Loading...
PAINTName 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__ 4 � State yysrk to be done and purpose of building (by floors ) _______ %�: 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 luilding 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 _ 7 (;?:4614 �—K t* -%§� No Street Registered Architect and /or Engineer ® . Date cAl � and for no other purpose. New Building Remodeling Addition Repairs Ci No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ 0 ti 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 are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be perfo med under this permit, as are licensed by Miami Shores Village.. y' Remarks ( Signed) 214,42 CU, 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 true. Permit No 1 6 Date ___/ �_v Read, Sworn to and Subscribed before me. Disapproved __z r Date Notary Public, State of Florida (Signed)�r� Building nsp`� ector , -� My Commission Expires PLANNING BOARD . DATE 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. Chairman Member 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. n Date 7qp, 19 g99 Owner's Name and Address __RI/ � j P�- G c e No. g 7 3 Street_A , . q 8 sill Registered Architect and/or Engineer - 6___ Name and address of licensed contractor Location and legal description of lot to be built on: (1 o� / ' / 41 / Lot E � . � / 4 � Block 70? ? Subdivision � /J 1 .K o J.S1lC ` � 4 // J � (/ (v Street and Number where work is to be done 87 3 A/ , F c !9 7 State work to be done and purpose of building (by floors). state exterior colors (submit samples) Pch t 'jt+Pr'cfr , f h Q vsQ and for no other purpose. New Building Remodeling Pa!" 4-rt`n q Addition Repairs No of Stories To be constructed of Kind of foundation_.. Roof Covering Estimated Total cost of improvements S Sod Amount of Permit S l Zone cubage required Distance to next nearest building 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 W N.E- T8 $ 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 lVorkmen'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 he 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 foregoin application. and that he did sign the same. and that all facts therein by him stated are true. Permit No. Disapproved (Signed) /(0 0 1 Date 1' 1°" S MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date Plan Cubage Sire of Building Lot 9 Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member _ Member Council Approved _Date Disapproved Date NOTE: A charge of 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. New Leather Natural Leather 5 -3r BM -72 -2 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address S 73 — N 9 8 51- Tax Folio Legal Description n / Historically Designated: Yes Owner/Lessee / Tenant �-c / I (I 14frti 1 0( G► /b,e,l)ro� i. Master : rmit q Q Owner's Address S' ? 3 /I .e 1 U 54- Phone Contracting Co. 6 t, N a1k-4 Prtii t Ii;i i Li ) • Address Y 6. 3 5 Qualifier in iR(0 C .6Dd/ ea State # Bs' ©0 Id g Municipal # 35i ( g 4 B Architect/Engineer Bonding Company Mortgagor ✓ WORK DESCRIPTION Notary as to My Comm si FEES: PERMIT 5Q 7 6 ) RADON Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN P re Suitt' (9, w-) ee E4e4o,/- o r t)LLJ, trim ' o PP t,c,l�tt Square Ft. Estimated Cost (value) � / 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. OWNERS A1'FiDAVIT: 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. • • ignature_o er or Condo Pre:id :I< 0 er and/or Condo Pr 'd .., n ipitiICIAL, RY SEAL GLADYS j VILLAR NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC71 103 Y COMMISSION EXP_MAR. I D 7 APPROVED: Zoning Mechanical Plumbing Building Date 0 S� 0 Z Competency # Address Address Address C.C.F. o c- VD NOTARY SS# Phone Ins. Co. No N 4) /c9 s/ 0017 / �. 0 Notary as to Co My Co 'on-E 9. 3T Electrical Signatjre of Contractor or Ow er-Bu der ctor or Owner Builder, Date rrerF4ar aHY SEAL pG R 7A PAOWIIE a) p — o DE '.�._1 7,2002 BOND Structural Engineer Date /' TOTAL DUE ' PJII t VP WMMENCEMENT RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. :// So' 0/V G> sao STATE OF FLORIDA: COUNTY OF DADE: 00R369'323 2000 AUG 01 11:38 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordahce with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: & 73 / l E q $ ,Sire er / S-e-G 3 2. Description of improvement: Pre SS l? re d E n ►'1 j- Pal r t xTec - ■ nr (nDJJ'e 3. Owner(s) name and address: Interest in property: ad() -er Name and address of fee simple titleholder: 4. Contractor's name and address: 20/') ae - PA l h l,. 3,35 NL2 /0 6 0 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 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: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) ku-ik Notary Public Print Notary's Name My Commission Expires: Signature of Owner _ Print Owners Name -\.,re Sworn to and subscribed before me this \AUT\k-f day of a P p oe 1 OFFICIAL NOTARY S ARGARITA MONTI L N UII 8 "9j '•. MY cCVAISSION EXPIRES n� c1 !:'�..C. 17,2002 E / 4 I ;)- 3/act( '7..2 X 7 3 M . c Srr r ET f v i (Alain M v r p in q r; -: Ci r'T;F VW' f' (:)/ final l (±,/I t;"4,0”,r, ( y I) �`. /': �, �i �n+ hu A,^,' Pit �-•., ____ '. H, ►iUVIIV C : D.C. L) Prier roo> • Prepared by: 1 v `1f& J 6 612,fN.--e Address: 3: 3 S 'V / fro l ocry t F (. 01.52 2/93