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69 NE 98 St (6)Permit No Disapproved (Signed) plans n 2 MIAMI SHORES VILLAGE Building Inspector BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed statement ur me plans and specifications herewith submitted for the build • inc 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 00-1" Q ' 0L .:..._ Registered Architect and /or Engineer Name and address of licensed contrgctor Walter Locati and legal description of lot to be built on: Lott i / XI Block y / D Subdivision. Street and Number where work is to be done t T ,✓E f' Scott Roofing & Distance .to next nearest building /z /3 ._ No.. lO Q ...... street 7 t New Building Remodeling Addition To be constructed of Kind of Estimated Total cost of improvements $ Zone cubage required Date..._..._... __...w.._._ ..._�.._.__ .__. ,19 Repair 990 NW 132 St. #t 4 Opa Lgcka Fi, 33054 S ;_ ..'.1. 4.N. . . i. b 9 State work to be done and purpose of building (by flow) ^ T ° Y _�li_ o oF G' ,9 /tete aryloat TA_ 4-e Ate_ __..._........ for no other purpose. Repairs X No. of Stories / _ foundation Roof Covering "t N 70'00 Amount of Permit S... .n.i.A plan Cubage Size of Building Lot Maximum live load to be borne by each floor I hereby submit all be sent to.. ...1(4 spccificatio r said building. l notices with reference to the building and its construction may CO �7 ( / � � ap��.VC s gc/fii1 aria The undersigned applicant for this building per:nitdoes 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 ssith 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 th work such public notice or noticcs as are required by the Act. The undersigned agrees to employ only such subcorytractor, on wo to a perfprmed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) /3D R AM t Notary Public, State of Florida My Commission Expires _..._... _ 77 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 foregoing application, and that he did sign the same, and that all facts therein by him state e true. . ,r� l Date ) J % /4 Read, Sworn to and Subscribed before me. 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 frrmn the Pl.rnnir.g Board. A rc• inspe•tion fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti/or workmanship. 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._ D G s a rV Registered Architect and /or Engineer Name and address of licensed contractor._ 3 l /t i , 1 — — Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done / V / e State work to be done an urpose of bunding (by floors) l (- 3 0 - / __.- C co 4;t" -6- Z and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of foundation Roof Gearing Estimated Total cost of improvements $_ _ -_ / ✓ — Amount of Permit $ 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 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 rovisions 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 sub actors, on work to be pe ormed under this permit, as are licensed by Miami Shores Village. – , MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Remarks (Signed) Date 7 G No t� Street STATE OF FLORIDA, p 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. Permit No "'� "' Date ��(' ((' Read, Sworn to and Subscribed before me. Disapproved Date_ • ✓ Notary Public, State of Florida (Signed) Bu ding Inspec or 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. Owner's Name and Address . ... 04CQ/t 01-4.011 Registered Architect and /or Engineer geared Date... J Disapproved.. () l Date (Signed) Building Inspector Cnairnan \fcrriber Member — .....__....._..._.�..... Council Approved NOTE: A charge of $1.00 will be made for the Plannir.;; Board. A re- imprction fee of $1.00 will be charged materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed statement ur tme 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. 3e6nu Vt�f 23 84 9.. w .— No. ..._.6 98# t Name and address of licensed contrgcto rbenou/t Pooling N. w mtu/tit- l / . i • III 3 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done ..... 69..1!e . e_._98 54_ . .._._.. _ — ...._.._. State work to be done and purpose of building (by floors) Pemtyve e'''' O e AD itP ce w r -30 _ 16.- • pit, / -90 .8. A.Lote, 2 .. gad Ling. anri ruft:t e_.4A4t •Le £.i,Le• �� -- _..._........ for no other purpose. New Bui!ding Remodeling Addition Repairs No. of Stories — To be constructed of Kind of foundation Roof Covering /9 — Estimatt d Total cost of improvements $ 4)750. 00 Amount of Permit S... .21.00. 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, Permanent Supplement, and has complied uith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint in tl;c 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. Remarks (Signed) PLANNING BOARD DATE Member Member Member STATE OF FLORIDA, COUNTY OF DADE. ss. Bcfore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- Notary Public, State of Florida My Commission Expires Read, Sworn to and Subscribed before me. 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 thcrcin by him stated are true.. Permit No.._..I/ —! Date Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection oe faulty PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7A / � Job Address CJ "/ Tax Folio 11- 307e e /3 / /Sd Legal Description '9,1 /9 , 4V7 / Tenant //9 / . 4 © /SBN Owner's Address 9 Al /z �O Contracting Co. Jgi*,e5 Qualifier. 91A'e S 444 State #/Q ' Ne Municipal # ?/ y 1 Architect/Engineer • Bonding Company Mortgagor Permit Type (circle one) C UILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION i2 b<�e_. /C ,Gs-+ 76 dawili Square Ft. /G Estimated Cost (valu( 9 7J 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 o President Date / , �I/ I Notary as to My Commiss Historically Designated: Yes No Master Permit # & Y C�. Phone 7,5r - 4/S Address //de N 02 SS# Phone 4 34 • y� Competency # Ins. Co. Address Address Address 4 ature of Contractor or Owner- Builder Date lam and/or Condo President Date Notary as to Contractor or Owner- udder Date Expires: My Commission Expires: 05- C / r FEES: PERMIT �j (� RADON C C:F-� 6 NOTARY TOTAL DUE (� C� APPROVED: 7 - r, -15 Zoning Buildin: Electrical Mechanical Plumbing Engineering