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839 NE 97 St (7)BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA °❑ PERMIT Owner of Building Architect Contractor or Builder Legal Lot Description II Bl CONTRACTOR OR BUILDER N° 5285 Work to be performed under this Permit_ _ DATE. 19 Contractor's License No. w% Subdi- vision Address of Value of _ 11 Amount of Building T Project $ , ' ., = II Permit $ - • 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 applica- tion herefor 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 respon- sibility for work done by his agents, servants or employees. Signed - 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 ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT �crJ Date /4-../.3 41t Job Address Legal Description Owner / Lessee / Owner's Address gay' /4/. 6. 9 7 Sr Contracting Co. Qualifier State # Municipal # APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 83f N.C. 9 7 Sr T Lo 7 /7— / '/e 19 Tenant SE s cj S A. L A 6- D�'`�"JER 60/thE/� Address SS# - - WORK DESCRIPTION i.iode7// AANSW nature of o te: ® ® Notary as to Owner and /AI S 779 ! rL r and /or Condo President /..e./1 "T t%444 4 ondo P>esiden My Commission Expires: 41.0 "(,9 J =iCIAL NOTARY SEAL T , SCOTT W DAVIS .( 1 _ i . COMMISSION NUMBER o 1.41r a a CC25a237 ** * * * T ��. 4 " *e g o M 'P COMMISS ION EX P. 'OFF“ AA:fd. 261997 FEES: PERMIT ) Q RADON C.C.F. Competency # Ins.Co. Fire Zoning Building Mechanical Plumbing Folio / PC4, /1 0 C.) oe 7 /1 s e, Z Master Permit # Phone Architect /Engineer Address Bonding Company Address Mortgagor Address =_ Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN 4i4Q. L. v. / r / AJ 6 -4"e4 6 E . ®AJ i ®A= n1t 1 - �''. CA-cic o< / , -c F /e� Square Ft. 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 d• - in compliance with all applicable laws regulating construction and zoning. Furthermore, I au o -ize th abov- named contractor to do the work stated. Signature of Contractor or Owner- Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: * * * * * * * ** NOTARY TOTAL DUE 3 a 5v Other Electrical Engineering_ Owner's Name and Address Registered Architect and /or Engineer MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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. Subd'vision_ Name and address of licensed contractor__ Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done____ , State work to be do e and purpose of building (by floors -= Q'� •� Permit No S Date ! ' 6 f Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) �'�1 . —• 'Building I j •ctor My Commission Expires ,19 Je_ 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 $ / 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 rovisions 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 subcontr tors; pegformed under this permit, as are licensed by Miami Shores Village. Remarks (Signe 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 facts therein by him stated are true. 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 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. PERMIT APPL ISATION FOR MIAMI SHORES VILLAGE Date D Job Address s�S — r) A Tax Folio Legal Description Historically Designated: Yes No Master Permit # 3R 4 /6 7 Phone Address LS- Qualifier C C / 9 SS# . Phone Owner/Lessee / Tenant Ncz, 1 \-4 Owner's Address e'ck /VM Contracting Co. State # ILpA Municipal # Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ' OOFING PAVING FENCE SIGN V )2 --- V cZ 111 WORK DESCRIPTION Square Ft. Estimated Cost (value) D.p b D. 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 abo -ram- • contractor to do the work stated. Sign Zoning Mechanical APPROVED: /'!r% . .'or ondo fesident Dat Notary as to Owner and/or Condo President Date My CommissionExpires : 0Y pGtp ELWYN L. LAWRENCE $ , c� E g COMMISSION # CC 334008 ca `"� Atlantic Bond Bonding Co., Inc. O 800 - 732 -2245 FEES: PERMIT 7 3, RADON Competency # Address Address 2 ignature of Contractor or Owner- Builder 1 ate Notary as to Contractor or Owner- Builder My Commission Expires: Y 4.S Pt/ ELWYN L. LAWRENCE $� COMMISSION f! CC 334008 EXPIRES JAN 22, 1998 A Atlantic Bonding Co., Inc. OFFW � 800- 732 -2245 Electrical Ins. Co. Date C.C.F. / - NOTARY TOTAL DUE 7 • Building Plumbing Engineering Date /° /7/ Job Address APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Legal Description Master Permit s` 91/ 6 7 / - oc '- y/ coo' one Owner / Lessee / Tenant /MIA/ G`/ Owner's Address 8 3 qy E 7 7 Contracting Co. 0 CPI! o /Ly !4 / Address 2 ' c //. ' Qualifier /7/a f fl- P i f - r ,7 " 9 - /47 '`' ' SS# Phone 3e4 a..2. f - S �� /4C-a 577" State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANIC ROOFING PAVING FENCE SIGN WORK DESCRIPTION 4 c P. — , - ,d( - / Signatu.e of owner and /or Condo President Date: r Notary as to owner and /or Condo President My Commission Expires: ** * * RADON C.C.F. .4 Tax Folio//-320‘"" O/9-.2 Square Ft. Estimated Cost(value) ' ® ©° o� 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. S} ature of C9,pWAWAtlats*A4fteMt441 Date: gar Po , Eduardo Lobeto Public, State of Florida omission No. CC 675379 my Con misai±n pcp 0W27l2001 Notary as to C riattv.v&i My Commission « « «« «at««u�? C( /z7 * * * * * * ** NOTARY TOTAL DUE Fire Other Zoning Building Electrical Mechanical Plumbing Engineering 2 'a 4 ■ / • w 1 .d... _i." / J ,.L-' • i i ' , / 7 / ' .0 ,_ Sh ,FL Alk ANL • •