146 NE 98 St (4)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 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.
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Owner's Name and Address bSt.. � ,. an v DL
Date 0 / /` 19 F
No 1 4 Street
Registered Architect and/or Engineer yy ��
Name and address of licensed contractor / ��_ _q/ a_ c _ j LJ 3 L� 77 (� �.
4,
� % eo ���r
Location and legal description of lot to be built on: /® 34 � � 3 A390
Lot I '`A / J� Less Block j g Subdivision ' - L I per. { I S 71() S e C a i G� / 4 eitri
WO r JO' 1
Street and Number where work is to be done
State work to be done and purpose of building (by floors), state exterior colors (submit samples) 7 a L v i $> ��
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2 / iLk- )
$'e r, e.e
New Building [ ._- Remodeling Addition L - Repairs No o` Stories
To be constructed of c!JL Kind of foundation G/t -- -Roof Covering Z a LJdL °z -
Estimated Total cost of improvements S 3 (, 9 _l _ Amount of Permit S ' 3'0 i
X
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 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. } 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 f.regoi .: application, and that he did sign the same. and that all facts therein by him stated are true.
Permit No. r'1 Date i Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of 525.00 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.
� 1
Date
Notary Public. State of Florida
and for no other purpose.
This pjop rty descrit,eo as:
Lot1 1.15 9 less the West IQ feet of Block 18,
I4IAMI•.$NUKES SECT1uN NU. 1, Atilt'►sl)t=i;
accordl,ng to the Flat
thereq ;' as recorded in
;Plat• Wok 1U, Page 7U
'pt
thetryblic Records of
• `4ade' Florida.
• •••• 1.c••
Certified To: Colony First Murtyaye'Corporation,
McCloskey Title and Dennis H. & Vandra E. Wool fol k.
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PROPERTY OF: Wool ful k, Dennis 1.1..t. Vandra E. , I4u NE 980 Street,
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hialai Shores, Fluriva.
LANNES and GARCIA, INC.
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NGIN1.1 k5 - LAND SURD L'i'UKS - LAND PLANNLkS
Office .Iddre s: 4u60 S.lh'. 84th A■rnue, Miami, Florida 33155
Itil,til n addres: P.O. Box 51,11.31. ML,,rni. Florida 33156
1,
hereby apply for a certificate to re- occupy the single family reidence known as: (address)
Legal description:
Lot: ( ; 2 ° ) / C ) loc.'c:
I hereby certify that I understand that the zoning of the prone ry is For lina{e -Emily residential use
and that it is unlawful for more than one family to reside there= I also unde ind that any
Certificate of Re -Occupancy that may be issued by Miarni Shores 'Village, Florida, certifies only
that the referenced property is being used for sine-FAmi1y purposes and that such Certificate does
not constitute any representation, warranty or certification as to the condition of:he dwelling or
other structures on such property.
For the purposes of conducting the inspection required by Son 902 of the Natal Shores
Development and Zoning Code, contact:
Contact Name:
Buyer_ Seller: .7Reaitor :_ Company Name:
Application Fee (350) Paid: Cash: Chess V Numb
Inspection: By:
Comments:
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
Approved: "✓Denied: Dare:
, titiami Shores, Florida.
B&PG: /b ° 7 v .
Date: /f0
Telephone:
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property descfoed
in the application has been inspected far the purposes of re- occupancy pursuant to Sections 901
and 902 of the tifiami Shores Land Development and Zoning Cade and that such property may be
re- occupied by the applicant for angle- family residential purposes.
CER'i it ICATE OF.RE- OCCUPANCY
MIAMI SHORES V2LAGE, FLORIDA
By:
Date of Certification: /Pg. /
THIS CERTIFICATE VERIFIES THAT i Hi REFERENCED PROPERTY
HAS BEEN INSPECTED BY 14IIAltiII SHORES VILLAGE AND HAS BEEN
DETERMENT') TO PRESENTLY COMPLY WITH SCHEDULE OF
REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT
CODE PERTAINING SOLELY TO I ILE REQUIREMENT THAT EACH
ONE- FAMILY DWELLING IS USED AND Ii +'TENDED TO BE USED FOR.
A ONE - FAMILY DWELLENG PURPOSE ON1Y; HOWEVER, THIS
CER'IIH ICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR
WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER
STRUCTURES ON PREMISES DESCRIBED EEREIN, OR ANY
ASPECT OF SUCH CONDITION, AND I!`+TERESTED PARTIES ARE
ADVISED AND ENCOURAGED TO M.-tICE IaEIR O WN INSPECTION
OF THE PREMISES IN ORDER TO DETERMENT THE CONDITION
THEREOF.
D ate loll` Job Address
s . � ti
14 /C
Legal Description
1 16wner / Lessee / Tenant '
/ 4 / 6; ` 61
4wner's Address
** * * * *
FEES: PERMIT ■V'd
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
."Contracting Co. ®c/l1/hg
Qualifier SS# - -
State # Municipal 1 Competency #
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVIN PENCE SIGN
\A/tY A71
WORK DESCRIPTION 1A1" /t C',44(A ( A; F � r�C
Square Ft. f (-)P/1c-) �� E �� ` T' Estimated Cost(value) 4 z j 7
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 cons€ ction and zonin thermore, I
authorize the above -named contractor to do the wort state
Signature of owner and /or Condo President Signature
Date: Date: 7///1
� � 9
, . hi- ii.(i
t
Notary as to Owner and /or Condo President otar to Co
My Commission Expires: My Commission E
* * *
APPROVED: Fire
* *
RADON C.C.F. , 6 d NOTARY J • fiV
Zoning , Buildin
Mechanical Plumbing_
�L-
Address
Tax Folio f oe 4!:5i t)
`M ej
Master Permit 43
Ins.Co.
- 65 - 4/.4-4 3 c
Phone_„ z
Phone
ii'+9r
Nf CHURCH
Stets 0 ilendi
( ly OwnevonIkpiA011S1 1116
No CC197545
TOTAL DUE
**
Other
Electrical
Engineering
.,