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54 NE 99 St (5)Date Type Insp' Permit No. Name -� Address Company MIAMI SHORES VILLAGE BUILDING DEPARTM 305- 795 -2204 Building Inspection R -- Phone # For Inspector: ApprovedS - Correction Re- Insp'n Fee T ,.rte 9R . Name & Date MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. , D . - (0 l-- / Name Address 7 ��(� Company Phone # For Ins ector: D 3 ppro ` r Correctio ❑ Re- Insp'n Fee ❑ Name & Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE • t 10050 N.E. 2nd tvrnue.• Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305 - 756 -8972 Date Job Address r5 ME. 9 9 5 6. 7r Tax Folio PL 4 y 3 of e P 6I 9 r i? ° r Legal Description aF V' Ape L°a d./sry 1/o411rr Historically Designated: Yes No Y Owner /Lessee /Tenet &d12 o' I en o I6 D d M iL aryl g ry a yGe Owner's Address J N Z. 94 5 Contracting Co. Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: Square Ft. Estimated Cost (value) c , tD • 00 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 ANY 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. 1 understand that separate permits are required for all disciplines. OWNERS 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. of owner and/or Cond pure d Notary My it Expires o Angela M B I • My Commissirin DD150048 /+ R ai Expires November 15, 2006 FEES: PERMIT APPROVED: Zoning Mechanical RADON C.C.F / cv Build, )400-d Master Permit # Phone 3 0 S' - 7 ^/ 3 2 7 Date Signat6f Contractor or Owner Builder Date Notary as to Contractor or Owner Builder Date My Commission Expires NOTARY 5 ' 00 BOND 3 40° ° 00 0/ /5 ' TOTAL DUE Electrical Plumbing Structural Engineer Jim - II ,,,, ._,._4_,..L ■■ ■■ ■ ■ .1 io_■� i■ �■ ■a■ MINI i iiriiiCn......■■ • ■ ■u■n C �_�-- _��- 'CCC�"'�CCC��C� �6,�C -I ■■ millismill!� �.... ii ' T ■■■W�.. ■■.t �.._ I ; �._j 11011 „ _, .i. .,_ .,__:: H- C -r• • -1 -.r J -I� T ---: - 1111111 IN Milirmilanillq t: ■ C= in ■ CC'C=t:. ■■■a■ ■CC ■ ■ CCC ■mt■■■t■■■■■■ to■ ■■■■ ■ ■"�� ■ ■■■ ■■t■■■■■.■■..C...■. iumu mm i nimummi r . ..■.■■...■.■■■.. . .■....t■alummu ug” - n■■■■■■■n■■■t■■Cimmu - ■t ■dt ■t■ C ■..■■.. ■t a .■. i l ls - - 1 t - ' - i - • ■■ 1 .u r 11 11 11 ... ,JiiIn1 ■■■■a■t■■■ ■t■■n■■nC ii ■ ■_ ■■■ t■ -- - I CC■ ■Cm■C r-e RMel_ e-.... : C!■■1 ■. • ■■■s a9°° p �C.1.1 .■...NE • sirsommounc: { ! _ • i ._. -..i.. _ ; 7171-1-11 -` f L i - .1_ i 1 • - -� . - - ; 1 - Tit =fir i_, i�..... 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' _ . 4 _ -mot = ■■ p■ _M.■■ ■ ■n■■ ■ a■ ■ ■ ■ ■ ■ iis■CC■ ..I OMMMtWOUNMNWMG� ■ ■■ ■■ - - f ■ ■ ■ ■rG� [J!■■■■■■t■W■■■■■ 1111■■■ ■ ■n ■ ■■■ ■ ■ ■ ■ ■ ■■ • 11■■■■ ■■■O■� .i■■■■■■■■•■ -1 1 I ■■ 1111■■ ■�N_■ '- • 1 1� ...._■ ill ..a a n � - , - ; C 1- Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/30/2003 Applicant: GORDON MOYER (N Owner: MOYER GORDON JOB ADDRESS: 54 NE 99 ST Contractor Local Phone: Parcel # 1132060131070 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 6 & 7 BLK 8 LOT SIZE 100.000 X Fees: Description Amount FEE2003 -2576 Building Permit Application Fee $60.00 FEE2003 -2577 CCF $1.20 FEE2003 -2578 Notary Fee $5.00 FEE2003 -2579 Builders Bond $300.00 Total Fees: $366.20 Total Fees: $366.20 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 10/27/2003 Construction Value: $2,000.00 Sign (INSPECTOR) Building Permit Permit Number: BP2003 -697 Contractor's Address: Page 1 of 2 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. gned: ( 1 r (Contractor or Builder) BY: MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 6 F Application is hereby mode for the approval of the detailed statement tit 'tie 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 scot. