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PAINTInspection Date: 04/04/2006 Inspector: Grande, Claudio Owner: GONZALEZ, ALAIN Job Address: 389 99 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: 305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: PAINTING Work Classification: Paint Phone Number 786/277 -9756 Parcel Number 1132060135540 Lot: Monday, April 3, 2006 Page 2 of 2 gi �1 � Passed Cs9 Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 04/04/2006 Inspector: Grande, Claudio Owner: GONZALEZ, ALAIN Job Address: 389 99 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: 305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: PAINTING Work Classification: Paint Phone Number 786/277 -9756 Parcel Number 1132060135540 Lot: Monday, April 3, 2006 Page 2 of 2 BUILDING PERMIT APPLICATTO FBC 2001 Type of Work: [}Addition Describe Work: Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building ... e 10050 N Avenue, It4busi Shores, Florida 33138 ) 756. e 72 Permit Type (circle): Building Electrical P1am11 g Owner's Name (Fee Simple Titleholder) at A.1.1 Cab 14 7...ALC2._ PhoIIe # 7 . 2Z 1 • Q1S CQ . Owner's Address 38a qq City 1f--I 4 c4Dat State ■ • zip 33015 . Tenant/Lessee Name Phone # Job Address (where the work is being done) Sag k� etittg''r . City Miami Shores Village County Omni-Dade Is Building Historically Designated YES ../"."-- NO Contractor's Company Name ! * C_?_) Phone # Contractor's Address City Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable} Ph # $ Value of Work For this Permit j Q d Stitt 1Vok: t No. Master Permit Ne. * * * * * * * * * * * * * * * * **** * * * * * *** F ** * * * * **** * * * * * * * * * * * * * ** 10 - 17 05A08:47 1 eehac Rom Submittal Fee $ ._ Permit Fee $ 140 i/ CCF S O. COO COICC Notary Training/Education Fee $ 0 . 4 Technology Fee S _ Scanning $ Radon $ Zoning Bond S rain n Ro view . . $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 1 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. NOTARY PU Sign: �J Print: chc 05/13/03 My Com issi . Expires: APPLICATION APPROVED BY: .46 4,'w / PUBLIC-ST. • Boded Thru Ai7mra'•'m Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 17 The foregoing instrument was acknowledged before me this day of , 20( j by4L.A -I\J Z , day of , 20 _, by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. FLORIDA NOTARY PUBLIC: dez SS 009 Sign: Print: My Commission Expires: ** * * * * * * * * * * * * * * * * * * * * * * * * * *p * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** /0 ig3 Plans Examiner Engineer �/ .� Zoning • • MIAMI SHORES VILLAGE SITE PLAN (w/ nTM Nc • l-bUSA- APPLICATION FOR CERTIFICATE OF APPROPRIATENESS NAME OF PROPERTY (If applicable): ADDRESS OF PROPERTY: q N q ST NAME(S) OF APPLICANT(S): Att ;a ` LAILL4 / 7 D 2, 46t (Note: If the applicant is a person other than the owner(s), evillence of that person's authority as agent other than the owner(s), evidence of that person's authority as agent must be attached to the application.) CONTACT TELEPHONE NUMBERS: `Tg (o• 2. '4 S 1 .30s - 7s 2? • ZS?? APPLICANT ADDRESS.: (If different than property address) PRESENT USE OF PROPERTY: RES :PC n1I INDICATE CLASSIFICATION OF PROPOSED WORK: /MAINTENANCE OR REPAIRS RESTORATION REHABILITATION DEMOLITION NEW CONSTRUCTION OTHER (PLEASE EXPLAIN) DESCRIPTION OF THE PROPOSED PROJECT: tPA•ttSTi r PLEASE PROVIDE THE FOLLOWING SUPPLEMENTARY INFORMATION: FLOOR PLANS (W/ DIMENSIONS) �� ELEVATION (W /DIMENSIONS SURVEY (WITHIN 5 YEARS) X COLOR SAMPLE — ES OTHER ' OW\ ( CERTIFICATION tY, I (WE) CERTIFY THAT ALL INFORMATION IN THIS Trrc —va1'Y1TJ1\ Frnrr -rrn.. A • ACHMENTS HERETO IS TRUE AND CORRECT TO THE BEST OF MY - ' " "" crinE AND BELIEF, THAT THE WORK FOR WHICH APPROVAL IS SOUGHT HEREIN 3OOD FAITH AND WILL BE PROMPTLY PERFORMED IN THE EVENT OF APPLICATION AND THE GRANTING OF A BUILDING PERMIT, AND kT THIS APPLICATION BE GRANTED AND SUPPORT THE GRANTING OF kNT(S): DATE: DATE: DATE: C ' 29 DATE: Q�l A: tS CPaf2A4 , of.dy/ 1, -7,5 7 c4r P■ii‘Nctkrvj c o ( 0 OCT 13 205 BOARD DECISION: APPROVED DENIED SIGNATURE & TITLE DATE: HoOSQ Color VI 7906-14q3 CERTIFICATE OF APPROPRIATENESS ADDRESS OF PROPERTY: 389 N.E. 99 Street NAME(S) OF APPLICANT(S): Alain & Carly Gonzalez APPLICATION DATE: (Date Application Received by Village Clerk) 09/29/05 CERTIFICATE OF APPROPRIATENESS REQUEST FOR: A. Request to paint exterior of home. Custom Blended Colors as attached. APPROVED WITH CONDITIONS to /nos 1+P6 Mee.hoct I�C� tof ' f,t Are Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2005 -1493 Printed: 10/19/2005 Applicant: ALAIN GONZALES Owner: GONZALES ALAIN JOB ADDRESS: 389 NE 99 ST Contractor Local Phone: Parcel # 1132060135540 Building Permit Contractor's Address: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 24 & E1/2 LOT 23 BLK 40 LOT SIZE Fees: Description Amount FEE2005 -13729 Building Painting Fee $60.00 FEE2005 -13730 CCF $0.60 FEE2005 -13731 Notary Fee $5.00 FEE2005 -13732 Training and Education Fee $0.20 FEE2005 -13733 Technology Fee $1.50 Total Fees: $67.30 Total Fees: $67.30 Total Receipts: $67.30 Permit Status: APPROVED Permit Expiration: 4/15/2006 Construction Value: $500.00 Work: PAINTING Signed: (INSPECTOR) Page 1 of 1 L . P/ ,I . " , tr � � _ c, rr In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: q PERMIT APPLICATION FOR MIAMI SHORES VILLAGE L - Date �, ' " l C Job Address 3 5 6 g /V e 91 S " -t--4 Tax Folio Legal Description Historically Designated: Yes V No Owner/Lessee / Tenant '-r/q7" Owner's Address 3% 9 /l1 L^ 9 g S , Contracting Co. B Ay .S ( bki PI9TA(7 zn 6 Qualifier plicko.---It S r Cu- WORK DESCRIPTION f OWNE laws re Signature 'S AFF ating 4 .z-AstJ))/,a 7 261/■K, sr/e6 Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT tru tlo !dI r o. :FA or Condo President Date cZY �' L ( NA "ar ;7NTI APPROVED: Zoning Building tP °?$& Address ss# Phone State # Municipal # Competency # diQeo [ T L.( Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Square Ft. Estimated Cost (value) r Q� m 3T 'Vd - `?rc c 37C 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. I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable ng. Furthermore, I authorize the above -named contractor to do the work stated. Signature of Contractor or Owner - Builder Notary as to Contractor or Owner - Builder Date x • � ' RAL NOTARY S .." r OW A / ^2s— C) �� � SAMt)RA M P.�ON71£L ,y COMASSSO"'. FaZJMELr.R ts —, ,r CC4O ..1 T ci Fti ' CC?t.. ° !11 ' S _,1 •EXP. 11^ �G Date �O • RADON C.C.F. I i c° NOTARY S TOTAL DUE I f O � Mechanical Plumbing Engineering r FORM : MSHPB.COA (adopted 4/95) MIAMI SHORES VILLAGE HISTORIC PRESERVATION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS please type or print clearly NAME OF PROPERTY (it : ADDRESS OF PROPERTY: 3' J F S NAME(S) OF APPLICANT(S): (NOTE: IF THE APPLICANT IS A PERSON OTHER THAN THE OWNER(S) , EVIDENCE OF THAT PERSON'S AUTHORITY AS AGENT MUST BE ATTACHED TO THE APPLICATION.) H C_J /4 T TELEPHONE OF APPLICANT(S): (305) ?J ; (305) ADDRESS OF APPLICANT(S): (if different than address of property) PRESENT USE OF PROPERTY: c,3 CLASSIFICATION OF WORK FOR WHICH CERTIFICATE IS DESIRED: (circle the letter next to the appropriate classification) MAINTENANCE OR REPAIR: The act or process of applying measures to sustain the existing form integrity and material of a building or structure and the existing form or vegetative cover of a site. It may include initial stabilization work. where necessary, as well as on -going maintenance and repair. Samples of material must be submitted with the Application. B. RESTORATION: The process of accurately recovering the form and details of a property and its setting as it appeared at a particular period of time by means of the removal of later work or by the replacement of missing earlier work. All applications for restoration shall include site plans (if required by the Building Permit), a statement with bibliography historically justifying the work, and any additional photos or information to support the proposed work. C. REHABILITATION: The process of returning a property to a state of utility through repair or alteration which makes possible an efficient contemporary use while preserving those portions or features of the property which are significant to its historical, architectural and cultural values. All applications for rehabilitation shall include: site plans (if required by Building Permit). and any other supplementary information, such as drawings, that will support the proposed project. D. DEMOLITION: The process of destroying or tearing down a building or structure or a part thereof, or the process of removing or destroying an archeological site or a part thereof. The applicant shall include a report explaining why the proposed action should occur. If this action is to occur for reasons of financial hardship, all pertinent financial data should be included pertaining to the cost of preservation. demolition and new construction. Any other material pertinent to the application is also encouraged as supplementary information. E. NEW CONSTRUCTION: The process of constructing a building or structure that has never existed at that location. Applications shall include : a site plan, elevations. floor plan and/or landscape plan. SIGNATURE OF APPLICANT(S): SIGNATURE OF OWNER(S): 1. APPROVED SIGNATURE OF CHAIRMAN: CERTIFICATION c * 4 FOR BOARD USE ONLY APPLICATION DATE (date application received by Secretary of the Board): DECISION OF THE BOARD (circle the appropriate number): a •. DESCRIPTION OF THE PROPOSED PROJECT (Explain what changes will be made and how they will.be accomplished - use continuation sheet if necessary - all applications shall be accompanied by at least one 3" x 5" photograph of the property): F ili..50e-- , /Z (....