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816 NE 99 St (7)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 4 1! l 3A3 Job Address 4V /V1 � �' I,Acr�sF�a• Tax Folio)) dr4W oC y 0 7 2 k Legal Description M Y R // lot *clic) / Lessee / Tenant ade/00, I {/ Master Permit # j 3 / 7 J Owner's Address f/' /t./ ?y-s7; S`io► -es r/a. Phone Contracting Co. h 12 Dc. COhy cVly . Address 3635 "iv' /D6 Sl. l / % /cay/er. Qualifier kleor imS ss# Phone 65 ' 2 Estimated Cost(value) U d e. o D 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 Condo President Signature of Contractor or Owner- Builder Date: Date: Notary as to Owner and /or Condo President My Commission Expires: My Commission Expires: Notary as to Contractor or Owner- Builder ** * * * * * * * * t' ,, * � * * * * * * ** FEES: PERMIT , s RADON C.C.F. '7? .61) NOTARY TOTAL DUE '0 APPROVED: Fire '7 Other v Zoning Building ` q �� / Electrical Mechanical Plumbing Engineering Owner's Name and Address Registered Architect and/or Engineer Name and address of licensed contactor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done. N tfr q9 New Building Remodeling ib be constructed of Kind of foundation r. SPATE OF FLORIDA COUNTY OF DADE. 1 Ss. ,d/25,6friil,0,1deew l / V/� e 2L 2 C/.GIeOG[CLG O (/ 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. b r S f reed-, / � / / State work to be done and purpose of building (by floors). state exterior colors (submit samples) /� e - /5 a • cuA r /e // e � ti J frous/ ars , Addition Repairs Estimated lbtal cost of improvements g 0 DO • 0 0 Amount of Per mit S Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor 1 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 F for ida 1 Compensation Act, being Section 5966. Compiled General Laws of Florida. Permanent Supplement. and has complied with the provisions thereof. and v:ill room compliance from all contractors or subcontractors employed by hirn in the work to be performed under this permit: and will post or cause to be posted for on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only soch subcontractors. on cork to be under this permit, as are licensed by Miami Shores Village. r\(� Remarks (Signed) Before me. the u ersig autho�ri , , anootary public. duly authorized to administer oaths and take acknowledgments. personally nppeered._-.— L pl. \ 144 �C 14/47. t o m and who. being by me first. duly sworn. upon oath deposes and says flint he is the ,p_- .S a 4,./.4 L G '� A� N o of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that ell facts erein by him.. ntcd PM true. Per nut No. _ t)nte Read, ., orn and'Sub„ i for Disapproved 1) ate (Signed) Building Inspector PLANNING BOARD Chairman Member Member Member Member Member Council Approved Date Disnppto,sa _ -- ----- ---- --- ------ ------ •_ -- --- 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 he charged when such re- inspection is made necessary by improper notice for inspection or faulty materials nnd:or workmanship. NOTARY PUBLIC, STATE OF FLORIDA. MY COMMISSION EXPIRES: Dec. 29, 1995. BONDED THRU NOTARY PUBLIC UNDERWRITERS. Cow, k1)?tic 343s "w, /06 s7 -)141q144,/7„, ?3/5'7 q ^ f l � !Jr} Public. State sttFlorida L p ` My Commission Expires = 2 " t — y DATE 0wnep d-:0,1404d& e4co-a ffy Date 6 and for no other purpose. Roof Covering 19 r 3 Street_!" f 6e r S rlunen's similar spretion r u � tr x; p UQ f/ c,3 t.r t!r )Y g o . Q C wtfP k n ' e- 42v2d 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: Single F a m i l y Home Y(ca s1— r ( 3 ( 2. Description of improvement: New Roof 3.Owner(s) name and address: Albert W. & Madelon K. Goff 816 N.E. 99th Street, Miami Shores, Florida 33138 Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: Hialeah Roofing Company 3635 N.W. 106th Street, Miami, Florida 33147 5. Surety:(Payment bond requir -d by owner from contractor, if any) Name and address: Amount of bond $ /1„I>r 6. Lender's name and =ddress: 7. Persons within the Stat of Florida designated by Owner upon whom notices or other documents may b by Section 713.13(1)(a Florida Statutes, Name and address: 8. In addition to himse ,.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 addres NOTICE OF COMMENCEMENT ;:`a s jR i900 Signature of Ow. r Print Owners Name Madelon K. Goff o Sworn to and subscribed before me this /Ai. day of • Q �.d A , 19 / 3 . • Notary Public nA 0, x ;!.)./.A Print Notary's Name A7/q/ ,7'0/e //= x / N >' mARI E F. My Commission Expire' MYCOMMISSicfiucc ru , Iy95 BONDED MU TROY FAIN INSURANCE, INC, 93 1993 APR 15 14:26 In 0 9. Expiration date q�this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is s'pecified) �v Prepared by: Madelon K. Goff Address: g 16 N.E. 99th St. Miami Shores, Fla. 33138 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 . PL- � Ct I W' v © � ._ No g le ._... Street.P <29_ 3/ Registered Architect and /or Engineer ,, .............. ..... ,...... Name and address of licensed contractor O �. 