1225 NE 96 St (3)Date 7--/-9g
Legal Description
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address /c S /1e4 =, 9 S✓ Tax Folio // c/ .?a' /` 3 g "6
L7 // £'S / /2 8 93 OS 3
AEieE/5/ Se /,o r 2 C E' Master Permit # 3C
/ Owner / Lessee / Tenant
Owner's Address / A2 � 2 !, /V E-, 96 TK Si/'F'27'
Contracting Co.
ef<ZMTAT Condo President
/ '"` g
Dat
Nota
My
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APPROVED:
Zoning
/4t /L(,
Mechanical
0 re-c- Ste. th, Address /O 7S0 Axgj, (, TN , Cor viz r
Qualifier/ li VO2Fte/ CF, Sc,srrtp,i/it6 c SS# / Phone 7 S/- /0:3
CA- cc; /892 3
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION le&�'La C 67 /!2 / 't!C,- &'L)17 Gr0/Tk
, e'ty /
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 co tractor to do the work stated.
P si
RADON' C.C.F. 11
Phone
My Commissiontxpires:
NOTARY TOTAL DUE 7240
Fire Other
Building Electrical
Plumbing Engineering
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 pt gress of the work.
Date JUNE 22 .72
Owner's Name and Address MR......nARRaIJi._ �_._....... _ _. No. _ �� ._.._... Street 96th ..
Registered Architect and /or Engineer ,, ,,,, _ .............»._..._
Name and address of licensed contractor RICH AIR C,QNDITIONING 11001 11TE 6th AVE,
Location and legal description of lot to be built on:
Lot Block Subdivision EXISTING
S and Number where work is to be done _- 1225 DT,a„- 46th 5.'',2 -- __..
State work to be done and purpose of building (by floors).... - t E asc-L4.Tt N.fr_ _ ..Z.. - C-ON - -•_ 16—
.and for no other purpose.
New Building Remodeling Addition Repairs X No. of Stories...... ..... .
To be constructed of Kind of foundation . Roof Covering
Estimated Total cost of improvements $ 1 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 Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractor sub-contract • loyed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection • site o the .rk su public notice
or notices as are required by the Act. The undersigned agrees to employ only such subco actors,wor o . - perf. ed under this
permit, as are licensed by Miami Shores Village.
Remarks._ (Signed) . ~ ► >� w �i �: �i,
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
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 '
therein by him stated are true. /
Permit No _ _ Date i O... // . _._.�__` Read, Sworn to and Subscribed before me.
Disapproved Date._L
L
(Signed) .
Building Inspector
Notary Public, State of Florida
My Commission Expires
to me well known,
PLA NING 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE. FLORIDA
BUILDING ❑
ELECTRICAL ❑ DATE r.
PLUMBING ❑ PERMIT N? 8936 Contractor s
License No.
ROOFING ❑
❑ Work to be performed under this Permit `-
Owner of
Building f t
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILDER
Bl.
Subdi-
vision
Sq. Ft
Value of
Project $ 1
BY
r
7
AUTHORITY
Amt. of
Permit $ I4.
1951
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 application
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 sjfecificatio; and that he assumes responsibility for work
done by his agents, servants or employees. 3
Signed • • 4.•+t' i ` -.. BY
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 accepting this permit I assume responsibility for all wprk done by either, myself, my agent, servant or employee.
17
BUILDING ❑
%.. ELECTRICAL 0 DATE 1 i t
PLUMBING ❑ PERMIT N? 9542 Contractor's
License No j 1_
ROOFING ❑
11 , ,❑ Work to be performed under this Permit — Cr r
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Lot
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
Bl.
Subdi-
vision
•
Sq. Ft
Value of
Project $
Amt. of -^
Permit $ G -
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 application
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 responsibility 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, se vafit or employee.
BY AUTHORITY
17