801 NE 97 St (5)BUILDING
ELECTRICAL
PLUMBING ❑
ROOFING
Owner of
Building
Architect __
Contractor
or Builder
Legal Lot II BI.
Description
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
❑ PERMIT N9 15760
❑ Work to be performed under this Permit
Subdi-
vision
Value of
Project $
DATE
Contractor's
License No.
Amt. of
Permit
BY AUTHORITY
195
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
hercfor 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 above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or 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 and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
1`t'lication is hereby mode for the approval of the detailed statement tit we plans and specifications herewith submitted for the build
other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
.s Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
iations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or nol. A copy of approved
is and specifications must be kept at building during progress of the work.
Date. 4 � T - .� _...._ v ,19.
Iwner's Name and AddresJ /. A/.T P ' d ere. le g..7h 7 L.. No Street_
Registered Architect and /or Engineer . n n+,mr_
s.n. .•.••• II,
Name and address of licensed contractor./ /SSA P . ' ° ._. Z g $W '.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done c42
h o
State work to be done and purpose of building (by floors)..., se7 O,F /I(
and for no other purpose.
New Building Remodeling Addition $apeies No. of Stories ( _
To be constructed of Kind of foundation Roof Covering.. /li1e. _
d o
Estimated Total cost of improvements $ t .E9b Amount of Permit $4 ge.
Zone cubage required _.._....Plan Cubage
Distance to next nearest building Size of Building Lot _ .......... ... ..................... _______
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to.. pne49! ..... je,� �/�� (,E:?., 2f# # +� #* . 7 e
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of Libor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Sup llenient,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed) g9
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Building Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Re oevy 6®Y
Before me, the undersigned authority, a tary pu lic, duly orized to administer oaths and take acknowledgments, personally ap-
peared �Sh..�.MS) . &.. �C- our, _..
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the. O YN c AQ
of the above described construction, that he has carefully read the foregoing application, and that Isolfigkysionle uts i=,tt►aajf AIN MO
therein by him stated are true.
MY COMMISSION EXPIRES T. 21 9992
Permit No.._.. grki Date OD
Disapproved 1 Date
(Signed)
Read, Sworn to and Subscrikf'1'mi tip' U510
Notary Public, State of Florida
My Commission Expires fl$ "0 " "`' Onit Cle40111
061tg 01163 NO*SI
PLANNINC BOARD DATE Ili AV YJIE WtldS 91 OVA
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 front
the Plnnnir.;; Board.
A re inspection Ice of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or fat
materials and /or workmanship.
Application is hereby wade for the approval of the detailed stall:w •nt or we 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 rdinance of Atiarni
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.
Owners Name and Address ■64 // — No. ®l ».. » « Str F../
Registered Architect and /or Engineer 30 /
Name and address of licensed contractor Walter Scott Roofing & kepair Ali Baba Ave. Opa- Locka,FL.
330"54
Location an legal description of lot to bo bud t on: //
Lot ( Block 'i Subdivision../.. J J .1[ ! �?1 `2f v / 1
Street and Number where work is to be done 80 / _ NE _ 7 'SIT'
ate work to be done and purpose of building (by floors) Re- _R6o F t� e 19 a'
ooFr- 5. c.S • Q/3 6 A.S a2/ / s ( (A r S
and for no other purpose.
New Building Remodeling
To be constructed of Kind of foundation
Estimated Total cost of improvements $
Zone cubage required
Distance .to next nearest building
\faxunum live load to be borne by each o f or
I hereby submit all .he plans and specificatiio for said building All notices with reference to the building and its construction may
be sent to.. /l/
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 ‘‘'orkwen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sip Ieuient,
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 performed under this
pcnnit, 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
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 true.
'Z4 1 Date L ........._._._ Read, Sworn to and Subscribed before me.
Permit No.
Disapproved
(Signed)
APPLICATION FOR BUILDING PERMIT
Building Inspector
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re-inspection fee of 31.00 will be charged
materials anti /or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date..
mz 9d: -o• 00
Chairman
\Icrr,ber
Member .. __....._..._._...._....._
. Council Approved Date
Addition Repairs No. of Stories 14 ' 1 — _
Roof Covering
30 t,®b
oe/ Pi.✓�S �- 9r p //t /NC- .
re. m ^•nr•
Amount of Permit S.
Plan Cubage
Size of Building Lot
PLANNING BOARD DATE
f - S7'ca/t l /
¶ vr -
Notary Public, State of Florida
My Commission Expires
to me well bow%
Member
Member
Member ...._
Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspeatinn or faulty
Zoning
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date '6-69 „1 Job Address OI /V cif/ � � Tax Folio // 4146 / g--5#79
'
Legal Description , 7a
� a � � g, �l�
' Owner Lessee / Tenant C r ' `ti2`� . ��( -�-�� 1 Master Permit t, 1 / 7 ' )
Owner's Address ISO I /U E [ 1 36/&? Phone � � g2-0 2-
Contracting Co.' Gi �./��iJ7rI1G Address
Qualifier SS# OSO - ti(0 - v 0 1 (P Phone
State 11 Municipal # Competency # Ins.Co.
Architect /Engineer
Bonding Company
Square Ft.
APPROVED:
n 00
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
** * * * * * * * * *
Address
Address
Mortgagor / tt0 # CSC' T6 6E Address
Permit Type(circle one): BUI ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION !rY���UI 2coF 1,014 ! 7
Estimated Cost(value)
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.
Signatu •f i Owner- Builder
Date: g
• ncf
tar as to C r RA
Commission
, : Ni' C'197545
1Z
'„ ,"� f l _ ;�' iiRCH
r'
y
*
*
*
n cc'
*
*
**
FEES: PERMIT,1 RADON C.C.F. (-6 C' NOTARY ■, 04 TOTAL DUE /I , 7 0 )
Fire Other
Electrical
Mechanical Plumbing ► Engineering
5 e5 �
0
0