30 NE 97 St (10)P.RM,,T APPLICATION FOR MUNICIPALITIE
(OWNER TO RETAIN COPY)
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Date Ia 1 Job Address
Legal ` Description kilErki
Owner / Lessee / Tenant
Owner's Address
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Contracting Co. INt'te(ltC 17 /A VC ` Address
Qualifier 0130- -+tT &, C' SS#
State# ( ( Competency#
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Square Ft.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING CHANICAL PAVING FENCE SIGN
WORK DESCRIPTION rto sr6a n u P/C 4 T o &s UE I�/�-� r (0.-
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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 contractor to do t.- k stated.
Signature of Owner and or Cond
Date:
t Owner and /o C
My r
Commission //� pc�� President
My Commission Expires: /9
* * * * * *
PERMIT FEE: APPROVED:
Zoning
Mechanical Li- Y
Fire
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Plumbing
540
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er
Estimated Cost
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S OF DADE COUNTY
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Signature of Contractor or Owner - Builder.
Date:
N a r to Contractor ntractooF / per- Builder
My Commission Expires:// // ((��
* * * * * * * *
Other
Electrical
Engineering
°JO .
September 5, 1991
To: Miami Shores Building Dept.
Re: Air conditioning compressor installation
at 30 N. E. 97th Street, Miami Shores, FL 33138
Dear Sirs,
Please be advised that I as a tennant of 42 N. E. 97th
Street, Miami Shores, FL have no objections to Mr Steve Singh
of 30 N. E. 97th Street, Miami Shores, FL, installing an air
conditioning compressor on the North East side of his residence.
Thank you.
Tracy T. Whitehead
Tenant Own -r
John H. Gerken
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PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
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(OWNER TO REETAIN COPY) l g
Date Address J G ' ! 7 57. Tax Folio/ ,�QZ / / 5 t 7ft 7
Legal. Description�� "fib / �p S° �/ Master /'',1'laster Permit # 3/
Owner / Lessee / Tenant f04d
Owner's Address , G. 577 5 Phone
Contracting Co. Address ? 2 /O 0 • C/
Qualif ier / /9 G o , f t / 0, 6‹ 3 5 -- ?3 3/
State# �- 07/..)7() l / Competency# e fa-go 7.? LX "Ins . Co . .451W-34.- G __;
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAI PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION / T
Square Ft.
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 COMb4ENCEMENTy.
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, PLUMING, SIGNS, POOLS, ROOFING, and MECHANICAL work.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that ail 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.
e of Property Owner
Signat
Date:
Notary
My Co is* on Ex
5,90
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Condo Pres.
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.. ' clssl .AF;n.ES: AUG. 7. 1993/...... ND[D VIRU NOTAR 'UBLIC UNG*RWRITIEAPJ.
PERMIT FEE: APPROVED:
Zoning
Mechanical Plumbing
Fire
Building
Estimated Cost
ate:
ure of Contractor or Owns - Builder
Notary as to Cont =ctor • ncr -B il.e
M Commission ,
OTARY PUP i `f e, TE OF F LORIDA ,
My omm ssion • re - 'C
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Engineering
Owner's Name and Address____
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 progress of the work.
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)._ _ • -
Date , 19
No. Street
Notary Public, State of Florida
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 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, 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.
r
Remarks--- — ( Signed) — t - �� — — - -- - - - - --
STATE OF FLORIDA,
COUNTY OF DADE. 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 Date Read, Sworn to and Subscribed before me.
•
Disapproved Date
( 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.