157 NW 98 St (2)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date X /— % c/ Job Address /5 74//, Gy4 51 t 3y ax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant t/tif i Master Permit # ��� WAIV
Owner's Address /..`7 7/1 / //) CL S' d A/H R)
Contracting Co. i ,/ °WA/g ' Address
FEES:
P
�tl�
Phone'1;,!, a / - (,f -Y�1
/` c j' 4r e^/ S Phone
Qualifier
State # Municipal # Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Ins. Co.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION x
Square Ft. /d A 1 v f/" Estimated Cost (value)
otary as to Owner a n d/c
My Commission Expires:
:Y a NADEIGE EMMANUEL
MY COMMISSION # CC 777470
..�
Bade W EXPIRES: September 22, 2002
Bonded Thru Nota.y,Py ers
rrn \,4 L Fog s' 7T 2A/
C.C.F. cs ° NOTARY
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YO a ft
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 perfonned 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.
Il� i'w;G ou /O4
Signature of owner and/or Condo President Date
GEC = ;
Signature-of Contractor or Owner -Builder ct
b 6P /lie/ //� , "k f✓Cr ; ti it - t
-
otary as to ctor or Owner - Builder
My Commission Expires
4-
Rate f
NADEIGE EMMANUEL
a MY COMMISSION # CC 777470
Bondded Not Pub Underwriters
BOND
TOTAL DUE C
1
J
Date , j
APPROVED:
Zoning Building / /1 Electrical
Mechanical Plumbing Structural Engineer
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
7 Job Address /5 7 1\i' c7 Tax Folio // 3 /e/ Zwe
Master Permit #
Date /
Legal Description
Owner / Lessee / Tenant / A) /)/A'
Owner's Address /S - 2 A t
Contracting Co. '6 ,C/
Qualifier / AI C O1/2F/J E 4 30b 75/ " / 7')0'
State# Competency # Ins. Co.
Architect /Engineer
Bonding Company
Mortgagor
Permit Type
yp (circle one): BUILDING ELECTRICAL. PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION /.1)/2/7,--- / 6-= /9 CP)
Cci
Sire Ft. , e, e : Est tmated Cost
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILtJRE 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 regulatin• constructio and zoning.
Furtherm r I authorize the above -named contractor to do wor., to ed.
J
Owner Signature of and /or Condo President Si ure of Contractor or ••ner- Builder
Date: 1
Notar Date :1
i01 to
.s to Owner and /o Condo Pi�
7 es lent Notar 2s to Contractor or Owner -Buil er
My Commission Expires: NARY UBLIC ST TE OF f1.ORi0A My Commission Expires: j�
* * MY COW SSION EX MAL 180999 INI4TTCRY SSIOII EX' NAR.10 �!
PERMIT FEE: APPROVED:BONDEU TM GENERAL. INFi Other SONOED TIM GENERAL He. OIL
Zoning
Building
Phone j') / - c7 , '
Address � /1142
Address
Address
Address
Electrical
Mechanical Plumbing Engineering
Owner's Name and Address
Disapproved
(Signed)
1
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby wade for the approval of the detailed statement or 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 progreu of the work. /
* . Street4L.
Registered Architect and /or Engineer.... C�-�! . /.S'
Name and address of licensed contractor Elie? /.
Location and legal description of lot to be built on
Lot Block Subdivision
Street and Number where work is to be done
work to be done and purpose of building (by floors) ... Ct.. 1 .�__........__..._........_.... _.._.._.._
Date
Building Inspector
NOTE: A charge of $1.00 will be made for
the Plannir.;.: hoard.
A re- inspection fee of $1.00 will be charged
materials anti /or workmanship.
Chairman
M1crnbcr
Member .. .. _....._.... - - �...._....._
Council Approved Date
_...._........ for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimate Total cost of improvements $..4...3 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 Sup clement,
and has complied with the provisions thereof, and will require similar compliance from all contracters or sub - contractors employed by hint
in the work to be performed under this permit; and will post or cause to be posted for inspe- on a site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such bco or work to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks
(Signe / Y
STATE OF FLORIDA, i
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.. .t2` 1 Date ..._ ^.. • c 1 Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
Notary Public, State of Florida
My Commission Expires _... _
Member —
Member
Member _ _.._....._
Disapproved Date
making corrections or changes to this application after approval has been obtained fmm
when such re- inspection is made necessary by improper notice for inspection or faulty
Date
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant / ji /a& / L d 12. - Master Permit #
Owner's Address / 5 2 4 . % 8 S7` Phone r° r
Contracting Co. Pre6 i ^5 / dh ��7 eJ / I& e 6 r , �.
�
Qualifier ����a ca 6 Z 1 c° Z_ � Phone 5 - / 3 9
C�✓ ///.
state # Cam, U () 33 / Z.- Municipal # Competency #��e.e /?Ins. Co. %//,/i -- ' __./.4
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION ) / / / d1L)
Square Ft. G 0 ° Estimated Cost (value) , oz2 e2 . 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.)
Appiication 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 stilted.
n/
Signature of owner 'and/or Condo President
otary as o Owner and/or Condo President
My Commission Expires:
APPROVED:
Zoning
Mechanical
� p OFFICIAL NOTARY SEAL
DAVID HILAIRE
2 1 i (te COMPASSION NUMBER
MI' 0
CC544493
1,b, ' MY COMMISSION EXPIRES
e OF OP APR. 15,2000
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
17 Job Address /5 7 N. W . 9 £ -5/ Tax Folio
FEES: PERMIT RADON
Z-02
Date
6-627-P7
Date
C . C.C.F.
Address
``�signaiu a of Contractor or Owner- Biilder
O\ ' Pve `/ OFFICIAL DAVID HILAIRE
SEAL
HILAIRE
n COMMISSION NUMBER
CC544493
MY COMMISSION EXPIRES
Q APR. 15,2000
AY!
�III�
NOTARY BOND. 4 VZ"
TOTAL DUE, j ,
Electrical
Plumbing Engineering