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69 NE 98 St (8)Owner's Name and Address t\A 15 . (1 I SJA Loti oZ if Block Street and Number where work is to be done State work to be done and purpose of buil ing Iby flo New Building Remodeling To be constructed of 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 building 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. 1, state exterior colors (submit s pies) Co .sTA ..I Addition Date No. V I Iv Registered Architect andior Engineer Q `� (� j Name and address of licensed contractor CJ r� 1' 5 I w J 1 /� C ` � �' u OPCt `` � C �� �� ` v ' Locatioq end legal description of lot to be built on: Subdivision Vi7 9 lD'-'/ %M 11 3ao6 / " /IS f Repairs No. of Stories 7 - 6 2 19 G Street 1 b (J2 and for no other purpose Kind of foundation Roof Covering Estimated Total cost of improvements S Amount of Permit $ to • 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 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 obligatons 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 onl such subcontractors. 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 appeared 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 Disapproved (Signed) Council Approved Building Inspector Date Date 7 /62u/ V Read. Sworn to and Subscribed before me. Notary Public. State of Florida 9 37vicwG My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anchor workmanship. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified o; not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address tr Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: g Lot_ j�lock �_ Subdivi ion � � �� Street and Number where work is to be done 9 4 4 State work to begone and purpose of buildi y floors) 0 d Remodeling Addition_ __and for no other purpose. Repairs No. of Roof Co_✓ering_ Estimated Total cost of improvements Amount of Permit $ New Building_ To be constructed of_____— _________ Kind of foundation Zone cubage required_ Remarks STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Disapproved Date (Signed) VPlan Cubage Distance to next nearest 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 ors, on w rk to subco ac a $e rm der this permit, as are licensed by Miami Shores Village. sub co } (Signed) 6 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. �y Permit No. 2 _'' 7 _ _ _ Date '` // " Read, Sworn to and Subscribed before me. Building Inspector My Commission Expires No._ Street— / Notary Public, State of Florida to me well known, 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. • • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Dat Job Address ('9 /1 E 9? Legal Description Z ° e A er / Lessee / Tenant m' 7 L - r � 15 ©w Own A.76 Owner's Address Contracting Co 7,7 ,, /c ./ Address Qualifier C, /C'o SSitel / - ( Phone C x7'30 Y2- State p 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 a Square Ft. / Estimated Cost(value) Y7J C7-- ---- • 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 author' the above -named contractor to do the work stated. gnature Date: I/ Notary as to • er and /or Condo Presi My Commission Expires: ** * * * * * * PEES: PERMIT APPROVED: Zoning 599 0,9 W FAL NOTARY �:.AL CRESENT MARRIOTT * COMMISSION Pwa3ER CC202129 O Qis MY COMMISSION EXP. 1996 en * * RADON C.C.F. / NOTARY Fire Buil.in t Mechanical Plumbin Tax Folio // �oe4C / d //.0' /l See- /,/-*6 Master Permit V' Phone 75 4 e / ature f Con tr. ctor o 4wn�e�ag RY sL i - -- O CREu '22S?torY N ' " % COMMIC :O`." .".'UMBER o CC202129 a OFFLO P, MY JUCON MMISSION EXP. Notary as to Cont actor or Owner- Builder My Commission Expires: * * ** TOTAL DUE Other Electrical Engineering, Owner's Name and Address Zt Registered Architect and /or Engineer Name and address of licensed contractor Location and legal des iptionof lot to be built on: Lot__ /! Brock_ 7______- __ Subbddivi Street and Number where work is to be done State work to be one and purpose of buildi Distance to next nearest building STATE OF FLORIDA, COUNTY OF DADE. as. Permit No r Disapproved (Signed) ,r 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 building 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 regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified o, not. A copy of approved plans and specifications must be kept at building during progress of the work. and for no other purpose. New Building Remodeling __ Addition Repairs No. of Stories To be constructed of Kind of f und attion______________________� — Roof C Estimated Total cost of improvements $___ 1C __ __Amount of Permit $ Zone cubage required_ —Plan Cubage _Size of Building Lot r, 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks� -- Date_` Date___ " \t (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Building Inspector My Commission E "pires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved _Date Disapproved Date - - -- //). -1 — 19 -- No.__ Street__ to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Read, Sworn to and Subscribed before me. Notary Public, State of Florida —_—_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.