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765 NE 96 St (2)Date i / J Add i s 1 Legal Descriptions C ` /Owner / Lessee / Tenant /744.®h Owner's Address 7'51/ 'z PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Contracting Co. / :' �� G �� - >> ' ' Qualifier` lam. �;� .. ' SS# / ' �� f�l .� . ,• /97 State /' ; Municipal # Competency # Ins .Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANIC ROOFING) PAVING PENCE SIGN WORK DESCRIPTION GCS �,� /lCfr 0,"'�'✓ 7� ���./��C7 = �t����� /t' G ' - Square Ft. 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 on be done in compliance with all applicable laws regulating constr ction and z i . Furthermore, I authorize the above-named contractor to do the work state Signature of owner Dikte FEES: PERMIT C c CC APPROVED: and/ Condo U Notary as to Owne C My Commission Expires:32t t'��tJ�t O J tChu D ** f / /(o E r Tax Folio °�• L` /7 2 t'( � � ��G� A, / �. / 119 P esi ent Estimated Cost(value) /5. 3e Signatur of e: It / /q.1 IRNA CONIGUO Notary Pubtic -State of Rondo do Pr A og 21 n 1 9 to S CC138088 * * * * * * * * * * * * ** RADON C.C.F. 0` (//i N '(ry as to Con M Commission Ex Fire Other Electrical Mechanical Plumbing Engineering Zoning uil Master Permit # I Phone / _ r Address /1� 1. 2 `19 /lJ � 4, ractor or Owner-Builder "".7.71. ' )05FPH1NE CHURCH • f Pdniic, gtatc N Fiend. No. CC197545 NOTARY g) o TOTAL DUE lig P PERMIT NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. . / /-2-749 o ( ( i 1,1.. eg .4/ al description of property and str t address: / 2. Description of improvement: — /�����4 0/577t/ V 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: 4. Contractat' name and address: 6. Lender's name and address NOTICE OF COMMENCEMENT TAX FOLIO NO. / / ,5G I 1 / 2 -0 21 938519591 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 1993 OCT 21 14:26 7>Z / / 5� & /`a 4/ 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself „Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Signature of Owner Print Owners Name /U@/ t ic) M ft 2 v'! Sworn to and subscri �� - )Per -- n"ll1/41 l�n ch,.rn Notary Public Notary's Name 1 (2113 ; ( )16 My Commission Expires: • efore me thist7 \ day of • 19 . Prepared by; , '''`PMitTROPOLITAN DADS COL, 4TY, FLORIDA METf10•DADE t►+j ` 1 •'' " Chairman &str m S. Itilrclwn' t'Ir,•Clminuan 11.0. baffler .1lrinbrr, 1lWlnl,l elger Jlunr.% Arl Crn,gr Berlin 711unu11 1/. Dlark La .I. /L,rsuf T 'radii r).c, 1r nt.. n ul John Culpini ras,,, J, l,'�1n LI J,,, \ r de hi /i,rrjevur 11. Carhnn Drekrr Mould GuiJnuul llichnfl {1. Mono Daniel Lrul, John Lbublronl Steven Lung Joseph .V Sr. honer fairer • 11iHinul RIln Arnuuuln Al. law n•,nln, '/,,,back .i(/i,•.l III•i,br1 d Rudy 1{Slllunl.r /loon' Cun,u1lani J /'Luu,inu Staff Chorin Mom., .1'oo.h i*Mrrh (:;l Draol, Monier Roof 135 N.W. 20 Boca Raton, Your, application for Product Approval of ‘tanamard IL Plat. C oncr_Qj R_4.I Tjie PrIr Urect_naiitaa under Sections 203 And 204 of the South Florida Uuiicling Code governing the use of Alternate Materials and 'Typos of Construction, and completely described in the plans, specifications and calculations as1 submitted by 1 I.cLlrt , R.1.S2f1q wjth ,reaort .12Y._1-r- .. Rr�� n�!nm 'on ul.L.Lag_lira.i.0 1 o n , • 1' etc `.sl.a_tALL.L- . _:1. 0 - . CQ a L'I.c s' t l an ap,5earch C,Ouzo.r.;1►�41:,YLIJ . aQj�4C 14 ` 4�11'.ect G.1 . 4� __. .i. . 0�� jat CQCy R44 . ct_t n SLUICLe 'Spec 4.1:.isLa .1D xi. has been accepted by Product Control under, the Specific Conditions sot forth on pages 2-2a and the Standard Conditions on Pogo 3 ACCEPTANCE No.: // Gil Gil Diamond, P. ": APPROVED : _,r11 13. 