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650 NE 97 St (2)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / 01 7 -12 ° Job Address G Co NE 97 ST Tax Folio 11- 3 z o 6- U/ 7- / tO Z-/ j we sr or for y, a,nd 4.190 f Lor.� Legal Description 1310 c /( 100 Mla.. Sb,n re 4 seer/ y, A gistorically Designated: Yes No t ✓ 5 Recorded iii P /o7 R�ootyg pQ q s pmelle 12ec.rds o6 Dade Ces,n7y Owner/Lessee / Tenant X tea, m e 4 WI lief) 4, Or Master Permit # Owner's Address 5 <) Al • E . 9 7 I Z Phone A (> g $ 9 3 - 4 139 Contracting Co. Qualifier ■ec. rye c 5 W / / /ee)6or9 SS# Phone 3 US 793- 99 State # Architect/Engineer Bonding Company Mortgagor N on" c? l•/CJh /e Municipal # Address 5,a Competency # Address Address Address Permit Type (eirele on ELECT > COIL PLUMIN MECHANICAL r: COIFING PAVING ]FENCE SIGN I Z'Wrn fart +� �� r e f G npe,(, r WORK IDESCISIPTICN I l4 T g • >< / 6)(_? V ,may / b a. c K or h OU5 °c— - c4 . t�r'ot�+''T � f r1 /)Orax. 15 , f ram by 5e � /v (10,11 v✓eST side O eZl ) a n 61 rom /Act k;a4,9( // � , rhe. pro/, „ y eioc , Square Ft. 3 X 9 a ' Shed ( q 6, s rP Estimated Cost (value L , ' U 0 WARNING TO OWNS! : YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PI OPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE +SF COIYIIAIIIENCEIVIENT.) 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 and/or Condo President Date Si e of Contractor or Owner - Builder Notary as to Owner and/or Condo President Date Notary as to Contractor or O 'ter- Builder Date My Commission Expires: My Commission E y. i P OFFICIAL NOTARY Sec. L 1P UB S MARGARITA DAONTIEL APPROVED: ), q Zoning Building Electrical Ins. Co. Date d 11 7,2 7 -Oct FEES: PERMIT RADON C.C.F. /' NOTARY cam- BOND TOTAL DUE ,- C 3-c " : " 2 Mechanical Plumbing Structural Engineer 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. Date 0 Owner's Name and Address._.. �r/�� �1. No � Street / 97 9 A Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot ` G ll1Z, de Gf Block J.. Street and Number where work is to be done State work to be done and purpose of building (by JL MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date Chairman Member Member Council Approved Date Subdivision..._._ /4/ - // ` N ' 3 eka 1 a ct e & /A/C, cG e t!' fw Notary Public, State of Florida Building Insp ecto PL' NNING BOARD DATE V , floors) and for no other purpose. New Building Remodeling Addition v Repairs No. of Stories To be constructed of.....? " &- Kind of foundation 0 -e 1ye--...- Roof Covering Estimated Total cost of improvements $ 77a • ° O Amount of Permit $...Z® • , Zone cubage required .Plan Cubage P ✓g 4 is= _ _ / 3 S Distance to next nearest building Size of Building Lot 7 / 0 6 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 _P8 i'e; at ' o ( 8 o• r T ',S '.d"' 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 5968, 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)._ _4%' Ems" ,.. _, e, . a `3a, 6.1 l )4 tt/1 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 to me well known, and who, being by me first duly sworn, upon oath deposes and says hat he is the. of the above described construction, that he has carefully read thejforegoing application, and that he did sign the same, and that all facts therein by him stated are true. ' , Permit No 7..3 ® C Date C// Read, Sworn to and Subscribed before me. Disapproved (Signed) My Commission Expires Member Member Member 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. Ni SHE31 'ES VILLAGE BUILDING INSPECTION DEPARTMENT APPL0CAT0ON FO E_,(U0LDO PE fRRol0T Application is hereby wade i'or 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. STATE OF FLORIDA, COUNTY OF DADE. j ss Disapproved Date. (Signed) Chairman Member Member ...... Date... No 10 Street -71 9 , " Owner s Name and Address Registered Architect and /or Engineer Name and address of licensed contractor. :. Location and lega lcscription of lot to be built on: Lot.. -5 lAt -(-4 ! 1 Block ,/ Subdivision `?lu -rm� .. ... Street and Number where work is to be done low F'• fix' x' A � State work to be done and purpose of building (by floors) „e ) . r /�lC — ' . - / /edV � and for no other purpose. New Building Remodeling Addition ✓ Repairs No. of Stories To be constructed of.. Kind of foundation 6 "--0--e--- 1- - -) Roof Covering.. Estimated Total cost of improvements $ /6 0 ' t9-t'� Amount of Permit $ /��° Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot 7.2 X / 30 Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All / n � oti � ces p with reference to the building and its construction may be sent to.. �i 1LSd 1' / 5/&Z %.6,0-.e& area_ ! — t-ri• `171. /z • The un ersigned applicantfor 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 inspecti•ron the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su rs, -• A or r .. be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signe Before me, the undersigned authority, a notary public, duly authorized to administer oaths and to cknowledgments, 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 No. ( ® c� J Date 1 I � _a Read, Sworn to and Subscribed before me. ___.__ �_ Notary Public, State of Florida Building Inspector/? My Commission Expires PLANING BOARD DATE Member Member Member to me well known. 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 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MO MO S[-°{ORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING i "ERMOT Application is hereby mode for the approval of the detailed statement u, we plans and specifications herewith submitted for the build • inc 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 w not. A copy of approved plans and specifications must bc kept at building during progress of the work. /,� /� Date .:�...