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1200 NE 97 St (6)PERMIT •APPI CATION FOR HUNICIPAI.1TIMB OF DAUB COUNTY (OWNER TO RETAIN COPY) 1 M1AMc,'( Goo IN 7 = CITY HMI. OF MIlANII- ISH�RE� :S . Date 11.02.92 Job Address 1200 N.E.97ST. FLA. 33138 Tax Polio // 32�S -0( 0& 1z'0 Legal Description 1 4, 1 ��o��© c� dell c ����,' craifid Square Ft. 280:50 ✓� — � � gig ,r Notary as to Owner and /or Condo President MY C,STTL;thnSIN E- , Qu:- IISSml Ekv J4L7 27,K95 Zn9 � F ati GENERAL INS. WM. PEES: PERMIT RADON C.C.P. Owner / Lessee / Tenant J A - 7 Permit 41,1 #( 1200 N.E. 97 STREET, MIAMI SHORES, FLORIDA 33138 Owners Address Phone SECURITY WINDOWS /SEYMOUR GOTHELF -CBC 9454 - QUALIFIER- 5100 N.W.72 AVE.MIAMI,FLA 3316( Contracting Co. Address Qualifier SEYMOUR GOTHELF SS4fr 263 - 46 - 3980 Phone ' 91 -R99f State i CBC9454 Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGs WORK DESCRIPTION REPLACING 20 ATW WITH 20 ATW IN EXISTING OPENINGS. NO STRUCTURAL CHANGES. Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUI NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, an on the attached addendum (if applicable). I certify that all work will be performed to meet th standards of all laws regulating construction in this jurisdiction. I understand that separat. permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S 'FIDAVIT: I certify that all the foregoing information is accurate and that all work wil be done n compliance with all applicable laws regulating construction and zoning. Furthermore, autho °'ze above -nnm d- c�actor t do the work state DL # G- 341 - 780 -32 -281 Si of owner 'and /or Condo President Date: Tt/C✓� /Jo ** * * * * * * * * * * * * * * * ** NO UARY TOTAL DUR APPROVED: Fire Other Zoning Building i )) 6 )i leotrical Mechanical Plumbing Engineering Notary as to Contract'r or Owner-Builder My Commission ExpireAi:i:`.0 LCiMF. U CDo 3 � o- OU GOTHELF. ature o n reactor or Date: ning annum 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 the NOTICE OF COMMENCEMENT. 1200 N.E. 97 STREET. MIAMI SHORES, FLORIDA. D e►aipion of property ..._._.._.__ _... ._...___..— ...._._....__.....__ ....._... — _..._... Permit Number REPLACING 20 ATW WITH 20 ATW IN EXISTING OPENINGS NO STRUCTURAL CHANGES. This document was prepared by, x Rmmx...CONTRACTOR...- .S.ECUR•ITY WI.NDOVS /SEYIn4OUR GOTHELF—CBC 9454 — QUALIFIER Addr•ss 5100 N.W. 72 AVE. MIAMI, FLORIDA 33166 Owners inter..► in sire of the impovemSd fee Simple Tole holder (if other then owner) Name Address Leh' (if any) Addr.0 Nam. Addr.0 EUGENE TUERO. 5100 N.W. 72 AVE. ' MIAMI, FLORIDA 33166 SECURITY ALUMINUM WINDOWS 5100 N.W. 72nd AVENUE • MIAMI, FLORIDA 33166 N otire of Qtomunrnrrmaent Expiration Date: Artless _....._ _.._.........._......_..... . ,ACL nil (f Contr.dor ----- ' -- 5.}OO- N.W.- ' 72nd'AVENUE MIAMI, FLORIDA 33166 ..r •■■■.. •• 0111M4.s■ .. _ _._._.... Folio No. 11- 3205- 009 -0620 Name of person within 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. SECURITY ALUMINUM WINDOWS 5100 N.W. 72nd AVENUE -- AMI FLORIDA.331.66 In addition to himself, Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Nwm SECURITY ALUMINUM WINDO'eS S OTNIY 725fAVENUE - - -_ _..�....__.._.__._.__.. Addy... MIAMI, .MAMA . 331 66 ........... ....._._................_.... -- CJTATE CC GSOFZIP -' COUNTY Or [JADE 4 1 4ERED' CiRT9FV @ wt olio to n Q Pto vu o original 4iled pia office an- A.O. G , c' j WiTNEES my hEnd and Official 5331. _L_= 8 Car circuit csurt p G —Amount of bond f 92R426365 1992 NOV 10 12 =37 Nawat CONTRACTOR. GOTHELF— CBC9454 QUALIFIER .W. 72 AVE.MIAMI FLA. 33166 etriraib.d before the this NOTARY PUBLIC STATE OF FLORIDA MY COMMISSION EXP JULY 21.1995 :UC . :"• 11, C": TUG BONDED THRU GENERAL INS. WOO Nokey Public 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 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. Owner's Name and Address 6‘1 1.. ; 2 _ G oti S• i1e ',_f, -;4 �-t16 _ -. ffi -::cf ,LS- e. Noe' le' r R Street-5/7 : r- :- ' :.. Registered Architect and /or Engineer I �� (?=----' -° _ I @ ° : ..........:... ......•... : :•„ .� -. Name and address of licensed contractor e- 7 _ . -. li '161 v yd`?(1cQx� C'.e, Location and legal description of lot be.4 ilt on: Lot U'� � Il los k , G 2-,.:;, e " C?` ,'` 5 61 -6�E'; u devisi Street and Number where work is to be done d°I-e- CY e•_ d `Z State work toe done , and // purpose of building (by floors) ;< c_ti..�4 :15.. is 2 ,'o', 5 f sda4i r � 4c c- . CJ t C < _ "ti e;, r s - - w .r.__ �`���. G '`-��� t d and for no rather purpose. New Building Remodeling Addition '' Repairs No. of Stories / _ To be constructed of �• da ` Kind of foundation ce'a'- t- - .1'6 <<,, c' Roof Covering Estimated Total cost of improvements $ c 3 �' �� Amount of Permit $ 3 s >� 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 :ray be sent to.. The undersigned applicant for this building perinit does hereby certify that he understands and accepts his obligations as an employer of labur 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 under this permit, as are licensed by Miami Shores Village. ) Remarks (Signed) �41� 'da. — 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 Date. 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 di facts therein by him stated are true. Permit No ____ _ .� Date > F G Read, Sworn to and Subscribed before me. Disapproved (Signed) // Notary Public, State of Florida to me well known, Building Inspecto My Commission Expires PINNING 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 nfter apprnval ltes been obtained from the Planning Board. A re fee of 51.00 will be charged when such re- inspection is made necessary by Improper notice for inspeetima or faulty materials and /or workmanship.