52 NE 98 St (3)Date
Legal Description .
vig he Master Permit # /4/ii."
JOB0be-rNtlek e. er
y
Owner's Address oZ N E G g S} rte ...4 . Phone 1 75/,.. - 69
Contracting Co. 0 /-)Ordctble. A i r g r l I + Address 5 / 4o N ft 1 c -F I., .S+re_ _4
Qualifier SQ r\ Free vvNat YN - Phonegyt) -O r) r)'"
State POY io(a„ Competency# C. pa c,Lig 1) I Ins. co. Ohio CO
Architect /Engineer
Bonding Company
Mortgagor
Owner / Lessee / Tenant
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTIONJ,)s, // 3 % la r) Gc. r1,•ra / 9/C PI, '4 S ys W; +h
Ky., Heci }e r tq not E i 9 %I #
Square Ft. Estimated Cost `1 , LISA • °°
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
?ECORDING YOUR NOTICE OF COMMENCEMENT).
'. pplication is hereby made to obtain a permit to do work and installation as indicated above, and
)n 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
'ermits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work.
WNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work
111 be done in compliance with all applicable laws regulating construction and zoning.
hermore_ T authorize the _t___ ____d contractor to do the work stated.
u
• PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
�nn c n
(OWNER TO RETAIN COPY)
r] -0-�7 1 Job Address Ea �l g s+
otary an '..:o Jwaer an ✓ r
¢`���'� FIS" 4%3Id �lorida At Large
y Coimniss i on : ExF 1 res f IY Comrr;iccion Expires Dec. 6, 1992
. x , * *ended thr* Maynard *ondirtg A? ncy
'_KNIT FEE: APPROVED: Fire
Zoning
Electrical
Mechanical'4 7
1 nB Engineering
Bu lding
P1 bi
Address
Address
Address
Tax Folio / gi,oe /3p D
D " tnatu / pa t or Owner- Builder
Date:
Notary as to Contric O- r
a- Lilde i pmi s' `"3 s of iorida At r 6 rFria
My Commission Ex
�iC * P � �mrni..slcn Exp;rte fjsc,
* Sond ci thru tu�byi; j Ec*i,Zg Agway
Other
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date -g j Job Address 5a N G - 8 Sire °�' Tax Folio x.,06 /3 'Re/
Legal Description A4
74.49,be Al Master Permit o
:Toe_ Ober. nr,e.\.je.r'
9 B rem
Owner / Lessee / Tenant
Owner's Address
Phone
Contracting Co. OPOttlab IC E IeG #r;CO t_ Address
Qualifier _,r4 V.-Z., \I 1 1\
Phone
State # c. Inr°tGia.. Competency # E c 000 1 1140 Ins. Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION W ire,
3� n e..>-N--1-ye 1 )4)C SP I -I- S VS-
�l
:4-1-% A n 8 K vc! N --1eceke t -
Square Ft.
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
?ECORDING YOUR NOTICE OF COMMENCEMENT).
'application is hereby made to obtain a permit to do work and installation as indicated above, and
)n 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
'emits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work.
WNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work
Ill be done in compliance with all applicable laws regulating construction and zoning.
thermore, I authorize the above -named contractor to do the work stated.
at
e of Owner
Aqq/
otary as t6- - 'Oicn'er and/ Co do P Si n t
,: :a o of F At Lama
y Cornmiission' x pires: `r�, Corn^ie, ion Ex ^tres Deo. 6, 1992
1 *tru Maynatl EondineAgtncy
Zoning
,A6ra Mechanical
Condo President
Estimated Cost ado 00
Signatur
Date: t-J
Notary as to Contr ilFafstor p�..e builder
ry - ci�i3 of Ftort At La
My Commission ExpinesComre;isoi-n 'Expires t3 a r,;, yg
g
�k �c * fon*d thru l*;nard Eo r 6. ^ar
R HIT Fa: APPROVED: Fire Other
Building Electrical d /J r 7 /147)
Plumbing Engineering
psi -tityeaa
actor or Owner- Builder
Caste
f
//HS L ET1et WIU. C e r , y THAT Z
AM -i ou/,t/CR or THE 'i 'o Pe,e r y 4r
7 Yr NE 98' sTBEET
A d-J» e e N r 0 17f6 ?•eoPeil ry i9-T
SZ ,1/E' f 8• si /deer,
4,46 if » vE ,vo o.6J EC 770," To /-c
.rivs i 4 u, r/oA/ O ,q-A/ Ifife- CoN4f i iaAfidc
COmP'Ess a is , , // f C ff.. GviGL 86_ Loci rEz
OA/ TAE EAST shDE of TAE /lame
7 / AbeesS
S /GNED,
Jut) is, /99/
MIAMI SHORES VILLAGE. FLORIDA
UILDING Cl
LECTRICAL ❑ DATE 7- 2 ( 195
LUMBING ❑ PERMIT N? 7556 Contractor's -z S -
License No
OOFING ❑
C ❑ Work to be performed under this Permit
caner of
k
f
gilding .� i
rchitect
ontractor
= Builder
gal
escription
ddress of
.gilding
Lot
fi 4 t
CONTRACTOR OR BUILDER
Bt.
2 i .. l.. )lac • t'
4•
Subdi-
vision
Sq. Ft
Value of
Project $ ,� S� '? •
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 application
-refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ue 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
anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
-rtaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
me by his agents, servants or employees. f
Signed .` -
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered here der in compliance with all ordinances and regulations
- rtaining thereto and in strict conformity with the plans, drawings, statements or specifications subm ed to the proper authorities of Miami Shores Village.
accepting this permit I assume responsibility for all work done by either, myself, my agent, servoit or employee.
BY
Amt. of
Permit
$ t,
AUTHORITY
Owner's Name and Address d i( .a feare-
Registered Architect and /or Engineer
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.
Name and address of licensed contracto
Location and legal description of lot to be built on:
Lot Block ubdivisi .
Street and Number where work is to be done.s
State work to be do and purpose of building (by floors) 7&2.. -1/ _._ /l! tcz..
-
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 $.4_ ►S_ 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 pennit 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 s contractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed _ir
STATE OF FLORIDA,
COUNTY OF DADE.
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 a true.
Permit No
Disapproved
(Signed) �� E
Building Inspector / My Commission Expires
Date
Date
Date.`
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
PLANNING BOARD DATE
Street.4 .l
to me well known,
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 hecn 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.