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37 NE 97 St (10)Date 1Z- Le al Description le f tr °i- 1 C, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE t' Job Address 37 PV c i ' � Tax Folio essee / Tenant 5l L. 6�� l G�` � � Master Permit # Owner's Address 3 N € � )( Phone - 2s - e7 " (4-4 7 Contracting Co. D En.J G�--- Address Qualifier SS1 - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN s WORK DESCRIPTION ,7 /I /LI f EYir / of t fa -r(,( M Square Ft. Estimated Cost(value) 5 1 " (l 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 the work stated. Signature of owner Date: / •, , ` ' (. / /) R P OFFICIAL. $BAL Notary 4 sp' Owfggr s app Qonda President My Comm : f• x 3i1Qj�K18810N NUMBER - :ai % Q CC401261 11> '' 4, MY COMMISSION EXP. `s OF FO AUG . ** * yt --=- - - I , FEES: PERMIT _ • a RADON APPROVED: or Condo President Signature of Contractor or Owner- Builder Date: Zoning Mechanical * * C.C.F. Fire Buildin Plumbing Notary as to Contractor or Owner- Builder My Commission Expires: * * * * ** TOTAL DUE 1-- Other i t Electrical Engineering I - olo� - ,lame: polo "amber: ,CixTe for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein b , tN.. is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the S r Y t lo},c ' .., . Jdinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether ..!:tin specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date r / C , 19 " 0 S AM ato -or-tr- t7 f7 26 97P Owner's Name and Address No. Street Registered Architect and/or Engineer Name and address of licensed contractor 'Q - 1 Location and legal legal description of lot to be built on: x / Lot /5 ^ 1' �� Block 7 Subdivision 1 j� / /. /�i "1 // IA / aft so 7 Street and Number where work is to be done State work to be done and purpose of building (by floors), state exterior colors (submit samples) 1L ` t �' 0 PA--f N.rr I n'LLC \2ocyr a bo o4 a .s= ib (3E M,e r r cz is G N New Building Remodeling To be constructed of Kind of foundation Roof Covering Estimated 'Ibtal cost of improvements $ � ` Amount of Permit $ `-37 S9 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 o 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 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 /c/91) Read, Sworn to and Subscribed before me. Permit No. Disapproved (Signed) Building Inspector Council Approved MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 27 N 9 - �;$ -, Date and for no other purpose. Addition Repairs No. of Stories Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member ate 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 and /or workmanship. PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNT (OWNER TO RETAIN COPY) Date Y J 722 I -/ 4' Tax Folio // /3,9g, 7 Legal 7 24,/,944p p owner ) era ( PR- (T'H- . Master Permit 11:��O,Y —Owner �� Phone Contr Address Qualifier �W NK/" SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE � SIGt £iORK DESCRIPTION CN (t (Ib SOD SjU; t yP i ° N1 a C kNER --oF- 14-o .s T PCoPt1a s( utJE PA - ter EX7 6 C. Square Ft. Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUF NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, any on the attached addendum (if applicable). I certify that all work will be performed to meet th. standards of all laws regulating construction in this jurisdiction. I understand that separatr 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 wil' be done in compliance with all applicable laws regulating construction and zoning. Furthermore, authorize the above -named contractor to do the work stated. Signature pi o D • rfAX 4 1 77)1 , 24 -4 and /or Condo President Signature of Contractor or Owner- Builder rSa. Notary as to Owner and /or Condo President Notary as to Contractor or Owner- Builder My Commission Expires: I"e,eo, /. 60i My Commission Expires: NOTARY PUBLIC STATE CF FLORIDA MY COMMISSION EXPIRES 5/09/94 ** * * * ionded thrt*Stembler-Adams & Sweet * * * * * * * * ** FEES: PERMIT 1, RADON C.C.F. APPROVED: Zo Mechanical Plumbing_ Date: NOTARY Fire � Other t / Building �, ,/, Electrical S ©p TOTAL DUE 7 l ' Engineering j . tjoie t• E-rTE.ND 6.Y. I S thJai • .ELEc AS IJEte.S.57x Fog_ boe Aut 0-ecep• . o E r)--(?•mil c t It . _LEGEND . . cooc Lociz. =al W.00 5TvbS illEREE4 a)f,i STING' 1 1 ONTP.Ac .ALL,TPK E 1 . PLL CoNt t • J - ; • • • • • 5.710c .$ iCt Rg. cr/.113....S _ . to _ t? 1•;.‘ sys: pi JCE L b (v. C I R x f-tiCt4- PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY 2, * �y (OWNER TO REETAIN COPY) , �f Date ' Address / 79 v 97 u7 Tax Folio // c g,M1 . / 9 9 7/ Legal Description sari 40 ( t7 p S1-tiNg-S,Azi/ A : 1 Z Permit # Owner / Lessee / Tenant $ (\\ C� �(t'Lr, �-1 L. Owner's Address 3"7 04 5 977 i Phone Contracting Co. C1.t1,0 N r1X-r Address i l 1 . y ,,, e, �,`'� iv- tip )- Qualifier I„4„ C a-6 p - A/14- l vl ft v Other that all work ion pd zoning. * Engineering