372 NE 98 St (13)Date __._ 3 w_,i .
Owner's Name and Address Le S ( e,� � No 37 Street _..11L !_ /
Registered Architect and /or Engineer —� I 1 1
Name and address of licensed contractor �--� 1 1 . . 1 \ >
... ...- - .- ••••-- - - -•.• 1-- 1.2.- e �-•••Q. v.- ' 3 ( O AL
Location and legal description of lot to be built on:
Lot i 1 , 10 / 5... Block 'y Sybdivisjor
Street and Number where work is to be done ,..). — a.. i -1 -1 Q- -- Q ° 3 .
z /1 , -; - L.. -7 ti r 19 ) .. C�.1_h�111c
Disapproved ..,-.- - •• - D
(Signed) ��
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR B_IILD NG PERMIT
Application is hereby mode 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.
Building Inspc• or
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
Estimated Total cost of improvements $ 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 Sop Plement,
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 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 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.
/ Y 3 Permit No.._I_. Z Date t �� ..' •• - - -- Read, Sworn to and Subscribed before me.
Chairman
Member
Member .....
LANNINC BOARD DATE
? .3
to me well known,
Notary Public, State of Florida
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 PL Board.
A re fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection cc faulty
materials and /or workmanship.
Fr6 R-r
PERMIT APPLICATION FO
Date� /G i rs9 Job Address 37 2- ,vE c ST7C
Legal Description
Owner/Lessee / Tenant
G yoiksoi.
Owner's Address 3 Z A) & 7 d'
Contracting Co. e) \c J1`-IE 12_
0 C6 ET
i! SA
A"..)e e
MIAMI SHORES VILLAGE
Tax Folio
1/-3z -o o/3 - 3ldo
Historically Designated: Yes No X
Address
Master Permit #
3 u
Phone 305' 7.5 100 6 " Zo 3 80 7 /
foJ Z cS" 125
Qualifier SS# 2 6 7 - 1 / - 004V Phone 3cS - P
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
A F T C.4-kA L ,J LIvo — pLA-cs-rtc ( TEP fro As
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
cr IfEr , = 16> 4' 67' c." Cs —y. .4•T .SID
E4rwP Pie jt,.,j G;vwC: c /8.2 ic(L ?LA") T t4-5 tOrirT
t,
WORK DESCRIPTION eGAL' i,,) 6-
OF' hoJJE +moo .s-fcpF: j
Square Ft. Estimated Cost (value) $ 650 t A
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YO1J
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR L)rNIWR
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 state
Signature of o
as
onunission Expires:
FEES: PERMIT
APPROVED:
Zoning
Mechanical
to Owner and/or Condo
PZ YONETTE R. MOORGAN
,n c , COMMISSION # CC 701244
cn 1 0 , EXPIRES DEC 8, 2001
J� ^� BON THR
Oi R ATLANTIC BONDING CO., INC.
'dent
RADON
Buil
6 /l6 / X11
Date
C.C.F.
Notar
My
Signature of Contractor or
NOTARY
as to Contractor o' Owner - Buil
'mission Expires:
o 4 r. P
2 ,iii ' COMMISSION # CC 701244
ii ' EXPIRES DEC 8, 2001
�� BONDED THRU
Oi t? ATLANTIC BONDING CO., INC.
Electrical
er- Builder
YON . MOORGAN
BOND
TOTAL DUE
e
q
to
Plumbing Structural Engineer
9
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DRAWN th
•
This property deacr: bed es:
All of lot 3 and tT,e fast
25.00 feet of Lot 4, mock
ai ,.HENDGD ?Lk 7 OP )t1A)SJ
SHOARS SQCTIOi NO. ),
accord5h9 to the Plot
tbAreo1 , as recorders in
Plat book JD, ?aye 70
of the Public Records or
Dade county, Plvr<.da.
C o� /a/� / ( / /J
/e_70
?1O►15kTYOk ?clkion, Liana, and Sanchez, JuIie, 17i N.1. 98th Street
tli ru Sf ores.
Plus ide 13. Je
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LRl1ELTO C. ESPINOSA 17916
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