-)A-5 H C pA-rc.H G2rl>✓IAS Piz-/ 4JV D PA-/NT gX 7 c� Iv tZ I (WE) CERTIFY TO THE BEST OF MY (OUR) KNOWLEDGE AND BELIEF THAT ALL INFORMATION IN THIS APPLICATION AND ITS ATTACHMENTS IS TRUE AND CORRECT: DATE: DATE: DATE: 4 14;13/16 2. APPROVED WITH CONDITIONS (set forth conditions below): a. L — 6 !Howe to - Cs ow n P© .t s - cei c fwd. G, %c aC' C ol P ; scN6 fac uory6c).- a s . Pct 3. DENIED DATE: 4`{(16 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 I r 1 cjv' a g• 5c " 'O f e" - t1 i A e I Registered Architect and/or Engineer e and address of licensed contractor Location and legal description of lot to be built on: Lot d r ' 1 ` L 3 Block 'T Subdivision t ,9 (reet and Number where work is to be done •-/ t�� y / p ( work to be done and purpose of building (by floors). state exterior colors (submit samples) ( t t.t of €(< i (or of' t o/(.0 e_ and for no other purpose. New Building Remodeling Addition Repairs To be constructed of Kind of foundation Roof Covering VEstimated Total cost of improvements S MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT /,SOO 0 Date /// a/87 7M9 1/ 3ao6 /3 Amount of Permit S i21 V7 D � (f / o / 19 8 Ne.3 9 Street 7/ -11C No of Stories 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 agr a j. employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. � � /,�/ JI�f��� ^ Remarks (Signed) 1 t�� J �.Q 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. Permit No. Disapproved Date (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 825.00 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 825.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. Read, Sworn to and Subscribed before me. Notary Public, State of Florida MIAMI SHORES HISTORIC PRESERVATION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS 1. NAME OF PROPERTY: ERIC & MARIA SCHOTTENHEIMER 2. ADDRESS 389 NE 99th ST LEGAL DESC.LOT 24 & EZ 23, BLK 40, SUBD. MIAMI SHORES SEC 1, FOLIO # 11 3206 13 5540 9 3. NAME OF OWNER & ADDRESS: ERIC & MARIA SCHOTTENHEIMER 389 NE 99th ST 4. NAME OF APPLICANT & RELATIONSHIP TO OWNER: 5. PRESENT USE AND CONDITION: OWNER /RESIDENCE DATE: 11/6/89 6. TYPE OF PROJECT: (circle one or add unlisted project- (J. OTHER) A. MAINTENANCE OR REPAIR B. RESTORATION C. REHABILITATION D. ALTERATION E. ADDITION F. EXCAVATION G. DEMOLITION H. NEW CONSTRUCTION I. RELOCATION J. OTHER (EXPLAIN) PAINT EXTERIOR OF HOUSE. COLOR SAMPLE ATTACHED TO PERMIT APPLICATION. 7. IS A ZONING VARIANCE REQUIRED FOR THIS PROJECT? NO 8. DESCRIPTION OF PROPOSED PROJECT, INCLUDING' WHAT CHANGES WILL BE MADE AND HOW THEY WILL BE ACCOMPLISHED. 9. IF USE OF THE PROPERTY WILL CHANGE AS A RESULT OF THE PROPOSED WORK, EXPLAIN THE IMPACT OF THE CHANGE. The Board shall be supplied with copies of the Original Designation Report filed when the property was designated as a Historic Landmark and copies of any Certificates of / Appropriateness granted previously for this site. 4,e,/ 6y 9 /V Qi t �ac �'S f T /' . APPROVED / I/. 1 20, /% / r IRMA , C 7 ,a • 1 w . . . . » w,v� • Addle= = of Iding seitablItg, amnia 'i' : WW1, I# [ c C■ o .BU 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 /Larch 27., , 19 56 Owner's Name and Address a..___ ►SyS;Q No -.36 Street. -X.....E......99.th_..3 -'t • Registered Architect and /or Engineer Name and address of licensed contractor.__ R. 9_ at_-- PQilltetr .3_ Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done Z$9._. .._ �''.,_.__99 1.._St State work to be done and purpose of building (by floors) Eatrar-ior- -- . Painting -- - - - -.- {.