�r..d��.� _ _.__.___..._.__.... »... ,19. Owner's Name and Address.. l T 1 :..7 .! ,/ n .��.:.Z .:4,.i.' 22 _ No . lei.. -- Registered Architect and /or Engineer ;0,,.n„«.•. Name and address of licensed contr. actor. l am . . _ . . . f r - ! K t°r r!l _:S .C2.t3.... s�.1i. �i Location and legal description of lot to bc built on: Lot /4 Block I d 0 Subdivision .( ,C1_...,5. r.. i .__ Street and Number where work is to be done. ... i 4� P_ State work to be done and purpose of building (by floors)LJj 4. e-- t, -. . ../ .. ,e./? . _... _ .... _...±.11..... .:�L� . a..D i (.1 .. -c7_ t OA .a.1` i ! I--e._ Building Inspector and for no other purpose. Ncw Building Remodeling Addition i"/ Repairs No. of Stories To be constructed of Kind of foundation Roof C vering Estimated Total cost of improvements $ . ). Amount of Permit $."" t 60 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 Sop e leent, anti has complied %kith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed m 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 ublic notice notices as are required by the The undersigned agrees to employ only such subcontract work L—`/ perfo e• under this p are cnnit, as are licensed by Miami Shores Village. Remarks (Signed "� G j� 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 stated are % e. . Permit No.._. !" c ' . Date... 3 Read, Sworn to and Subscribed before me. Disapproved ..... �tJ - . n •• ate.. (Signed) Notary Public, State of Florida My Commission Expires to me well known, PLANNING BOARD DATE Chairman Member \icrr,ber Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.100 will be made for making corrections or changes to this application after approval has been obtained from the Plannii.g hoard. A re inspection fee of $1.00 will be charged when ouch re- inspection is made necessary by improper notice for inspection or faulty materials and/ or workmanship. MAW SHORES VOLL/' GE APPLOCATOON FOR '=-WOI`!ONG PERMOT Application is hereby made for the approval of the detailed statement or the plans and specifications herewith submitted for the build • ine or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and n11 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 e.L.C....e.... Sr.L Registered Architect and /or Engineer Name and address of licensed contactor Location and legal description of lot to be built on: Lot Block Subdivision Disapproved (Signed) Building Inspector BUILDING INSPECTION DEPARTMENT Date. rata •„ •n,•, art ttvwe.r »t area:. 09/. $o2Z Street and Number where work is to be done O 4 .... /e---• State work to be done and purpose of building (by floors.. 4 peared No... . Street -4L4 = and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Goering Estimated Total cost of improvements $...�Q.O..Q..x..�1 L� Amount of Permit $. 9 /-7 4 / r 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 Libor under the Honda 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 render this permit; and will post or cause to be posted for inspection on the site of•the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only sue s bcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLOI;IDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, 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. q Permit No.__.._._!` ._ ! Y Date 1 o.� . 1 . .1 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Cicair:nan 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 PLtnnir.;; Board. A re- inspection fee of 31.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials and /or workmanship. Applicationn is here lade for the approval of the detailed statement or me 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 budding during progress of the work. owner's Name and Address ......P.ater...Mas.heim -_ — No... 650 E , S t . Registered Architect and /or Engineer 4201..14e.i,Ltgx. ,.,,R , o ,,��,gra ..., Gables Name and address of licensed contractoe N o E 0 166 St. �....N Mq.:.mt;F1. Location and legal description of lot to be built on: Lot 4 Block 1,00 Subdivision ii 4:> ....t5.h52:.e... LI .__ —. Street and Number where work is to be done 650 U 97 St. Miami Shores,F1. State work to be done and purpose of building (by floors) Single Story Addition To existing residence — and for no other purpose. New Building Remodeling X Addition X Repairs No. o Stories. 1 _ To be constructed of CBS Kind of foundation Concrete Roo f vering of T Estimate Total cost of improvements $ 18 Amount of Permit t. I"' Zone cubage required .Plan Cubage ,75 t _C tr X 130 — 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 WOOdw. ar. d ..Bxowar.d,.Ino.. 73... N.0.W.....16.6... St e...N.,Miami The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an el5o of labor under the Florida Workmen's Compensation Act, being Section 59G6, Compiled General Laws of Florida, Permanent Supplement, and has complied w ith 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 su •ntr . et; on work t• be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, t1 a undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ....... (A ) 0 O t1 b 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 e. Perm �► Permit No.._. ... a ' Date 4 J Disapproved p � t . , Date (Signed) Building Inspector MI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT LIGATION FOR r3UOLDBNb PERMIT to me well known, 6-FA) �/?4L .. C ' DR/.. z c e ak Sworn to and Subscribed before me. is if 4 • t art' Public, tate , lorida My Commission Expires STATE OF FLORIDA AT LARGE air, ■.u,J{Idtl 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 lifter approval has been obtained from the I'Lrnnir.g Board. A re- inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.