961 NE 96 St (5)4
/
H F 9 V 1 LAGE
A,,. YMENT
. ."..:1 N Ci PERMIT
;, ..,. .,:d specificatiow bermvith submitted for the
,-i - nifortnity with the of
• .-i,, sil fx ginces of Miami Shor ei Cirdia s aa ad rules
le-1 ... ,ti., ,. ',ether hareila specified or Dot. o
espy f approved
,
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Zio
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_ . sod for Do other parposie.
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billiding anti 1'1 i'0413:71Vr.'t kArt
• .1.$ ..)c ric hi obbg As an tint isiv,s
Laws of Florida, PenDiricni Supple; le. I,
avb-contractors crocikryed tsy h
1`k on the WO! ' ri . myt
oct , Otr WOrk to performed , der
and take asAnowliscLprients, pessortally a:,
. to me wed
i.ti that he dici sign the mar r.i that Ds. is
s‘,i)s.crihed before sae.
• State of Florida
i'mte
otiatk..r alter appal:risk: kaj obtained ir.41.:
•apex-6m trat f,,
New Building.
To be constructed of
Estimated Total cost of
Zone cubage required
Chalrinsm
,Inber
Member
Name and address of licensed contractor.
Location and legal description of lot to be built on:
Lot _
STATE OF FLORIDA,
COUNTY OF DADE. SS "
Permit
Disapproved Date
(Signed)
Building Inspector
MIAMI SHORES VILLA
BUILDING INSPECTION DEPARTMENT •
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the amroyal of the detailed statement of the ploospecillastiois
erd
the State of Flo
Shores Village, Florida , and all provisions of the Laws of Florida, *11 le7r0074 241
Mg or other structure herein described. This application is made in compliance and
repilatioas of the Building Division at Miami Shores Villisp shall be complied with, wieebet
pleas and specificatices must be kept at building during Ongrees of the work.
Dense. Name and Address
• `.
Registered Architect and/or Engineer
stest •and Number wluse worli is to be done. 4 5.Y ' /f." 56 5
Block Subdivision
Statewark to be dope and purpon of building (by floors) .L A
_
. ,
gni hi go *bar wpm
Remodeling Addition Repairi. Ne. elf
Kind of foundation
improvements $.. ............... ..... _ ... _Amount of Permit &
.1•0
. ..Pan Cubage
Distance to next nearest building _Size of Budding Lot.
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with rehouses to the losedlrig awl all 0006.11411111 sery
be sent to. ....
The undersigned applicant for this building permit does hereby certify that he understands sod esseettr
of labor under the Florida Workmen s Compensation Act. being Section 5960, Compiled Cenral Limits*
and has comphcd with the 'provisions thereof, and will require similar compliance from all .see ednese. traelip
in the work to be performed under this permit; and will post or cause to be posted for inegentioe won
or notices as are required by the Act. The undersigned agrees to employ only such
permit, as are licensed by Miami Shores Village.
Remarks (
Befi,te me, the undersigned authority, s. notary public, duly authorized to adro
peared —
...
Date Read, Sworn to and Subscribed Were am
PLANNINC BOARD _DATE
Member
'V ember
Monher
••••••••••••
aids mad tabs adommisdprato, ponalisly sp. •
VI OM will keirws,
and who, being by me first duly sworn, upon oath deposes and says that he is the a.
of the above described construction, that he has carefully read the foregoing application, and that 117&aiga the am% sad art therein by him stated are true.
Notary Public, tasio4rP1.ritia
My Commission Esp.
.............1111•••••••••••••••■•••••
•••••••••••••■••••.1•119
••••■••■••••••••■•••••■•••
1•••••••■•••••••••••■•••••••••••■•••......8
.1•101.10..a.
Gutncil Avyovecl Lte
NO4.F A ch..urge of $1.00 vitll be made for making c-oireetttms or changes to this application allow appnwai itm brat Atehmed boo
the
A re-111,pectior, fee of 11.(71:: tofu, be charged
ma:erials and/or workiniu5ship
when such re-irispection made nooseasiry b oraglew seiko for impectioe look*
•1
I
Date 15-17
Legal Description Lc b � cc.1L A
er / Lessee / Tenant dPd (�e
Owner's Address 461 Ni. qz s
Contracting Co. 5 pn R f _
Qualifier 0 SSO � - - 7/ 2)
State O( 3;10 Municipal 0 Competency 1
Architect /Engineer Address
Bonding Company
Mortgagor
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING HANIC A1 OOPING PAVING PENCE SIGN
WORK DESCRIPTION ►i� 11 6 F l`{ .. I' i 54e Ze ,
1")I L1h f(tcam, Act_
Square Ft. 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 urisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, Pf � O LS,'ROOFING and MEC ICAL WORK.
OWN PPIDAVIT: I certify that all the foregoing infomatio is acc
be one n compliance with all applicable laws regulating const ction
aut orile the above -named contractor to do the work stated.
Signature of owner and /or
Date: —) } A
Notary as to Owner and /or Condo •resi•e
My Commission Expires:
** * * * * * * * * *
PEES: PERMIT 7`J - RADON C.C.F.
APPROVED:
. `;1996. 00:10
Zoning_
PERMIT' APPLICATION FO
Job Address �k A/j ft:/ 014 Tax Folio /1 3a n (o 0 1 13 0
l�
Mechanical L �1I1mh sta___
IAMI SNORES TILLAGE
Building
Se J4 q we - e e /D 6.3
Master Permit 1t 4-6172-
Phone 7 7
Fire
Addre x___ '`u
_63W
Phone 1 gam' _ Tom" I/ 9W c-
Address
g
PAGE 01
U.7/
Ins .Co . >'�f�"
Address
C '
Contr . Owner- Builder
o
ate: ,1
otary as to
My Commission Expi
NOTARY TOTAL DUE
Other
A.nQi naari na
d that all work will
ing Furthermore, I
SMAEL RAMOS
:•? MY COMMISSry N 8 0681
�`•' EXPIRES: Gtr 8
8ond�d Th m koo�y p�aac Undsm,l. a
*
Electrical