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1065 NE 97 St (11)l�- 2!) Owner's Name and Address... sr��`✓ ll�; Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block. Street and Number where work is to be done New Building Remodeling To be constructed of .,5 Estimated Total cost of improvements $ Zone Cubage required MIAMI SHORES VILLACiE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT ° Application is hereby made for the appproyal of the detailed statement of the plans and specification 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. Subdivision /4 6,3 State work to be done and purse qhbuilding (by floors) -. !flit _ -D 1/14 -1 -- -5i-: Addition. Kind of foundation l_"ct 1;t'e, ' 77 Date Repairs Notary Public, Stat ° of Florida and for no other purpose. No of Stories Roof Covering-- <!��f�t� Amount of Permit $ _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 he building and its construction may be sent toy -! ?.�� 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractor , cn work t performed under this permit, as are licensed by Miami Shores Village. 4 / Remarks ( Signed) ,, STATE OF FLORIDA, p J COUNTY 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. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member ...... Member Council Approved Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval 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 has been obtained from c •r I I ) "!‘, r5 /1 • z 12 5 0 P. (.! , P' • z, 4 11= , r 16, • Es 3 , STATE OF FLORID) SS COUNTY OF DADE ) A F F I D A V I T of the Village of Miami Shores, County of Dade an tate of F orida, being duly sworn, doth depose and say, that under the provis' :.ns of Ordinance No 185, dated June 15, 1948, amending paragraph (d) of Section B -368 of Ordinance No. • 7 of the Build's a Code of Miami Shores Village, he,4esires to build a Li on Lot 'Li._ Block /a of // _4( Z 5 _ )f Subdivision, that he is the owner of said property, and will •e the owner of said 4 / -r l � , that he will do the work personally, and hat he/ � will, at such times as are required by the Zoning and Building Director: m 1. File plans and specifications and obtain approval of the Piar_ning Board and the Building Inspector. 2. Apply for and secure a Permit. 3. Pay the required fees. 4. Execute the work in accordance with the provisions of this Code. 5. Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certificates shoring the payment required by the Federal Social Security Act to the State of Florida or the United States of America. 4 eV STATE OF FLORIDA) SS COUNTY OF DADE ) And Further this Deponent says not: A F F I D A V I T 9. Not set himself up as a "contractor ". SUBSCRIBED AND SWORN TO BEFORE ME this day of 195 r / Av _ of the Village of Miami Shores, County of Dade an: "%tate of F orida, being duly sworn, doth depose and say, that under the provisi.ns of Ordinance No. 185, dated June 15, 1948, amending paragraph (d) of Section B =368 of Ordinance No. ' 7 of the Build',, Code of Miami Shores Village, he esires to build a 7 i : Z • on Lot Block :i . of jam' . 40 _:, fa f Subdivision, that he is t e owner of said property, and will se the owner of said /Y% 7 , that he will do the work personally, and that he/ will, at such times as are required by the Zoning and Building Director: 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. 3. Pay the required fees. 4. Execute the work in accordance with the provisions of this Code. 5. Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certificates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing other than properly licensed contractors by Miami Shores Village for any part or portion of the work. 10. Sign an affidavit before commencing work to the effect that he has read. this Article and will do the work personally and observe all of the requirements of the Building, Electrical, Plumbing and Zoning Codes of Miami Shores Village. Such affidavit to be properly notarized upon blanks to be supplied by the Building Inspector. 