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Paint.Registered Architect and/or Engineer Owner's Name and Address m C - \ tjJ ' \ Name and address of licensed contractor Location and legal de criiption of lot to be built on: Lot / Y M / g4 .J Block 07 / Street and Number where work is to be done Permit No. Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 'LICATION FOR BUILDING PERMIT al of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein 'nce and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether tans and specifications must be kept at building during progress of the work. C OY y 'ie State work to be done and purpose of building (by floors), state exterior colors (submit samples) Subdivision 2n/8 ' 8.k., I /' MP // 1.204 /.3 3 �f6 2 to 22 ?G`‘ f ct_ ∎ r - \ C ter o Date — t5 19� No. 2 L t Street iv E \- , and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 1.../tstimated Total cost of improvements s 17 0 d D O Amount of Permit S 7, 50 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 ...‘t, . r,. j 1j17 on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only su subcontractors, on to to . performed under this permit. as are licensed by Miami Shores Village. Remarks (Signed 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. Date / / / g /e/K Read, Sworn to and Subscribed before me. Date Notary Public, State of Florida Building Inspector 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Job No. SIBR cS - c c; Property Address: 1 n T in Biock 2� Subdivision .dry /�� .� r L' .dr O r- - -k k? f ..1n c = ECTin-�1 Nr' { According to the Plat thereof recorded in Plat Book ip at Page 70 of the Public Records of Dade County,Fforide Subject to all restrictions. reservations. easements and Right —of —Way Record. Survey of - - - r ' ' - -n- sc.! tr, ,\ 4. 3 r ['J« 77C» S1crc -/ �L3L£ r = 2t:0 -� ' , Q3/ K - N G. • 1 Elevations refer to: 2.9.4 Na o i� • m Flood Zone: Specie' Pupose Sway Mortgage Survey Certified to: y h l GlIOW h e 84.0 IN .eE r. n/o 284 • 1= . g, .. , f . 14,7 I� \ 0 4 3. t , i - � 6. Qv L t'• , ••••-11. W.....0 i C / NOT VALID UNLESS IMPRINTED WITH AN EMBOSSED SEAL r. : - _+N OG ScsC \L'r �r e1 c.OS 1/ • ow'‘ l ,fi floe; For: (l)&T( . ;.,T Date: 1 2— 1'- ac 2-9 / M.v 74 L- c V 129 r� A v — ALE 1 '1 3O i 5 !c 24 e+0 — .r_.._ n A REG. LANt1$URV6YOR.No. 3163 STATE 7.0HIDA n I Ac e. 4 L.Cc'F' !S Note: The survey of the property shown hereon is in accordance with the description furnished d-- 0 . At EC t CA no search of the Public Records has been made by this office for accuracy or omissions. 1 HEREBY CERTIFY: That the attached SKETCH OF SURVEY of the above described property is 'our arid correct to the best of my knowledge and belief as recently surveyed and platted under my direction also that there are not aboveground encroachments other than those shown, and that this survey meets the minimum technical standards set by the FLORIDA BOARD OF LAND SURVEYORS as set forth in Chanter 472.027 (F.S.) and Chapter 21 HH6 of the Florida Administrative Code. LANDMARK SURVEY9NG INC. • ISTmEti KlykRA • =1. v�- Owner's Name and Address MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed statement ut toe 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 progreu of the work. Date...— K-4 V ��r"".. :.._. Streetiu. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) for no other purpose. Ncw Building Remodeling Addition Repairs 1' No. of Stories _ To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit S. .`.. Zone cubage required :sass/ .._.. age Distance .to next nearest buildi g. .. „ 4' _.....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. Permanent Snp clement, and has complied %%ith 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 insp ion on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su. • ct on work to performed under this permit, as are licensed by Miami Shores Village. i / / Remarks (Signed) rn rsr•••rre•ftr n •r nry r ' ff't> z ' STATE OF FLORIDA, COUNTY OF DADE. i ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, 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..--Q-4.. 3....�,.... Date -)7y Read, Sworn to and Subscribed before me. � � � .... . .. a Disapproved 4 (Signed) t Building Inspector ate 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 $1.00 will be made for making corrections or changes to this application after approval has hecn obtained from the I'Lrnnir,.t hoard. A re in \p(ction fce of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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. ` Name and Address RI' X e / (..1) Registered Architect and/or Engineer '.Name and address of licensed contractor Ct r sr. ( Location and legal description of lot to be built on: Lot /04--- Block (7/. Subdivision X Street and Number where work is to be done 21 9 X State work to be done and purpose of building (by floors). state exterior colors (submit samples) v‘ s-A-cA\ fr2 o ' �- .e.∎ 5 New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering X Estimated Total cost of improvements $ 50 % CD O Amount of Permit $ 0 s CO 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 agrees to employ only such subcontractors. on work to be performed under this permit. as are licensed by Miami Shores Village. Remarks (SignedX STATE OF FLORIDA COUNTY OF DADE. ) SS. APPLICATION FOR BUILDING PERMIT 0- S?6 -9 h - "257 - o//9 Date �1 S — 2 1 � No.p26 /(-- `� 1 / Street r-^ /� fr and for no other purpose. 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. O7 7J6 7 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 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Address WORD{ DE$CRIPTIQN �`�7/��i>� ov o ��P n 0 Y\d OV•/ VV Cry( k - I 3q) PERMIT APPLICATI Date 1 1' a 9-9 Job Address)( �� //,c 96' Legal Description Owner/Lessee / Tenant Owner's Address Contracting Co. 6f% ' /4 /)' � Qualifier /p State # Municipal # Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROI Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAI PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINA OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) PE -2 ovse. 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. OWNERS 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 1 r 4, o er NOTARY SEAL GLADYS 1 YI-L R NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC71410 MY COMMISSION EXP. MAR.1 002 3 c)( 5 $ ) D/* / 9 y Notary a. to Owner and/or Condo President Date My Commis APPROVED: Zoning Mechanical // and/oi~Coado President �]�/ 22 '1-0'74/-72Y-0 FEES: PERMIT -) [/ RADON Building ki4 Signa No My Co Sion xP DYS J VILLAR 'iL'1ARY PUBLIC STATE OF'rlA:2IDA 'COMMISSION NO. CC714103 ,4'f oMMLSSION EXP. MAR. 1,2002 C.C.F. l - 80 NOTARY BOND Electrical TOTAL DUE M24-, 97 . 6 zo y .19D170 I a2 y-# Date Plumbing Structural Engineer