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PAINTDate Legal Description Owner/Lessee / Tenant Owner's Address Contracting Co Qualifier State # 1 . UL14q, 4,4145 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE i� Job Address 9 �t Tax Folio Historically Designated: Yes No Phon(d Address o D .*Lo / P4//e/t. Bonding Company Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING WORK DESCRIPTION - ' -/ � A:Pit/r gcx9 t- wh l `re to wk Signa of owner and/or Condo President Date Notary as to Owner and/or Condo President My Commission Expires: FEES: PE APPROVED: Zoning DEBRA J. M(.1CLUNE s4•, : q MY COMMISSION CC 830214 T.Ifi EXPIRES: Apr 28, 2003 Ir :.. 3 Fla. No :; a I t : COrc irg Co. Mechanical Plumbing C.C.F. Master Permit # 7l SS # Phone 7 ?Da /7p6 Mu # .3 6 # Architect/Engineer Address Mortgagor Address Square Ft. Estimated Cost (value)ig MECHANICAL ROOFING PAVING FENCE SIGN 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. Signs ctor or Owner- Builder -/7- Z/00 p 1/— jih C e/ — i- / V o Date Notary as to Contractor or Owner - Builder / I3 ate My Commissio i .i, r i : DEBRA J. McCLUNE k MY COMMISSION # CC 830214 NOTARY BOND 005 r6 Ins. Co. TOTAL DUE ; - / - c'23 �i. Date Building /4/7 Electrical Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date V ` a'7t Job Address C TS' J' E 9Q Tax Folio Legal Description Historically Designated: Yes No Owner's Address Contracting Co. X /Tenant„ EU2 7J cis- )e 9i Square Ft Estimated Cost (value) • / Q 71'� Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT RADON APPROVED: Zoning Mechanical Signa Not My C C.C.F. ' 6 0 NOTARY Phone Address C Master Pert # Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION SEAL 1 Ph( nit ( (t Roo F- . -- tz) J°/i-tavr (4-0sE MOO I6r4 -r c '(0 -3 (3. Gt41. 1'( fN1S Stencil Blue • 708 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. a ' ' Contractor or SS as to .n ►' • wner- Builder -30— 70 wive ' NO. CC714143 MY COMMISSION EXP. MAR. 1 "MT.. Electrical BOND TOTAL DUE 5 Date . Ocz)O g -2‘10-9g Date Plumbing Engineering BUILDING ELECTRICAL PLUMBING Owner of Building K CONTRA Ar tect Contractor or Builder `� : ,$. 1 t < r Legal Lot II Bl. Description Address of f ► _" `. - Building MIAMI SHORES VILLAGE. FLORIDA\ DATE " J. n PERMIT N? 10307 Work to be performed under this Permit Subdi- vision Value of Project $ Contractor's License No Amt. of Permit 1950 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 application 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 resp sfbility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in tho tate.men r specificatio and that he assumes responsibility for work done by his agents, servants or employees. \ Signed : ' •" 1 t „ ae (,,,�. `\..::.]' r RY INSPECTOR In consi . ration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining th . and in strict confo mity with the plans, drawings, stn ents or specifications submitted to the proper authorities of Miami Shores Village. In apcepting p _ it I 14ponsibility all done by er, .myself, my agent, servant or employee. AUTHORITY Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Disapproved Date (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby rnade 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. 19 <)% Date � � No.°- �) Street and Number where work is to be done State work to be done and purpose of building (by floors) Notary Public, State of Florida Building Inspector My Commission Expires Location and legal ��;-}���; al descri tion of lot to be built on: ' ' E'' 7'' t��. th g description d � �. Lot Block Subdivision and for no other purpose. New Building Remodeling____ Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering > Estimated Total cost of improvements $__________ _f 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, 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 subcon ctors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) 117 L 4. Y___{ 1!" 441 j STATE OF FLORIDA, , .` COUNTY OF DADE. 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 Date Read, Sworn to and Subscribed before me. 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.