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131 NE 96 St (2)Date 1/ Job Address 13/ wv Xr S Legal Description t3'7' /9 /9 6 4t-e1, Owner / Lessee / Tenant RRL C44=0 se/�G ®Cpi=r4D Master Permit # Owner's Address / ,i / /vi ?6' Contracting Co. Qualifier g7gv.24 -5 SS4t �?€ - Phone e.5.2O - 5 State # Municipal it Lf 2 o U Competency # Ins.Co. 2 7S ode f/LN Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION A2 PL.iQce ®474 - Vir/ (.t Square Ft. 2 2 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). Appiication 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 a'.ve -nam d contr =, or to do the work stated. 0 d Signature of owner Date: 3 //v PP/ Notary as to Owner My Commission Expir ** * APPROVED: * * FEES: PERMIT PERMIT APPLICATION FOR MIAMI SHORES VILLAGE cdev ®.. or Condo resident crtri ,« 20 k'1 S!..Ik L 0� r 0 9Gb� W VAVIS r ..: ;R j? C ;, CO{L MISSION NUMI ER `1 � , ‹k' CC: ^55237 - W 9 MY C01 !XP. .S Tax Folio RADON C.C.F. 1 , 0 NOTARY Fire Zoning Buildi Mechanical Plumbing, Phone 15 pi 3 c Address 5"®o 3 ye/ Estimated Cost(value) qt5 � S c ' Notary as to My Commissio c-Pe I ,20( 2;1 TOTAL DUE Si -ture of Contractor or Owner- Builder 4 r a - SCOTT h� DA� 9° COMMISSION NUMIizia • CC:755237 C) .... - -- Other Electrical Engineering s 15 7.16 4 IC, t'o' I v I i3 �. 1, .. 1.t.: =• 'f:".!1 s,Ir,.� 7' 5:1:4; HI ) 25• 21 I. 12 40' 5 " F;0 3 CaAI L. and C.Qeo !J. �.002�.te.2d. JO= N e. 06- 20 -90 -3 • S Miam.i. Shoe: Tid 33138. DATE F. BOOK 2 -90 -35 P ROP. ADO 131 N.C. 96.th ; 2i, .. oza, 6 -20 -90 SURVEY OF Lot 19 and #h SECTION NO. 1, Page 70 o the w AI. F . A( E . TYPE OF SURVEY: Bow-Ida/ay ABSTRACT NOT REVIEWED east ! o/ Lot 20 n Block 19 o/ AN AMENDED PLAT OF Pi{41'lI SHORES acco'zcLL .g to the plat the/Leo/ ae /seconded .in. Plat Book 10 at Pattie Recoade o/ Dade County, Tio v da. l 4 5p' V • 12 1. l0 It 8 So' IS' 4LL%'-/ F1 A ILO , 1) I" i5211:2� ?;CE" RATE MA:' DATED ( I _ $ (> I ' ''4'[1) Tiles • -`; ..,, )tJ' -!,:'i r .'JD .1 . DEVELOP- 1 ■.'•I-i:_. ;LIH F LSCRiBED LAND U 1 dl_ b I l)r.l �U tdi f I Ili: LUPIL.k I � � N / T T ` c. 9 N S7 . /1 m CORP FREEDOM OF LAND SURVEYING SERVICES P.O.BOX 65 Miami, Florida 33265 Telephone : (305) 266 4451 No valid unless im 6=, 2 3 Caal L. and Cleo U. Schoo.2,'_.e.ed ; SURVEY CERTIFY TO: NCNB National dank of T �o�uda, -its Zuccee.5o�r s and/oz ass.ignrs Richand 0. feanandez, Eq. ; A.t.toaney' . Title Inzu/sance Fund, Inc. LOCATION SKETCH SCALE: I "= /00' CP,ient NOTES: The survey of the property shown hereon Is In accordance with the description furnished by Subject tO all reservations, easements and Right —of —Way of Record., No search of the Public Records has been made by this office for occuracy or omissions. THEREBY CERTIFY: That the attached SKETCH OF SURVEY of the above described property is true and correct t0 the best of my knowledge and belief as recently surveyed and platted under my direction; also that there are not above ground encroachments other than those shown. This survey meets or exceeds the minimum Technical Standards set forth by the Fla. Board of Land Surveyors , pursuant to Section 472. 027 Fla. Statutes.. and Chapter 21 HH 6 of FAG a•..;n r Rot-A&Ic o o er l z REG. LAND_ SURVEYOR 43/0 STATE OF FLORIDA . '1(001 w . f LFZ ST Mt iet 1 �L . 3314 ranted with arl emhossed seal MIAM SHORES VILLAGE, FLA. N9 7047 REMARKS : ADDRESS /1.3/ INSPECTION TIME READY 4/e f INSPECTOR ADDRESS PAID BY LEGAL ELD D CARMAITIE TAX YEAR ANNUAL TAX 'ERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER BUILDING ELECTRICAL PERMIT N? 12065 PLUMBING ROOFING Owner of Building CONTRACTOR OR BUILDER Work to be performed under this Pe /1 Architect /_.E5 J contractor z r ,g• or Builder � rLs„ '+.r Legal Lot / BL Description / 7 ( �•• Address of Building MIAMI SHORES VILLAGE, FLORIDA , '7 DATE 15/ L(9`,/ BY Contractor's License No AUTHORITY This permit is granted to the corrfractor or builder na ed above to construct the building or to install the equipment or device described in the apply herefor in strict compliance with all ordinances pertaining thereto and with the under •'s • 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 p per 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 with ut authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the ,responsir icy for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawittgror. io. the sta. • p ent •fications and that he assumes responsibility for work done by his agents, servants or employeTes. ' , a ii , Signed • C . f .."" I INSPE .w° w• In consideration of the issuance to me of this it I agree to Perform the work covered hereunder in Lan p ce with all o dinances and regulations pertaining thereto and in strict conformity with the plans, ements or specifications submitted to the proper authorities f Miami Shores Village. In accepting th}s permit I assume responsibility ftkpll work dither, myself, my agent, servant or employee. