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765 NE 96 St (5)'.PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO REETAIN COPY) Date Y ift Job Address 7( _� 472 j fi - Tax Folio It 3 2 cXo-ime ( Legal Description WI 7n5 Owner / Lessee / Tenant / / /A Z V 1e. Owner's Address - 1(p 5 4 9 Phone S j Contracting Co.1C+3'i � ..fl 1A.st Address C t\SS 4'. S.217 ZOO (A,.:n: tZ.- Qualifier Ro(e3G�t.T Sp2�C� -t- .,2 SS Phone (z �( Sg 3zI�p State #CMG ©ZZ D Competency# CC A ecxe Cxj22 T Architect /Engineer Address Bonding Company kr a Address Mortgagor A Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION - 2.0 -SS�2C CC--v 0 (a,07- r Square Ft. Estimated Cost X 04)000 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. Signature Date: a i` 21,v f Owner and / Condo President ry as to Owner and, My Commission Expires: * * PERMIT FEE: APPROVED: Zoning Mechanical 9t.` S 14*-vtin — S l.s Conn. r;:T, Plumbing � �� ? � z V it • ary as to Contracto ter Bu1 My Commission Expires( * * * * Master Permit # 45i9 Ins. Co. 4 --14A0 — ICa&-c+►«• Other Electrical Engineering wner - Builder ��: PERMIT II Tax Folio No. I - 32-c - (t4 - 2 2. C .3 State of Florida County of Dade THE UNDERSIGNED hereby gives notice that improvement 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. 1. Descriptio n of property: (legal description of the property, and street address if available) • — l ‘, 5 NE-. 9G l - 2. General descriptionof improvement: 3. Owner information: i1 a. Name and. Address: N. tL( M MAZ�� b. Interest in property: 4. Contractor: (name and address) 5. Surety: a. Name and Address c. Name and address of fee simple titleholder(if other than owner): b. Amount of bond$ 6. Lender: (name and address) 7. Persons with 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) 9. Expiration date of notice of NOTICE OF COMMENCEMENT 'mot =- 9 L, U :' _ �.;, .. rcou�" 8. In addition to himself, Owner designates K.) to receive a copy of the Lienor's Notice as provided Florida Statutes. the date of recording unless a different date T►.ur t ►� c Tn �,v.aa,T PAC- nAr,G+� c3 w.0 ni.40_r C 1 c4.( S st -i o M.t - wt 'B4( .31.-1,4,0 Sworn to and subscribed before me. this Crary PublicLl•'9AS• i•*0, L /AsoA S. - r./o,ni tsb*J 17r SV tk"7..4 m 2L4 day of My Commission Expires: K AAA-bsyt, • e.a( f- 33I4- 91R-256547 1991 JUL 26 03:35 INI\ r.. S -(csrt cs - Rp s K, E S &. FL 3'S1313 is specified) S k-1_. FL 3ER of in Section 713.13(1)(b), commencement (the expiration date is 1 year from 1 Yom..4_ )A./4173AC Signatu - of Owner R .wrRiVa. ?NS' 91, 2-1- Mut.“ 33138 , 1991. A'ntary _ :::e of F: •)ri;a C1y Corn m. Er?. Cc :. 3, A, =ncy 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. Owner's Name and Address Registered Architect and /or Engineer MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIIT Date `ate — , 19 l- / No Street Name and address of licensed contractor___.; Location and legal description of lot to be built on: Lot _ Block Subdivision Street and Number where work is to be done work to be done and purpose of building (by f •••"" and for no other purpose. g Remodeling p -. ___ _ New Buildin Remodelin Addition Repairs_ No. of Stories _____ To be constructed of___________.__ Kind of foundation Roof Covering Estimated Total cost of improvements $ 1' 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 contraeors 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 suboentra ors, on work to fr performed under this permit, as are licensed by Miami Shores Village. o ff Remarks (Si ned t _ / 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 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 s:gn the same, and that all facts therein by him stated are true. Permit No. Date Read, Sworn to and Subscribed before me. Disapproved Date ( Signed) Building Inspector 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. to me well known, Notary Public, State of Florida 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. Date , 19 Owner's Name and Address.. '�� , No Street Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision. Street and Number where work is to be done 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 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 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 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. Remarks (Signed) 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. 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 Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida ( Signed) Building Inspector 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. UILDING ❑ LECTRICAL ❑ LUMBING ❑ :OOFING ❑ Aeff wrier of wilding rchitect .ontractor Builder egal ascription ddress of Gilding Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 3363 4- Work to be performed under this Permi I B1 Subdi- vision Value of Project $ DATE l ? 1951— Contractor's License No II Amount of Permit $ JZa9 1-rei€4 CQNTRACFOR OR BUILDER BY AUTHORITY This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application =refor 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 _:e 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 -anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations srtalning 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. r ' Signed. BY i44/ / `' 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 artaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- ptinq permit I as a responsibilit r all work done by either, myself, my agent, servant or employee.