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846 NE 97 St (7)BUILDING ELECTRICAL PLUMBING Owner of Building Contractor Buildelc Legal Lot Description Address of Building This permit is 6 i MIAMI SHORES VILLAGE, FLOM PERMIT N? 7973 Work tt be performed under this Permi • Architect 1 B1.( 9 7 L Subdi- vision Value of Project DATE Con icense No ; 5 u 1 Amt. of.s Permit /• 1 194, granted to the contractor or builder named above to construct the building or to install the equipment or devioe described in the appli- cation 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 drawin s or in the state ents or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed f Y INSPECTOR In consideration of the issuance to me of this permit I agree to perform k covered hereunder in com pertaining thereto and in strict configinity with the;plans, drawings, statementS Or specifications submitted to the In acT..pting this permit I ass tulg.e..-responsibility for work done by either myself, my agent, servant or employee. % CONTRACTOR OR BUILDER BY ce with all o n e,,s,,agdTregulations er authorities 'ar. S11Sres Village. AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Lot Description Address of Building 2' v CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, F'LOR�A '2 DATE 194 PERMIT N® 8109 Contracts License No .. Work to be performed under this � ermit_-- �,=—�i s• r �::� • Subdi- vision (v ° o f Value of fj _ { Project BY Amt. of 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 appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 _ja G ; — . 7 -- V _ By ✓� ` - INSPECTOR In consideration of the issuance to me of this permit I agree to perform thi ork covered hereunder in compliance with aa]� and g�eegpp4�aappppns pertaining thereto and in strict conformity with the plans, drawings, statement o specifications submitted to the proper authoritiis of Miami Shorts Villarge. i In accepting this permit I assume responsibility for a work done by either my4elf, my agent, servant or employee. AUTHORITY Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Plumbing Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) _ s � �� ,� ��� one # Owner's Address 1 City State Zip Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name \ Contractor's Address VVV City Qualifier Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ❑Addition ❑Alteration ❑New Describe Work: Phone # State Zip * * * * * * * * * * * * * * * * * * * * * * * * * ** *F * * ** Permit No. Master Permit No. Phone # Mechanical Roofing WI) - Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ Technology Yee Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 _ , by , day of , 20 by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 12/15/03 Plans Examiner Engineer Zoning Signature Owner's Name (Fee Simple Titleholder) a Phone # 7,5 City_Z i h State �� Zip 1.S/ Phone # Owner's Address C-76 4) Tenant/Lessee Name Job Address (of where work is being done) Fit ,A)F 9, City Aormi $Za/'e County , Zip Legal Description q Contractor's Company Name r, 0 �J',Z,12,12.;N1� 4vv/./ one # Contractor's Address /3 f s A * / dl �/ ��i° ` 4 1.1( City � r / r a /vi ,l , State - 7� O Q/P19 Zip ccWg� Qualifier G -/ / • • 1e l Rev. 09/19/03) Miami Shores Village Building Department Describe Work: i1 7 A9,b, tf IL- I hereby certify that the work has been abandoned and /or the contractor is unable or unwilling to complete the contract. I hold the Building Official and the Village of Miami Shores harmless from all legal involvement. Th• foregoing instnunent was acknowledged before the this thi day of , 2009 , b My Commission Expires: Owner or Agent who - is personally known o me or who has produced F'L D Z S 351—'71 ( - S.6(' identification and who did take an oath. NOT ' P , : LIC: • Sign: Print: l Angela PA Becker My Ccrnsnission DZ15COle Expires November 13, 2006 Change of Contractor Permit No. Signature day of Sign Print: d My Commission expis: taw ******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Contractor The foregoing instrument was acknowledged before r#4e , 20 O by who is personally known to me or who has produce as identifi. on and o did ink 4/ / ,.4- -1 10 ►s'�!!i/ n.N qu ouNN.MI USE �. Com mission # D 1 8 ?M„., o'.•• Bonded through 0O-432 -4254) Florida Notary As ., N..N.... NN... N.000O..00OO' OO....N. N. N... an oath. 03/17/04 11:17 FAX 3054614956 PR NEWSWIRE LATAM 12 002 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Miami Shores Village Building Department Plumbin Owner's Name (Fee Simple Titleholder) l Owner's Address &927 AI, . y7 5/ ee. / City 1VZ9,4 /S State Tenant/Lessee Name 0 /A In Contractor's Company Name Contractor's Address City Mechanical Roofing - - a' ._.re_�. Phone # � 7,5 Job Address (where the work is being done) 7. (a MA 9 7 S2 eP.7 City Miami Shores Villarte County Miami -Dade Zip n . /$ e Is Building Historically Designated YES NO State Zip t l % . Phone # OS 7x926 �8 Permit No. Master Permit No. Vii Phone # 10050 N.E.2nd Avenue ami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Zip Qualifier Architect/Engineer's Name (if applicable) . Phone # Architect/Engineer's Address City '' - State Zip $ Value of Work For this Permit Square Footage Of Work: Number of: Bays Stories Families Bedrooms Baths Type of Work: Addition ['New ❑Alteration New ❑ Repair/Replace ❑ Demolition Describe Work: ZOI ! 3 0 ,p;rf a ' - r -r t. - I -iv t - 1t- - - I TO t'33 441/ -k --D'S- GOp J 77 04) :" KiG `f .t * * * * * * * *i. * * *. * * * * * * * * * * * ** *Fees County Escrow Fee $ Permit Fee $ Notary $ Education/Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Minus Plans Check Fee $ • Total Fee Now Due $ (Continued on opposite side)