ; Co/ ' Gi4- 6' Square Ft. /�f'/�/7T 'SD krb Estimated Cost (value) 3 Ca0 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. Ca21 Iry 0Al2e d E pi o A I VA //6 -Alt/ Signature of owner . d/o Condo President ate t 1 a ' ' 0-r�s Signature of Contractor or Owner - Builder Date Notary as to Contractor or Owner - Builder My Commission Expires: Date NOTARY .9 BOND TOTAL DUE APPROVED: Zoning Building Tt `I' / `� Electrical Mechanical Plumbing Engineering i NOTICE OF COMMENCEMENT �-u, L : A hE CORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: 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: 2. Description of improvement: Pa_ T . i s S €_ 3. Owner(s) name and address: Interest in property: 0 t.t e fr Name and address of fee simple titleholder: 4. Contractor's name and address: 5. Surety:(Payment bond required by owner from co Name and address: ' Amount of bond $ 6. Lender's name and address: Notary Public Print Notary's Name My Commission Expires: not Owners Name -fi- /-1 1°. d u. 5 RiVEp Swetn to and sub cribed before me this /L day of 26 fl447rneffy (Got O>Ar� . " 4t.2_ O ? L O N . (9J - Sim o - 77 , ? ?d' 9�r O N F Q S'fv -ro t Lov - c 5 - 35)38 6 e,v,a77Acx Nom c , 19 ? 7. el • Cileurestark Mr Commission coe10122 Expires March 15. 20C4 988007828 1993 JAN 07 14:23 PD /60K 66Q5 F FLORIDA, COUNTY OF DADE REBY CERTIFY that this is a nnl. in this office on i fj 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 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: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Cou,urY GF AA,vF, Of t 02f005 signature of Owner 'Prepared by: Address: Pc' Pv 13Pf . S S E' 1N►. e-5 35/53 - o. :S -' 12a01-52 2/93