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1201 NE 98 St (13)a Date 036-she Job Address ( 0 ( /". g. 98 ST Tax Folio Legal Description .ess e / Tenant 5 E / •fl CC � Master Permit # - 69 Owner's Address g /4 Contracting Co. � � `��-r A ie Qualifier — 7:7•'<- • State # C 03- z Z / Municipal # Square Ft. Estimated Cost (value) Notary as to Owner and/or Condo President My UN B 317 ICIAL VOTARY SEAL CANRRA M MONTIEL 1OP.7MISSION NUMBER . o 0 C401261 CRS J) OO& MISSION .EXP. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Cfrr d/or Condo President Date t a—dz-eg-fd) - 2 .1(4)--&< rgee F ERMIT ti/ RADON /W APPROVED: Dte / a Historically Designated: Phone Yes No Address /33 O .sr Phone 0 2S` 3. — 2 2 Competency # Ins. Co. Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN MECHANICAL OOFING PAVING FENCE SIGN WORK DESCRIPTION F(a-teJ /' — (1) 1 6 lc/ Address Address Address Electrical 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. tr)4319f 1 Signature of Contractor or Owner - Builder Date z - nee al der Date 7 OFFICIq / �/ n 6 as to My Notary Commi .' • i�re .. �� L NoTgRY SE ,-- � f� ONTI ;,- acv cor�e�lSSloN .EXP. C.C.F. ,-- �' BOND TOTAL DUE 1 1 4, 70 Plumbing Engineering NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 1 98R 138428 1998 11AR 26 15:18 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. 1. Legal description of property and street address: 2. Description of improvement: 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: 5. Surety:(Payment bond required by Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other 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 Comcement* (the expiration date is 1 year from the date of recording unless a i different date is specified) nature Notary Public Pri, Nctarr's Name L. My :.mmiss;C' Expires• TAX POLIO NO. / 5 009 0A2.0 i•7'� cam, , e0j/ y fc it ., l33 o �3� s owner /11 contractor OF FLORID COUNTY 0.: DADE ^ " $ ' t-q eqq C�tcolor 9 c this is a P hO day of at not filod in This o.■ice ono (� w._ ra 5 W NESS my h . d .•r.d Ot icior Seol. HAO,,c• RUIN CLERK,, of cu:t f Courb — r Owner Print Owners Name 11165 (, D� Sworn to and subscribed before me this ZS day of Iv PI rc-171 . 19 • p p ��� E E �i e N INUMH R CC401261. / / ,v ( 9 s7 '4; s7s B (r 7 (.2-©/ ,v qel Stun/ 6:5 ents may be served as provided /.12 Prepared by: Address: /33 90 S-'- ( 57 ;ffi: 33 / PA MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or ore 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, whcther herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. '' ff Date..._..._......_...— ...._._ $ -129 ._._...._... 19. $5 Owner's Name and Address M125 H ArZVEY ...._ _ No. . ..IQ J ....__. Street'E' 9 $ `.. - �T ..... _. Registered Architect and /or Engineer I4o14E . , :,, ,,,,,,,, ,,; Name and address of licensed contactor SAM L . HAM Tot( I r1 c. 3500 OA!), 22 A46 MIAMI ?314- 2 _ .. __ Location and legal dcscri9tion of lot to be built on: Lot Jo L Block 4 Subdivision y0-fy Street and Number where work is to be done State work to be done and purpose of building (by floors)..... REPLACE ex 1, - Ttt4Gt A/C I Zt•k E C. A 24(E W t"i' I-i Q N g 4: oIJ u N 1T (EXACT ...QI RAT RF Pad •meaTI and for no other purpose. Ncw Building Remodeling Addition Repairs i No. of Stories To be constructed of Kind of foundation . Roof Covering Estimated Total cost of improvements $ if 3 Amount of Permit $. ........_ 28 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.. '� . I . -HAMtLToti . Ii.ic. 38c)ca f k.c v. 220 r4v I`r1■4M l FLA • 33145 .... 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 Ce eral Laws of Florida, Pe manent Sup dement, and has complied with the provisions thereof, and will require similar compliance from all tractors or su• n 6•c ors employe by him in the work to be performed under this permit; and will post or cause to be posted for •rsp ton on the site • t•' w• . h is notice or notices as are required by the Act. The undersigned agrees to employ only such - • •:►iii ors, on rd ! for uf+der this permit, as are licensed by Miami Shores Village. Retn.uks (Signed) 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 sign the same, and that all facts therein by him stated are true.. Permit No Disapproved (Signed) Building Inspector Date s! f_ _ y eas e-J J.J3 Sd Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires �...._ to me well known, 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 heen obtained from the 1'I.rnnit.:4 Board. A re•in'pec•tion fce of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship.