590 NE 96 St (4)Registered Architect and /or Engineer
Name and address of licensed contractor
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made 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 building during prggreu of the work.
Owner's Name and Address 4 00 / 50/1 '! . / /IGnPSO
— ,19.
_ . Str eet_ .NE 96 sT'
Ott. tS!•••!!!• }!1l,1}!t!t\Nt• WV. ,!•}t }}tt.
C, i?t7J1 RosfINF C , /NC, — 301 Nw _ 71,.,, T limn(
Location and legal description of lot to be built on:
Lot Block Subdivision -----
Street and Number where work is to be done 3 NE 96 ST'
State work to be done and purpose of building (by floors) 1 ' Roof GARAGE ONLY . 6 J
WIM SMfNcE Titt
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories 1
To be constructed of Kind of foundation Roof Covering Out 51frNOe5 71-
20,0
Estimated Total cost of improvements $ 0000, 00 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 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 hint
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 su • •n • actors, , o wo to be cdgpPed typder this
pennit, as are licensed by Miami Shores Village.
Remarks __._.._ (Signed)
STATE OF FLORIDA, 1 .
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 No. ._ -_. "is C D ..7 /S / ) Read, Sworn to and Subscribed before me.
Disapproved ........_...._. �....® D ate
(Signed)
Notary Public, State of Florida
Building nspector My Commission Expires
7 S97
to me well known,
PLANNING BOARD DATE
Chairman _ Member
Member Member
Member .. .. _.....__....._..._. _ ...._ Member
Council Approved Date Disapproved Date
NOTE: A charge of 51.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning llo.erd.
A re- inspection fee of 51.00 will be charged when such re- inspection is made neceuary by Improper notice for inspection or faulty
materials anti /or workmanship.
r/ .3_06 0‘‘63
47 ` MIAMI SHORES VILLAGEJ
( —
Registered Architect and /or Engineer
Name and address of licensed contactor CAfee.im
Location and legal description of lot to be built on:
Lot Block Subdivision __.........___ ._...__.
Street and Number where work is to be done
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statt:,,n•nt or ine 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, anti 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..._... J f1 N, a 7 . 19.k
Owner's Name and Address ! la App/ 3 ' / � OM � � �.:..__ — No.. _.7.k _ .... Street._NE » 9 G S T
doRoc- Co 1NC , — 3o f NW 7/
YG _.._.... ...._._ �._.
State work to be done and purpose of building (by floors) a6-260f a- STOier RGGF fRiv MoVse G4 y
ig
j and for no other purpose.
New Building Remodeling Addition Repairs 1/ No. of Stories < 9--
To be constructed of Kind of foundation Roof Covering (461/7 S'NINGI,E t1LF
Estimated Total cost of improvements $ j 3 3 . UG Amount of Permit S.
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 Sup ileurent,
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 erthis
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed)
do, O
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 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 fads
therein by him stated are true..
Permit No.. _� Date.. / 2./ Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Building nspcctor
to
Member ..
Council Approved Date
NOTE: A charge of S1.00 will be made for
the Planning Board.
A re-inspection fee of 51.00 will be charged
materials and /or workmanship.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member
Disapproved
making corrections or changes to this application niter approval
when such re- inspection is made necessary by improper notice
Date
hits been obtained from
for inspection or faulty
/ PERMIT APPLICATION FC
Date f< 9' I Job Address 59 4 5 3r
Legal Description .
Owner/Lessee / Tenant ��O�t �c� e S� Ac -ea-e_ Master Permit #
Owner's Address 5% /(/-- 26 sr, Phone (3d s) 759-'z 6
Contracting Co. -
Qualifier
State # Municipal #
Architect/Engineer
Bonding Company Address
Mortgagor / t,er -r,tn Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
(296) (J , k1,t
X 2.4 � de---0 �
Square Ft. 35
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 re sting construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Si a ature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT G RADON
white
Address
Signature of Contractor or
My Commission Expires:
C.C.F. - NOTARY BOND
TOTAL DUE 41 3 ''°
Estimated Cost (value) Si‘e, 0
NO
SS# Phone
Competency # Ins. Co.
Address
Date
I
No ary as to Contractor or Owner- Builder Date
APPROVED:
Zoning B �� E/ ' Electrical
Mechanical Plumbing Engineering
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby wade 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.
7 7
.. ,191-7
— No. f . Saeet_ — V •
Owner's Name and Address
Registered Architect and /or Engineer
Name and address of licensed contractor.. .._„ , ,,._. sc.„ ,r— (�,,( �__•__••_.___.___
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done .. . „1.,,(_
State work tob done and purpose of building (by floors).. �.'?4j„,�.1 L .,(,� D._...C�- D i 4
and for no other purpose.
New Building Remodeling Addition Repairs # No. of Stories *2 --..— —
To be constructed of Kind of foundation . Roof Covering 77 A
Estimated Total cost of improvements $.. ZS: Q' ° Amount of Permit $,. _
Zone cubage required --Plan Cubage
Size of Building Lot
Disapproved %f Date.
(Signed)
Building Inspe
Distance to next nearest building
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 pennit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida \Vorkmen'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 sube�ttractors, on wojc to) per*tned 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, persortally ap-
peared t`
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 s t are true.
Permit No._ 0 1 Date 2 +'_. .. , Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires..
LANNING BOARD _DATE
Chairman
Member
Member
Council Approved
Member
Member ,_,-,
Member
to me well known,
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 )loard.
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.