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1209 NE 96 St (4)MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statument or me plans and specifications herewith submitted for the build . ins 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 pproved plans and specifications must be kept at building during progress of the work. Owner's Name and Address (01Z-Al 6 1-1— • Registered Architect and/or Engineer Name and address of licensed contractor t • 1/4 Location and legal description of lot to be built on: Lot Block Subdivision I2I' ME 96s7 Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. ss * Disapproved Date. (Signed) Building Inspector /212.0 Date..—...-... . ' siZtli/64 7195 5, 44 State work to be done and purpose of building (by floors) 4, M 4 T PRI vE S.I.bg w4.4e and for no other purpose. Ncw Building Remodding Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 3 9t 0 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 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 %Vorkmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, anti has complied N% ith the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed tinder this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such s bcontractors, on wor to be performed under this pcnnit, 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, and that all facts therein by him stated are true. Permit No. Ve-\-13C Date. Ibigiqers Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE cBG /6 0 tr ...... to me well known, 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 fee of 31.00 will be charged when such re-inspection is made necessary by Improper notice for inspection oe faulty materials and/or workmanship. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 fear w Registered Architect and/or Engineer Name and address of licensed contractor Location and leis) description of lot to be built on: MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 6101;C741 Pee Lot /S7 k j f‘ Block (3 Subdivision 9 le/ 1) Jczal p /41 Street and Number where work is to be done z��v� f�.�j -. �� /109 // /� — ✓State work to be done and purpose of building (by floors), state exterior colors ubmit samples) v and for no other purpose. New Building Remodeling To be constructed of Kind of foundation Roof Covering ''1 CJ A, Amount of Permit S V a O Chilimated Total cost of improvements 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 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 accept Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Supplement, a compliance from all contractors or sub - contractors employed by him in the work to be performed u on the site of the work such public notice or notices as are required by the Act. The undersigned a under this permit. as are licensed by Miami Shores Village. *a/-- Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. }SS. Before me. the undersigned authority. a notary public, duly authorized to administer oath Date / a i 19 No %CV1 StreeiZ /a pc/ Addition Repairs No. of Stories s obligatons as an employer of Labor under the Florida Workmen's as complied with the provisions thereof. and will require similar this permit; and will post or cause to be posted for inspection s to employ only such subcontractors. on work to be performed and take acknowledgments. personally appeared 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. Disapproved (Signed) Building Inspector Read. Sworn to and Subscribed before me. Notary Public. State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 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 S25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. .;.; • • ,k ".° • • • . ft • f )).;) ••• • 1.' ""1 1 ) . )`' t • •••••• ) • .",:.)! t • • . „ • . „ • ; • "4 • V.; c NI; C;Alloisito.' pot 'AVIA PSW- I;N Z ii •4 17A r. -•.. e.eznioNsit ;A ei.1{3 twirl Irma APS al ,/ "r •;106101frtt WM: J41'. • 3•01fir slivroR;eor151 p sokt: Iva 7,140011 most t.4 Old . • tatite' "•!1 leg; 1 .-; INA ; frito tkr,laraito WO' trU: ; • •V.Arw) • 1 4 ‘ • •7. • • r 17 1. • rAt- tt t4; dtir. i .110 • O h* S:4 • : • 7.i... ; • • • I : 6 ' 4 / PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date S /PI �S Job Address a0' A/6 9 577e fl Tax Folio Legal Description ar /E 6 Q/2 F3 Historically Designated: Yes No Owner/Lessee / Tenant 7,* 27/ /i wL J '/ /19rt Master Permit # Owner's Address /gee?. ! S7reeP T ,1 4' i. S4OMe f° Phone egg- ‘06.5 ei Ll C7-3a 3y Contracting Co. f9a /z°K Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): I. UILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION s •iiad "2///b veck .q�oUw� 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 and zoning. Furthermore, I authorize the above -named contrat�i to do the work stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT lit 5 4/7 RADON 4hanical Plumbing Si atur�� or Own C.C.F. 3 9 '0 NOTARY APPROVED: Zoning Building i /r' t Electrical - • .. Iunl NOTARY SEAL `:NDRA M MONTIEL * COMMISSION NUMBER CC401261 MY COMMISSION •EXP. OF f\ AUG. 17,1998 y w.qr v/ Date Date TOTAL DUE 4 Engineering 0 t tt (6 ‹. rfi ?.42. s , 0 - -v F yip iri-( ( ( -1 00- - - -� 4 1 v 15•Coe l : t t L bT 1 E /a 'VD i ►� g3 Nt 1 k wt 1 ' c(10 K -Es rp 1 3 1 0 ' .G. 3'3 (Pool Equ Ctv1 2 -#3 CONT. PING _E LATER LI MIN VERTICAL -3' SHALLOV END ' -0' DEEP END PPROVED FINISH 4' CONC DECK V/ SLIP Awn') 11) t"1 RESISTANT TOPPING (V /6 X 6– V1.4 X V1.4 VVF) - 1 ON COMPACTED FILL VITH ALL ORGANIC MATERIALS REMOVED ( SEE GENERAL NOTES) SLOPE sEET 3 8•X8' CONC. FT – V/ I t$5 CONT. 2' COVER (CENTER) lc' TOP 6 6' BOTTOM — V/ $t3 AT 10 D.C. EACH VAY. STEEL TEX FORM, KRAFTBOARD OR EOUIV. a3 A Ip O.C. f v Rnt t (:FNr`Rrn Date • Job Address /7094/0 rlp '7ree /Tax Folio / 7 / o/C Legal Description /0 //5, / ? 07 NO c" 3 Historically Designated: Yes No / Tenant ` " C0 / 5 d'1: Ye/4 /--", Master Permit # Owner's Address /,70 /!/ q s / Contracting Co. 4i -( ( (C Address qz /4/(%' 5oU�lri s(g/ -al ✓e # /D? Qualifier � a v/ 6 r cJ SS# - Phone Municipal # _et Competency # / 9 Ins. Co. State # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION cow VLF / - 7 //7 �� /I ✓e° kt/eT Y - L// /i //f tycv L /„l 4V-e // CJP Sl ��Gt O /'S� CrB>P , fdcl ra�i�iru, 4/ 1J.�Sr�e Square Ft Ulf Estimated Cost (value) X 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 laws regula PERMIT APPLICATION FOR MIAMI SHORES VILLAGE AVIT: I certify that all foregoing information is accurate and that all work will be done in compliance with all applicable nstruction an oiling. `/ ermore, I a�}thorize the above -named contractor to do the work stated. Address Address Address Not as to er an Condo ent YJate My Commis ion Expires: SEGO P(/ DAMARIS NEG ON • CC6340U al /ws .#(0. COMMISSION • 27' 2 O 1 lit, rut EXPIRES THROUCN FEES: plalic bO N aI NG CO,. INC. I�T+A p L�-Q ' WRADON C.C.F. /, O o NOTARY APPROVED: Zoning Building Mechanical Plumbing Phone 77 ' Not = as to C ntractor or 0 My Commission Expires: cvSr P(pAMARIS NEGRIN / B G COMMISSION II CC63 o I v a n EXPIRES MAR ES AR 27, 2001 m THROUGH �/,�` ATLANTIC BO DING CO INC. � �Fw� BOND ?7 TOTAL DU !d" Electrical Engineering • . Ao ekt \ , ■sl!' / - 1. 1 .67 / 5750 I 5 ' ( - V) LP 4577/767/i Gc _ . 0 v ‘)‘ • / 6, o , er/ Z;<"? ¢o - c't) t)„ /G '4 N G • N \ t\ i