11. In order to prevent abuses and subterfuge the right of such owner-builder as herein provided, is limited to but one owner-builder permit each 2 years, and where an owner-builder has once exercized the privilege herein conferred no second application for owner - builder permit shall be granted in less than 2 years, unless the applicant is qualified as a licensed General Contractor under the applicable Ordinances of said Village. NOTARY PUBLIC A.D., Registered Architect and /or Engineer Name and address of licensed contractor 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 Shares 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. ..._ r Owner's Name and Address ... r_ � Date /2 No._/.0‘.r Street__/X t? Location and legal description of lot to be built on: ' r Lot Block...� Subdivision Street and Number where work is to be done State work to be done and purpose of build ng (kw floors) G , (' tf % 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 $ 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 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 si e of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub ontractors, n : o performed under this permit, as are licensed by Miami Shores Village. 4 f✓ �`�`''� /% Remarks (Signed). STATE OF FLORIDA, COUNTY 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 e true. Permit No. L! @. .. Date L , ' Read, Sworn to and Subscribed before me. Disapproved (Signed) .. Notary Public, State of Florida Building spector 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. / PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 2 / ` /G/ Job Address A/ /76 , / /& 9? S/ Tax Folio Legal Description /v Historically Designated: Yes No Owner/Lessee / Tenant r / L. () l 67 (4 Master Permit # f Owner's Address // - t ^ /f C ? 7 .f i _ Phone 01 7 SJ 7 / J' / Contracting Co. C ' ? f (7 5 Address Qualifier i a4.J 6". (..,.'‘ SS# . Phone '5® ; 71.'1 2 State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION , / eL�) (--a r2 1 .' e /cL. Square Ft. 9 Estimated Cost (value) /Z 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. OWNERS 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. Signatur of owner add/or Cond President Date Signature of Contractor or Owner- Builder w i t'40 o(aa6 - 0 � FEES: PERMIT RADON APPROVED: Zoning Building C.C.F. No . as to Contractor or Owner -bui 7' d� Date m My omission Expires: "' ikn r NOTARY BOND Electrical TOTAL DUE y , D e 2--22 -61 Mechanical Plumbing /1 ,` Structural Engineer Date - 6 - 3 Job Address Legal Description Owner / Lessee / Tenant WORK DESCRIPTION t ∎ ?v H!;(' CM URCIA SW Ed ina Y . Co i § 1031.1 4�° °• pia GC:3 ary as to Owner y Commission Expi * * * * * * * FEES: PERMIT V 7,50 RADON C.C.F. Fire ** * APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 7 (0 c s AE ( ? IA- Tax Folio / / / e21 / Zoning wilding Mechanical Plumbing ego Master Permit #`i5 «ifELe Sc t p.4,i Owner's Address [ 0 6. S /v_ , 7 7 Phone 7 S ?/ 73/ Contracting Co. 0 W Al E A.. Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor /4 '/ e/ a - f e E N w44 " 13 Address 1 ■ Permit Type(circle one): BUILDIN. ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN t>/-/ /7"E (rH (-AC ( M Square Ft. Estimated Cost(value) b6 0 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. Sign turp of weer and /or Condo President Signature of Contractor or Owner- Builder Date: Z G14) Date: Notary as to Contractor or Owner- Builder My Commission Expires: * * * * * * * ** NOTARY SoO TOTAL DUE 4'- 14)1 j Other f v �� Electrical Engineering 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.. - ...I C/ / ✓ 1i /-4112 ___._._._.....__. _ ,19..._._ Owner's Name and Address Gaydos a M. N 1065 Street— N, E. 97 St. Registered Architect and /or Engineer Name and address of licensed contractor Dewe,.y Hawkins ApC 902 S. W 69 Ave. 2611631 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done BUILDING INSPECTION DEPARTMENT PPL0CAT0ON FOR EL 0I.. ®0NIE PE MOT M AM S X M REM VELLAME 1065 N E. 97 St State work to be done and purpose of building (by floors). inst a 11 2�ec tl wan. --- - - - - -- - - -- 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 $ 1 400..D0 Amount of Permit $ 1 4_.051 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subc ntractors, on work to be erforme4i under this permit, as are licensed by Miami Shores Village. sir 2. 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. r Permit No._____ / Date / ate ! `� ' r Read, Sworn to and Subscribed before me. Disapproved __ -_. `,_ DateF (Signed) `,_ ._ C - Notary Public, State of Florida Building InspectGr My Commission Expires PANNING 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.