1�.,- ..........._._...._ _ Location and legal description of lot to be built on: Lot Block IV Subdivision Street and Number where work is to be done S/6 9 S f' State work to be done and purpose of building (by floors). Disapproved Date (Signed) APPLICATION FOR BUILDING PERMIT Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. J g3Q3t Date ..._..._. l 1 -... ,197 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation y Roof Covering Estimated Total cost of improvements $ ., C' A,mount of Permit $. Lxt 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 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 arc required by the Act. The undersigned agrees to employ only such spbcp tractors, on work to bejperformed under this pcnnit, as are licensed by Miami Shores Village. Remarks... (Signed) 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 _.. 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 a are true. 2 Permit No ._ � °`� D .... i yy 1 4 ..._....._._._ Read, Sworn to and Subscribed before me. Notary Public, State of Florida to me well known, My Commission Expires PLANNING BOARD DATE Chairman Member Mcrnber 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 fce 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 ELECTRICAL PLUMBING ROOFING Owner of -� Building Architect Contractor or Builder Legal Description Address of Building / Lot ❑ II ki r Work to be performed under this Permit s ' f MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 11765 t BI.' Subdi- vision Value of Project $ DATE trv 195 Contractor's License No Amt. of Permit $ , _.m 0 n 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 application 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 draw' gs or/in the st ments or specifications and that he assumes responsibility for work done by his agents, servants or employees. , � r ,, f Signed. 4 k. "- .. ' s ' 6t *1-- BY t ! � / � . INSPtCTOR 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 ,iessonsibility for all work done by either, myself, my agent, servant or employee. l /t�'� 4 - Ire CONTRACTOR OR BUILDS BY AUTHORITY BUILDING ❑ DATE —, / 195 ELECTRICAL 1 PERMIT N? 11558 Contractor's PLUMBING n License No ROOFING /" Work to be performed under this Permit r � Owner of 1 p � 4°.' Building y; . z:- Architect Contractor or Builder Legal Description Address of Building Lot 1' MIAMI SHORES VILLAGE, FLORIDA Bl. Signed • Subdi- vision IN Value of Project $ BY BY Amt. of Permit ' $ " This permit is granted to the contractor or builder named above 6 construct the building or to install the equipment or device•described in the application 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 responsibility for work done by his agents, servants or employees. 7-me In consideration of the issuance to me of this permit I agree to perform the Ivor covered hereunder in compliance with all qrdinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or Ape ' ications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself , ptny agent, servant or employee. AUTHORITY Registered Architect and /or Engine , ' r fi Name and address of licensed contractor__ Location and legal description of lot to be built on: Lot Block Subdixision_ Street and Number where work is to be done em State wor be cone and purpose of building (by � ':z_ a Building Inspector 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 here p specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. /� Date /L 1' , / , 19 Owner's Name and Address__ -f'� No Street fee,/ and for no other purpose. New Building /" Remodeling Addition Repairs Stories _ dation _ Roo„Covering �� ! T To be constructed of Kind Estimated Total cost of improvements $Z_ ®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 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 contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted forection on the site of the work such public no ' e or notices as are required by the Act. The undersigned agrees to employ only s lIISSScontractors, on work be pe formed and is 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 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 tr e Permit No // Date Disapproved Date ( Signed) Read, Sworn to and Subscribed before me. 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. 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. 7/? / Date ,, 190 1 8 No 8 - --L�- Street __ �,t 2. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivisio Street and Number where work is to be done____., State ork to be one and purpose of building (by floors )— and for no other purpose. • New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foyn Roof Covering �9 (• 1 f c Estimated Total cost of improvements $ 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 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 59$6, 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 (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 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 e. ` Permit No ! _L (' ' Date__ -97 Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector 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.