{ and for no other purpose. New Building Remodeling. Addition Repairs Re -pain 4Jlgf Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ $50Q.00. Amount of Permit $ .1.00 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, Pennanent 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. /� �Q Remarks (Signed) _.S 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 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 fore ng application, and that he did sign the same, and that all facts therein by him stated are true. Permit No cl ' S Date — Read, Sworn to and Subscribed before me. Disapproved ) Date Notary Public, State of Florida ( Signed) Buil ing Inspector 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 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 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 regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specif d or not. A copy of approved plans and specifications must be kept at build during pr • : ress of the work. Owner's Name and Address Registered Architect and /or En (fir Name and address of licensed contractor Location and legal description of lot to be t on: Lot_ ' --)" 3 ` Block_ _ Subdivis Street and Numbe work is to be done State work t. be done .. d purposgnf hnildino (bv doors) Zone cubage required— APPLICATION FOR BUILDING PERMIT --and for no other purpose. New Building______-- ___ _________ Remodeling_-- ___._____.___ Addition w___ Repairs No. of Stories.____ To be constructed of Kind of foundation * - ot.________ Rorlf_ Covering_ ,, ICJ Estimated Total cost of improvements $_ —�� �___Amount of Permit $ 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 be 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 co tractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for '•spec on on th ite of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such au • • •nt tors, oa P ork t- be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, u . COUNTY OF DADE. f Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared and who, being by me first duly sworn, upon oath deposes and says that be 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. // P No � � Date Z ` 7 % Read, Sworn to and Subscribed before me. Disapproved ____ (Signed) ___________ Date Building Member Council Approved MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT PLANNING BOARD DATE Chairman Member Member Member Member Date' Disapproved My Commission Expires Date_M__...__ ___ -- — 19 ... Street—/E.,,5.4f_. —Liz`l .7f J —Plan Cubage Notary Public, State of Florida to me well known, _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. BUIL ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description In co pertainin In accep Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 7452 Work to be performed under this Permit „_-41-84/0•—•si-• fiBi. Address of n Value of II Amt. of 4141 Building Pro Permit This permit is grantee to the contra or or builder named above to construct the building or to install the equipment or device described in the appli- cation 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 builderr 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 s ents or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed: Subdi- vision NSPL+OTOR ration of the issuance to me of this permit I agree to perform thd6Work covered hereunder in compliance with all ordin o and in strict conformity with the plans, drawings, statements or specifications subrnitted to the proper 4llliorities of ?Ai s perm. /` assume responsibility for all work done by either myself, my agent, servant or employee. BY DATE By 74- Contractor's License No AUTJ O PITY a e gulations Village. STATE OF FLORIDA, u . COUNTY OF DADE. Permit No. Location and legal description of lot to b .'built on: Subdi4if'iq Street and Number where work is to be done State work to be done and purpose of building (by Hobe s.)...... . Disapproved ___________________ Date (Signed) 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 regula- tions 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 "K.:– 64(-4#'•"%ft Date_ / / /vg_ , 1966: Registered Architect and /or Engineer.: Name and address of licensed contractor and for no other purpose. New Building_ _____ ______ __________ Remodeling_______ -- Addition_ Repairs � No. of To be constructed of_____ _____..__________ Kind of founndat f4_._ _____ M___. Roof Covering_ Estimated Total cost of improvements $__-_____1!L..SL__ 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 inspe on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such iubcont on w• 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 appeared 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. Date _ Read, Sworn to and Subscribed before me. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Notary Public, State of Florida Member Member Member Member Council Approved__ Date Disapproved to me well known, ___Date NOTE: A charge of $1 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.