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1209 NE 98 St (3)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date // Job Addres e., 98i Legal Description 107- /y /9/ W 4 Lo 7 / . /Po E.20 FT. LOT- /O / Lessee / Tenant (ft- •'bl1LA. a sL f)1 ya m: SGoreS Owner's Address olOcl N. F. . 41 " S Contracting Co. aC \ kJ3. - orwnSior% Isom el XrVe. Address �$'1O be,J2 St HOLLywocA Qualifier(; ark , 3o81h c r 4 SS# J 1 State # Architect /Engineer Bonding Company Mortgagor Municipal # N�A /V //1 - - Phone Competency #8G, *X Ins.Co. Address Address Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL S 5. /6. 3 'X 3 EUE b/ . A 41,Q. R bb «o;& Square Ft. Signature of owner and /or Condo President Date: '1 A., L., Notary as to Own r and /or Condo President My Commission Expires: NOTARY PUBLIC STATE OF FLORIDA NY ED O E A I UIQ. ** * * * * * * * * Estimated Cost(value) FolioJJ t ® e 113-$0 B /k-2 rentkie5,2 SA ores G ecQ o Master Permit # 333.3,' Phone 1 )51 - 2041 WORK DESCRIPTION ° .:40 /b•, 3x 011E t ge) /6. lowcaerd /ZoI/ Trlc ;, Al \ 11:5 t TA-,2 PER cote • a / 5 Doc) . o 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. 989 979V PAVING FENCE SIGN Kv 4 Cola" t roa m li Per e d a . Signature of Co ractor or Owner- Builder Date: Notary as to C woresct o g� i.l uder My Commission F�p� `�" 0 '"Y a}mmssim il9i s Fib. b, 19' Bonded Thru Troy Fain - Insurance Ines * * * * * * ** FEES: PERMIT !4 ®O RADON C.C.F. // • - NOTARY TOTAL DUE APPROVED: Fire j Z ? V Electrical Zoning Building / Mechanical Plumbing Engineering Other Pemalt No. Tax Folio No. State of Florida County of 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 information Is provided In this NOTICE OF COMMENCEMENT. Legal description of property (Include Street Address, If available) ) 0 - / / A'e kJ, X2. L o T- / 7 i4 w d 4 -5r -02o F% L0 r —JO 5[K. -.-a . Pac -.l P ro, Jo 9 /v. ci, 9e th s �. General description of Improvements Owner IA a .. b t1Vt.b . Q Kc Address ) -O 0.6 • 71 s 7 rI ?;u„ -,; Shores Owner's Interest in site of the Improvement Fee Simple Title holder (If other than owner) Name (tip . ll l/1� . X Address oq / 0.6 9X" S T. Contractor e. Sto Address S FS / o ' Deus -e y S Surety Al//9 Address if/// Amount of bond $ Any person making a loan for the construction of the Improvements: Name Address 4/ Person 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 Address In addition to himself, owner designates Of to receive a copy of the Lienor's Notice as provided In Section 713.13(1)(b), Florida Statutes. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date Is specified). THIS SPACE FOR RECORDER'S USE ONLY EARL W. JON■STO■i irZOC I , I N C . S$4O DELJEt -e SF HOLLC-w 0 . 1- d`j 4 NOTICE OF COMMENCEMENT } //: Shore s S v. )2 Shore..S ,P. i3 L/.3 - o Shc;res, FLor/ /)A 1\ O O , . No<<Yc.,o , fIDR ho /9, Ay/9 Z/ ,' Signature of/Owner ao4 6'e /te //. /C / 3 i ;39 0 6 L f Printed Signature of Owner Sworn to and subscribed before me this I a Ti-4 day of 92R445661 1992 NOV 20 11:52 0 i ∎ No y P bile Pried ffDtary Signature My Commission expires NOTANy PUBLIC STATE OF FLORIDA NT \COMISSION EXP. A .1.29.1995 IJ BONDED THRU GENERAL INS. UND. l/ SEMINOLE FORM 408 FS 713.13 33o23 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 Name and address of licensed contractor Location and legal description of lot to be built on: Lot /// N I L Block Street and Number where work is to be done Permit No Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT // 7a aq /1/ 9f' 671- /-10 o FM Cr,• •471. Subdivisionh1 /L'�i Date -/ G/6 f Read, Sworn to and Subscribed before me. Date Date 2 — No. Street OV UV c o c r /44/ J 9 3 ' off' e2 5 ? /2 0 5 N s. s! / State work to be done and urpose of building (by floors), state exterior colors (submit samples) cgc) L ` d _ P Ck V e 2 fl j 6ci- c-�� (o • 2 S 6Qo 14 h eS Q and for no other purpose. New Building Remodeling Addition Repairs !1 C-80 No. of Stories To be constructed of Kind of foundation Roof Covering ,` lye C- Estimated Total cost of improvements S 0 O Amount of Permit $ J ®r O' 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 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 obligatons 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 witlttthe provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this per and will .. t 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 . e .. o y suc contr actors. on ork to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) / .d /_ i STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared 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. Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Application is hereby inncic for the approval of the detailed statement us 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 prggreu of the work. Date..._...__..__.. 'i: ._.._ 2:_._._..._... 19.gC Owner's Name and Address ......... 4.4 V ....: ....... 0 ...... Street_kt 2' Registered Architect and /or Engineer tilt. II,. tttt •,e,tt,t,•,M,.. „ttttt e,,,.,.. Name and address of licensed contractor... J/.f'�L E / .Y L..4 :.P 1 T . »� 7 ¢.L 2.�V L,�__�1..i. k' /_ S. $ /G Location d�gal description of lot to be built on: ,l Lot./.....�............ Block A Street and Number where work is to be done State work to be done and purpose of building (by floors) .CP.. <� r 13. k' - 2.4 4 A' * and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation . Roof Covering at) rLir ; fl Estimated Total cost of improvements $ /2.4Z " 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, Perrnanent Supplement, and has complied .c ith the rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint in the work to be performe 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 arc 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. SS ' Before me, the u authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- t peared APPLICATION FOR BUILDING PERMIT Subdivision and who, being by me first duly sworn, upon oath deposes and says that he is the. 1,i1 t a '�-t of the above described construction, that he has carefully rfad the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. I v/ 2 . Permit No. ._11L/ ( f/ _ a ate 7.-2-- Disapproved (Signed) Buil • ing Inspcc o MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT ade_Ariva.d2_41 411Jd /2c PLANNING BOARD DATE Read, Sworn nd Sub ; r'bed to me well known, N • 'ry Pub ' , State of Flori . a My Commission 'spires _ Netmy Publ c, State of Florida $v Commission Expires Oct. 4, 1986 runt . d. .w ten , .le Chairman Mcmbcr _ j: ; tutu -,._ 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 I'l,innir.g Board. A re fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspectirm oe faulty materials anti /or workmanship. Owner's Name and Address ..... Registered Architect and /or Engineer Name and address of licensed contractor Permit No._ Disapproved (Signed) Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor / ZG l MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made 'tin 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. Location and legal description of lot to be built on: Lot / 1 Block 2. Subdivision / A AI. _ 4?.. O/ CI( dal e Street and Number where work is to be done ,% ®�.._._- �1[..-.: ! ' - State work to be done and purpose of building (by floors) tt 0.. ..:: 7 . 1 Remodeling Addition j „�C Repairs No. of Stories ,l rr � Roof Covering.... fig?.± -. rl�.v �, Y/'0) New Building To be constructed of. G - Kind of foundation r.S O Amount of Permit t plan Cubage Size of Building Lot I hereby submit all the plans and specifications for said building. All notices with reference , too the building and its construction may be sent to .. , �..`3. _� . ..1�'1'.. � �" ®C�� ��/•- 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 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 subcoptractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks._._ (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 state therein by him d are Date e. Building In ' tor PLANNI Chairman Member Member Council Approved Date Date.. . .._.. _....... ,19.,�� F/b ..�., ,1, — No. . .. ./2. Q?. � Street._.. � _. 9 and for no other purpose. Sworn to and Subscribed before me. Notary Public, State of Florida ommission Expires to me well known, BOARD _.._......DATE Member Member Member ...._ — _._..._ 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 fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. reo odc y 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. Owner's Name and Address..' . Registered Architect and /or Engineer _ Name and address of licensed contractor. 6 7 STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE Location and legal description of lot to be built on: Lot Block Subd i sion Street and Number where work is to be done 4 . 2 4e 5 �____ • �- State work to be done and purpose of building (by floors) i Date____ - 7/ Date. a .19 g 7g 7s/ No/ Street /; w Read, Sworn to and Subscribed before me. Notary Public, State of Florida and for no other purpose. New Building Remodeling Addition Repairs No. of Storie To be constructed of Kind of foundation Roof Covering — 2/7a . Estimated Total cost of improvements $ �� 3 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 - 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 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persortally 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. v! _ Permit No _ f__I Disapproved V (Signed) 4 uilding Inspectors 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 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. ivy/ BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ,�• lig MIAMI SHORES VILLAGE, FLORIDA PERMIT ,,,s t . i , f Architect Contractor or Builder r".• e 4 Address of Building 1 7 c ` 7 ! r' Legal Lot Description CONTRACTOR OR BUILDER B1 N9 6728 DATE 1 19 Contractor's 7 t License No. ^� Work to be performed under this Permit Subdi- vision Value of Project $ c 1, , Amount of Permit $ w Py 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 proper 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 statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. r Signed. f[_ )f * - ' `'�, 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 pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY MOT Owner's Name and Address Registered Architect and / ngineer Name and address of licensed contracto Location and legal description of lot to be built Lot Block Street and Number where work is to be done State' +work toabp done and purpose of Odin New Building