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94 NE 99 St (7)Issue Date: 4/11/2002 Owner's Name: None None Permit Type: Imported Permit Work Classification: <NONE> Job Address: 94 99 ST Additional Information Miami Shores Village, FL Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 10/08/2002 Contractor(s) Phone Primary Contractor QUALITY ROOFING CONTRACTOR 305 - 751 -0382 Yes 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Parcel #: Block: Section: Permit Status: EXPIRED Permit Number: BP2002 -744 Phone: 1132060131040 Lot: PB: Total Square Feet: 0 Total Valuation: $ 1,300.00 Required Inspections Fees Due Amount Total: Invoice Number Total: Amt Due Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES . Date 4 -5 -02 Contracting Co. Quality Roofing Contractor, Inc. Qualifier Carlos Arocho Signs FEES: PERMIT APPROVED: Zoning Building Mechanical Plumbing PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job mdress 94 N.E. 99 Street esident RADON C.C.F S S# Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Juan Gonzalez Master Permit # )P -aOo a ' �� 4 Owner's Address • 94 N.E. 99 Street Miami Shores Phone 789 -3871 MARYLOU HERNANDEZ r1Y COMMISSION #DD060579 a - . EXPIRES: October 10, 2005 Pf,h Bonded Thru Notary Pic Underwriters Notary as to • and/or Condo President Date Notary as to Contra or or My Commission Expires: My Commission Expires: Address 13800 N.W. 1st Avenue State # RC 0 0 5 8 6 2 7 Municipal # Competency # 17889 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Repair leak on front of chimney andaepair) leak over front, door. Square Ft. Reps Estimated Cost (value) $ 1 , 300 . 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 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 Contractor or Owner- 1}uilder 1 1. .. MARYLOU ERNANDEZ �•� :.: MY COMMISSION # DD 060579 M�. �� .. a' EXPIRES: October 10, 2005 Bonded Thru Notary Public Underwriters NOTARY 0 " BOND Electrical Structural Engineer Phone 751-0382 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed:4 /11/2002 Applicant: ANAj 14. Owner: fiAltiNNO O 11 6 -e ' z- JOB ADDRESS: 94 NE 99 Contractor US (.cA.a, Local Phone: Parcel # 1132060131040 QUALITY ROOFING CONTRACTOR, INC. 13800 N. W. 1ST AVENUE 30j 93% MIAMI, FL 33168 -4849 PAY TO THE ORDER OF ACH FUr 3100277 FOR !l. BankofAmerica, pc 5) t II'O L 7 L 1911' ' :0 6 300004 7I: OO L S 9 5 300 2 4 6 u. - - vcaiioai�w: +w� nr -:c maWetiizm .r building Permit Permit Number: 1:3P2002-744 V\ ST Contractor's Address: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 1 & 2 Fees: FEE2002 -2140 FEE2002 -2141 Description Building Permit;Application Fee CCF Total Fees: Amount $60.00 $1.20 $61.20 Total Fees: $61.20 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 10/8/2002 construction Value: $1,300.00 Work: REPAIR LEAK ON FRONT OF CHIMMEY& REPAIR LEAK OVER FRONT DOOR BLK 8 LOT SIZE inanantions. Re- inspection E'k in strict compliance with all ordinances 3en submitted to and approved by the it authorization. A further condition upon 63 - 4/630 FL - I and regulations pertaining to the work 1348 pants or employees. ELARS thereto and In strict conformity with the work done by either myself, my agent, • 0 (Low Slope Application) FT FT DECK TYPE: FASTENER TYPE: TTACHMENT SPACING FIELD: PERIMETER: CO FLORIDA BUILDING CODE — BUILDING DETAIL. 1E.2 SECTION 1525 HIGH VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION Contractor's Name: Q tis 1 " " t Qoo . " "" 1 e .41 (Gw4 ,. Job Address: 9 4 ■i £ ROOF CATEGORY ❑ (Nail -On Tile) ❑ (Mortar -Set Tile)* ❑ (Asphalt/Fiberglass Shingles) ❑ (Metal Roofs/Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof ❑ Re- roofing ❑ Recovering 0 Repair ❑ Maintenance Flat Roof Area (ft Sloped Roof Area (ft Total (ft Master Permit Exposure category (per ASCE 7 -98): C- Building Classification category (per ASCE 7 -98): T ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) r r r r ROOF Ft AN I ;I I r -+ I , I ' I i FIGURE 1525 15.37 SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Lone) are for the purpose of providing that the roofing .system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be a tressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be r nailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). ..g 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring un's (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify. the occupants of adjacent units of roofing work to be performed. A - 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be A viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the optic of maintaining this appearance. 