1992 , EXPIRES r Jpr_;1 _ 0, 1995_ " "P._LEASE _ _W ITS__ 'ZflE COVERSHEEML __SEE_ADUTION1L_PAOPS 1 Qfl SPECU..LC AND_UESEaAr. caraETrON;s 1/QAULDE_BiliM_ZITLAPREALS_No=a!2E_ACCUTAHCA This application for Product Approval has boon accopted by the Metropolitan Dade County Board of Rules and Appeals to bo 1,u ed in the Irlcorporatecl and Unincorporated are of Dade County under the conditions set forth above. APPROVED: m wit ir 3h� METRO -DADE CCNTEnl OOAnD QF nut,E9 AND APPEALA SUITE 1010 111 N.W. 1•1 STREET MIAMI. FLORIDA 9912r1.197q (906 976.291 i (305) 375 -2.12 • 2 .11.QD.UCI_COFlTIiflL_NOTICE__Qr ACS, n% 10E Tile Strot Fi, 33431. - d I•RI 61':0 CELT '0 'ddi 1757.61. Gi!I' .Cr; :1.11 Product Control Division Cupervis or. 1• • • ,0 Charloe Dungan secretary Metropolitan Dade County Board of Rules and Appeals 17111J� 1J C1311'101.1 J cl ACCEPTANCE N0.1 APPROVED t Arr11' 13 '92 EXPIRES NOT.LCE OF ACCUXA lCc t .5.LECTFTC4MatTIONS 1. This approves Vanguard 11 Flat concrete roof tile for u direct nail -on system on a minimum roof slope of 4" in 12". This direct nail - on system shall be limited to installations of 75 foot aove existing grade. 2. ajeCifiCattons t Vanguard II Flat concrete tilo is 16 1/2" long by 13 1 /0" wlde and 1 1 /0" in thickness at tho butt end. l:aah tile has 1 3/0" interlocking side lap. The average weight; of a tile is 12 1/2 pounds. 3 . ,I nyrt 11 at Uoi1.;_ Each tile is attached, to rt fully sheathed 19/32" or 5/0 " thipk sheathing grade plywood dock covered with d 43 pound asphalt Impregnated felt, with two 1Ocl common hot dip galvanized steel nails. The nails aro driven through the 3/16" diameter nail 1 les to within 1/16" of the surface. Each course of tile is installed utilizing a 3" head lap. 4. The manufacturer shall retain the services o>: an indopendant testing laboratory to maintain quality control. Test shrill b performed on a minimum of five tiles during production of domestic tile for strength according) to Section 3403 of the South Florida au.iidl.ncj Code and for moisture absorption acco:r:ding • Lo AS'1'M 'Post samples shall be selected by a laboratory according to Aa1'M D- 3665 -02. Results shall bu submitted to Dade County Product Control Section every n.inoty days. Test reports shall bear a description of the file by material and color, i.e. clay, red t U &::0 £GGT '0 'ddU -2- 1 a11. 1 Diamond, P. Product Control Division Supervisor (11 1.11 13 631ift4 : Monier .20.0_111.3._- •• V d I Uj T.:^ 266T '0 'a UJ - 2 u - ACCEPTANCE No.: _, ? - APPROVED t __Apr 11. EXPIRES t �. 5 EITIC E....0 .._LLlL]/i '' r S P P: Y F I C C 4 N DI,TZQ • 5. M,1J,xk.a..ng ; All tilos shall hoar the imprint of the manufacturer's name •nt1 tile designation, i.e, Vanguard II Flat, to permit identificetfon in the field. • G. This product must be re- evaluated for structural adequacy whc+n installed within the Corastal. Construction ?,ono, in accordance witi Chapter 23, Sub - section 2309.2 (b) of the South Florida ©uildi Code, 7. This renewal supersedes Notice of Acceptance No,.00- 0922,2 d ted December 12, 1900. 11 D amend, P. Product Control Division Supervisor h=Y,:. ra;I . anui 1J 0111011 : f • • /� 1.t • METROPOLITAN DADE CO .TY, FLORIDA , MiErno•DADE 1Tev.tiiulruuut 11.11. Lue,.'trr .tlru,hrts lbuudd ?I, er Junu', . I rli,.t (;,•lux,' lr,'rlln Maniac dl. llbu'k l uu,•rn .1. Monad (I, ,,e II,d'SgglIg J Cidt.bu louse .lr !., Toteletur !1. C.rl 1)rrkrr ,l,nn/d Goldman Nlrhun! M. llurt„n 0,l 1.1' John l.in,l.u Su'r'n 1., J ,llukl Sr. liver 11 Mans llN,y l)pnwu IJu,'rh,u•k I{%n•d II;l.h,,,,! /bay 117116 • llu,ud (iulYWMW holm l'I Arl.rhlll -3- cl I•11.1 T C : 0 16f, T '0 ' ?Jc1 t'f:Gl I' ':;l' c :TA .; �` it METRO-DAL CENTS 1196f10 OF nULES op APPIjAL 1 SUITE 191 111 N.W. l ;I STftl;kll MIAMI, FLQIIIQA aal2a.lOi 1305) M.19 1 (305) 37 4.202 , marsaLo.L.Acc , t 1 Diamond, 1., roduct Control Division Supervisor ' 1, Extension of Accoptz nce may be considered after,14111, n M W application has been filed and the supportincl'Agt test reports no older than ton (10) years, have ''bean re- evaluated. All reports of Ke- testing shall bear the sea signature and date of an engineer registered in t State of Florida. 3. Any unsatisfactory performance of this n roduct I r process or, a change In Codo provisions shall t?o grounds for re- evaluation. 2. Any revision or change in the materials, tt4p, r manufacture of the product or. process . mha l Automatically bo cause for termination, unless pri r approval is granted for rovizions or change. 