55 NE 97 St (10)BUILDING
ELECTRICAL
PLUMBING
ROOFIN e -
MIAMI SHORES VILLAGE, FLORIDA
Owner of
Building
Architect
Contractor -
or Builder
Legal Lot
Description — � Bl
Address of
Building - r
CONTRACTOR OR BUILDER
PERMIT N° 7298
Work to be performed under this Permit
G'
// ,
Subdi-
vision
Value of
Project $
DATE
Contractor's
License No. r- °
195
Amount of
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 application
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 it the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further coidition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge bf the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he- assumes responsibility for work
done by his agents, servants or employees.
�
Signed.
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 a netcgulations
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 this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
e
15 - ) _ 7060
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
^^ ( 1 OWNER TO RETAIN COPY)
Date ° Job Address Nr� �1 � � � 'T Tax Folio ll ./Q206 M e° ',67
Legal Description ! w ii e bib 1 � .„Sr Master Permi # 3'ff 7
21
Lessee / Tenant -- a0Cg4512L
Owner's Address 1-,r Q 7 d71-
Contracting Co. A MA J Qs 6 1C. TNIC.. Address 12% o S \1! 1 ;2. ® Jc
Qualifier kCYNp BIND 1 1.5 - Phone �
State # abCO. 1
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION /AJ 7 -'LL,, 7o/J 0: / .3,1]- g4ami _,v67e7g 4/6 JC.TI,VV / ` 6
Square Ft. Estimated Cost 'LIDO —
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.
Furthsrmore, I authorize the above -named contractor to do the work stated.
j4
Notary as to Owner a % orri& T O p ORIDA
My Commission Expires:
my cusp ssrort exN..{e�,4p 75,194
* * * N ONOECOeuau GEMF
�uo�
Fire
PERMIT FEE: APPROVED:
Zoning
Mechanical
/or Condo President
Building
Phone r -j
Competency# Ins. Co.
Signatu
c2
of Contractor or Owner - Builder
Date:
0n i s v
Notary as to Contract ; - 4 ?v RNWf - E ldet
My Commission Expires �o nr�rssroq , F 10kr
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2"S {GF.. Si, UfIO,
Other
Electrical
J 1 7) ' t) Plumbing Engineering
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Block
STATE OF FLORIDA,
COUNTY OF DADE. Ss.
`f>vPli 0 °. `(>u O SHORES
BUILDING INSPECTION D
0
0
Subdivision__ ...
- O
Disapproved I ___ ' Date
( Signed)
Building Inspector
4 4
QPPLOCATO N F GQ 8 MOLDo OKIC PERM OT
Application is hereby made for the approyal 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.
Date. _ e.:,- :
Own a Name and Address. _. /r�..._O ___ /_O %3 �' 19
- - - - - � /- `� No.-- - �.� - -- - -- Street - -- -- -
RegfL eyed Architect and /or Engineer.. _ �—
Name and address of licensed contractor_ .C7 _._ .__._ f9 /��P/_�� .. C'
Location and legal description of lot to be built on:
Lot.
Street and Number where work is to be done
State work to be done and purpose of building (bbyrs )
and for no other purpose.
New Building_.__ ___ Remodeling._ ___.. __Q� ._. Addition _ __ Repairs.. _...._ _...__.__. _ No. of Stories ...
To be constructed of Kind of foundation__. Roof Covering._.
my ,
Estimated Total cost of improvements $eat -�
t� 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 foi said building. All notices with reference to the building and its construction may
be sent to.. _
The undersigned applicant for this building permit dot 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 -con .:: ors employed by him
in the work to be performed under this permit; and will post or cause to be posted for 'nspectioi the site o ork such public notice
or notices as are required by the Act. The undersigned agrees to employ only sue . u ors, on wor, ;.er me_ under
permit, as are licensed by Miami Shores Village.
- - -- -- - - - - --- - - (Signed) __ - . fi s /�=
Remarks
PLAN)HNG BOARD_ __ . DATE
Chatrnan __ Member
Member _____ _ Member
Member Member
Council Approved . ------ . _ __ ----- _ _Date Disapproved
r 4. A fc =,
RSEAS HEAT PUMP
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission E x p i r e s
157 Harbor Drivo
dm undersigned authority, a notary 1 < ev Biscayne , knowle Fla. 3 14
Before me,
g y, y public, duly authorized to administer oa s an tae acdgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that be 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 e.
Permit No /3 Date.
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.