833 NE 99 St (15)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Job Address , /q Tax Folio � ( J /l a O ' S -L O P
Legal Description Z 1 � 4 1 1 �� 0 c�O9 Mat r it #
er Lessee / Tenant \\ ei
Owner's Address 3 3 N L .∎%%\C Z p hone
Contracting Co. - . /' `Address , ►�
uglifier .r { e7 : ' - _ SS# phone 6
State #
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft. Estimated st f,474.0 0
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. 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 regu sting construction and zoning.
Furthermore, I authorize the above -named contractor to <.o he ork stated.
Signat
Date:
PERMIT FEE:
Competency #
*)
�f Owner and /or Condo President
Dad'':
Ins. Co. -.
�.
f Contractor or Owner - Builder
Notary as t nd/ AICYo plCPglOTEidieAttDRIOA Notary as to Contractor or Owner - Builder
My Commission Ex. res: NY CONNISSION EXP. NAY 20,1 My Commission Expires:
* * * * BONDED Amu GENERA INS. UN*
APPROVED: Fire Other
Zoning Build 14k 9)01/. Electrical
Mechanical Plumbing Engineering
WI
Li /1,4
t • EL
GEN" I, NIA N4 cER s
iv rie
8 0o. 4 s-41. 48
—.t , ss _ 381 _
Pah, eee
s3_7E363:
MIAMI SHORES VILLAGE BUILDING AND ZONING DEPARTMENT
INSTRUCTIONS TO OWNER- BUILDER
Yqu have, this date, made application for a building permit as an owner -
builder. You should be advised of the following provisions and requirements
that apply to owner - builder.
Proof of Ownership - Prior to a building permit being issued to you,
you must submit proof of ownership of the land concerned in the
application in the form of a recorded deed, showing you own the property,
or a copy of mortgage or warranty deed of the land, or a Dade County tax
receipt, statement to contain legal description of property and indicate
property is in your name. Legal description and name on document of proof
must correspond to the name and legal description on the application.
Responsibility - You will be responsible for all work done by your day
labor employees, and you must either employ licensed contractors or
persons to be paid on an hourly or per diem basis. Any one contracting
(including labor) with you, verbally or in writing, on a fixed fee basis
for any work, who is not properly licensed, will be subject to a fine of
$500.00 and /or imprisonment for six months.
Insurance - You should be advised that if your day labor employees cause
any damage to persons or property, or if any of your day labor employees
are injured on the job, you are liable. Your regular home insurance
policy ordinarily does not cover this type of liability.
Withholding Taxes, etc. - You should be advised to investigate your
responsibility for withholding Social Security, Federal and State
Unemployment Insurance Taxes and Federal Income Taxes from the wages
of employees working for you on the proposed construction, and for
making returns thereof to the proper agencies.
Work Permitted Owner - Builder - An owner - builder subject to the foregoing
provisions and requirements, is limited to constructing one single family
residence each year for his own use and occupancy;.or maintaining, altering
or repairing his own single family residence.
If you do not intend to do the work involved yourself, or with day labor, please
list below, the name of the individual or firm with whom you have entered (or
will enter) into a contract for the work.
NOTICE: SEPARATE PERMITS REQUIRED FOR ELECTRICAL, PLUM1BING,
ROOFING AND MECHANICAL WORK
lsc�
A t cr(av J
Name of Individual or Firm Address
I, the owner of property described as 0,�7 r ? .
do hereby certified
that I have read the foregoing instructions, and am aware of my responsibilities
and liabilities under my application for a building permit for construction work
on the above described property.
(A:14L..
Witness Owner
9
D to
Street and Number where work is to be done
STATE OF FLORIDA,
COUNTY OF DADE. i ss.
Disapproved Date
(Signed)
Buil
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement ur ene 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.
D ate..._...__.) l �J,,_,_......_— ..._.__..._.... ,19.�
Owner's Dame and Address �'-' 11. ( ........ 9. ^.. Octf.l b. ( No... t Street--
Architect and /or Engineer............�� .59...1,
Name and address of licensed contractor _.
Location and Legal description of lot to be built on:
Lot Block Subdivision _.. ....