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address G.H. MOVER 54 N. E. nth Street J / 3)--o' /3 /71) ' m s4 i b G IL. 7 Date... 21. 1983 ._ No... _.. ..... ....•... Street_... Registered Architect and /or Engineer ,,. ell •••_..•,,.,..ntf «.•,•.,,..... PALMS ROOF RITE CO. INC. 3555 N. W. 7kth Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision 54 N. E. 99th Street Street and Number where work is to be done State work to be done and purpose of building (by floors) tear off tar and ,gravel and replace with 3Q# ban .sheet and 2- .sin aatas Aoured..aaph .and..gr&v.el and for no other purpose. New Bui!ding Remodeling Addition RepairiXX No. of Stories 1 To be constructed of Kind of foundation Roof Covering...gravel Estimated Total cost of improvements $ 9 Amount of Permit S. ,22,..QQ 6 sqrs. Zone cubage required Flan 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 uiutersigred applicant for this building permit does hereby crrtify that he understands and acce of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General La and has complied with the provisions thereof, and will require similar compliance from all contract in the work to be performed under this permit; and will post or cause to be poste or notices as are required by the Act. The undersigned agrees to employ only pcnnit, as are licensed by Miami Shores Village. Remarks _._. —_ (Signed 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 1 Of-r and who, being by me first duly sworn, upon oath deposes and says that he is the. 0....0N7 7V of the above described construction, that he has carefully read the foregoing application, and that he did sign the tame ;.and. that all fasts therein by him stated are true.. ✓ `:. � Permit No. _ref iL� ( h Date Rea • ern to and Subscribed before-Me. Disapproved Date (Signed) Building Inspector his obligations as an c•nr of Florida, Permanent Sop �I or sub - contractors employe site of the work such toyer Went, y notice under , this to me well known, - _ Notary Public, kt teiff da state o(FIdrids- at Large My Comrriiuion Expires t. u 1i$ 7130l» 4588 '` 10._ PLANNING BOARD DATE Chairman Member Mcrr,bcr Member Member .. ... Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections of chnngei to this application nfter approval has been obtained from tlrc 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. �� oR- AMI SHORES VILLAGE UILDING 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 / �� r/A / l% ,19 G Owner's Name and Address L ',_ • / 0 y e 1 f 'J 0 , No s Street N F , 9 Registered Architect and /or Engineer 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 `-`'.. j /1/, G , 9 G 5. 7. r State work to be done and purpose of building (by floors). C__d__i_l!_ E T E Ph T / D / 9" 5 /�d___ LA - Vas S e/asr�5 7 �' ------ __ - --- /S' - _ / ' - ,t 6 -- - -_`}_ -.1 11 __S f t S and for no other purpose. New Building____ Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering s ‘I) o Estimated Total cost of improvements $ 2— t 0 , 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 T ____.__________ 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 performed under this permit, as are licensed by Miami Shores Village. e� Remarks (Signed) !� GGu 6/ /?i 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 2 1 stated ar e. 14 j ^ Permit No ______ Date r 1 c `v Read, Sworn to and Subscribed before me. Disapproved Dat:� -� lt/ V Notary Public, State of Florida ( Signed) Building Inspecto My Commission Expires PLA NG 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.