MECHANICALBUILDING
ELECTRICAL
PLUMBING
ROC)FING
I
Architect
Contractor
or Builder
Legal
Description
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
Owner of
Building
Lot
Bl
N° 6665
Work to be performed under this Permii t L .<
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• INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all or 1nances 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 ell work done by either, myself, my agent, servant or employee.
BY
Contractor's
License No.
Subdi-
vision
Value of .11 Amount of
Project $ I Permit $ ! i
DATE_ .' _ J 19_ __—
AUTHORITY
ABBOT •� `
STATE OF FLORIDA,
COUNTY OF DADE. j H.
Before me, the undersigned authority, a
Disapproved
(Signed)
MIAMI SHORES VILLAGE
Building Inspector
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby utade for the approval of the detailed statement or the plans and specifications herewith submitted for the build
ine 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..._...__ . OCTOPEZ_ 9,,, 1 9 $ 5_, ,19..._._
Owner's Name and Address ........... V .I.C.T.ORIA.. — No.. J2&4....AIE. Street—AZ .ST
Registered Architect and /or Engineer ,,:,: „,••..,.•,..,,„.<...«,-
Name and address of licensed contrActor. .AiR...L.f.EAI ..l►�►LI�ITE17 -•• CARP•.•- •- 1Z2�.ld1
Location and legal description of lot to be built on:
Lot Block BC ` Subdivision. dL.,t...aZ.�.r ._.... .261x71 ,‘er
Street and Number where work is to be done..._...1.D.6.4.. 111E_ . 97_ I... --.. _••_ ____._..
State work to be done and purpose of building (by floors)......REP.LACEMENT CFIUTR�I...AI1�_C(1b11 T.I0AlI1i1(} -• _. ..____
PACKAGE. .. M1T.:....5.. .T.ON
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation
Estimated Total cost of improvements $. 7 ° 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 nane•nt Supplement,
and has complied kith the provisions thereof, and will require similar compliance fro . contractors or sub-. tractor employed by hint
in the work to be performed under this permit; and will post or cause to be poste or in 'ection on the site '•f the we sue public notice
or notices as are required by the Act. The undersigned agrees to employ only su • su • • antra ;rs, on 'perfor ed under this
pennit, as are licensed by Miami Shores Village.
Remarks _..._.__ (Signed)
Date
PLANNING BOARD
Cnair:nan _
Sturdier
Member __.._._..._._ ...._.....
Council Approved Date
pp R oolf 5 overing
mount of Permit $. ` 1
SIDRO J. GONZ
LICENSE # 050809 4
notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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 " V i 1 Date PhD
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commiuion Expires
DATE
3,3
and for no other purpose.
__.....to me well known,
Member ....... - ....................... _._..__...._........
_......._._
Membcr
Member —
Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hecn obtained from
the Planning hoard.
A re- inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials anti /or workmanship.
Owner's Name and Address____ ' _C_s _ :_,!
Registered Architect and /or Engineer
Name and address of licensed contractor
MIA SHORES VILLAGE
BUILDI 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.
n. /i "2„
,q ,7e1 cvGBoa'<�
Location and legal description of lot to be built on:
Lot Block Subdivision
State work to be done and purpose of building (by floors) {c _
Date
Disapproved Date
( Signed) .___u__
Building Inspector
Chairman
Member
Member
��
Date
No.Z( <
Street and Number where work is to be done V
n = /7'
o
--- - - - - -- 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 $ LJ( ( ` _Amount of Permit $ 10
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 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 inspeption on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such su con ctors, \ on work to 'be lerformed under this
permit, as are licensed by Miami Shores Village. , '
Remarks ( Signed) _ _L /,'-s _ �? ' / -� /. — __
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 (2- (e (Q.
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Street �o o
e
0
19
c,
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.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date • v�--\ C-4 4. Job Address �; a2 �. R ` c c - Tax Folio \ - V
Legal Description Historically Designated: Yes No
,Own %I<;essee / Tenant \ \--N‘o \� � ��� � �� Master Permit # 4 40() - 7 (
Owner's Address F ��w , C \ p r S V ' E' Phone 5 - ��, �,� `�� V
Contracting Co. \\ N - , C ° 1 \� ♦�i ( :5 ) `N Q
Qualifier
APPROVED:
Mechanical
Signatur of owner and/or Condo President Date
•
Notary as to Owner and/or Condo r-.` ident Date
My Commission Expires:
i KENNETH M. HYATT
MY COPe.r'.9tn2! t? +',C 302547
f No_ E3(i
10, ?97
Borkad Ttv Naaly Pax Undouriters
F ES: PERMIT S'`S / RADON
\i\ ' 3 C', i .0 2 •
Address
\__ « « \C (x- - (-2 Y ' ��< % �1
State # ( e3 Municipal # Competency #C s, l,°=-MAIns. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING( ECHANIC L ROOFING PAVING FENCE SIGN
WORK DESCRIPTION e R\Ca (- € <,cv\ ye k2)t.
Square Ft. Estimated Cost (value)
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
pernuts 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 do ;e in con}Oliance with all applicable
con laws regulating construction and zoning. Furthermore, I authorize the above -named co • do e or stated? /
Signature f /Lbnt
C.C.F. . 0 0 NOTARY
Zoning Building
OEM
tour or Own Date
��.Q �CA rCi'� �'- \ "ll.
o ary as to Contractor or Own er- Builder ' Date
My Commission Ex
op pV N SUSAN] DEICIEGT >
o ,�;( Notary Public, State of Florida >
< y z Q Commission No. CC 290S40
i 'Fof F∎° My Commission Expires 6125i97
', Bonded Through Fla. Notary Service & Bondin3 Co.
«««(UUU((( «(((((C(U(((K((U((((((((((((2
Electrical
TOTAL DUE 8 .00
Plumbing Engineering
Sep -- — Ur.›:u I L. kJ I IU
10 NACORDED COPY MUST BE POSTED ON THE JOB SITE AT TiME OF FIRST INSPECTIOieI
PERMIT NO. TAX FOLIO NO. ■\:- • e) \ • CO. 00
STATE OF FLORIDA
COUNTY OF DADE 9684 1 1252 1996 SEP 12 08 :54
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' 1OW
•Mm∎ N \*
V ' a..\ �
2. Description of Improvement' Ce \ Le
a different date in specified)
Notary Public
Print Notary's Name
My Commission Expir
121Ot412 714 PAGE,
NOTICE OF COMMENCEMENT
3. Owner(s) name and address: Z� mL` 4C1\0'`c''N "r- \\.\ N C'l
e.e* e
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address: tr\C o `a. ‘A 'R { CtYNCQ 91'
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond: $
6. Lender's name and address:
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(9(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 pro-
vided Section •713; 13(1;;b), F!uide. Statutes,
Name and address:
9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless
S ign et re o! Owner
Print Owner's Name JIZ- a"
Sworn to and subscribed before me this 15 day 01 51 19q ti
..etAnn. .')
MY ETh M: IIYA
RrhlilCS: July +9,1'9? •
&a m; 1 rat iliNtoy Public Ia101tw1101I
STAIE OF FLORIDA, COUNTf OF DADE
1he
1 H Rely CERtIFY t!�a• thIK Is a true c et
o
11.1 I this e'Iir,e on ,.
, A D 19
W iNE' S y h 'nd and ONicial Seal.
NA.t11E IJN RK, o andCou ^ty DCrN
By —_
Prepared by
)'1c C(11%41.111) t / �, L �►G .
Address: a , 22.0 " B 11 1. W. ( c r r
1 PA-t M-P,, rzi. - 3 "O&3