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54 NE 99 St (7)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ) -/ Job Address - 1/4 � 99 2 4 .- a. Tax Folio 11 R.52-0Z0 1 cp Legal Description 1--o< lo 4 ...g N 5 ‘Se !`f WE 99 Contracting Co. 4 Owner Owner's Address / Lessee / Tenant Qualifier JoHu 1• I6"N -5 SS# - "" Phone 717- j / 4J State # Municipal # Competency # CC- /2, JNV Ins.Co. knet,CAh/ lOre7 y Architect /Engineer 14 Address / Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION J Prwr�e - � Square Ft. Estimated Cost(value) i 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 Date: rl.ly known to one, D Prodduood id n if cation: ** * s cf idc fj tim AMAX D D D NOT take an oath. APPROVED: a t (Rh d /or Condo Pr s• . .0 io ox re COMMISSION irestiOTARY PUBLIC STATE FEB. 4,18 BONDED MN OEM NB. Phone 7.(I - /327 Address 66/ Al W // / 274_ S/ Slfiature of Con actor or Owner Date: / //O Notary as to Contractor or Owner- Builder My Commission Expires: RADON C.C.F. /' NOTARY TOTAL DUE 0 r50 Fire Other Zoning Buildin` Electrical Mechanical Plumbing Engineering Master Permit # t:) 6 * * * * * * ** g ,0% Pre- Consiamer Content • t ax Postco trident - , Mice FENCE • ' FAX u i Page No. o . Pa - — k1 -h •rte w. .}.t .enceri PnO�E E l�,t Lh CA RDINAL SERJI/• y. .. ,. F66 Northwest � Aj - - -__ C:aod _ = _ ._ COMPANY alitt':Stieet (305) 757 -9046 MIAMI,. (305) 757 -8165 PROP BM - PHON €� / . - I DATESTREET _ . q NE:. `l -IC, ,0. . JOB NAME CITY,_ STATE N ZIP CODE _dj ) JOB LOCATION ARCHITECT__ _ - DATE OF PLANS • JOB PHONE - Wellereby submit specifications and estimates for: • 1 it ca /f tJ . - Ps, L • 4e ,° L C:IP 164 aolA 441. itz x it - • • , ' • • f ems* 20 c /2_.3 -- i . ili t rnpng hereby -to furnish . material and labor - ` complete in accordance with above specifications, for the sum of: . J� l (j "7 t � �i �t.0 urr" - dollars ($. / )• en to be ade as folios: ., 1 • AII material is guaranteed to be as specified. All work to be completed in a workmanlike - manner according to standard practices. Any alteration . or deviation from above specifica tions involving extra costs will be executed only upon written orders; and will become an"`' extra charge over and above the estimate. All agreements contingent upon strikes. acciden !, - or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.:.,.- Our workers are fully covered by Workmen's Compensation Insurance. . • " Authorized Signature -` ' r � -_ ��—y' - -` . --- -' - 1 ` - Note. . s proposal m•y_be. . withdrawn by us if not accepted within a - days • - 1 rrr4i#xnrr of f x ofnl -The above prices, specifications -2 • and conditions are satisfactory ilnd are hereby accepted.: You are authorized ` Signature to do the work as specified. Pay(nent will be made as outlined above. PRODUCT 11 &3 /NRTOh Groton Maa 01471. To Nu NONE MU. FRU 1 +800.220.6380 Date of Acceptance: Signature l ��.- • • BUILDING ELECTRICAL PLUMBING )4, Owner of Building Architect Contractor or Builder Legal Description Lot f4 / Address of Building P granted CONTRACTOR OVBUIL MIAMI SHORES VILLAGE, FLORIDA \ DA Contractor's License No PERMIT N? 7978 Work to be performed under this Permit Bl. Subdi- vision This permit is ranted to the contractor or b amed above cation herefor in strict compliance with all ordinances pertaining thereto nd with the u plans, drawings, statements or specifications that may have been submitted to and app at any time if the work is not done in compliance with such ordinances or if the pla permit is granted is the understanding that the contractor or builder named above regulations pertaining to the work covered hereby whether shown on the plans or sibility for work done by his agents, servants or employees. Value of ZOO Amt. of Project Permit construct the bu BY 2.5o ilding or to install the equipment or device describe AUTHORITY 1941 ding that the work will be performed in compliance wi t�l' d h iy e proper municipal authorities. This Permit may be revoked ed without authorization. A further condition upon which this responsibility for a thorough knowledge of the ordinances and or in . ten and that he assumes respon- INSPECTOR In consideration of the issuance to me of this permit I agree to perfo i ork covered hereunder in compliance with all ordinances nd regulations pertaining thereto, i in strict conformity with the plans, drawings, statements or specifications submitted to the proper author s of Miami Shores i ilbge;'fl In accepting thi f'- rnoit T assume responsibility for all work Ann by either myself, my agent Servant or employee MS ' 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. Owner's Name and Address G--• H: • r_►z �`� No /-)- Street N T. