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770 NE 98 StAPPLICATION FOR BUILDING PERMIT ing Application is a herein described. This n pli and s con ormityf rwithntheeBuildin ub mitred for the 'mild Shores \'dlage, Florida. and all provisions of the Laws g regulations of the duilding Division of Miami Shores Village shall be complied with, whether herein specified Shores o, Ar copy 61 approved plans and specifications must be kept at building during g and all rules and g g Progress of the work. Owner's Name and Address . /7 - •-- _ 10 Registered Architect and/or Engineer ...., � ...... ..... StreetJt! le.. Name and addrcas of licensed contractor Location and 1 al description of lot to be bu Lot.. Block Street and Number wheru work is to be done State work to be done and purpose of building (by floors) Permit No..._._za7.jJ uflding Inspector MIAMI SHORES VILLAGE / o / /s * BUILDING INSPECTION DEPARTMENT Subdivision 7-2a -2 ,d Date... No New Building Remodeling nd for no other purpose. g Addition Repairs ..... To be constructed of No. of Stories ............ __ Kind of foundation Roof Covering F.stirnat Total cost of improvements $ Roo ........... .. ............ . o n g ... Zone cubage required ...r....0./._Gl -00 ) Distance • to next nearest building. 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 a nd its cunstcuctior, may be sent to.. The undersigned applicant for this building permit does hereby certify that he understands and acce p of labor under the Florida Workmen's Compensation Act, being Sectio compiled t is his nl,lP ;,s .�r, employer Supplem Ge L f Florid anti has complied with the (provisions thereof, and will require t simil compliance pl an ehomll contractors or sub cnntract employed in the work to be performed under this permit and will post or cause to be posted for inspection on the site of t work such fiddle notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be piddle eis permit, as are licensed by Miami Shores Village. performed under r by t thhis Remuks - (Signed) _..._. -7 ICJ Amount of Permit S. 4 _plan Cubage Size of Building Lot STATE OF FLORIDA, COUNTY OF DADE. ss- Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personall ap.. tared and who being y 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 fa s the; cin by him stated are true. n Date / pib Read, Sworn to and Subscribed before me. Disapproved (Signed) - — ....to me well known, Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Member C'rtair.nan Member .. Member Member .. Coto cil Approved Date Disapproved NOTE: A ch.,rgc of 11.00 will be made for making corrections or changes to this application after a Dar the i'i. hoar pproval has hero obtained Iru, A rc•tnspectiun Ice of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inaprctinn or faulty materials and /or workmanship. ■ APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement 01 ore 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 nil 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..� . P ��. -F _ . d,. Street Owner's Name and Address Registered Architect and /or Engineer : •...••• ,tt•,,,.,,,- .VA..,•IV. V/ 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.. 7 0 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT State work to be done and purpose of building (by floors) Building Inspector Notary Public, State of Florida u ) NF, ...... 1.)nt 3 irs.? and for no other purpose. New Building Remodeling Addition Repairs' No. of Stories _ To be constru of Kind of foundation Roof Covering Estimated Total cost of improvements S.. oa ' Amount of Permit $. Zone cubage required Plan Cubage Distance .to next nearest building Size of Building Lot \faxirnunt live Toad 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 Sup )lenient, 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 pnfy — tne1 subcontractors, o6�Zvork to be performed under this pennit, as are licensed by Miami Shores Village. ', . ` Remarks (Signe �'`b`-i STATE OF FLORIDA, COUNTY OF DADE. i 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. n p Permit No.._..t 3..5_.1!'7 Date 6 ..Y /fr; Read, Sworn to and Subscribed before me. ft Disapproved Date (Signed) My Commission Expires PLANNING BOARD DATE Cirair:nan Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A ch.rrge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the PLrnnir.,. Board. A rc•in>pec tion Ice of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials and/or workmanship. 3 7-ID / o 2 3 i Disapproved f Dade (Signed) lam- 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. / j� Da . ,� c , 19.i� 7 Owner's Name and Address - 4 9// No.. - 7, Street. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done Z. 276. � • State work to be done and purpose of building (by floozs ) Building Insp Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT e "'PR. /O PLANNING BOARD DATE Registered Architect and /or Engineer r _ // ,/� . Name and address of licensed contractor � (.1. `?� 6' � d�� --�"� - 1 ®6P ' 4;""e7 4 7,E r and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Cov ;ring Estimated Total cost of improvements $ 2_0 scp�� 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 pennit 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 subco ract•j, .. work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, i 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. sC Permit No �17 Date — 4 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires Member Member Member 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 or faulty 7 t 1 0 Legal Description Date Owner/Lessee / Tenant Q(3 E"2 i SW 4N J IQ Master Permit # Owner's Address 7 70 Ng' Vern' Contracting Co. 0CC4 e() 'i1 gN iQGt✓770/U Qualifier 4.7rh/F t1 Z_ SS# State # Municipal # Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one) BUILDING WORK DESCRIPTION C 14.' bL PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address Historically Designated: Yes No I' Signature of owner and/or Condo Presi nt Date 50>-/ 6�- � /�C- Notary as to Owner and/or Condo President Date My Co FOB FBIr AL NOTARY SEAL O e■ SANDRA Id MONTIEL 2 tj� FEES: PERMIT 110 -7} -i Tax Folio y COMMISSION NUMBER Q CC401261 MY COMMISSION EXP. OF F\P AUG. 17 1998 RADON Address Address Phone 3546 - Phone 7r-/ Competency #49, 6 Ins. Co. YO c4f eer -3 AC SAV 44 7 c Address - 7114.0. S A 6E VC ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN W'' INTO A_ S -rev S k vrLary deie ik 7 c 7 7D R6 /nirnat /� r Square Ft. �� Qo p.?�, - -/�/�/� �d f4 Estimated Cost (value) fi 3 0 00. O o 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 -nam ntractor to d•_e work stated. of Contractor or Owner-Buil er C.C.F. I r e NOTARY Notary as o Co tractor or Owner- Builder ss1gtREvessFF1CIAL NOTARY SEAL 0 <., SANDRA M MORITIEL 2 Tr � . . * C OMMISSION NUMBER w;'I„ .? Q CC401261 9 , MY COMMISSION .EXP.. OF f\P -AUG.. 17_199 376 9e TOTAL DUE d€ vr6ar Date Date 414 ,4 1 APPROVED: Zoning Building i 1 I Electrical Mechanical Plumbing Engineering NOTICE OF COMMENCEMENT PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement 1. Legal description of property and street address: 2. Description of improvement: 6. Lender's name and address: Print Owners Name ' F 3. Owner(s) name and address: % o6E/17 -Curfxr --J ,(72, c ;LE5 3 J ( ;3 e Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: .GoCC r%ut_ -c, , 4 , 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 1� 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording ur4tess a different date is specified) Signature of Owner .Sworn to and subscribed before me this/ day of , 19 Notary Public 'r, Print Notary's Name Commission m m i SAL a tom, My ssion Ex ires:- t STATE a F q 1. J'rJfii:,..:i �`:�.�.,, "i l,$ ). t,t..'r�•���, 'j i STATE OF FLORIDA, COUNTY OF DADE U 1-12RF911 CERTIFY that this is o °r of the o f na' /'i J in A.s o ffice on day of , A C 19 W5.vr'S -. it a1:. r=vy and County Coo is Oq • ,-%%c '77 2 E 97 t 95R 15397 1 1995 APR 19 11:44 '7 . _7 ° Address 3�7.1?)