747 NE 94 St (10)Owner's Name and Address __
.Fle cD._ .PAvis
MIAMI SHORES VILLA GE
Location and legal description of lot to be built on:
Lo, Block _ Subdivision.
J__
Street and Number where work is to be done l lV E 97 ST,
State work to be done and purpose of building (by floors)___ _________
Council Approved
BUILDING INSPECTION DEPARTMENT
NT
APPLICATION Goon BUILLIONS FT
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.
9
Date -- - - -- - / r(L. / -.. _. ,19.Z7
No... 7 V7 . street AJE 9 V ST....
Registered Architect and /or Engineer...
Name and address of licensed contractor l;AfS.nVTN f'OOf/iu( CO. ANC. l/ iuw 7/ 5Te1 /`l /Aria
l6
and for no other purpose.
New Building Remodeling Addition__ _._ .___._ . ._.._ Repairs_. _.._ No. of Stories
To be constructed of Kind of foundation Roof Covering 8 //'/EL TILE
Estimated Total cost of improvements $ / . 03. 0o Amount of Permit $ . _ ,00
Zone cubage required Flan 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 Sup `dement,
and has complied with the provisions thereof, and will require similar compliance from all contract s or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspectio. • the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only s subcontr s, o )k to performed unde
permit, as are licensed by Miami Shores Village. c -
Remarks (Sig
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 _(O_
Disapproved D. to
(Signed)
Buildifnspector My Commission Expires
Date. - _V Y " 7 Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
PLANNING BOARD DATE
Chainnan ___. ____ . ___ Member _
Member _. ...___ Member
Member Member
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.
Date
Legal Description °� °1Z 2 5
Owner / Lessee / Tenant L A,9 /Vd Li J e/
Owner's Address ' Y, /✓Z "Y J7
Contracting Co.
APPROVED:
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
- Job Address Y. J✓,-- 5 Y S' 7 Tax Folio / /
Zoning
4 it-jt /LiN s
�,1,4 9 Phone
Qualifier S%ZcJA1 )
State # Municipal #
Architect/Engineer
Company
Address
3.
Master Permit # 3.2Y/ 8'
Phone
&/ r4 Address /20 r✓,� / fir
./S°3.1,2 - s / '� •
Competency # "'Ins .Co .
r Address
y Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
PEES: PERMIT ,d ..410 RADON C.C.F.
WORK DESCRIPTION AJ.C.i_) » c / ) C.�icA 7 . ---)
Square Ft. 3? S Estimated Cost(value) 7 D. 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 stated.
Signature of Contractor or Owner - Builder
Date:
PAVING FENCE SIGN
as to Contractor or Owner - Builder
Commission Expilf, Y PUBLIC. STATE OF FLORIDA
MY COMMISS4ON.EXPIRES APRIL 1■, 1992
ROAWED I*1W SIEM&I1R41MMS b MEd
* * * * * * * * * * * **
Mechanical Plumbing_
NOTARY TOTAL DUE 3 ` O
Fire Other
Building 4e ,5 9l' Electrical
Engineering
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
PLUMBING ELECTRICAL o PERMIT N° 8682
ROOFING �(
Owner of
Building ` �
1
Architect
Contractor ,- , a
or Builder % L,,- , _ _ "
Legal Lat � r / 1
Description 11 BI
CONTRACTOR or BUILDER
Work to be performed under this Permit
Subdi-
vision
Sq. Ft.
Date
Contractor's -, E-
License No.
r
Address of '-,-- l Va of r ...... 6 ,....' -e4
Amount of t �u
Building , Project $ a ` 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. , j j I , J` / —,- / , ',' r ;'J -' (INSPECTOR) BY / rY -���� t'� .t ; c
In consideration of the issuance to rAe of this permit . /agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, dlawings, statements or specifications submitted to the proper authorities -of Miarpi-Shores Village.
In acceptin i permit el assume responsibility for all work done by either, myself, my agent, servant or employee.
�: -'v � • 1 � v''' e F i I `i'i i✓ i
BY AUHORITY