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ROOFINGMIAMI 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 )wren described. This application is made in compliance and conforrnity 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. May. Owner's Name and Address Mrs. Bryson N 1099 street E ._97 St . Registered Architect and/or Engineer ”•••! ttt !MTV:, ,11?•••11,M,I=T1 .... Name and address of licensed contrActor.Ail.d.r.e.W.S....Raaf.......&...nap.r.DAL.....Ca... 4.3.011. E.. 11. A.v.e.. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done .1099 IL E.. 17 St.... Miami aLQT05. Fla. State work to be done and purpose of building (by floors).Re entrance porch. Replace bad wood. Apply ... layer of 30 lb., 2 layers of 15 lb.., 26 gauge galvanized metal. Plumbing vent pipes, and pea roa. and for no other purpose. New Building Remodeling Addition R epairs . re-roof No. of Stories 1 Roof 2 s c..5 0 .gravel To be constructed of Kind of foundation Estimated 3 ated 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 Andrews Roof. Improv. Co. 4300 E. 11 Ave. Hialeah 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, a 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 pos . inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only ch s boons ors, o work t. -Tea° ed under this pennit, 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 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 2 2 ----7 Read, Sworn to and Subscribed before me. Disapproved Date. Notary Public, State of Florida (Signed) Building Inspector My Commission Expires A.- to me well known, 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 fmm 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 anci/or workmanship. 2 sqs. STATE OF FLORIDA, COUNTY OF DADE. ss. Permit No Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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 Villar 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. 12/4 78 Ovmer's Name and Address Rodney Bryson- _ No.. 1099_ Street.._ N : E. 97th St. R egistered Architect and /or Engineer ..... ...••, t ... ............•.- ....,...- .. .... Name and address of licensed contractor Andrews Roof. $ Improv. Co. 4300 E. llth Ave. Hialeah Location and legal description of lot to be built on: Lot Block Subdivision _.. __ .___....._._...._.... Street and Number where work is to be done 10 9 9 N . E . 97th St. M. S h . State work to be done and purpose of building (by floors) Repairs to roof. 3 leaks in tile roof, A and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories To be constructed of Kind of foundation Roof Covering Sh . Tile $ g - rave-1 -.. - - - -..— Estimated Total cost of improvements $ $350.00 Amount of Permit $. 12 • 5 0 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 bui ding and construction may be sent to Andrews Roof. & Improv. Co. 4 300 E. 4300 Ave. H F la. 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 inspecti.fi 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. •ntr » ors, o rk to forryjed under this pennit, 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 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, said that all facts therein by him state are true. N° 16 Date. ..�. s �1 Date.. Building Inspector Chairman Member Member ...... _. Council Approved NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of 51.00 will be charged materials anti /or workmanship. PLANNING BOARD Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires .DATE to me well known, Member Member Member Date Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection � faulty MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR =}UILDING PERMIT peered / S3 �j Permit No.. --. -. D. D e Disapproved D e (Signed) >. �'Le)/ ? /Lc-- Building Inspector PLANNING Chairman Mcrr,bcr Member sass. Application is hereby wade 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 trot. A copy of approved plans and specifications must be kept at building during progress of the work. Date ...—March ,.??.� _..._._ �.._.... , ��.._._ Owner's Name and Address .. .....Ls_...HwdAsa>r<.... _ St•: eet_.. -NF 9.7th_St..._- Registered Architect and /or Engineer...._ .... .............. >..,..., ,,.,,� s ass. Name and address of licensed contractor Bohnert Rfg. & Supply Co.,., 3210 NV1 , 41st. St. Miami, .33142 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1099.1... 97tg .__ i�t� .,__.Mi�l�l..t�s:�sl�.,_�1�_.._ State work to be done and purpose of building (by floors) -Rasereef- ..garage...4 ..- -.ZA #4. .. beii..- .fblh--- atiii.- .._ _-.... 2430 double coated felts and gravel and for no other purpose. New Building Remodeling Addition Repairs...EA. .T.Q.QL... No. of Stories To be constructed of. Kind of foundation . Roof Covering.. Sip ............._... Estimated Total cost of improvements AM) QQ Amount of Permit $.5 wQQ 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.3f NW 41st. St., Miami, Fla 33142 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 ptrovisions 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 i spectio on the site oft work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such su ntr rs, on work performed under this ennit, as are licensed by � ` p y Miami Shores w -` 6 f Y Remarks..._ (Signed ''d - `?- � ` "t' = -- Member Member Member 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- 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. rr // Read Sworn to and Subscribed before me. otary Public, State of Florida Commission Expires DATE to me well known, Council Approved Date Disapprove:•• Date NOTE: A charge of $1.100 will be made for making corrections or changes to this application after approval has been nbtained from the Planning Board. A re-inspection fee of S1.60 will be charged when such we-inspection is made necessary by improper catice for iiwsga .tinrn faulty materials and /or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 2 -17 -93 Job Address 1099 NE 97th Street, Miami Shpg sFolio, Legal Description Lot 7, Block 180, MIAMI SHORES SECTION 8 Dwight and Helen Tracy f Owner / Lessee /,Tenant g Y Master Permit #�� 4 r Owner's Address 1270 NE 95th Street, Miami Shores Phone 756 -6065 2 �� Q � Contracting Co. 52 � S ,- ° Address PoO b I,S - 3 Qualifier / l , 4 , / ' SS# - ` , Phone 9 State # f r� , " 4. Municipal # Competency # Ins .Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING( PAVING FENCE SIGN --,r- ,s I WORK DESCRIPTION /G 14- 02 r-4 ne, � 616,41.; Square Ft. 2,100 S/F Estimated Cost(value) $7,605.00 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 aut ze the above -named cont or to do the work stated. Signature of owner and or C ondo P /esident Notary APPROVED: as to Owner and /or Condo President My Commission Expires: C TIME OF FLORIu N EXP. MAY 20,199:1 GENERPIL INS. l!;it * * * , FEES: PE:1;1T g ®, 0 RADON C.C.F. .*. Fire Zoning :uildin Mechanical Plumbing Signature of CoT r c t y teli or Owner-Builder Date: ), - (7 / ,2 Notary as to Contra tor or Owner- Euilder My Commission Expires:_. EOTARV PUBLIC STAi' OF FLORIa. OY COMMISSION EXP. MY 20,1993 * 8OLFED THRI GENERAL*INS. UV, +� * ** 0 NOTARY TOTAL DUE J Other Electrical Engineering 9 . , PERMIT* TAX FOLIO NO. JJ . �a '5 / t ' 2,e' 5 State of Florida NOTICE OF COMMENCEMENT 3R 1076U8 i993 rIAR 03 11022 THE UNDERSIGNED hereby gives notice that Improvement 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 Description of property:(legal description of the property, and street County of Dade address If available) )k67 / zo g/ 7 2. General description of Improvement: ( 4, at 3. Owner Information: a. Name and Address: b . Interest I n property: Ol,L:nG 4-6/et, iek `24' Sew I O 7 i7c 91 s Ymi.A4A-J 54 , 3j13 c. Name and address of fee simple titleholder (If other than owner): PERMIT* State of Florida County of Dade 5. Surety: ubIlc Aki) r(),V TAX FOLIO NO • /1 ifPP NOTICE OF COMMENCEMENT 93R 107608 1993 MAR 03 14222 THE UNDERSIGNED hereby gives notice that Improvement 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. Description of property:(legal description of the property, and street address If a v a i l a b l e ) SY1 giok/t , 1 4- /X/4 - 10 2. General description of improvement: (;I 3. Owner Information: 1' // p a. Name and Address:i I�C 1 (� l 7 C d'1 ter b . Interest I n property: OL'int-' c. Name and address of fee simple titleholder (If other than owner): 0 �_ 4 51ee/t&i s Litt 3o /3 vm,teT( qr / ,C ?3?,/ a. Name and Address 4. Contractor: (name and addrds b. Amount of bond $ j 6. Lender:(Name and address) 7. Persons with 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 to receive a copy of the Llenor's Notice as provided In Section 7.13.13(1)(b). Florida Statutes. 9. Expiration date of notice of commencement (the expiration date Is 1 year from the date of recording unless different d - %e Is specified) Sworn to and subscribed before me this N:t . S nature of day of May Commission Expires of , PHINE CHURCH 1r,.,- ' :Notary Public, State of Florida Feb :My Commission e 30, l % or s. ?: Ft. Lauaeraaie, rL auai 1 581 -6096 pyravammw - C:431:7 o cu570.Y0'% .Ma4N 00 44.0141r YlCr/4NrC I . 0 OPME1LWC T 41 4 600511 r � :. r . / ' 0 DAY wota,[ p CONTRACT • EXTRA crrr J0w 0.1s A Loc.. sow 1 JOOPH005 -%L /6P/2 GCE' 0' /441 /J /VCd, /cry / /2t / 2c C.; ( ; /47 i 9 / l 07 / / ( tk t / / / C■ 07 e fr 94 GG , J/1 e; / / , /y 6" / tl& /401/ ∎ - w/ j AFINEW 045[ C� [ MO S1b Date : 2 / —p Notary as to Owner and /or Condo President My Commission Expires: FEES: PERMIT APPROVED: RS ROOFING N.W. 7th Place Zonin I 0100 Lni i 1 nereor eckrwr./eeee w eeketect0rr comUNnon JOSVIEZ0 TOTAL isiox W& TOTAL LABOR TAX RED E 6, - OC owoeweo er TOTAL AMOUNT = 74.6. Tout amount due • 1 I { No,one home { I )/Tout o/uu/o to r; r -' 9 t. kw above work: or be mailed aver conwtekan of work d Redraw Onat e5 work RES VILLAGE olio Master Permit # Phone 756 -6065 Phone Ins.Co. 1ROOFINGI PAVING FENCE SIGN lue) $7,605.00 MENT AND YOUR FAILURE TO DO OUR PROPERTY (IF YOU INTEND ORNEY BEFORE RECORDING YOUR allation as indicated above, and rk will be performed to meet the on. I understand that separate ING and MECHANICAL WORK. s accurate and that all work will tion and zoning. Furthermore, I Signature of Contractor or Owner- Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: RADON C.C.F. NOTARY TOTAL DUE Fire Other Building Electrical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 3 Job Address ) cn NE 91 s'D'`" Tax Foliog gov /9 &7AA 110 11 1p-g- 712JA Owner's Address 1 ` )- 10 ob 5-4 -0T-(A, Phone 1 O( Contracting Co. - A\ - e,._ - , Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(ci.rcle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION k'� p NI. Date Legal Description 7 43/ Lessee / Tenant 0 Square Ft. 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 owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: ** * Zoning Estimated Cost(value) ( t(O Q Date: * * * Master Permit # ,oC,‘ Signature of Contractor or Own r- Builder Notary as to Contractor or Owner- Builder My Commission Expires: * FEES: PERMIT RADON C.C.P. P.5° NOTARY TOTAL DUE 7 -' APPROVED: Fire Buildin Mechanical Plumbing Engineering Other Electrical