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect r Contractor or Builder Legal Lot /4 , Bl. Description MIAMI SHORES VILLAGE, FLORIDA PERMIT IN? 12064 p Ai6 r Subdi- vision Value of Project $ DATF. Contractor's License No 195 Work to be performed under this Permit i ( /Obi /1;-, 4i_ - Building Address of ss of /' Permit $ r I� This permit is granted to the contractor or builder named above to construct the building or in the equipment or device described in the applt''on herefor in strict compliance with all ordinances pertaining thereto and with the understanding that 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 • 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 work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY LDING PERMIT NO ZONE JCB LOCATION (ST. OR AVE.) GENERAL CONTRACTOR 2C REQUIREMENTS DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: NEW CONSTRUCTION REPAI RS ADDITION OWNER'S NAME PRESENT ADDRESS ALTERATION SUE'V1TTED TO PLANNING BOARD RE.SURMITTED TO PLANNING BOARD S‘JF3MITTED TO VILLAGE COUNCIL DATE CU. FT. LOT • . c. t.V ADDRESS PERMIT FEE S BLOCK 15 ,�ii �. UFlls PLAN CUBE TYPE STORIES ROOF CONSTRUCTION DESCRIPTION CU. FT. REMARKS CERTIFICATE OF OCCUPANCY NO. ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE LICENSE NO. SUBDIVISION ._ PHONE NO. 1 BUILDER'S BOND o yr o-'•' � r NO. DATE EST. COST S P r or+ro INTERIOR CONSTRUCTION PHONE NO. LICENSE NO. DATE Alb !iv :. t. '.NOd. L° 41 .. �: = J IJ Vd DESCR 1 7rirkr' TQac`° Ci7.e 7 !ly T+ • - _ _ C:,, �fC$ �..111:`?.�. S.C'..',.� -.� ^' (?`;.'��`J. 'CO `v �._Z`%'Q�'_',`. 371 .••• APPROVED REJECTED REFERRED TO COUNCIL R �p INSPECTIONS\ " DATE PERMIT NO. I DATE '• BY RE- INSPECT BY RE- INSPECT BY FOUNDATION FEE TEMPORARY SERVICE w $ SEPTIC TANK BEAMS & LINTELS /4 °„ � . � r/ / < -' $ SOLAR HEATER FRAMING $ GAS $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FINAL N 4 �-?'" 0 V GAS CLEAN -UP It. , SEWER H. W. HEATER CONN. CONTRACTOR PHONE PERMIT NO. I DATE '• FEE $ NEW BLDG. I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK $ �. SEWER $ SOLAR HEATER $ GAS $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING 06- )( -,( �^��\ •' GAS ROUGHING • SEWER H. W. HEATER CONN. SEPTIC TANK / P,' 1 ., SOLAR HEATER � FIXTURES i l � 6 -5 gg9 /'� I � FIXTURES & FINAL - CONTRACTOR - ' PHONE PERMIT NO. ! << 'r- /, / I DATE `I FEE $ NEW BLDG. ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY'SERVICE $ II. N. HEATFR CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING • H. W. HEATER CONN. RANGE CONN. FIXTURES & FINAL - BUILD INSPECTIONS 7 "J PLUMBING PERMI1S & INSPECTIONS ELECTRICAL PERP TS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE EsY a- MIAMI SHORES VILLAGE • APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted fox'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. Dater- 7 , 19 Owner's Name and Address " " r / `� No Street Registered Architect and /or Engineer L e Yar-` State work to be done and purpose of building (by floors) BUILDING INSPECTION DEPARTMENT Name and address of licensed contractor ri- Location and r egal description of lot to be built on: /� Street �nd N u /��__ __ 7.0 Block 17 l�! Subdivision___ Q L �' �e mbe where work is to be done /3 S / # y _L -- /— and for no other purpose. New Building !/' Remodeling Addition Repairs No. of �Stoories / To be constructed of c 6 Kind of foundation 6-7-, l r C ,Roof Covering le c Estimated Total cost of improvements $ __.____ _____ _____— ______Amount of Permit $ , Zone cubage required _Plan Cubage „ Distance to next nearest building Size of Building Lot 7,5 X 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 tt/— .4 . rif-e_h -Ace 3 / G S C a rf /17 t a 1....' i P-15, 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, 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 th(work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subc• tractors, on work to Jpe performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) / ■ `' STATE OF FLORIDA, COUNTY OF DADE. } ss. take ac 111110111,1;11 cn 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and tak g ents, personally ap- peared ,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 Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.