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PAINT PERMITDate Legal Description / Tenantk Q31/0 U A Wa-<.4 Owner's Address Contracting Co. Qualifier State # Municipal # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): FEES: PERMIT , � V RADON .1 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job 6 (0 - 1 - 147-64 --- Tax Folio Historically Designated: Yes S G Signature of owner and /or Condo President Date ) Signature Address Master Permit # No l� ELECTRICAL PLUMBING • MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION _ a l N X"�Q✓ (x 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. 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 r t f ed. Notary as to Owner and/or Condo President Date No :A as to' : ^,. •, E • My Commission Expires: My Commis . ion ExpirMADYS J V AR NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR. 1 002 -�f 2 Owner-Builder ;/ ‘,03W 69 & Date n ./ C.C.F. / ' NOTARY BOND TOTAL DUE APPROVED: Zoning Building � r 1 010 Electrical Mechanical Plumbing Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7/5 Job Address mr wf / 0 / vi7 ' Tax Folio Legal Description Historically Designated: Yes Owner/Lessee / Tenant 2/7/0/7 e.C) v v Owner's Address / F / G/ J ". Contracting Co. W ,.�� r Address Square Ft. Estimated Cost (value) Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT RADON "N C.C.F. NOTARY Master Permit # Phone 3 d5 Qualifier SS# Phone State # Municipal # Competency # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILD 1 . ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 1 / 1471® Blea 213 if /5 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. C h3rili4irCV D A Y YONT IEL L �►nv 14.4 * COMMISSION NUMBER (P...‘ ' :II!' ( CC401261 ?• �� MY COMMISSION .EXP. AUG. 17 1996 No Signature of Contractor or Owner- Builder Date D 2/3/4f TOTAL DUE Date APPROVED: Zoning Building i/gf/41 Electrical Mechanical Plumbing Engineering 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 Owner's Name and Address No Street.J Registered Architect and /or Engineer / ()- Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done State work to be done and purpose of building (by floors) New Building Remodeling To be constructed of Kind of foundation R �veeri F. i Estimated Total cost of improvements $ Amount of Permit $ C '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 the plans and specifications for said building. All notices with reference to the building and its construction may Disapproved Date- ( Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Subd'visionn / 0/ Member Member Council Approved Date Addition Repairs No. of Stories 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(element, and has complied with the provisions thereof, and will require similar compliance from all contractors .. ontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspecti• i! the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontr.��.� ,. I to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 - - ... .............. ......... ... 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 aye true. Permit No. 71 Date 6 — 04 . - ° ° - Read, Sworn to and Subscribed before me. Notary Public, State of Florida PL NING BOARD DATE Chairman Member Member Member and for no other purpose. Building Inspecto My Commission Expires 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 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. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor I� Location and legal description of lot to be built on: Lot Block Subdivision. _ - Street and Number where work is to be done State work to be d purpose of buildi (by floors) Date R, �. � Nolo cz- cl Street_ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of. Kind of foundation C Roof Covering © Estimated Total cost of improvements $ 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 s .contractors, on work to be perfo 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 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 d scribed constthat car- ; Ily read the foregoing application, and that he did sign the same, and that all facts therein by ' - - mead, Sworn to and Subscribed before me. Building Inspector My Commission Expires Notary Public, State of Florida PLANNING BOARD DATE Chainnan 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.