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740 NE 94 St (2)Dat� }� /� /1,)/ Job Address PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 1 7 0 / erar Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant K. Z4 Master Permit # Owners Address Phone/ 3c ,c7 -fl '- Contracting Co. c 7k) V64 Address Qualifier SS# State # Municipal # Competency # Architect/Engineer Address Bonding Company Address Mortgagor Permit Type (circle one). • : UILDING LECTRICAL PLU ; ING MECHANICAL ROOFIN ' AVING FENCE SIGN WORK DESCRIPTION/] Square Ft. Signature of owner and/or Condo President Date FEES: PERMIT RADON Mechanical Plumbing 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 OF 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 pennit 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 wo stated. Notary as to Owner and/or Condo President Date No as to Contrac My Commission Expires: y Commission f r C.C.F. NOTARY Estimated Cost (value ignature or or Owner - Builder GLADYSJ VILLAR NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC/14I03 vrt COMMISSION EXP. MAR. fl Phone Ins. Co. keNc - vl / 7 4 ntractor or Owner -B ilder Date / -•/7_ o / Date B OND TOTAL DUE f ' APPROVED: Zoning Building /` Electrical Structural Engineer MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: r »// OWNER'S NAME: .o�;. ���0 r^ PHONE- 7.0 y'7oV ADDRESS/ 7V0 /c) ' q 39- /�, S. 4/41 31; ;si ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE:30'S 7S / (4-0/ ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls Fascia Drip Cap/Drip Edge Soffit Roof i��:ti W/$ avG4i/6 Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other APPROVED: 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. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached sampl - s. — Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION Building Official Date 4/23/01 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ��1//� Job Address O A✓i' g /00 .(/A.,192 Tax Folio Legal Description Historically Designated: Yes No n Owner/Lessee / Tenant ,X.0/ILr,..vcv %d' Owner's Address 7f/, "V d/ti- Contracting Co. Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Address Architect/Engineer Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECT ELECT CALLL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /I OV / C / �l 14 6 6d/l i/4) Z.14/.1 G✓J7 '�j / / Square Ft. Estimated Cost (value)" 5/0O.0 J 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 11 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. Master Permit # 4 "1 ?-3 Phone S - l — Y 70y Signature of owner and/or Condo President Date ign` e of Contractor or Owner- Builder ate S _675 ;2 j'la k 36 L S M 0 D Z FEES: PERMIT 96 RADON C.C.F. ' ° NOTARY BOND TOTAL DUE 1 5 Notary as to Owner and/or Condo President Date otary as to Contractor or Owner- Builder __ Date My Commission Expires: My Commission Ex. es: OOF.1tiAL. ATIS ' NoTMMf FaI g TE OF FU 321DA co). p.4 e::� N'a C�9t4b� APPROVED: Zoning Building i ./ Electrical Mechanical Plumbing Engineering Owner's Name and Address...._ Q. N. Registered Architect and /or Engineer Permit No Disapproved (Signed) D Bu iding Inspector 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. Name and address of licensed contractor Q • 7-1 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done A._ `t State work to be done and purpose of building (by floors) ■ P'- v \ `- Date .. --l_..r -‘ Date No. - - -- 0 Street-6-1-- ' e\ 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 $_.. ') + � Amount of Permit $.._ %_t_ 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) - 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 Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA o PERMIT N? 3728 3 DATE 19 Contractors License No. Work to be performed under this Permit B1 Subdi- vision Address of Value of 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. • ; r' ' p / Signed. ` v. 1 t` ,y / - ,4 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. cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY AB MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ PLUMBING PERMIT ❑ ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Lot Description — Bl Address of Building N? 7193 Work to be performed under this Permit Subdi- vision Value of � -- Project $ Contractor's License No. 4ti � 195 Amount of Permit $ Lc 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 cr in the statements or specificatiarr9vand that he assumes responsibility for work done by his agents, servants or employees. >�� Signed INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work '�/ ered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or sppoificans submitted to the proper authorities of Miami Shores Village. In ac• cepting this permit I assume responsibility for all work done by eithe ;1" self, 94 / - agent servant or employee. s 4 a/ CONTRACTOR OR BUILDER BY AUTHORITY 0=:7:"..a