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. ` 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall. outlets) are not provided. It may be necessary to install overflow scuppers in accodance with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior r o f the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. `ner's/Agent's Signature CADOCCAI C•tUmo+LOCALS- AT.m>'.SCCTIO\ ISSLOa i( I / U Z - - Date Contractor's Signature Issue Date: 12/24/2002 Owner's Name: ANA PARDINO Permit Type: Imported Permit Work Classification: <NONE> Job Address: 94 99 Street NE Contractor(s) Phone QUALITY ROOFING CONTRACTOR 305 - 751 -0382 Primary Contractor Yes Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 06/22/2003 Perm Type: Building Alpha Four: Roofing Alpha Six: SINGLE FAM Pay Amount: 60.6 Bond Return : Alpha Two: Repair /Remodel SF Residential Alpha Five: Residential Pay Date: 1/8/2003 Pay Comments: 1 ck #18046 (3 permits) 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: EXPIRED Permit Number: BP2002 -2214 Phone: 1132060131040 Lot: PB: Total Square Feet: Total Valuation: Required Inspections 0 $ 600.00 Fees Due Amount Total: Invoice Number Total: Amt Due Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES . 1 . . . .... I 14 E KAMPLICATION FOR MIAMI SHORES VILLAGE • • • • •. • • • •• ..••• • . ... Date 12/12/2002 Job Address 94 N.E. 99 Street Tax Folio • .. • • • Legal Description _ • - • • Historically Designated: Yes • • • • • • • .•• • • • / Tenant : Pad 6itl'.' • • • • • o •• • Owner's Address • 94 N E. 99 Street Ni Florida Contracting Co. Qualit g F3epfi�g Corltrdctor' Inc. Notary as to My Commission Expires FEES: PERMIT APPROVED Zoning repair MI • .. • • • • • ..• .. state # RC0058627 Municipal # Ptt and/or Condo Presiden :V ri;, MARYLOU HERNANDEZ *: '•1 r ' MY COMMISSION # DD 060579 l:I ';' %: a = EXPIRES: October 10, 2005 %„, tl-W Bonded Thru Notary Public Underwriters C.C.F. G 7) NOTARY Master Permit # _r Phone (305) 775 -4093 Address 13800 N.W. 1st Ave. Qualifier Carlos Arocho SS# Phone (305) 751 -0382 competency # 000017889 Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Repair leak at bottom rear valley of tile roof. Repair leak on front chinese hat. Square Ft. Estimated Cost (value) $600.00 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 peifcsmed 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 zo ning. Furthermore, I authorize the above -named contractor to do the work stated. 1,04/0— ]gita Signature of Contractor or Owner - : ider , Date ,ON, MARYLOU HERNANDEZ MY COMMISSION # 00 060579 P e ° IBS: October 10 2005 Notary Pubic Un Notary as to Contractor or Owner - Builder My Commission Expires: Ins. Co. BOND TOTAL DUE L D Plumbing Structural Engineer 1524.1 As it pertains to trii% sgetjor It is the responsibility of the roofing contractor to provide the owner with the required roofing,trrritoQcl•to Jtplatrtto the owner the content of this section.. The provisions of Chapter 15 of to F�otitia puibii�pg ngtie„ Suiitiing govern The minimum requirements and standards of The industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zop.ti o • e, shautd be addressed as part of the agseemeht betwleeh the owner and the cohtractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florid- ilding Code. (The roof deck is usually concealed prior to removing the existing roof system). • 11 3. Common Roofs: Common roofs are those which have no visible delineation between eighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing -- r and /or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ca%I %ngs: Exposed, opeh beam oatilticrgs are where the ycuierSide of the roof decktit<g can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provi the option of maintaining this appearance. 