445 NE 96 St (7);+
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL ID Date! 7 1 411 19 l"'/
PLUMBING ❑ PERMIT N? 8792 Contractor's J
ROOFING ❑ License No.
( tt t.tr°'...7 S ID
Work to be performed under this Permit
Owner of
Building I}Y -
Architect
Contractor
or Builder r
Legal Lox
Description 11 B1
Address of
Building t"
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 ab a assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans r drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or'e}►ployees.
Signed:
t� 1
a . > 1�i`t'^�rL
•• CONTRACTOR or BUILDER
r
t'-
Subdi-
vision
Sq Ft.
Value of
Project
BY
t �t E 1 4 / rA .;
vs
Amount of
Permit $
OR) BY
In consideration of the issuance to me of this permit I agre o perfor the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, atements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work dph .y either, myself, my agent, servant or employee.
AUTHORITY
Owner's Name and Address._ .14 _ /! k W
Reg1 tered Architect and /or Engineer..
Disapproved
( Signed
Chai'nnan
Member
Member ..
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.
Name and address of licensed contractor.. ? 0 -
Location and legal description of lot to be built on:
Lot__ . Block Subdivision
Street and Number where work is to be done
Date
Building Inspector
PL ING BOARD
Date _ - 7fl ` V!, l G r �� /, g / ..� ,19�' 7
No °i-e r... -.. Street!C ! -.S? 4/
ti
State work to be done and purpose of building (by floors) _ ___._li p_�C N. � e t
z c ,,�
and for no other purpose.
New Building Remodeling Addition Repairs fir- No. of Stories
To be constructed of Kind off n dation Roof Covering
Estimated Total cost of improvements $ 3 - 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 fot said building. All notices with reference to the building and its construction may
be sent to.....
The undersigned applicant for this building permit doe. 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, Pennanent 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. j 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 stated are true.
Permit No11 2 / 1 — Date — Read, Sworn to and Subscribed before me.
Council Approved _Date Disapproved
to me well known,
Notary Public, State of Florida
My Commission Expires_ - ._.
DATE
Member
Member
Member
•
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.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date - 7( - 7/9 - 1 Job Address 4'I f /U. • 9 ` . Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant - ,4 T2,R4 Master Permit #
Phone
Arlon, Inc. Address 8723 Sw 129th Terr.
Owner's Address
Contracting Co.
Qualifier
Square Ft.
y�t ^ . 4 G
Richard R. Wynne SS# Phone 251 -1279
State # Municipal # 000013371 Competency # Ins. Co. K o l i s c h Ins .
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION l 1 / /O' ' v GAL,--2-)6 4 c- �m
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 o
7/ 7
and/or Condo President Date
as to Owner . • • Condo Preside " Date
My Commission Exp
FEES: PERMIT (O RADON
//O / �✓C,v ..� r Estimated Cost (value) 8t 3 ' "
NOT ;us :. -STATE OF FLORIDA
JENNIFER NAFTAL -PEREZ
COMMISSION # CC588092
EXPIRES 10.11.2000
BONDED TIRO ASA 1 -1038-NOTARY-1
o Contract
My Co ssion Exp
C.C.F. a NOTARY
APPROVED:
Zoning Building
Mechanical Plumbing
4 41 6 /
Signature of Contr- for or Owner uilder Date
Electrical
LQ
er- Builder
NOTARY PUBLIC- '7S7 OF FLORIDA
JENNIFER NAFTAL -PEREZ
COMMISSION # CC588E&12
EXPIRES 10.11.2000
BONDEDTHRU ASA 1.888- NOTARY -1
Date
BOND '7
TOTAL DUE
Engineering