347 NE 98 St (4)ivilAMI SHO ES VOLLASC
BUILDING INSPECTION DEPARTMENT
APPLLDICATI®N FOR
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.
r 2 i / Date..._.._ ... 3... _.. ... �_....__ ... , 119.7!
owner's Name and Address t �,� l L L :- Z- �E7 .f6/6-F6 - L, No....,� T. 7__. StreeLJ T..1'�`.sr_
Registered Architect and /or Engineer
Name and address of licensed contractor r fir'
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 7 NE g e
.�
State work to be done and purpose of building (by floors)..._..ZQ_
15 .. T/..✓_ 4 27 1 ✓� d''
and for no other purpose.
New Building Remodeling Addition Repairs \ No. of Stories
To be constructed of Kind of foundation Roof Covering
0
Estimated Total cost of improvements $ 0.0 Amount of Permit $.
Zone cubage required _Plan Cubage
Distance to next nearest building Size of Building Lot / a X �..�'..>SJ
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 rformed under this
pennit, 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 _..
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 J_ Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Datt,
ur ding Inspcefor
•
ALDONG PL RMOT
f. Orefia -mi car -L 1t10, i/S o o 5 w 77
i14 .,/YT(,
............. •
to me well known,
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 $1.00 will be charged when such re inspection is rondo necessary by improper notice for inspection es faulty
materials and /or workmanship.
eJc ge
OS
'39
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Date — . ob Address .5 3q * -57 1 : Tax Folio 7/ �/�' ,&
14.c A NO
Legal Description i ) /
Owner / Lessee / Tenant (mil-/ Sinrviiv i e2/s-
Owner's Address
Contracting Co. G/ AW /.4 Oe /9.5046Address
Qualifier 6i'/.�jz/ iq-.� e?J�°
State 1k
Architect /Engineer
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Municipal IP ((,,4? 7 Competency #7740,7 Ins.Co. 45/A/451 c0.
Bonding Company /71//9
Mortgagor
Permit Type(circle one): BUILDING ELECTRICAL
WORK DESCRIPTION 41),O v e sX 142 // `4,vea/�/
Arei � �o /* bee- GU /j r �'�c ~s�l� / ,?G'/ 7 S7osvc°S'
Square Ft. .e2/ / -5- 14/ Estimated Cost(value) e c3 k m °Cs
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENL
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUF
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, an
on the attached addendum (if applicable) . I certify that all work will be performed to meet th•
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 wil:
be done in compliance with all applicable laws regulating construction and zonin: Furthermore,
author' the above -named contractor to do the work stated.
SignPture of owner and
Date:
Notary as_to Owner and /or Condo President
My Comma sion.Expires:
Rl :'ARY
AJ_'1f
** * „* :
FEES: PERMIT "/` RADON
APPROVED:
Zoning
/
Tr Condo .resident
Mechanical
C . C . F . `,� NOTARY TOTAL DUE 7 / •a d
Fire
uildin
Plumbing
Address
,Master Permit
Phone
77 /2 //2" _TX
75.E
Address
Address
PLUMBING MECHANICAL ROOFING /PAVING/ FENCE SIGt
Signature of Contractor or Owner -Bui
Date:
Notary as to Contractor or Owner- Builder
My Commission Expires:
No .2' .
**
Other
IC `/ t Electrical
Engineering
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THESE PLANS ARE APPR @VED FUB
ISSUANCE OF A BUILENG PERMIT
VARIA : :ZE(S) LISTED IN °S2EPARKS'
' Y; ' •: S'e DoE;' BUILDING AND ZONING
"` I! • -'' SPECIFICALLY LISTED BELOW.
6 ..'0 ;,'. ' •': LA: ,:9 MUST BE COMPLIED
". p : iTa a'turo Date
• WITH NO VARIANCES • WITH
NO OTHER DEVIATIO' 3 ; PO "9 T:
ORDINANCES WILL BE PE :i' °! I ":
ALL OTHER APP' IC'.T' r ' :: "r
'iITH BY ALL PARTIE:,.
TI:iE DEPAkT :. ..-
PU:;LIC W0;(. :
■ PO'.ICE C P :',RT;1- •
p
11 ) ? 7i
i iILDIi1G DIRE; :O
PLAN ;.I ;.G & Z;i. :L.G
VILLAGE COU;a:I'.
APPROVAL
PRELIMINARY: FINAL4
REMARKS:
COMPLIANCE WITH THE SOUTH R.r.?1 -. 7,':I;.i:' .;', :CO 4 3 47OPi D
BY MIAMI SHORES VILLAGE IS RE,1+=•=•• "' : E :,G'.':i'IiE`..i. a!J': nER a
SUB CONTRACTORS 4 :r :. o • ' ? -. , : .1 - • ,: • ' - : - a • : •
ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEFtrI'!
-'
=RMIT #
:ate of Florida
Junty of Dade •
C .
ern to and
:ary Public
b. Interest in
property:
Contractor: (name and_address)
Surety:/1-6:- 4 �
a. Name and Address
b. Amount of bond$
Lender: (name and address)
OTATE OF FLORIDA
COUNTY OF DADE
I HEREBY CERTIFY that this is a true
origin iled in this office on
Ta Folio No. // 3 ?c� �'/3'S - ‘2/ /
IE UNDERSIGNED her_eby..gives'notice that improvement will be made to certain real
- operty, and .in accordance with Chapter 713, Florida Statutes, the following
,formation is provided in this Notice of Commencement.
Description of property: (legal description of the property, and Street address if
available) • ,207I / / 7 %,c2‹.'
SXi�re7S- /. 9 A
General description of improvement: PP "3 z7 z1}
Owner information: • %
a. Name and. Address: (i9.e/A rJ 744 X4 7 g ),9707/ • _ ` � )4
Name and address of fee simple titleholder(if other than owner):
it
By
subscribed before me
Lei; .e f7i7 ∎2is.
T
, A. D. 19
WITNESS my hai and Official Scat.
Clerk Circuit Court
NOTICE OF COMMENCEMENT
il3.�li A t�7 s/ i%/ �s r�� 33/G
57 Ga S(/V , /so
Persons with 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 and 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
the date of recording unless a different date is specified)
My Commission Expires:
92R1641'70 1992 MAY 001 13:53
gnature o P' 'wner
this 30 day of 4J.-e.//_
: t/ c-
is 1 year from
,.. 199,..
NOTARY PUBLIC STATE OF FLORIDA
MY COMMISSION EXP.DEC. 26,1995
BONDED THRU GENERAL INS. UND. • }