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident ks \tti exi:plat roofurg system tis removed. Pocrdticrg obcrdtittians shouted be ciarrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scu • rs in accordance with the Florida Building Code, Plumbing. • • ••• • • • ••• •• •• • • • •• •• • • • • • • • • • • • O wner's'NtrttfiCatloh for'Rbbling Permits issued under the Florida Building Code M A AJ DADE COUNTY BUILDJNG DEPARTMENT ELECTRONJC APPUCATJON • • • •. • • •• • • •• • • • • • • • • • • • • • • • Section 1524 - High Vetocitit I-tucr'lcane Zones Required Owners Notification for Roofing ••• ••• ••• • ' "' Considerations rage 1 01 1 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. tit may be behefictiat to obAstider addtitionat ventting wrhtich can resutit tic► extecuitictig the seMCJa ~tile of the roof. Agent's Signature Date Contractor's Signature http: / /www.co.miami dade.fl.us/ bldg / roofing_permiting /owner_notification.html 9/26/2002 Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. Perimeter Width (a'): Corner Size (a' x a') t- MUM mil i -1 MI IM 1 I arm 7 1111 . ., • • immum. 1.11111011=10 we EAMIIMENIIII' q ■ .11111.:11 ■= ...r..� rid NI r . I : + .1 L • i ■► NNq NN■■ aUgN ;__ II II ■■ Err _ .a_ _ .� 1 NN ./■■ ■ I • n NN ;Al • J 1 M ggqqq ■ q 1_ __.�._J_ N • - ■O■ q ' • :: q■ InI ■ ■ ■ swim t aN 1 II AI I,►g0M q • q• ••q�a�� !1■qq■■ ■► Mil. • f - - - - _�..{_. 1111.11.1 1111.11.1 - H_ f!� a MiSIM Ulm III q■ ra�bl[Tta! enum 111111121M2111•111 Ell ■ ■q ■■ El L ■ ■ ■ NNNN =UM N — N 1 Page l of l ••• • • • • • • • • a • " ! I 1 Hidh Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION • • •. •• • • . • • • •• •• • • •• • • • • • • • ' " • Sdctiol5 A (General Information) . • • • • m; Yo. • • matter Per • • • • • Process No. Oortracter sNamt:•. •• ••• Ova:if): Ftdfinb.Colitractor, Inc., •••• • .•• • .. • • • • • .•• •• ❑ Low Slope ❑ Asphaltic Shingles ❑ Prescriptive BUR -RAS 150 Low slope roof area (ft. ' n/a •• .• • • • ••• • • Roof Category ❑ Mechanically Fastened Tile ❑ Metal Panel /Shingles Other: Repair Roof Type Job Address: 94 N. E. 99 Street ❑ New Roof ❑ Re- Roofing ❑ Recovering 0 Repair ❑ Maintenance Roof System Information Steep Sloped area (ft. n/a Section B (Roof Plan Page 2 1 ❑ Mortar /Adhesive Set Tile ❑ Wood Shingles /Shakes Are there Gas Vent Stacks located on the roof? ❑ Yes MI No If yes, what type? ❑ Natural ❑ LPGX Total (ft. n/a http : / /www.co.miami- dade.fl.us/bldg/ roofing_ permiting /permit_app_section_a.HTML 12/16/2002 Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Printed: 12 /24/2002 Applicant: ANA Owner: PARDINO JOB ADDRESS: 94 cam iV If *1, -- _ :- - PAY TO THE ORDER OF FOR Parcel # 1132060131040 _ Permit Status: ork: 9uALITYROOFING CONTRACTOR, INC. 13800 N. W. 1ST AVENUE MIAMI, FL 33168 -4849 Bank of America, �� ACH R/r 083100277,E NE 99 1', ( -.100 L804611' s:0 63000047I:_ OO L59530024 611. Building Permit Permit Number: BP2002 -2214 PARDINO ANA ST Contractor QUALITY ROOFING CONTRACTORS INC Contractor's Address: 13800 NW 1 AVE Local Phone: 305 - 751 -0382 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 1 & 2 Fees: Description FEE2002 -7381 Building Permit Application Fee FEE2002 -7382 CCF Total Fees: Amount $60.00 $0.60 $60.60 Total Fees: $60.60 Total Receipts: $0.00 APPROVED Permit Expiration: 6/22/2003 Construction Value: $600.00 REPAIR LEAKS AT BOTTOM REAR VALLEY OF TILE ROOF REPAIR LEKA ON FRONT CHINESE HAT 18046 63 -4/630 FL 1348 DATE ��� $ ,00_3O LARS 8 Page 1 of 1 Re- inspection BLK 8 LOT SIZE cation herefor in strict compliance with all fications that may have been submitted to or if the plans are changed without onsibility for a thorough knowledge of the hat he assumes responsibility for work done s pertaining thereto and in strict conformity sponisibility for all work done by either PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) /4 ,8,,y Allip Date -1 - Job Address Legal Description Owner / Lessee / Tenant jrc} (.2- 1 ` Owner's Address 5/4 Contracting Co. v - Zonf l/.)6 Qualifier 1 1,V20‘.