FENCEL.i!
Vetere Ft.
FEES: PERMIT
APPROVED:
*
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
*
Zoning
Job Address /6 NE. 97 St Tax Folio
Legal Description L/17 6 BA f Y'c / " i t.4 1 SJ 1 cp res Sectg
Owner / Lessee / Tenant 'I( Master Permit # 3 VP)
Owner's Address / //5 / z 97_c7 Phone 75r
Contracting Co. Gdrn 7! r'L / 1c•F. Coo. Address io s 4)1W . 2-Z S 7/`
Qualifier GQANAt-2L SS# - - Phone '= 7/
State # Municipal # Competency #/42571r7 Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): it BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 2 Si4// N &23 ' vti ✓ I CjiajLf b44.1c42.- tCAL 42..,1 K, p,
co, °
of owner and /or Condo President
*
* *
RADON C.C.P.
Fire
Buildin
Mechanical Plumbing
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
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
autk• ze the above -named contractor to do the work stated.
* * * * * * * **
to
mmissio
r or Owner- Builder
es :COMMISSION NO. COMBOS
TAX COMMISSION,EXP. APR 30,1959
NOTARY TOTAL DUE j
Other
Electrical
Engineering
Zone cubage required_ _. _ ___ . _
Disapproved _
( Signed) C ,:
Cour.:A Approved
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Applicat on is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing o, other stru ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Villag -, F orida, and all provisions of the Laws of the State of Florida, all ord'nances of Miami Shores Village and 11 rules and
regulations of the Building Division of Miam Shores Village sh 11 be con plied with whether her in specified cr not. A cop of approv d
plans and specifications must be kept at building during progress of the work.
New Building _ ___ ___ _ _ Remodeling . __ Addition
D a t e- - - - - - - ®
Owner s Name and Address __ O "hi s rer Ai & rc
Registered Architect and /or Engineer _
- - -- yam - ` — W - - - - -- -- -- a - �-- -
Name and address of licensed contractor � _ E_ WAM/ �� "��� � d °
Location ^nd legal description of lot to be built o
Lot_ _ _ ___ Block __ / •._ BB __ __ . Subdivision _ _ �
— c o f ' C .
Street and Number where work is to be done_ d L/3 __ =_ _ _
--- --
State work to be done and pyrpose of building (by floors) :7.-4/ �� A S70 _ 3 C s
_. No._ S
Repairs
plan Cubage
Distance to next nearest building_ . _ __ _ __ _ _ _ _ _ _ Size of Building Lot____ _ . .
Maximum live load to be bcme by each f l o o r . _
Notary Public, State of Florida
Building Inspector My Commission Expires _
PLANNING BOARD _.__ ._ ____ _.. _ DATE
Chairman _ . _ Member -_
Member Member
Member - Mer-iber
_ __ _ _ Da.e Disapproved
Street__/VJ
19 7 (
and for no other purpose.
No. of Stories __ ._
To be constructed of _ Kind of fourl lion _ ____ ___ ____ ___ _____ ___ __ ____.___ _..__________ ___ Roof Covering
Estimated Total cost of improvements $ _. __ ___ _Amount of Permit $
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 ntractors .x_sub- contractors employed by him
in the work to be performed u , der this permit; and will post or cause to be .• lion o f the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such sub ors on war to be performed under this
permit, as are licensed by Miai_ '. Sho Village.
Remarks_ - -- - - — (Si
•
STATE OF FLORIDA,
COUNTY OF DADE. j
Before me, the undersigned authority, a notary public, duly ruthorized 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.
Perr it No. ___ / _ - / . __ __ Date_ -_C _T / 7 _ Read, Sworn to and Subscribed before me.
_ _ 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 -in_ ec:t o_i fec of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
MODERN EWTLINV
2150 Wet Thht Avenue —
HIA1FAH, FLOC DA 3bn
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
�j q/ /1--L%-y.
Date < " 5 95 Job Address //( 5 Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant f 4 ` ! c, (7L Master Permit #
Owners Address / { � r/ w� ;‘---
A(5 ? r 3 V Phone 7 5 7 3e-,e1;24
Square Ft. q � : / 24 �c r 41---
Contracting Co. 1.//yl. /14z e. ��4 —4- `63 Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company
Mortgagor Address
Address
Permit Type (circle one): BUILDING / ELECTRICAL / PLUMBING MECHANICAL 5 . ' � ROOFING PAV�IG(FENCE SIGN
WORK DESCRIP'T'ION
4?/ '�' 4) ‘Ark y � / '
Estimated Cost (value) ms
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 wi be done in compliance with all applicable
laws regulating constructi and zoning. Furthermore, I authorize the above -named co , • ctor to do e
r / C
Signature of owner and/or Condo President Date Signa
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT °'f C/ RADON
work stated.
'ontractor or Owner- Builder Date
Notary as to Contractor or Owner - Builder Date
My Commission Expires:
C.C.F.
1 tz - 6
NOTAR TOTAL DUE 1- 7- -
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering
•
N
N
N
it/E
17. 00 "
SCALE: 1
• , ,a7, C`i 1! � i h
_ _ t X 10 i
OtJ d/'G foy!::. 1 \;ed. /"a y
N
0
Ili 18.7o'
o•
0 z54
Res. A ///S
0
75- o
9. 7o
20 t Po✓
s/c 6
/8.0
s tn 9.90'
5 T
Po'4
9.7'
ti
R
h nspection Number: INSP -19649
Inspection Date: 06/12/2006
Inspector: Grande, Claudio
Owner: DENIS, ALEX
Job Address: 1115 97 Street NE
Project: <NONE>
Contractor:
Friday, June 9, 2006
Miami Shores Village, FL 33138-
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
JUN i z ENro C�
Block:
Permit Number: BP2005 -1577
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Wire Fence
Phone Number
Parcel Number 1132050170060
Lot:
Page 1 of 2
Passed
/
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
h nspection Number: INSP -19649
Inspection Date: 06/12/2006
Inspector: Grande, Claudio
Owner: DENIS, ALEX
Job Address: 1115 97 Street NE
Project: <NONE>
Contractor:
Friday, June 9, 2006
Miami Shores Village, FL 33138-
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
JUN i z ENro C�
Block:
Permit Number: BP2005 -1577
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Wire Fence
Phone Number
Parcel Number 1132050170060
Lot:
Page 1 of 2