857 NE 97 St (12)BUILDING ❑
ELECTRICAL ❑
PLUMBING ❑
ROOFING ❑
. ❑
Owner of
Building J''
Legal Lot
Description Bl.
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 7036
Architect
Contractor
or Builder
Address of r'^ u Value of
Building 3° �` Project $
Work to be performed under this Permit
Subdi-
vision
INSPECTOR
f ^. r
DATE
Contractor's
License No. - „
195
Amount of ti
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 application
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 thoprzgh knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements -or spe ifications and that he assumes responsibility for work
done by his agents, servants or employees. 617
Signed r.
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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
fr
C9NTRACTOR OR BUILDER BY AUTHORITY
UUU 6 'ii
Owner's Name and Address. -..... .. b„d a..
Permit No l° 3 Date
Disapproved ` Dat
(Signed) `i rte%
Building In .ector
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
-lations of the Building Division of Miami Shores Village shall be complied with, whether herein spec'fied or not. A copy of approved
, s and specifications must be kept at building during progress of the work.
Chairman
Member
Member
Council Approved Date
NOTE: A charge of $1.00 will be made for making corrections
the Planning Board.
A re- inspection fee of $1.00 will be charged
materials and /or workmanship.
4
Commission
No.
/0
Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
Itet
19. -g
Registered Architect and/or / or En g i eer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision �f
Street and Number where work is to be done . i' !� - 7 ,/()
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundatiop„ Roof Covering
Estimated Total cost of improvements $ L. -. -9 € -
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 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 be performed under this
permit, as are licensed by Miami Shores Village. ys�
Remarks (Signed) a -a
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. r
\ 1
Notary Public, State of Florida
Expires
Member
Member
Member
Disapproved Date
or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
Signature of .caner
Date: gfkS
My Commission Expires:
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
o � s 49 97
Date P3„��Job Address �-g /1 Tax
Legal Description 5 .2 o//9 "-a/c/ o = %E/A 73
Owner / Lessee / Tenant Ad ri` .0 D,4w.5'
Owner's Address 37 // t 9 7
Contracting Co. - Tiffre.s a„. �G� a
Qualifier JO/4 /s
State ye Municipal # 7/9/9 -
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION �w2 1221 tea4"
_
Square Ft. /6 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
author' a the above named contractor to do the work stated.
and /or Condo President Si
CRESEIff MARS Da
State of Roida
My Comm. CC SVO2
Notary as to Owne and /or Con •o President Notary as to Contractor
My Commission Expires:
** * * * * * * * *
FEES: PERMIT 4 0 . 0 RADON C.C.F. /.- NOTARY
Fire
Zoning Buildi 96 Electrical
Mechanical Plumbing
Address
Folio// -3.2 -0 - 0/ 0
LS,Ec ,
Master Permit # 'VOee &/
Phone 7 t/ /5 ® e7'
Phone • z ®6/ /4/4/9-/ab
Competency # Ins.Co.
or Owner- Builder
* * * * * * * **
o,cl c3oo
TOTAL DUE v 4, I. ,s'o
Other
Engineering