State work to be done and purpose of building (by floors)...{ S! --• - `-S @
°� S c,�� r� c�ooF �o r��n�
C o c>.M- OS . .. �.5 -¢. Alrr.- ° -e c C - i s ( \ i1o■JQ. 6't.m.'Z. — � V � •S \
C QM o
.. v , : C3.�c M C� �.c,. .- f '�.
.._ \ S kI � BSc►a C • ' S . .
and for no other purpose.
New Building modeling b� Addition Repairi Y No. of Stories
To be constructed of d-.. � .' .+ "indof foundation Roof Covering
Estimate ?
Total cost of improvements $ r �,..`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, Penn:ene•nt Slip tleuient,
s compiled q • atractors or jvbj toyed by him
on th
rs, 0
and ha om filed %•ith the provisions thereof, and will require similar compliance fro
in tke work to be performed under this permit; and will post or cause to be posted
or notices as are required by the Act. The undersigned agrees to employ only such
pcnnit, as are licensed by Miami Shores Village.
Remarks. ( Signed
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
to me well known,
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the. m
of the above described construction, that he has carefully read the foregoing application, and that he did sign the sae, and that all facts
therein by him stated are true. Permit No .._N :l �!L. ..... Date Ijt . ...._ _._ Read, Sworn to and Subscribed before me.
Z �
mg Inspector
PLANNING BOARD
,�, 7
°L.:%
�•Q. (� S O r\dl.., ... •••e. er,wn!rw••e• �S. ..t
DATE
contractors en
f the wor su t nub
to be • . rfo
Notary Public, State of Florida
MyCommission Expires _ ...» ........... ».._..
Chainnan Member
Member _ Member
—
Memb .. ... ... -.. ..._......_..._........._....._ 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 1'I.inning llo.trd.
A re- in.pec•tion 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.
s
T
peared
STATE OF FLORIDA,
COUNTY OF DADE. ss
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.
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Street and Number where work is to be done
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
R.Morris• 833 N.E. 99 St.Miami Sloes Street
Orkin Exterminating 'o.Tnc. 1960 11.W.27 A
Lot Block Subdivision
833 N._ 99 St.Miami Shores �"
State work to be done and purpose of building (by floors) n y lon Tent Fumigation Vikane 18 - hours 24#
$
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
a..v
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 5966, Compiled General Laws of Florida, Pennanent 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 undersi ed agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks ' (Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
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 ad the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
9
Permit No 0 2 Date // `4‘ Read, Sworn to and Subscribed before me.
Disapproved
(Signed) / /
____Lf/
Build' • Inspector
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.
ate
Chairman
Member
Member
Council Approved Date
Date
PLANNING BOARD DATE
c7g6 avardi
9 2 3 ,
8/8/67 , Is
to me well known,
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
BUILDING ❑
PLUMBING ELECTRICAL o PERMIT N°
ROOFING ❑
Owner of
Building
a
Architect
Contractor
or Builder
Legal
Description
Address of
Building
33
MIAMI SHORES VILLAGE, FLORIDA +
Date 45/ � .' /1
Work to be performed under this Permit
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.
Signed . "11 � f NSPECTOR) BY
In consideration of the issuance to me of this permit I gree to perform the work covered hereunder in compliance with all ordinances and regulation,
pertaining thereto and in strict conformity with the plans, dr .dings, 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.
9052
Contractor's
License No.
19L %I
Subdi-
vis
Sq Ft
Value of 11 Amount of
Project $ 1 Permit $ 5
CONTRACTOR or BUILDER BY AUTHORITY
MIAMI SHORES VILLAGE
rer--04*)
/0 oso 71/Z. „Zia a_e_4
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.