4. This acceptance: shall not be used as an endorsement cif any product for sales or advertising purposes. 5. The Notice of Acceptance number preceded by the words Dada County, Florida, and followed by the expiration date may be displayed in advertising literature. {�E any portion of t:hc) Notice of Acceptance is displayed, then. it shall bo Bono in its entirety. G. Product approval drawingn, where required for perm ' applications, shall be provided to the applicant by the manufacturer or his distributors; unless othorwi noted in the Notico of Acceptance. The prints need not:' bo re- sealed by an ort'ginnor.. 1 7. Failure to comply with standard Conditions shall. •o ,cause for termination of Approval. aru l .1.1 :: ❑It'li7lI : Ii •11 a r.. FkUM ; r1F-rl !iU I LU 1 NU HRU1JUL I S I U ; iObbiSJ'J 14 METROPOLITAN DADE COUNTY, FLORIDA METRO•DADE Our New Location ist Metro Dade Building 140 W. Flagler St. Miami, F1. 33130 GD:Cg mn WHOM I.Ti MAY CO$N JUN e ke METRO -DADE CENTER OFFICE OF THE COUNTY MANAGER BUILDING COPE COMPLIANCE OFFICE SUITE 1010 111 N.W. 1st STREET MIAMI, FLORIDA 33128-1974 (305) 375.2981 (305) 375 -2901 February 22, 1993 MFM Building Products, Corp. has filed with this office an application for the use of their Wind and water Seal as an anchor sheet in conformance with Section 3403.4 (b) of the South Florida Building Code ( S.F.B.C.). This underlayment shall be fastened to wood or other nailable decks in conformance with Section 3403 of the S.F.B.C. The product consists of fiberglass acrylic core coated with a modified asphalt adhesive having a total thickness of 45 miles and weighing 30 lbs. per square in 36" wide rolls. Due to an avalanche of requests for new approvals brought about by Hurricane Andrew, the issuance of Notice of Acceptance are being delayed. In the interim period, please accept this letter in allowing this product to be used as an underlayment under shingles, clay, concrete, or other nail applied tiles. Sincerely yours, L 1 •'4UH'I r. kjt 1 _ il Diamond, P.E. Product Control Supervisor APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approyal of the detailed statement of me plans and specifications herewith submitted for the build in or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Viil.ecr, 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 i3uikling 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. Date ro ,19. Owners Name and Address f a 2 42AC _ No. _Z�'. Registered Architect and /or Engineer. Name and address of licensed contractorTcory ca./ a/ i > ..4 eve 7 Y!* Al. 1, 1. _ � . 'T ,(rp. ue/e.0%,11 Location and legal description of lot to be built o Lot //7/7/ _......... Block C 5 ' .. _._ Subdivision - M. i � � / Street and Number where work is to be done Nom_ 3 i-s sr State work to be done and purpose of building (by floors J C°\-h { °t tG_ 3! >=: S 1�t1�. .... 1 — 0 ° 6 and for no other purpose. Ncw Building Remodeling Addition Repairs ✓ No. of Stories. To be constructed of Kind of foundation...._...__._. R000E$ovoting Estimated Total cost of improvements $...» 46 5 LG a Amount of Permit $.. y ' 1 t! .- Zone cubage required Distance .to next nearest building Maximum live load to be borne by each floor 1 hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. Rem.uks STATE OF FLORIDA, COUNTY OF DADE. J S° MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT r.__ -•_. .� (Sign -- ••nor- -...•• .rm,, rw,.-- .nn.nen• -n _Plan Cubage _ ._._Size of Building Lot......_ . _ ... ...._- _._.. ......__...... --- .............._.._ - -.