Loading...
1170 NE 97 St (9)MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 8/2/67 g( 3 F &9 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 , 19 Owner's Name and Address 'Ne il No Street 1260 N.E. 97th Street Registered Architect and /or Engineer Name and address of licensed contractor . ___4 . __ _,— }eta], -a ,ions-- _29_a }___N. W_i 151St St. Location and legal description of lot to be built on: ,9 3 0_57 Lot_ Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors)__ Install one 3/4 H.P. Air Conditioner - - -.n - Wall - - -2 a 00 - - 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 _________flan Cubage Distance to next nearest building __________.Size of Building Lot Maximum live load to be borne by each floor II 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed gnder this permit, as are licensed by Miami Shores Village. (Signed) ACEATialt �o e 29011 n1,-?o evnEv dad ° © � � 0 Before me, the undersigned authority, a notary public, duly authorized to administer a ° � acknowledgments, personally ap- peared — - Remarks____________ STATE OF FLORIDA, D COUNTY OF DADS ss • - - - - - -- 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. 9O 5____9 Date P 7-‘ 7 Read, Sworn to and Subscribed before me. Disapproved Date (Signed) / / Notary Public, State of Florida W �� Buil Inspector 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 improl .r i. ;Lice for inspection or faulty materials and /or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 0 / fi Legal Description 21 744 / 3 ( 21) if Master Permit # 11® 7 Owner / Lessee / Tenant / Owner's Address 1 7 9 7 r Et Phone 7 i ')9 Contractin Co. J /'�' 4/4X Gid l Address 7Yy4%&vV 1 A. A Qualifier gE,5n if ` lid rJ ss# r.(' 6 -/7 - 52ir Phone VP J ,- ' e 2 State # a97.) Municipal # ,7W Competency # Ins.Co. (/! 7/ Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one ' BUILDING ELECTRICAL PLUMBING iECHANIC. WORK DESCRIPTION p i: CE / / /2 Vidi E Square Ft. Estimated Cost(value) Notary as to Owner and /or Condo President My Commission Expires: -, # (mac- )gc_/7 -3 °' ' * Tax Folio ROOFING PAVING FENCE SIGN 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 • owner and /or Condo President Signature of Cont cto or Owner- Builder Date: r Date- Notary as to ontractor or Owner- Builder My Commission Expires.' ** * * * * * * * * PEES: PERMIT 3 '' RADON C.C.P. ' NOTARY TOTAL DUE 71 ' APPROVED: Fire . Other Zonin_ Building Electrical MechanicalIi% � Plumbing_ Engineering Date' Job Address A 4J 97 5 Tax Folio Legal Description J �/ Owner / Lessee / Tenant .�r/� (� j Master Permit # 2 G� Owner's Address 70 7 3� �� <C�efr Phone 7SY— �17S Contracting Co. . iJ/ , AV 5/L Address A97S10 liked „4,1 5. t' ' Qualifier AI II I _Qi-M 2,W L ss# / - z/ - 2-e1 Phone 97. C /7J State #01- Cp /nnMunicipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING CHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION I ti 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 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 an rthermore, I authorize the C Signature o Date: APPROVED: Notary as to My Commission Ex I' s: Zonin PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Mechanical e -named ontractor to do the work stated. d /or Condo President OFFICIAL, Ste, • • ANDREW J, SCNARNAGL t M: COMMISSION SWIRLS } /or dithitieePusmitent /Yid. Signature of ntractor of Owner- Builder Date.: Notar � / 03V DOJ.LOM ` ;., o • , a14'rs E'Sr- Builder My Co, Expicomerm1998 10,0 ,, 0 BONDED THRU TROY FAIN INSURANCE, INC. ** * * * * * * * * * * * * * * * ** FEES: PERMIT 3 r' RADON C.C.F. 1. NOTARY TOTAL DUE ' Fire Other Building Electrical Plumbing Engineering Owner's Name and Address .', Registered Architect and /or Engineer Name and address of licensed contractor./" Y Location and legal description of lot to be built on: geared Chairman Member Member - -• - - -- Council Approved Date MIAMI SHORES VILLAGE Building Inspect 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 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. s 67/1 Date...—...- � ` ?�: ....... ig2 L. � — No..J1�..� /�.... Street.1✓ _2.. l ; Lot Block Subdivision Street and Number where work is to be done..,..›.i.a.L State work to be done and purpose of building (by floors) in the work to be performed under this permit; and will post or cause to be poste or notices as arc required by the Act. The undersigned agrees to employ only s pennit, as are licensed by Miami Shores Village. Remarks (Signe = ) LI._. f•y••!•! } T•••!T1••••ST! C!T!'l ... and fo3 no other purpose. PLANNING BOARD .DATE Repairs No. of Stories New Building Remodeling Addition To be constructed of Kind of foundation..,, Roof.Covering p , G 'G 0 C f= ' Amount of Permit $.. �'� . h::i Estimated Total cost of improvements $. Zone cubage required ...- __._...____...Plan Cubage Distance to next nearest building. .._ � '� Z.' GYG Size of Building Lot 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 r inspection on the site of the work such public notice schwa , ork to be performed ruder this _ 41 „ ;41 . p . Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires 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 r the foregoing application, and that he did sign the same, and that all facts therein by him s 6 true. 'r' 1 ate' Permit No Disapproved (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 - Member Member Member - - -_- Disapprcv Date NOTE: A charge of $1.00 will be made for making carrections 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 ro- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.