• OwntYs Name and Address._ th 92-4-44(-40
Regigtered Architect and/or Engineer
Name and address of licensed contractor. `•f?P2' - 41 1 1.4:4
Location and legal description of lot to be built on:
Lot_ Block Subdivision
Street and Number where work is to be done k3.3 A/C= c
Date_ CO - / , 19 -4 7
No._ street_ /1(.4-. c
1-es~... R Ned c P - Zro 4- ' eAriol
State work to be done and purpose of building (by floors)._ 1 cP-a.C..C) oa_,A 1.4-7
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation. Covering._
. 7 ...,52. e•
Estimated Total cost of improvements $
Zone cubage required
Distance to next nearest building_
Maximum live load to be - borne by each floor__
I hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may
be sent to__
The undersigned applicant for this building permit doc hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen s Compensation Act. being Sec:ion 5966, Compiled General Laws of Florida, Pennanent 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 perfoymed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Amount of Permit $
_Plan Cubage_.
Size of Building Lot
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 s ed are true.
Permit No ‘7 Date_
Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
Building spector My Commission Expires
PLANNING BOARD_
Notary Public, State of Florida
DATE
Chaihnan Member
Member Member
Member Member
Council Approved Date Disapproved
14,4735,
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.
BUILDIN INSPECTION DEPARTMEN'
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the (let, iled statemen of the plans and specifications herewith submitted for the build-
ing or o h. :ructure her i described. This rt-licat;c is made in compliance and con•o'm•ty w.th the Building Ordinance of Mia
Shores Villave, or.da, and all pro• isions of the Laws cf the State c•f Fkrid. all o d nances of Mi .m Shores Village and all rules and
regu a ion, of the Building Div.. i of lam Sho. iilage 1 'I e -o. ipl.ed with, whether herein specified or not. A copy of approved
plans and specificati an must be ken.. at building durin progress of tl_e wcrk.
Registered Architect and /or Engineer.. ___ ___ _ _ .__.. _ _
Name nd address of Iicen•,ed contractor.
Location and le al desc 'on of lot to be built o
Lot_ __.'._ �U Block___
Street and Number where work is to be done_
permit as are licensed by M am. Shores ' 11:: ge.
Remarks__
STATE OF FLORIDA,
COUNTY OF DADE. I Ss.
,v 6 ding Inspector
MIAMI SHORES VILLAGE
be made for making corrections
(Signed).
Date
Owner' Name and Address No Street.
C :.
Subdivision eN — - __ _
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building_ Remodeling Addition_ ____ _ __. Addition_ Repairs. - No. of Storie
To be constructed of_ ��_ Kind 1Joundation • __. Roof Co•ring..
Estimated ' ,tal cost of improvements $__ CA) _ . Amount c.` Permit $__
Zone ^ubage required_ __. _.Plan Cubage_. _ O 7
Distance to next nearest building__ _ _ ze of Building Lot
Maximum live load to be borne by each floor. _ . _____
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 unde signed appli ant for th 's budding permit does hereby certify he understands and accepts his ..bligations as an employer
of 1 bor under he Florida Workmen's Compensation Act being S• , tion 5966 Col p led Gen al Laws of Florida P r anon. Supple rent.
and h s compl ed with he prov':ions thereof, and will require s•milar comp iance from all contractors or sub - contractors cmplo •ed by him
in the wo k to be p rf med under th s pern it and ill post or cause to be posted for inspecto , o the site of the wofkTi :h public non. e
or •otices as are requwr d by the Act. The u. d. r ign.d agrees to employ only such abcontr- .rsjon work to beeperfyi'rib d . der this
c
Before me, the undersigned authority, a notary public, duly authorized to adn: :nister oaths and take acknowledgments, personally 'p-
peared _.
and who, being by e first d. ly cworn, upon oa deposes and says at he is the
of th abov de 4.. i � , ed • lstruction . t. h ha,icareially read the .'regoing application, and that he did sign the same, and that all facts
therein by him sta are tr te.
Permit No - _. cf
Disapproved
(Signed)
_3 Read, Sworn to and Subscribed before me.
Notary Public State of Florida
My Com_nission Expires.
PLANNING BOARD DATE
Chair Member
Mem Member
Mem f. Member
Coun Approved. _Date Disapproved
,19
■
to me well known,
Date
NOTE: A charge of $1.00 will
the Planr ng Board
A re- inspection fee of $1.00 will be charged when such re- inspection is rrw.le necessary by improper notice for inspec-t'ap or fa. ity
materials and /or workmanship.
or changes to this application 'her approval his been obtained from