Remodeling To be constructed of Kind o Estimated Total cost of improvements Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. be sent to Disapproved �... Date -- ( Signed) Chairman Member Member MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Amount of Permit $ Plan Cubage Size of Building Lot NING BOARD DATE 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- luring progress of the work. Subdivision 7 ____�______ p g yfl and for no other purpose. Addition Repairs No. of Stories n4Oon Roof Covering . d d All notices with reference to the building and its construction may 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 employed by him in the work to be performed under this permit; and will post or cause to be posted for i. ection on the site of the wyk such public notice or notices as are required by the Act. The undersigned agrees to employ only such s .t *' tractors, on wo to be ,erformed under this permit, as are licensed by Miami Shores Village. Remarks (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 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 ' 7 Z Date I v b s Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspecto My Commission Expires 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building '197.4.41/ . , Contract& i or Builde Legal / Lot Description B1 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA -? DATE_ - -: -'�' t y(19 °❑ PERMIT N9 5421 Work to be performed under this Permit &tr -t ..t✓ BY Contractor's License No. AUTHORITY Architect ..� vc // (vim • Subdi- vision 1 Address of V Building /W: alue of Amount of 1 '. / . t . A Project $_6 V. 0 � Permit $ --"" 4 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 proper 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 statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. -�rc�t —�s = , INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance 1 ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. ♦IEOT Disapproved (Signed) Date Building Inspr. or 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 June 22 19 Owner's Name and Address I S Ovalle: Erick No 1209 Street N ° 98th Street Registered Architect and /or Engineer. Name and address of licensed contractor ..JO GA ANDREWS ROOFING & TILE C00-4300 4300 E0 llth Ave, Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done .._ Q9AU_a_Ea 98th Street State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs N. No. of Stories 1 To be constructed of Kind of foundation Roof Covering 12 4 Sh 1e0 Tile & Gray Estimated Total cost of improvements 0200 e OQ Amount of Permit $ 5.00 Oi 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 employed by him in the work to be performed under this permit; and will post or cause to be post o inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only s . ch su i contra ors, on work to be .erformed under this permit, as are licensed by Miami Shores Village. Remarks (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 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 -0347 1 Date —s- " I( Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 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. Richard E. Gerstein Registered Architect and /or Engineer John C,, .andrews Roofing & Tiie Co. 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 1209 N. E. 98th St. 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 X Estimated Total cost of improvements $ 257 e 55 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- 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 subcontraFtors, on work to be erformed 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 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. /Z [1 ruue. Permit No - ,(� Date_._ 'L - ( Signed) APPLICATION FOR BUILDING PERMIT Disapproved Date_ Building Inspe or MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT PLANNING BOARD Chainnan Member Member Member Member Member Date February 27 , 19 61 No 1209 Street 98 th n M. o notary public, duly authorized to administer oaths and take acknowledgments, personally ap- to me well known, Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires DATE 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 hecn 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. 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. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. ss Building MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Location and legal description of lot to be built on: Lot Block Subdivision State work to be done and purpose of building (by floors) New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind f fo ndatip R of ,Covering Estimated Total cost of improvements $ 0 o' Amount of Permit $ / Zone cubage required Flan 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 5968, 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) 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 1 / ® Date .1 ...�__ Disapproved to (Signed) NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. Date No fc2 Chairman Member Member ..... Council Approved Date �� c� � �f-- , - •'�= t- -• - s�� -;=sue and for no other purpose. PLANNING BOARD DATE I Street) Read, Sworn to and Subscribed before me. 4 ,19 T Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty