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935 NE 99 St (3)** * Date 1 ?L) ( 9Job Atdres1 Q 1 25 -- 9A b F olio / . D t i �. f/ -11 Legal Description O( S u I C �I — b( J. 61 I cl Owner / Lessee / Tenant tlt-A4 • "i "A -- - 1 4R L) Master Permit # Owner's Address 3 S \ Phone 75 7 S( 2 I�O O■-6(:, (O - Address tR j( ) Contracting Co. Sight r Date i/� No ary a • to Owner M Commission Expir APPROVED: �zc , `-Fb6)SECASS# Phone( )$ S 3 -5 STS Qualifier State # Municipal # # 4, `� ( 0 Ins .Co . ( C2 . 'C L( , I ►.1 G� Architect /Engineer Bonding Company Address Mortgagor Address Permit Type(circle one) BUILDING ELECTRICAL P MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION v 0.-1 1 L (-.) v itA \ © J 2- Square Ft. '6 Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE AM kt 5 G i-J L1 066 N Address 2 ( •- ■ c6.1 LA 5 0 --- * * * C.C.F. /ka 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. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in coipliance with all a••licable laws regulating construction and zoning. Furthermore, I authorize above -named contr or to dcy-the work ' tat er and /or Condo Preside t Signature Date: Ir, of C ontractor or Owner- Builder / 3 tar as to C y Commission JOSEPHalf CHURCH r a it NOTARY ./ ze TOTAL DUE ** Fire i, Building ' Electrical Mechanical Plumbing Engineering Other .PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY Date „2-3-.3..70b Address 935 /vim 9 7 S14 Legal Description C j 41/ /9 6 Owner's Address % ofvt 99 $ Phone Z/ Contracting Co. 6( d l,ad J /� Address /305 /VV 3d / Qualifier ZSS4i Phone 6 a ^ o9 6� State# /e-O. 2 V V94271 I rompetency # ` 31 2 2 a/+'Ins. Co. /36 V Lessee / Tenant Architect /Engineer Bonding Company Mortgagor Permit Type (circle one) WORK DESCRIPTION / ,1 5/2 -// f,e ,_5 0,/e Square Ft. - 5 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE T DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YC 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, an on the attached addendum (if applicable). I certify that all work will be performed to meet th standards of all laws regulating construction in this jurisdiction. I understand that separat 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 wor 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 nd /or Condo President Date: Notary as to Owner and /gi,,,,Condo � p�Ls1/ALLF,I� JR. My Commission s ion Exp i re s : ; ) MY COMMISSION ii CC 206336 EXPIRES . , a`F Mk 7, 1996 * p, pk,. BONDED THRU TROY FAIN INSURANCE, INC. Fire Zoning Mechanical PERMIT FEE: APPROVED: "" (OWNER TO RETAIN COPY) Address Address Address Tax Folio 1/ J9$/ # Master Permit ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIG Estimated Cost Signature of Contractor or Owner - Builder Date: Notary as to ' t a orammi k i der My Commission Ex „ ' q ",;= 1P COMMISSION N CC 206338 IXPIRES * * * *une 7, 1996 * * %a ' BONDED THRU TROY FAIN INSURANCE, INC. Other (Building , / �Gi � Electrical Plumbing Engineering NOTICE OF COMMENCEMENT PERMIT NO. TAX FOLIO NO. 11 3206 034 0251 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: The East`34 feet of Lot 18, add all of Lot 19, Block 170, MIAMI SHORES, SECTION NUMBER 8, according to the plat thereof as recorded in Plat Book 14 at Page 33 of the Public Records of Dade County, Florida also known as 935 N.E. 99th Street, Miami Shores, Florida 33138 2. Description of improvement: Installation of new roof. 3. Owner(s) name and address: Gustave W: t :aind Jacqueline D. Larson, 935 N.E. 99th Street, Miami Shores, Florida 33138 Interest in property: Name and address of fee simple titleholder: Gustave W. Larson, and Jacqueline D. Larson, his wife 4. Contractor's name and address: Grefs Construction & Roofing Corp, 13050 N.W. 30th Avenue, 5. Surety:(Payment bond required by owner from contractor, if any) 1.) IA- Name and address: Amount of bond $ Name and address: owner U (�'T 6. Lender's name and address: NONE Opa- Locka, Florida 33054 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: °`E: 1 580216 1151 REC. `-., u CL" U'' -: 2. 1'193 FEB 04 077 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. JI4 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a )A different date is specified) Print Owners Name Sworn to and subsc Notary Pubic • Print Notary s Nim A, Signature of Owner Gustave .W.. Zarson Gustave W. Larson :1 ,: t er ..s.��� S-a ■ u My Commist ess: r o" • me:lhis,�lstday of Feb. , 19 933 . • Notary Public i y Commission Expires: September 7, 1993 RECORDED IN OFF few ' BOOR Or UADE COUNTY, FLORIDA. RECORD VERIFIED HARVEY RUVIN CLERK CIRCUIT COURT • .. f G Gustave W. Larson • :Ace 9999 N.E. 2nd Avenue Address: Miami,Shores.;Fla:33138 6Pyr 7. 1 - /cf /Y "'ley/La,— 6 < /0i `C 22 ? / Z8 Permit No Disapproved (Signed) At 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. Date , 19 Owner's Name and Address ._.. .Dean__R . ._.__Claues_ n No,1005 N. E. Sa.h St. Registered Architect and /or Engineer _ Name and address of licensed contractor Brady __Roofing..8s__.Sheet Metal - 2955 N. W. 73rd St. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 93,5 N. E. 99th St. State work to be done and purpose of building (by floors)_._Roar .__ -__ - 90 - Tile and for no other purpose. New Building g Remodeling Addition Repairs No. of Stories To be nonstructed of Kind of foundation Covering Tile Estimated Total cost of improvements $._1160_..00 Amount of Permit $.. •00 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 ployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Si > ement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo ed by him in the work to be performed under this permit; and will post or cause to be posted for i , pection + he site of the work su • 1 r i »lic notice or notices as are required by the Act. The undersigned agrees to employ only such s ontracto . n irk to be .erfo te' under this permit, as are licensed by Miami Shores Village. � e ' / Remarks ( Signed) ..11111!,.. i 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 are true. -22, 7 Date ( to me well known, Read, Sworn to and Subscribed before me. Notary Public, State of Florida Buildin: ;pector 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.