806 NE 97 St (10)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date CP A142- 97 57
9� Job Addres Tax Folio
Legal Description
(.■!;;;)/ Lessee / Tenant �'G�i�'"C' / , / ' ° /X / 4-vy '■ Master Permit # 37<
Owner's Addres 9% Phone
Contracting Co. (2e,(4 1- u 0 Address
Qualifier SS# - - Phone
State 4k Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING HANICAL ROO
WORK DESCRIPTION G\� -' ' -� /62 77 P/ , Z1
Square Ft. Estimated Cost(value) Q''
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.
B e /
Signature of owner and /or Condo President Signature
Date: Date: c'�
Notary as to Owner and /or Condo President
My Commission Expires:
** * * * * * * * * * *
FEES: PERMIT r RADON C.C.F.
APPROVED: Fire
Buildin
Zoning
Mechanical
Plumbing
o� ;Factor
_
Notary as to Contractor
ING PAVING FENCE SIGN
o Owner -Build r '
', v ; �,,
or Owner- Builder
E NO" Q fie OFFICIAL NOTARY SEAL
ri SANDRA It IUONTIEL
* COMMISSION NUMBER
lu (* CC401261
MY COMMISSION .EXP.
Fv AUG. trA
* **
Other
Electrical
Engineering
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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
Registered Architect and/or Engineer
Name and address of licensed contractor�iL
Location and legal description of lot to be built on: ° -4°
Ater. I t 4. %2
Lot � i/ / / Block 7 `/ Subdivision m z m z Si-(Ua es 5 '' 3
Street and Number where work is to be done A96 A,/ ," JJ
State work to be done and purpose of building (by floors), state exterior colors (submit samples) PA )/V ` � Xl�e44 , 4
e t, /e
and for no other purpose.
New Building Remodeling Addition Repairs No of Stories /
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements S t Amount of Permit S O
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 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 obligatons 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. a}d 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 cau ( 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 ontrac on work to be performed
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. personally appeared
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 foregoin • application, and that he did sign the same. and that all facts therein by him stated are true.
Permit No.
Disapproved
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
p / � �y �` Date %' 19 e,9
�l ,U h . ,�y //4l,e,g6,U�� No. / 3 Street /✓C
Date
306 /y 2760 S'
b
Date
Read. Sworn to and Subscribed before me.
Notary Public. State of Florida
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved late Disapproved Date
NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
V B / f t
Date C� Job Ad ess�l k /`✓ 4 97 4 Tax Folio
Legal Description Historically Designated: Yes No 7/
Owner's Address
Contracting Co. b Q Address
Qualifier
State # Municipal #
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTIONX , G! GGS C/C/ •
72 (42. J'/4Y - �L L�� .' ad' ) A/ /X1/12' 1 � 80
Square Ft. Estimated Cost (value) cj
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.)
Applicatio:
certify tu_' C- ,
permits are J
OWNF
regul
/ Tenant x d4/0
J�
Signature of owner and/or Condo Pre
Notary as to Owner and/or Condo Pres
My Commission Expires:
ade ^ a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
the standards of all laws regulating construction in this jurisdiction. I understand that separate
'ING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
' oing information is accurate and that all work will be done in compliance with all applicable
I authorize the above -named contractor to do the work stated
late
ate
Master Permit #
Phone 2e35-6,,/ e-7.2 0
SS# S / e
Competency #
Address
Address
Ins. Co.
,b
trac r i"'� er- Builder ate
Signature of Con or o
�'/Gy(P — 1 - o
Notary as to Contractor or Owner - Builder Date
My Commission Expires:
FEES: PERMIT C RADON C.C.F. 4 NOTARY BOND
TOTAL DUE z/r '
APPROVED: R �
Zoning Building G 6 ` Electrical
Mechanical Plumbing Engineering