760 NE 97 St (8)APPLICATION FOR BUILDING PERMIT
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.
Owner's Name and Address Nra_._Edward_1`.00re No 760 Street 97
Registered Architect and /or Engineer
Name and address of licensed contractor WQR_o Qb xls &__. Son _Roofing CO, 1)401 N.W, 20 Street, Miami.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 760 LE_e__ Miami _Shores
State work to be done and purpose of building (by floors)____. Remove...old...r f /1.5#
asphaltand_ gravel.
and for no other purpose.
New Building Remodeling Addition Repairs X. No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 1297<,0.0 Amount of Permit $ 7,1Q
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__.._ .__WR.Robbins & Son Roofing Co. 1401 N.W. 20 Street, Miami.
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, 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-.
MIAMI SHORES VILLAGE
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 true.
Permit No 1 (` 1 1 Date 2-2 -- ( 1.(c' Sworn to and Subscribed before me.
Disapproved _ -_- _ __.. .. f- Date_
( Signed) - -.
Building Inspector ` My Commission Expires__
BUILDING INSPECTION DEPARTMENT
(Signed)
Date__._ August . 25 , 19
to me well known,
Notary Public, State of Florida
PLANNI 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.
Date
Type Insp'
Permit No.
Na
C
Company
Phone #
For Inspector:
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Approved
Correction
Re- Insp'n Fee
Time
** *
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date 5 a Job Address wO / tie q`7 ST
Legal Description �� W i 4 4.1
sd�
Tax Folio// £ # 6 / 4 °. /Q
Owner / Lessee / Tenant SUS o/A) /DORE Master Permit # 3
Owner's Address 74 N 1 67 Phone 757 - C «7
Contracting Co. / 9G'47 r 1Z- S /Loa,c � fe Address 3. 5 A. A 7'1 ST.
Qualifier /)ovJil-Lo T"A/Z -z e2 Phone ?3S
State #Ccc p1 /.282 / Municipal # Competency # f Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUI Lig ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION 7/4= 20# /ls / g_ / cS c , /4!- Awi p/<k, /
AA! /cP fiv cf f
Square Ft. 0 ,2e or) Estimated Cost(value) '-(25'2 OO
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.
, 2Xa,Z,P /2
Signature of owner and /or Condo President Signature of Contractor or Owner- Builder
Dam: Marc 6, 3,9 1 Da, : March 6, 1; 92
INC. Notary a Owner and /or Condo President
My Commission Expires: NOTARY PU BLIC, State of F lorida BONDED BY BROWN & BROWN INC. at Lar My Commission MExy pire sien Expires 9, 1994
My Commission Expires July 9, 1994 NOTA ('UBLIC, State of Florida at Large
* * * * * * * * BONDDED EED BY * BROWN � BR BROWS{ N **
Notary as Contractor or Owner- Builder
FEES: PERMIT, - 7 0 , 1 0 RADON C . C . F . „1,6. NOTARY TOTAL DUE .c=
APPROVED: Fire rr Other
Zoning Buildin Jam/ Electrical
Mechanical Plumbing Engineering
MIT #R Tax Folio No. 1/ 3.' / /' .7g /.0
State of Florida
Zounty of Dade
92R03 1W2 W 06 10s48
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real
:roperty, and in accordance with Chapter 713, Florida Statutes, the following
information is provided in this Notice of Commencement.
1. Description of property: (legal description of the property, and street t�ltlr.�ess,i -f
.
available) 7Z y' 9 � L i t
r e v
Ifig
S J!/jC Gio ! Pia F /1/ Awe' 7
3. Owner information:
a. Name and. Address: Soso n/ fi70oee
5. Surety:
a. Name and Address
b. Amount of bond%
. Lender: (name and address)
!otary P .• 1
NOTICE OF COMMENCEMENT
7 e0 ,bg 9' 57: i i;
b. Interest in property: r7 <,jds etoi el / i ris Uri pcv✓,c.c.fj
c. Name and address of fee simple titleholder(if other than owner):
2. General description of improvement: /Pe/gaol' 30
W 0
� Contractor: (name and address) % /Ce +o F' ,- 3s /UV 7`f
Lug 331
/ ee-, 6 1 -/t. t d tit (4/Lik,Cie
3 NW 2 sT
141 f (..e . F ort 3 3/ Lr 7
8
Persons with the State of Florida designated by Owner upon . whom notices or
other documents may be served as provided by Section 713.13(1)(a)7., Florida
Statutes: (name and address)
3. In addition to himself, Owner designates _ of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),
Florida Statutes.
'. Expiration date of notice of commencement (the expiration date is 1 year from
the date of recording unless a different date is specified)
Signature o f Own
Sworn to and subscribed before me this 6th day of March , WAX 199:
NOTARY PUBLIC, State of Florida at Lan
My Commission Expires July 9, 1994
My Commission Expires:BONDED BY BROWN & BROWN INC.