846 NE 97 St (3)'PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date /0 -3o- 9 Job Address 04& N 7 ‘i Tax Folio 2 1 3 C ' � a 7 ��--
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant J-- e 1 i1) r r "F6 <T h
Owner's Address '46 7f7" s
Contracting Co. 7?j I 1 1 1 VE' ; p Address % -- i1)1/1) 6 /
Qualifier % 1p J3
State # Municipal # Competency # 955 Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION ( J1 - "Ai() Va L y l /1 g i
Square Ft. a c (o f () 1/,4 L
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.
OWNERS 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.
Az/A, i 11
a ature of owner . frr Condo President
Date
Altio .
Pres' •
03
t Date
Si
Notary as to Owner and/or Cond
My Commission Exp
FEES: PERMIT
APPROVED:
Zoning
Mechanical
H I V- RADON
Building
J6- i - 90
Plumbing
e S PRY PC/6, OFFICIAL NOTARY SEAL
<. � BARBARA ANN FUCAZZI
;I A �
,� COMMISSION NUMBER
4 �. Q CC360191
µ Q MY COMMISSION EXP.
e OF �� Bann. Po Irmo
C.C.F.
Master Permit # 4 10-.5Z,
Phone ( 7 .54 aD /v(�J) 3713593.
Phone g3.4 f W I /
Estimated Cost (value) / 7 6' 7' d
176
■
Signature of Contracto" r'br O er- Builder Date
��-
Notary as to Contractor or Owner- Builder Date
My Commission Expires: /0 '3 0-9.6
ciD
NOTARY S.
Electrical
TOTAL DUE t 7 / 6
Engineering
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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.
J1 /
Owner's Name and Address 1� ! e
Registered Architect and /or Engineer
STATE OF FLORIDA,
COUNTY OF DADE. ss
Disapproved
(Signed)
Build
M0AM0 S l tiJ7 VP L ASE
BUILDING INSPECTION C
APPU CATOON FOR
Date
A COL)
g Inspector
ti
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 done and purpose of building (by floors)
/.� vL, -�_�'� -
G. LLYINS PERMG7
\
Date__ ........... � ..... .19
N 1A( No.___ _. Street- 9.
Sp bdivision </ 2 4/yr
Name and address of licensed contractor S -Y"R A
.and for no other purpose.
New Building Remodeli Addition Repairs No. of Stories
To be constructed o Al/ /./ell/ Kind of foundation Roof Covering
�./1S•;
Estimated Total cost of improvements $�GS. 60 Amount of Permit $..�+ p0
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 Flo da, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contracto qr s contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspect•• • .n th ite of /the work public notice
or notices as are required by the Act. The undersigned agrees to employ only such su. •i;� o ork to be . 'f6 under this
permit, as are licensed by Miami Shores Village. �` -1
Remarks (Signed
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.
Permit No 135 (P Date___ Lfl`i l Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
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.
AA!
4755 E. 10TH LANE • HIALEAH, FLORIDA • 33013
- L — TO
ADDRESS •
LOCATION
SPECIFICATIONS: All work will be performed
concrete.
Total Height_,.._.......
Post Spaced ............... ... .. ......
Style Fence.....:.................
Gauge ❑ 9 ❑ 11
Knuckled ❑
Safeguard ❑ X X X
TERMS
Cash Upon Completion Et
F.FI.A. ❑ Budget ❑
Gate Ornaments: ❑ Dogs ❑ Scrolls
Li Name Scroll
QUANTITY
FOR YOUR PROTECTION
ON PAYMENTS TO US, USE CHECK
OR MONEY ORDER PAYABLE TO
COMPANY AS SHOWN ON HEADING
OF THIS SALES CONTRACT.
(DO NOT PAY BY CURRENCY)
Salesman
Sales'- Manager
Accepted for
Credit Department
pcuttoit
OF SOUTH FLORIDA, INC.
LOT
BLK
Top Rail . .
Line Post . .
End Post . .
Corner Post .
Walk Gate Post .
Drive Gate Posts
Gate Frames . .
SUB
in a workmanlike manner and in accordance with
Check Caption Preferred
• ❑ 1 O.D.
▪ ❑ W O.D.
❑ 2/" O.D.
❑ 2 O.D.
❑ 21 /2" O.D.
❑ 21/2" O.D.
1%" U.D.
Terminal Post Ornaments:
Total
Sales Tax_____
Down
TOTAL
KEY
Fence to be erected
Tie -one (Get permission) X
Terminal post . . .
Existing fence X )( X X )(-
Walk gate . a—
Double gate_.
Clothes post location must bc+
shown on plan.
Indicate if sides are shared.
ACCEPTED
❑ Domes
TELEPHONE
NUMBER
JOB LOG NO
standard practice.
PHONE: 688 -6514
DATE
SOURCE
OF LEAD
All posts set in
Additional Specifications
Top Rail O.D.
Line Post .O.D.
End Post 0 D
Corner Post 0 D
Walk Gate Post_._. .O.D.
Drive Gate Posts.. 0 D
Gate Frames ..... 0 D
❑ Horseheads ❑ Birds
Top Rail of Fence to Follow Ground ❑
Be Level With Lowest Grade 0
Be Level With Highest Grade ❑
SKETCH