•- The nndcrsigr.cd applicant for this huilding permit does hereby certify that h understands and of labor under the Florida Workmen's Compensation Act. being Section 5066. ompded Cenral and has complied with the provisions thereof, and will require similar compli ce from all ••. tr in the work to be performed under this permit; and will post or cause to be osted for insp or noticcs as arc required by the Act. The undersigned agrees to employ onl such subcon pcnnit, as are licensed by Miami Shores Village. //4 ) 9, -7 s bis obligations as an employer s of Florida. Permanent Snp dement, rs or sub- cnntrac s employed by him the site of the o such public notice p work to rformed under this Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments. pmemally ap-- pealed ... »__ : ld/?1.t . Jed. :rl..he.c _ec 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 ap cation. And that he did sign a same, and that all fact; therein by him sta a are true.. 9 / c k Permit No...-- _ Date e `.1 1 R ad, Swogo and Subscri _f re me o Di sapproved .. .- .. Date.._______. _ _.. »._. 67-'1 'C ''r r.... . ...... . ' _. Nota Public, Sta e of Florida �a v! _ Notary Public, State tiff fl Ida Building Inspector My Commission Expires rm' stn sion Expires Dec. 28, PLANNING BOARD..._..... — —..........DATE Bonded Thru Troy Fain - Insuranco inaJ ..•rid Chairman Member .. »_. »......_._.._._ »N--- ._ -..._ Mcrr.bcr Member ..._.... »..._. _-- ._,. --- . M ember _..__..._._. »_._ ...._....._ Member — ._ _. _.._..__._• Council Approved ....— ._Date Disapproved ......_.._.. ».__.» Date NCB F,: A charge of 31.00 will be made for making corrections or changes to this application after approval has horn obtained from the Pl..rmir.;; Itu.trd. A rc- iii tiun fee of 31.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials anu /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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 Bei!ding 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. ( ' f < ) Street-2/ °: Owner's Name and Address ...... i I t . . :.... . :: .» No . . . .4� Ste f :....� .,'. Registered Architect and /or Engineer Name and address of licensed contractor . .... f Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. ss. �. af... � pat, . purpose r g (by floors). State work to be done and u se of building Date New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation . Roof Covering P.4.. ;.. ...._... _ Estimated Total cost of improvements $ F3. 664 Amount of Permit S...... �; C° 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 pennit 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 i Oection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such su rs, on wmrk) to be performed under this permit, as are licensed by Miami Shores Village. Remarks Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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..._. Disapproved Date. (Signed) Building Inspect My Commission Expires Date..._.. [.... tH• •..,,..,,..,.�.. yf! tli „G It ..... and for no other purpose. itiev Read, Sworn to and Subscribed before me. Notary Public, State of Florida to me well known, LANNING BOARD _..__... -.DATE Chainnan ® 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 apprmal has been obtained from the Planning Board. A re- inspection fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 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 Villagz, Florida, and all provisions of the Law of the State of Florida, all ordinances of Miami Shores Village 'nd all rules and regulations of the Building Division of Miami Shores Village sh,al be coq plied with whether herein specified not. A cop of approved plans and specifications must be kept at building during progress of the work. Date_ .L a / 9_�� — - - - -- No. 't- -5 Street__ l"- _7' 6 e 1 5_ 7 7 O (005 o, c /,1 //d 3 ,ilC) _ a 2 7/1 a Owner's Name and Address ___ -- D0 mA A1. _. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision �j Street and Number where work is to be done __ ______ _ S / - _. Pz-e/g A. purpose building (by floors) 1� �a0E- //3l / ?,PHA -. State work to be done and ose of Buildin b floors i _ _ S © /_� .�!_U�_ _ _�__ /— � L 7 Z" e 4:_/;/!! !"