-n State D Competency # fl 6 g j f:/ - Ins. Co /WAG) IN • Lv. Architect /Engineer. Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION ►Z (- zoo - (4, PL .cr 5,et.pJ C Square Ft. c)1-100 Estimated Costo a vO o= • 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. /K, ■d Owner and /or Condo President / A1.41 Signature o Date: L(- Notary as to Owner and /or Condo President M Commission Expires: NOTARY PUBLIC STATE OF FLORIDA * cOMI$SSION upir DEC 2 V993 PERMIT FEE: Zoning Building • Address '�.t3t �. �.& 1 Tax FoliofJ.5 i6 /1 / OyO3 Master Permit #5/6y, Phone' -x"13 SS# Phone 9:7 —a a y Signatur- of Contractor or Owner - Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: MY * * ,,NOTARY PU LIC STATE OF FLORIDA gON THRU GENERAL INS. '14Y COMMI ON EX . *EC.2o,19SB APPROVD: F Oter ;BOND D„THRUG4P- U Electrical Mechanical Plumbing Engineering 'ERMIT # g ad 918133774 state of Florida :ounty of Dade 1HE UNDERSIGNED hereby gives notice that improvement will be made to certain real .roperty, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. i . Description of property: (legal description of the property, and street address if � ,r r available) _ " � f (/ �C Si . M zr S S ( 71 C ( Anl r) 1� i3 10 (1, • 70 x-6 75 l 2. General description of improvement: RL g--(:) DF - +e_- 4 :"PLAL e p ,ot A) i S k I — C � + I L A. Owner information: a. Name and. Address: 1tC _C t f-s .� b. Interest in property: c. Name and address of fee simple titleholder(if other than owner): a 1 clg 4 N C y F �O K O `v ti V Contractor: (name and address) \ ■ C ∎b& `-Z--` pti�/kJ G - o 0 O t • o Surety: f e o r= o a. Name and Address '' 1 we ° '' - u g $ b. Amount of bond$ 1_=L- la o w � Z ` ' O I Lender: (name and address) ?..)\.1.- ti = ° u - 0 3 . 1. Persons with 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) 1, lC-;v« �/�'�a aZ - t' c4\51 Tax Folio No. // 3441 /3 /f'J NOTICE OF COMMENCEMENT In addition to himself, Owner designates _ of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) Signatur worn to and subscribed before me this d " day of 4otary Public F. a 4 - 1 =1_ C' 1 �.. rl t` c -1 c._ a-p-4 f Owner o X_Q(2 1991. NOTARY PUBLIC STATE OF FLORIDA 0' tG� S u ; My Commission Expires: MY COMMISSION EXP. DEC.26,i993 f/ BONDED THRU fiENERAI ItiS. MID. Owner's Name and Address C AM /Z 5 //' z g Location and legal description of lot to be built on: Lot / Block Street and Number where work is to be done 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. Registered Architect andior Engineer Name and address of licensed contractor /�l/� /L/(� L ! /Eh/gl��L✓'7 Subdivision 7 g. JJ ft WU 1/ J2 9 /✓ /' 4 L 9a 4v6 ' /q.5 f Itka -?- , \_9A c�L / 1 /tom. K 5) State work to be done and purpose of building (by floors), state ex/7r colors (su :mit samples) and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories To be constructed of Kind of foundation Roof Covering � �_e Estimated Total cost of improvements S 560 Amount of Permit $ `a® 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 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 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 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 foregoing application, and that he did sign the same. and that all facts therein by him stated are true. Permit No. <2 297/ ( Date________________ ° Read. Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE as -7 0/ Date . 19 Qr No 9 Street We / Notary Public, State of Florida Chairman Member Member Member Member Member Council Approved D ate Disapproved 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 be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and;or workmanship.