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block _ Subdivision r r Street and Number where work is to be done � ____— _r` q__ _ � _ ! &- - ---- 0 - State work to be done and purpose of building (by floors) ew Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 0 CD Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building w____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 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 subcontract's, 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 fir t-duly sworn, upon ath deposes and says that he is the of the above described c struction, that he as carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are , {true. Date Permit No Disapproved (Signed) Building Inspector Date Co — / ,194 9 %Read, Sworn to and Subscribed before me. and for no other' purpose. to me well known, Notary Public, State of Florida 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. PLOT PLAN — Scale -1 "= North indicated by arrow 18. Average height —1 story portion ft. 2 story ft. Porte cochere ft. Garage ft. porch ft. ft. Cross hatch story. 19. Second floor contains —Same as first floor D. Living rooms , Dining rooms , Kitchens Bedrooms , Baths , Porches Sf 2. 9 Hopkins 1. Owner's name Date 194 2. Street address 3. City 4. Legal description: Lot Block 5. Property occupied by 6. Existing property ❑, Construction loan ❑, Commitment 0. DISTRICT 7. Rating —Good ❑, Fair ❑, Poor p. Trend —Up ❑, Down ❑, Static ❑. 8. Principal use — Residential ❑, Apartment ❑, Business ❑, Rooming house ❑, Industrial ❑. 9. Transition —None ❑, To business ❑, To apartments ❑, To industrial 0. 10. Remarks LAND 11. Width ft. Depth ft. Level ❑, Sloping 0. 12. Curb ❑, Street paved ❑, Sidewalks 0. 1 3. Electricity ❑, Gas ❑, Sewer ❑, Septic tank ❑, City water ❑, Well ❑. 14. Landscaping , condition 15. Value of this land, exclusive of improvements $ 16. Method of valuation $ front foot, $ per unit. 17. Remarks MIAMI SHORES VILLAGE 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. �N BUILDING INSPECTION DEPARTMENT Owner's Name and Address Registered Architect and /or Engineer Fame and address of licensed contractor_ Location and legal description of lot to be built on: .5"t0 7) ...I Subdivision. _ - c >4 -ad Street and Number where work is to be done AgeZ State work to be done and purpose of building (by floors)_____ Al a 16L_ Lot 6 f Permit No Disapproved (Signed) Block New Building Remodeling To be constructed of Kind of foundation Estimated Total cost of improvements $1 61-11- 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 t o - - 7 i --L -- i 4 G t s . 2 h / ! ! ' ! C .- F � / / � ' ' . Z C J 4 9 >2-' , : 7e. 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 p• ted for inspection on he site of e work such public notice or notices as are required by the Act. The undersigned agrees to employ only s ch subco rformed under this permit, as are licensed by Miami Shores Village. j C D Date Buil. ing Inspec r and for no other purpose. Addition - 1 9 ) /03 Chainnan Member Member Council Approved Remarks (Signed Date___&44..e ' ---' ,194 No O Street Repairs Roof Covering Amount of Permit $_lo - 6 Read, Sworn to and Subscribed before me. P 'ANNING BOARD DATE sir? 07-V/i No. of Stories 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. Notary Public, State of Florida My Commission Expires Member Member Member 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 0 ELECTRICAL 0 PLUMBING 0 ROOFING 0 • Owner of Building e.; 1 --4 Architect Contractor , k .44 0 or Builder Legal Lot Description Address of Building CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA Date_ PERMIT N? 10356 :•„( 4 41, Work to be performed under this Permit I BI ' "••••••■ .1140 Contractor's License No. 4 " • cm. , • , !- Subdi- vision BY AUTHORITY c.‘f Sq Ft Value of t I Amount of Project $ " 11 Permit $ , 19_6: 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 applica- tion 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 builder 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 statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. ,- - , 1 k• ,,,' ., ., 4 0 ,, t• 4,, , Signed • -, ' • ' • • - • - • • (INSPECTOR) BY 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 responsibility for all work done by either, myself, my agent, servant or employee.