— ? o 57 4- rC- o r ©pPC - G (L J /i /At T ( Cc ,Z f'&T 2 � ,-/_a AP:3A , _ and for no other purpose. New Building Remodeling Addition _ Repairs No. of Stories To be constructed of Kind of fou n4ation 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 provisions thereof, and will require similar compliance from all contractors or sub - ccntractors 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. Remarks (Signed) J � �P/ 4 STATE OF FLORIDA, COUNTY OF DADE. j 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 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 Permit No (o ° b c D : te _ - ( u Read, Sworn to and Subscribed before me. Disapproved _ - ( Signed) Notary Public, State of Florida Building Inspector My Commission Expires PLAN BOARD __ ._ __ ______ _____ DATE Member Member Member Member Council Approved ___. _ Date Disapproved Chairman ___ __ . __- _ _ _ Member _ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approN,J 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building a " MIAMI SHORES VILLAGE, FLORIDA PERMIT Architect CONTRACTOR OR BUILDER N° 6085 Work to be performed under this Permit Signed. C. F Of DATE :' 19 Contractor's License No. CY.9 cre e- 7# O /V Contractor '" tt J or Builder t„....) L tD ' L, I • r .. Legal Lot Subdi- Description I Bl vision Address of �'' e� Value of 'Q Amount of( � � Building j Project $ �1 Permit $ and 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 prcper 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 statement -or specificati and that respon- sibility for work done by his agents, servants or employees. �, / / 1 f # f ,� In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance th all ordinances a ' regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper auth ties of Miami Shores Village. In ao cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. AUTHORITY INSPECTOR A.Io UII.DING LECTRICAL LUMBING OOFING caner of u lding rchitect ontractor Builder (2-erzIA d 44. _gal Lot ascription Bl ddress of { . Ae. mss► Y4 gilding ! ..� �i CONTRACTOR OR BUILDER BY MIAMI SHORES VILLAGE. FLORIDA / DATE �.� 19'5 e PERMIT N ?. 3359 Contractor's 7ff License No. Work to be performed under this Permit Subdi- vision Value of Amount of / Project $ ++ Permit $ / This permit is granted to the contractor or builder named above to construc the building or to install he equipment or device described In the application 3efor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any Lie 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 1s anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations rtaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work •ne by his agents, servants or employees. Signed. BY INSPECTOR 2 i r In consideration of the issuance to me of this pandit I agree to perform the work covered hereunder in compliance with all ordinances and requlaticns -rtaininq thereto and in strict conformity with the plans, drawings, statements or specifications submitted to be proper authorities of Miami Shores Village. In aoa ptinq this permit I assume responsibility for all work done by either, myself, my ageat, servant or employee. - AUTHORITY .4111110 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address y I WL96 Tax Folio Legal Description Owner/Lessee / Tenant \/( Owner's Address /` ..6 c Contracting Co. Address Qualifier SS# Phone State # Municipal # Competency # Iris. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING h L LECTRIC PLUMBING MEC ICAL ROOFING PAVING FENCE SIGN • WORK DESCRI�P 1'4 i /( -- aA k' -tr\vC �MSC Square Ft. E Cost (value) / S<• if 0 cc; 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 w.rk will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the w. k stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President My Commission Expires: Historically Designated: Yes No • .6 ` eo APPROVED: Zoning Mechanical Plumbing Structural Engineer Buildmg 1r Phone AA/ 9 Co ctor or M - - : wilder e / K . c y z : — 3 _ 5 C - Date Notary as ; ontra ,nLi Ag My Commi ssion E Tres: GL& ' . r E ...l: {; s % 1' ,4Ji' i't• , �t;�� CO:t.i ti'-i71f�1J 1\ CC ~ FEES: PERMIT RADON C.C.F. . (✓ NOTARY 7 BOND Electrical Master Permit # (2 7 / 6 - 31f 4- , TOTAL DUE Date 4