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866 NE 99 St (6)Date ‘" -,2./- fy Job Address Legal Description LoT'/ I< g4ST m F 9 of ( L33 L.K. '7L Owner / Leseee / Tenant LJAV t E R ftlo p.G Q L_ Master Permit 3‘3 P / Owner's Address W /714 OWNER'S AFFIDAVI be a in co au ze t Not as to Owner a My ommission Expires ** * APPROVED: * * FEES: PERMIT .N >, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE s'404. tJ F_ 4 rk S-r / Re 11 Cara x ature of er and /or Condo President Date: G -.2/ 91 i6(0 KIE. 99 A, ST . Contracting Co. C A ZDta c I l_ l e o c € Lb Address ( o ( o I N W I I I TI-1 ST• MI am Qualifier JoL-/ N A_ tr-1 1-IAS State # Municipal # Competency # I210go Ins.Co. AMERICO,J Sreiy as: Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one) : BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING 6 )SIGN // WORK DESCRIPTION /N5Ti9 L L- 87919` Square Ft. Estimated Cost(value) 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. certify that all the foregoing information is accurate and that all work will with all applicable laws regulating construction and zoning. Furthermore, I named contractor to do the work stated. / 1 "6 • Y OOAdOFIRc ig@ / SEAL O � � JULIA A REID * r * COMMISSION NUMBER 4qi "- Q CC313304 TA ?� MY COMMISSION EXP ore of R.0* StPT 7,'997 * RADON C.C.F. Fire Zoning Building Mechanical Plumbing_ Tax Folio Phone 73 - 7 99J Phone 7,.f r -g /6S G G L/A/ F, yr. CAU v e44 /", G mK F Sim ture of Con actor or Owner- Builder Date: 4- ad- `T'{ ar - s to Contra tgieb'AN ielf:F*Biitenbet SEAL f ission ERpir Q . ?fin JULIA A REID S if * COMMISSION NUMBER ¶ • ''rI' Q CC313304 TA m e MY COMMISSION EXP * * * * of fop * SEW 7,19*1 0 NOTARY TOTAL DUE ' 3 4 / 11 ;10' Other yop_A-hlt Engineering If`Mlami's Largest Selection of Quality Fencing & Materials" }I, DATE! CUSTOMER'S NAME DORESS O�TY a Mr`,1'�M � 51-10 (e STATE �� W E POSTS.'.. 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N E 9 rt r14 ST. r 758. 7113 ONE 947- 91 7STATE ZIP CODE DOWN PAYMENT �e✓ WORK ORDER We, the undersigned, being respectively the purchaser, do hereby certify that Cardinal Fence Co. has performed fencing installation per contract and/or as per changes on th ► ac k o f thi work order. _ BALANCE JOB SITE ADDRESS AN. L.„ L. E Y CASH PLEASE PAY FOREMANG BANK PI. DIRECTION Purchaser ZIP CODE A service charge of 1.1/2% per month (18% per year will be assessed on balances past due in accordance with the terms of sale. 1111 1 \Illllltl . TRac.K I.4 661 NW 111th Street MIamI, Florida 33168 Ph.: 757 -9705 757 -8165 Fax: '757 -9046 PHONE • New Building Remarks.. ___.... Disapproved Date.- (Signed) Building Inspe r MIAMI SHORES VILLAGE BIEL .DING INSPECTION DEPARTMENT APPLIr/ TION 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. pp / J Date...- ....._ . ... ._._._ ......,1 Owner's Name and A d d r e s s . / h i e . : . r i l ( s! A - 06rbi`'r No Pie C Street._. r . 21 SL Registered Architect and/or Englaeer..... .. � . .t. Name and address of licensed contractor j( t N ( � F : C _ C � ' . 1 1 / 1 < k m t T / I C. c2 Tg 17 Ai v i (2— N I r tl / ' r' Location and legal description of lot to be built on: Lot _. Jar / E.a a ° .S �L S� ._7 - SL---- _- . . ._- ...__._..___--� +,..o+ ..___. Block � /+ Subdivision._ .. _[.>4Z!!'1_a ..._.... Street and Number where work is to be done g6i�._.E. _.__....__ .._.— _.._.- ...__. 'ce+ Cr . State work to be done and purpose of building (by floors).. _22 ._ ' 1 7 : ) 11 41 .-- .1 dr" Gil ,.__°' - Yi Gf *J 4:4 A4 _.fa T!C - W x - / i ✓ 6 /../P.77)1-4.411.:7 01 i and for no other purpose. Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 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...._ 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, o o be performed under this permit, as are licensed by Miami Shores Village. (Signed) Q� 4. 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 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._ L- 7 9 5 " Date / 2 5 _.. Read, Sworn to and Subscribed before me. PLANNING BOARD Notary Public, State of Florida My Commission Expires DATE _to me well known, 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty • materials and /or workmanship. RE-N-g - r