349 NE 96 St (10)d P , tRMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY) 9-' / v
Job Address ._� 9 / 9�o ST c "T Tax Folio //
ante te /
Legal Description frd 1 43 5ile,//7 / � star Permit #
Owner / Lessee / Tenant
Owner's Address 3 5 A-4/ 9 S i/E phone
Contracting Co. "/4 �o �4? AF - 0.
Qualifier G' / Gi`�L� �c SS # - fJ Zg2 phone 6660633
State # /2c UUc/66 C/2.
Architect /Engineer
Bonding Company
Mortgagor
Address
Address
Address
Permit Type yp (circle one): 'BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION ��2t>Gf' �_'- �j.%r GG� SioLy« �r� �vc� -� /�r ✓7 ;- —
O /���9" Gr�Gr � Gds
Estimated Cost /c(
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).
Square Ft.
Application is hereby made to obtain a permit to do work and installation as indicated. 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 the work stated.
X.
Signature of Owner arW or Condo President
Date:
N as to Owner and /o 1: �DPtdRigICPPIrgidgtigDA.
y Commission Expires: 4Y CO1flISSION EXP. DEC.17,1991
* * * BONDED*NRU GENERA *INS. UND. *
PERMIT FEE: APPROVED:
Zoning
Mechanical
c-C
Address
Competency# DO,/z4 r2_ Ins. Co.
Signature of Contractor or Owner - Builder
Date:
No ary as to ontractor or Owner - Builder
My Commission Expires: / /
* * * * _ *
Fire Other
Building lectrical
Plumbing
Engineering
v
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
❑ DATE. 19_—
o PERMIT N° 3827 Contractors
License No.
0
❑ Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot
Description
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Bl
Subdi-
vision
Address of Value of l i Amount of
Building Project $ - ---' II Permit $
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 applica-
tion 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 respon-
sibility 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 ac•
ceptincc this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
ABBOT PRINT
= RMIT #
..ate of Florida
runty of Dade
STATE OF FLORIDA
COUNTY OF DADE
I HEREDY CERTIFY that this is a
on i I filed in thin afice on
C it J Ca n ��., , A.
WITNESS my hand and Official Sae
Tax Folio No. &f ,eA /i /5 .5'te J
NOTICE OF COMMENCEMENT, 0y. �' ,
;E UNDERSIGNED hereby gives notice that improvement will be made to certain real
- operty, and in accordance with Chapter 713, Florida Statutes, the following:;+
iformation is provided in this Notice of Commencement. rst
Description of property: (legal description of the property, and street address if
avai lable) c%/? 1‘9
�9 9 2e' O a
General description of improvement:
/I /i % ;Ze
. Owner information:
Name and. Address: //.453
/ 3 5'9 //
b. Interest in property:
c. Name and address of fee simple titleholder(if other than owner):
. Contractor: (name and address)
. Surety:
a. Name and Address
b. Amount of bond$
. Lender: (name and address)
Persons with the State of Florida designated by Owner upon whom notices or
other documents may be served as provided by Section 713.13(1)(a)7., Florida
Statutes: (name and address)
In addition to himself, Owner designates of
. to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b).
Florida Statutes.
Expiration date of notice of commencement (the expiration date is 1
the date of recording unless a different date is sper4 s1
PaV
BODED jHlo4 Fv
KP —
worn to and subscribed
bofore
me
t hi s
b0,a a 3 )x &_2) 4th
.
Al. /•9-Lrn eTo/ s c✓ 8/ r a.-
/„ day of
Comml'S
Signatu
�7I�►�sv ,d4 ,
y e=_
THE H. C. NUTTING CO.
Yr. C. Simmons
Building Inspector
City Hall
Mami Shores, Florida
Li DTABLIOHtZD 1920
ENGINEERS AND CHEMISTS
1010 N. W. 20TH STREET
MIAMI. FLORIDA
December 4, 1939
CERTIFICATION OF CONCRETE ROOFING TILE
CC: Diiami Concrete Products Company,
Florida
CONTRACTOR: Miami Concrete Products Company, J:iiami, Fly. o
LOCATION: 3 (Y9 Tie E. 96th Street, L' ismi Shores, Florida
(Job) Lots 19 -20, Block X43
TYPE: Interlocking Shingle Type Tile.
IrSPECTIO] : P'ovember 1, 1939
APPROVAL: The Ho C. Nutting Company, tiami, Florida
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is iiereby 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.
I
ti Date / , 19`i ,
Owner's Name and Address e No ✓ Street
Regis:_ered Architect and /or Engineer
Name and address of licensed contractor ,, Y % __ :__ • ._ ,
Location and legal descr_'ption 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)
1l and for no other purpose.
New Building __ Remodeling Addition Repairs i f No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ _Amount of Permit $__ <"i
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.
Remarks__ _ (Signed)
STATE OF FLORIDA,
COUNTY OF DADE.
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
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
NCTE: 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.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMOT
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 a•. building during progress of the work.
Date , 19
Owner's Name and Address _ No Street
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)
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.
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 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 foregoing application, and that he did sign the same, and that all facts
therein by him state ^ - •^
Permit No
Disapproved
(Signe(' )
to me well known,
Date... — I -65 1 Read, Sworn to and Subscribed before me.
Dat
Notary Public, State of Florida
Bui ding Inspector \_ My Commission Expires
and for no other purpos
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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.