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ROOFPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date 11-7 Job Address /oaO /UE q9 57 Legal Description ti Owner / Lessee / Tenant grail y SUJG,0p Owner's Address Contracting Co. f L., S eiP,14, l/ Address di 70 Qualifier J1O1')2i► ± Sp fd SS ## r 3 -7 0 State4f 0,00a - 6 7 Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICALL PAVING FENCE SIGN WORK DESCRIPTION AI- gd -,,-e 40� aucc,it SPG , S Square Ft . 0 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 the above -named contractor to do the work stated. Signature- o Date: Notary as to Owner and /or Condo Presi.ent My Commission Expires: NOTARY PUBLIC STATE OF FLORIDA * * * *9Y COMMIS *ON EXP J*iE 24,199* $ONDED THRU GENERAL INS. UND. PERMIT FEE: APPROVED: Fire Zoning Competency # Building Mechanical Plumbing P(.-7s3 's 19 91 1 Address Address Address oo Estimated Cost g 600, gna ure of Contractor or Owner- Builder Date: Tax Folio // -Q O3 - Coo-a° Master Permit. #5/91/ Phone (C / _ / `_ OPT ��� 6/v, Phone C!/ gl 02(0 - 7 Ins. Co. Notary as to Contractor or. in ti er- Builder My Commission ExpiresdOTARY PUBLIC STATE' OF FLORIDA * * * ` * COMM •i EXP U* 24,1999w BONDED T :NE •, '. ND. Electrical Engineering NOTICE OF 2 — COMMENCEMENT r, Permit Mo. - a / Ci ( Tax Polio No. // -32 O- - c 03 - 002 0 7 ;_, . STATE OF FLORIDA r COUNTY OF 0 The undersigned hereby gives notice that improvements will be made to certain real property,and in accordance with section 713.13 of the Florida Statutes, the following o information is provided in this NOTICE OF COMMENCEMENT. ,+ Legal description of property (include street add ems, if available) 11 10.)o. ft r ) Yq 51 J1 X,"„77h/ Li ri General description of improvements/V i/► 4X IVA S1 S n e��ly d-- V f4vj �y Owner F m, I y sln cti VSO r l Address I oa a ICJ E 'Ft S Owner's interest in Bite of the improvement Fee Simple Title holder (If other than owner) Name Address Contractor Address Surety Address Name Address Name Address D 1\ Ak> e)A-' /IC a. (1) Ofr ka.ko. 61v) Amount of bond $ Any person making a loan for the construction of the improvements Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided in Section 713.13(1)(a)7, Florida Statutes. In addition to himself, owner designates Of to receive a copy of the Lienor'e Notice as provided in Section 713.13(1)(b), Florida Statutes. Expiration date of Notice of Commencement (the expiration date is 1 recording unless it different date is specified). THIS SPACE FOR RECORDER'S USE ONLY 9 P 'D/ 70 oQ, �` c,��c ie,)I O P4 ��� s r �� 330_ i< stJ\'tt Or FLORIDA COUNTY OIL DA I HEREBY C original f c7 — J , A D 1a WITNESS my hand and Official Seal. that this Is a this Office on Clerk Circuit Co rt SIG TURE OF OWNER Lm,. /y 4, gAci/nD PRINTED SIGNATURE OF OWN R SWORN TO AN SUBSCRIBED BEFORE ME THIS DAY OF /Vac'', 19 _a_.. df the D.O. year from the date of Ns ARY PUBL PRINTED NOTARY 8iN FLORJOA MY C(:.:1 XP LUXE 24,1%6‘)) MY COMMISSION EXPIRES Bi0,WE0 Trif,U i:, "•:el-�fl p44. uND. 0 Application is hereby epode for the approval of the detailed statement ur rme plans and specifications herewith submitted for the build • ine 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 iuilding 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 Name and address of licensed contactor Obenotut %2oouut Co. 7357 N. Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done State wort to tie dgne a d purpose / MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT buyilding an Ncw Building Remodeling S bdi ision 0201. . 99 S. by floors) .. ?emvve nool i.rtg. on sita>vet 4.ectkvn and neEiace w.i trt g..■cayel rcvoing. and for no other purpose. Addition........ Repairs X No. of stories Kind of foundation Roof Covering 20.00 To be constructed of Estimated Total cost of improvements $ 1200, 00 Zone cubage required Building Inspector NOTE: A charge of $1.00 will be made for making corrections or chn the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection i materials and /or workmanship. 11 ....._ 8� No... _ eet_.. � _ `99 Amount of Permit S plan Cubage .... „,... ...• . I • . ,.,. ».. ,• ,., :,. :[ ¢. dearer C lrl<.anii.; 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 lahur under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supple and has complied ith 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 pennit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, 1 . 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 e.. I Permit No.._..II 2 Date.... .1. .._.. !......._._ Read, Sworn to and Subscribed before me. n X10 Disapproved _ �\...���...�.�. Date (Signed) My Commission Expires PLANNING BOARD DATE Chair :nan Member Merober Member Member .. .. Member Council Approved Date Disapproved nges to this application after approval has been obtained from s made necessary by Improper notice for inspection or faulty Notary Public, State of Florida Date Owner's Name and Address._ Tan R. Claussen Registered Architect and /or Engineer 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 e5th St. No 1005 N. Str Name and address of licensed contractor `Brady Roofing & Sheet Metal x' N. W. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done `1:020 N. E. 99th St. State work to be done and purpose of building (by floors) Roof: 30 -90 -Tile 73rd St. and for no other purpose. New Building X Remodeling . Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Tile Estimated Total cost of improvements $._ 97.5..00 Amount of Permit $ 7 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 empl d by him in the work to be performed under this permit; and will post or cause to be posted for i .pectio on the site of the work such )lic notice or notices as are required by the Act. The undersigned agrees to employ only such s • ontra vbork to be perfo 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 /L_-�C• __L? Date /� O 4/ Read, Sworn to and Subscribed before me. Disapproved (Si Signed) �1 g ) ham !� ..:.. , :_: , •--. !_.. .��f Building nspec My Commission Notary Public, State of Florida Expires P . NING 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.