453 NE 99 St (11)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date ?-02S DOJob Address XiAle, l Sj G f - Fo lio
Legal Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant k Q f' 1 VI Q?('I S -Q RI/ re Master Permit # 4/ 96 Q e
Owner's Address Phone 36,c7-- 75 4 7 v
Contracting Se //( t .}-v f P, ,&J Address
Qualifier SS# Phone
State # - Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one); BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION /U'') /c—c
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires: My Commission Expire
FEES: PERMIT e" RADON
Square Ft. Estimated Cost (value) / ,3 c o D �
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
construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
r owns �
�i• YSl VII.LAR
N� COMMISSION NO. OCC71 FLORIDA
MY COMMISSION EXl . MAR. 1 ► 2
0
a
�1 b
ota as to Contractor
of Contractor or Owner- Builder Date 2
g02S—SSS— (4"
a -0 o
C.C.F. ' D O NOTARY ) BOND
TOTAL DUE J S
are
APPROVED:
Zoning Building If/Ai Electrical
Mechanical Plumbing Structural Engineer
•
1
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date /027/Y5 Job Address � - 5 3 N / 9 96 /Tax Folio //-- 2 — /P(- O/7 -- Ocz- /O
Legal Description f 4 5/ L Dl` /7 Pr W4 -0/ 4 " LD7 /J Historically Designated: Yes
Owner/Lessee / Tenant MareJ /4'e ` r-/) Gt tc/ , .6 - .4-.;7 e.. Master Permit #
J Owner's Address T 3 / Y G 99 J7 • Phone
Contracting Co. c7 /Q Address
Qualifier - SS#
State # Municipal # Competency
/V Cj Address
Address
Architect/Engineer
Bonding Company
/ �, �{
Mortgagor ! Y CL / J O/I,S
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Pot ! %I 7427
c /1,f I c� ,'2 o /
Square Ft. (rD 241- ,5
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 construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of owner and/or Condo President Date S
FEES: PERMIT
RADON
APPROVED:
Zoning Building
Mechanical
Estimated Cost (value) // 01 t9 0.
Notary as to Owner and/or Condo President Date No ary as to Contractor or Owner- Builder
My Commission Expires:
M
z4
0
Electrical
lV° J 4/
7,57— fyf' 7/3,5 -d8
x-37 --3/ 3 /
Phone
fns. Co.
Address-20S, /l6r i/a�c, ,' ,y . - 71,c+tL-e'
(xxrfe/e'vr^) t h,7e 74/* -1
ature of Contractor or Owner- Builder
on- Exires. _ --
U SFr 1CIAL W ®YAWY sa AL
<' SANDRA C9 1 O4tl ?IE1.
' 4, COMMISSION NUCIDCG1
Q 00401201
` a c�v COCaMIMOa rs�
F oF F\. aMO. 19 9eME3
C.C.F. NOTARY TOTAL DUE
/ /ate � ? fj
D
// d ?
Date
Plumbing Engineering
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.
, 19
Owner's Name and Address . No Street
Registered Architect and/or gineer
Permit No
Disapproved
(Signed)
Chairman
Member
Member
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
New Building Remodeling N 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 5968, 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 subcon actors, on work to be performed under this
permit, as are licensed by Miami Shores Village. —
Remarks (Signed). ? ��?y _�i `� G ° . ✓r : • t
1 Date
MIAMI SHORES VILLAGE
Date
BUILDING INSPECTION DEPARTMENT
Date
4.
and for no other purpose.
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
- - - - - -- 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
1 �
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
ilding Inspector My Commission Expires
PLANNING BOARD DATE
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.
BUILDING ❑
ELECTRICAL ❑
PLUMBING ❑
ROOFING ❑
6
Owner of
Building 1(
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA '.
DATE'. 195 F
PERMIT N? 5934 Contractor's
License No. r.
Architect
Contractor
or Builder "� r
Legal Lot
Description
Work to be performed under this Permit
j 6`'") i --
Bl.
•
y �
;, P y -
Subdi-
vision
Value of
Project $
Amount of
Permit $
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
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 condi i iipok which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough know edge of the dinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings,,or in the statements or specific#tions d that he assume s`Ponsibility for work
done by his agents, servants or employees. /i if
Signed r. 6. BY
'te =,
INSPECTOR '` —"-
In consideration of the issuance to me of this permit I agree to perform the . work covered hereund in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or e loyee.
CONTRACTOR OR BUILDER BY
AUTHORITY