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395 NE 97 St (4)STATE OF FLORIDA, COUNTY OF DADE. ss. peared 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. Estimated Total cost of improvements $ t y 67 0 Amount of Permit � C _._._... �..._... ... Owner's Name and Address .4 ,�"'i..,..#44 _ .. No 3.. 'Y. -. Street i�..e ._;, ,7 , .. Registered Architect and /or Engineer _,... .•,•• .......... ..... .,...•.,...,,, -.. ... Name and address of licensed contr actor. /.c .G A' .�•.�. •�•� Location and legal description of lot to be built on: Lot Block / � Subdivsion Street and Number where work is to be done r�yC. .. & 9 i ..E 7 State work to be done and purpose of building (by floors) JJJ C � ..- _- .– .. - - -_— C.. - ... ' 1 i r �, c ' c S ._ � ?�; 5 4-- l 6.- _...._72_c7:. , C .and for no other purpose, New Building Remodeling l< Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering c spe 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 theFlorida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sip clement, 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 sucl .. rs, on work to be perfo d under this permit, as are licensed by Miami Shores Village. v Remarks (Signed)... � �"3.a'• Before me, the undersigned authority, a notary public, duly authorized, to administer oaths and take a ckrowledgments, personally ap- 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 BOAR) DATE Chairman Member Mcrrber 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 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. / c t Pei/111(5-4 (0 c fr74 AJTED t _K k s 3 7 n c )14 IAN 3.44wil 1211: 1 e' Let' er„ L rQW c. s5 /t),E 5r PM( Sig" 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. Owner's Name and Addres. i.t._ ...V,\\*1 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) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering J-4-- v c% Estimated Total cost of improvements $ Amount of Permit $ ... 1 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 subc tr ctors, on wgrk to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed). 'C5 STATE OF FLORIDA, COUNTY OF DADE. ss MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT No. Date 1 C T Street- 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 sta ate ton.e - Permit No f Date Read, Sworn to and Subscribed before me. Disapproved Date. 7� ✓ %� Notary Public, State of Florida (Signed) =(¢- ,' - - - -- Building Inspector . rte My Commission Expires PL NING 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. 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. n Dat (/ . _ Y / �� , 19 ' Owner's Name and Address _..._ /( !J ._ S , -S CJ .P. I No Street:3 S • IV L:_ -_`/ . Y Registered Architect and /or Engineer Name and address of licensed contractor 84., i / Z 1 L• t) /1; <'. t � S _.... S a ,_u i 'i 11 vc Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 3 /r✓ L' C1 % j_:1' State work to be done and purpose of building (by floors) ___ re t) (lfi t _._.l._E' 2. ".• � �_j__;� i t: t‘ p �� y fr-1 ✓ r- S STATE OF FLORIDA, i COUNTY OF DADE. I Ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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 $ L' / (-"', Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor r 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 s9contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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) ..... _ Notary Public, State of Florida uild 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ❑ MIAMI SHORES VILLAGE FLORIDA ? / �, r PLUMBING DATE 19 ELECTRICAL ❑ PERMIT ,. _ Contractor's 4 License No. f ; ROOFING ❑ a Owner of ( t Building t { Architect Contractor or Builder Legal Lot Description Address of Building 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 statementspr specifications and that he assumes respon- sibility for work done by his agents, servants or employees. 1 f CONTRACTOR OR BUILDER B1 Signed. Work to be performed under this Permit 1,. f INSPECTOR - r + BY AUTHORITY Subdi- vision Value of 11 Amount of 4 _. Project $ Permit $ BY: In consideration of the issuance to me of this permit I agree to perform the work covered under in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, state t yr specifications sub tted to the proper authorities of Miami Shores Village. In ac• cepting this permit I assume responsibility for all work done by either, e f,. my agent, sery or employee. ABBOT PRINT BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA 0 o PERMIT N? 479 Contractor's License No. 11 Work to be performed under this Permit BI DATE 19 Subdi- vision Value of ! ! Amount of , Project $ 11 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 C t 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 ac- cepting permit I assume responsib ity for all work done by either, myself, my ag / 4t,, servant or employee. CONTRACTOR OR BOLDER kole i BY AUTHORITY •SIOT PAINT Architect Ccntractor M or Budder \ v . r. .040 'srw•w, .,: '.3r .. y� Legal Lot BL Description Building 1 ( i i i e g - Address of CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE / .% $ ."' 195 ❑ PERMIT N? 15671 Contractor's License No Work to be performed under this Permit • Subdi- vision Value of Project $ 4 4460‘,...e' . .,r, 0 Amt. of Permit a 1h This permit is ggr�aa ted to the =tractor or budder named above to construct the building or to install the equipment or device described in the application r ` erefor in strict a splita with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, dial, its or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any tast 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 {'anted L the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations rag to the work covered hereby whether shown on the plans or drawings or in le statements or specifications and that he assumes responsibility for work *donby his agents, servants or employees. rte,, 1 f, Signed: t ° I1 ... _iit, , c +`..— BY 4 i , 'Y-- ' ' :e; L tion of the issuance to me of this permit I agree perf the work covered hereunder in compliance with all ordinances and regulations t�and in strict conformity with the plans, drawings, is or specifications submitted to the proper authorities of Miami Shores Village. this permit I assume responsibility for all work done by er, myself, my ageilt, serve n or employee. BY AUTHORITY PERMIT APPLICATION FOR MIAMI SHORES VILLAGE D a t e - Job Address 3 7 .N1 �= • I 7 5'!t t Tax Folio I/ - "?)006/43'_' VO'`/ Legal Description cl 4 Y t 4 7/ 6 'T /t/ Owner / Lessee / Tenant />'1ej Owner's Address 3's Ai„."- 9 • — 3'- Phone .? L)C/ 41n° / 4-ec/i.•- a:f/Z /3t 4 'j /.: Contracting Co. c'ce�-y►+ J9/ e S, /ST - ft 75,, .4:qc` • Address '," ,- ;:_ J1i4,' / -3�J. 0 3 - ? Qualifier A l L ; k : , A'2 #L4 , - - - SS# Phone .a," ` j.- 34' S-- 'r)✓►4' / •vt c /+5 1../.,i I State # L4C-OS / ?, Muni cipal # Competency # Ins.Co. - :'.-'1/44nn:1 r�•v . Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL) ROOFING PAVING PENCE SIGN WORK DESCRIPTION = ',/+7‘;t,),.- /4.4fle / c-v , � i�i <� et, � ' Square Ft. Estimated Cost(value) 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. f / Signatuof owner and /or ndo President Signature of Conaptor,.or 1 er- Builder Date ) )4 j / / Date: / / Notary as to Owner and /or 'ondo President Notary as to Contractor or My Commission Expi My Commission Expires: /j NOW HACHENBURG State of Florida Com B O N D E D Exp. 5/22/93 ** * * * * * * * * * APPROVED: Zoning Master Permit # e 1 L. L. °- /= OHEui Icier of Florida m. Exp. 5/22/93 DED * * * * * * ** FEES: PERMIT ) 7 / RADON C.C.F. /� © � NOTARY TOTAL DUE 3 r Fire Other Building Electrical Mechanical W1 Y/ ,,/ 1 � / Plumbing Engineering_