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1260 NE 97 St (10)Date Legal Job A WORK DESCRIPTION FEES: PERMIT ( RADON APPROVED: Mechanical Plumbing PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 126D Alf. •7 Tax Folio ) 1 « O OCY9 0-C V Historically Designated: Yes No Wr' / a 4 w • 61404 it gn fir n �� � .. � / A ►. • r / Tenant Master Permit # � Owner's Address / 69 /v ) P 3/ -��. 97 ST MON� e �mi'5 / 54< - ° �(D Contracting Co. e *444 _ ,Addres Qualifier SS# State # Municipal # Competency # Ins. Co. Address C.C.F. s 6 Architect/Engineer Bonding Company Mortgagor Address Address Permit Type (circle one): UILDINGI LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN 006. , / Phone Square Ft. E?; timated Cost (value) 4 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO 1)0 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 pennits 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. L OC/ D Signature of owner and/or Condo President Date of Contractor or Own • - : uilder D 3s- i$0 - 9 - 39s -0 9 ` 30 /ODate Notary as to Owner and/or Condo President Date ► .. as o Con My Commission Expires: My Commission PUeCi ANGELA M r SEAL 6 BECKER 2 lam` f 0 �COMMS$ON WUMSE9 It • vir-s i Q , CC786697 - re. 4: E3Y COMMISSION EXPIRES OF %.O NOV. 15,2002 ... --- .. . _.,—: NOTARY 5 Q 1) BOND TOTAL DUE 65. L n Zoning Building Electrical Structural Engineer • samples. MIAMI SHORES VILLAGE Paint Color Approval and Agreement 'DATE: y k (J o ) OWNER' NAME: `J' ONE3OS— 7 Sy -C3'b \ADDRESS:1 ;60 ,F,. ri Q . ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: 1 (4 1', ql CONTRACTOR & LICENSE (if applicable) tJ/ COMPANY NAME: • PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls \) Wit Fascia \19 Drip Cap/Drip Edge Soffit w te— Roof J Flower Bins / Shutters � I Awnings l Chimney Doors and door jams _ Garage Doors Railings ,� q Fences Decorative Metal All brick (simulated or regular) \,,) Stucco Banding Any other stucco features Accessory Buildings Other 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. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached S. 4/5° of. Signature of Owner ' Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, 4%i Building Official Date 4/23/01 w► -ow w; I) re N?? bk CALL FOR FINAL INSPECTION 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 Name and address of licensed contractor Location and legal descriptiop oficit to be built on: Lat�� /1 CO BlLkk Street and Number where work is to be done New Building. Remodeling MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 97,,g Registered Architect and /or Engineer �j ,// P /49D`_ Subdivision State work to be done and purpose of building (by floo sl, state exterior colors Is bmit samples) and for no other purpose. Addition To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements S 4114 ®® Amount of Permit S 76V 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 34/i<WS - 70 ,/ ec-/ 1r 5 ?" Af91b'1 f , 33lsV The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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 under this permit, as are licensed by Miami Shores Village. Remarks (Signed( /7r79Z/ STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths 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. (72 9 Disapproved Date (Signed) Building Inspector 7e iv / 5 57 Repairs Date 2 - � t 19 S1 No. /2 6C Street N' 7 4 v� t t 5//a/ ec..S D c9 f �,5 �D e Date A/14 Read, Sworn to and Subscribed before me. No. of Stories 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 $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials andlor workmanship. sr MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. 'rms 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. 0/9 19 ( PC P Owner's Name and Address /gam /a , e /e / .v.0 id No Aa Street 4t 97 *.Q. Registered Architect and /or Engineer // / T_ L/ 9'' ^// Q_ " /� Name and address of licensed contractor t/A;(A.I S • v. 4 #€ .3'96 y 44' /7/ t /Y *'&4 e4 /it. 03/be, Location and legal descr'pt o l °i' built on: ) ( � Lot .S ] 4 Block Subdivision 4Z // ✓' ' 9 . 0 ` / 40' Date Street and Number where work is to be done ! dose State work to be done and purpose of building (by floors), state exterior colors (submit samples) /� /ti7� /.r/� D e 2cLn . e // and for no other purpose. New Building Remodeling Addition Repairs No of Stories To be constructed of Kind of foundation Roof Covering Estimated Tbtal cost of improvements $ _ /02 OD. Amount of Permit S / r 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 accepts his obligatons 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 agre• to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. / 7 Remarks (Signed) � t.� � exor— he—e.,_ STATE OF FLORIDA COUNTY OF DADE. } ss. Before me. the undersigned authority. a notary public, duly authorized to administer oaths 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 foregoin_ application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. Z74- r Date g/ / / Read, Sworn to and Subscribed before me. Disapproved (J (� 1/ /Date BTt D (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. Notary Public- State of Florida