12 NE 96 St (2)BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE, FLORIDA
° PERMIT N9 5914
Owner of
Building
Architect
Contractor
or Builder
Legal Lot 11
Description Bl
CONTRACTOR OR BUILDER
Work to be performed under this Permi
Address of Value of 1 Amount of r
Building Project $ 1 Permit $
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 ordinances 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 all work done by either, myself, my agent, servant or employee.
DATE ' 19
Contractor's
License No.
Subdi-
vision
BY AUTHORITY ABBOT
Date f' A-C /9 Job Address /P-- 1 - 46 1
Legal Description
Owner / e -ant inOrfrv4t 4,0
/a /0e) 76,
Owner's Address
Contracting C .
Qualifier
State # e - C 1 2 Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BU ILDING ELECTRICAL PLUMBING MECHANICAL
WORK DESCRIPTION i4 4 / r U
Signature of
Date:
Notary D
My Co
APPROVED:
FEES: PERMIT 60.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
nd /or
€o Atia
V z EXr.t4ES MA' 1
OF PS ATLANTIC o.JP DI
** * * *
Condo President
o a ts IKSnmae�, TiIRN3
99 63158
II . 1999
44c ' C
0
*
., INC.
RADON
Tax Folio
Master Permit # 2 4r7 85
Phone
Address
ss# Phone fa - D 3 :
ROOFING )PAVING FENCE SIGN
rn
Estimated Cost(value) te)"0.
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 comp ce with all applicable laws regulating construction and zoning. Furthermore, I
authorize the ve-named contractor to do the work stated.
-- ,17,dapi ai,)
and /or Conldo President Signature of Contractor or Owner- Builder
Date:
Notary . Contractor or Owner- Builder
M y C. a.mjglve .......
p
CO SURNB
MMISSI
EXPIAEs
� ;p p CC 46 •56
OF �, , F �. Y 1 1999
BONM
* * * AWLANTI A 0 (�
N tvu 4 t"..
CO., INC. "ES
C.C.F. ' 6 e NOTARY TOTAL DUE
* **
Fire
Buildin
Mechanical Plumbing Engineering
Zoning
Other
Electrical
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby Ulndc for the approval of the detailed statcu,eni ur use plans and specifications herewith submitted for the build
ins or o :her structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami
Shores Village. I lnrid.i. and all provisions of the Laws of the State of Flurida, all ordinances of Miami Shores Village and all rules and
regulations of the i.litiWiitg Division of Miami Shores Village shall bc complied with, whether herein specified or not. A copy of approved
plans and specifications must bc kept at building during progress of the work.
,SrEVea CC /FD,e Date... .._ November
.t ETTZ r * �
Ounce's Name and Address •.... r 1 122-:: �.!�._.._.. Str
Registered Architect and /or Engineer
Name and address of licensed contractor ./�mea S /°D •• 3SSS /OA.) 7c
Location and legal description of lot to be built o QQ (!
Block Subdivislor .. gi Ze9Ap 1/ JOY/ _../✓ ∎ 41. ®
Street and Number where work is to be done
State work to be done and purpose of building (by floors)...__
Re 3 1/2 s i1s 30#. ,...271.5# s.p.ha1t....and....g.r.ay.e.l
__..._ and for no other purpose.
New Building
To be constructed of
pealed
Remodeling Addition Repairs No. of Stories
Kind of foundation Roof Covering Re
Estimates Total cost of improvements S 1 3 25.0 0 Amount of Permit 5.....__ 0., 0 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 building and
be sent to..
The undersiene•d applicant for this building permit does hereby certify that he understands and accepts hi: oblig,5ti•ns as an employ'
of i under the Florida Workmen's Compcnsatiun Act, being Section 5e96G, Compiled General Laws of Florida /Perm.ine nt Sult il. uient,
and has complied with the provisions thereof, and will require similar compliance (roe all contractors or sub - contractors employed by him
in the work to bc performed under this permit; and will post or cause to be pos + or in ection on th of s1'ie yyccww��'... such ublic notice
or notices as arc required by the Act. The undersigned agrees to employ only such su• tractors, td berfo under tbti
pcnnit, as are licensed by Miami Shores Village. �� / �
Remarks C'/ Signed +
STATE OF FLORIDA, ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
T o m E. Palmer, P 41.m a x.' - ..Ri.t.e....C.n..••,.....I.n Inc._
'3555 N. W. 74th Street, Miami Florida 33147
and who, bcing by me first duly sworn, upon oath deposes and says that he is the..P.r.e.S..i.d.e.n
of the above described construction, that he has carefully read the foregoing application, and that he did sign
therein by him stated are true..
true. .
Permit No.._ - 1
Date l 1$
Disapproved .... _ (I •• -•• Date ..____. -
(Signed)
Building Inspector
Tom E. Palmer
Subscribed Je me.
1
its construction, may
to me well known,
the same, and that all facts
Notary Public, Sta of Florida
NOTARY PUBLIC, STATE OF FLORIDA.
My Commission Ex pires..MY COMMISSIO pIR S—W.6Y —R4 —}990.
UCNtS TrrYHRU NOTARY PUBLIC UNDERWRITERS.
PLANNING BOARD ...DATE
Chairman Member
Mcrr,ber Mcmbcr
Member .. .. _.._._....._..._._...._....._ Member
Council Approved Date Disapproved Date
NOTE: A clt.irge of $1.00 will be made for making corrections or changes to this application after approval has been obtained 1min
the l'l.Innir.g Board.
A re ution fee of SI.00 will be charged when such re Inspection is made necessary by Improper notice for inspection or faulty
materials anu /or workmanship.