1140 NE 100 St (3)PERMIT APPLICATION FOR MIAMI SHORES VILLA E
Date /0--- r -7 J o b A d d r e s s f) , /0 O Tax Folio Jf qc2. ,s`s29 7 V
Legal Description
Owner/Lessee / Tenant 0 _ / %! /
Owner's Address A �/ �/
Contracting Co. ,i _ L ✓�i f
Qualifier - i 411 7d
//
• State #
( 1 4 Cr) 5 7a / Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
WORK DESCRIPTION
Nbtary as to Own d/or Condo President te Notary as to C
My Conunission Expires: /( ^ i - Q7 My Commissi
`5 o- 339--3 /8/-0 ��
f1i / be "r &itf / ;c i c�rh
FEES: PERMIT I/ RADON
Historically Designated: Yes No
Master Permit # // $ S 1O
Phone 5 / < II O
Address fJ(v 2 0 r W t
SS # - Phone 30 §�61p ep
4
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ECHANIC ROOFING PAVING FENCE SIGN
/ "444-taq ./ ti44,C 3 7`0/(( S — S K:G(.)
Square Ft. Estimated Cost (value)
o y
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
constructi yti zoning. Furthermore, I a l iorize the above -named contractor to do the work stated.
- c
Si ture of Contractor or Owner-Builder
Shit 1 —/ 9
Date
,,pp OFRCIAL NOTARY SEAL
o 4.43Y`a'd � 8 MARGARITA MONTIEL
n COMMISSION NUMBER
CC797277
MY COMMISSION EXPIRES
OF pk.0 DEC. 17,2002
C.C.F. NOTARY BOND
Date
/6 -- Q- 7
TOTAL DUE - (fe
APPROVED:
Zoning Building Electrical
/L 9
Mechanical Plumbing Structural Engineer
MIAMI SHORES VILLAGE
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.
APPLICATION FOR BUILDING PERMIT
N, No...
(�� Date..._ ....J.. . _._�_..- __._......... ,19. b
� ......d I r 1 -- L- 4"i.,. -_ .l...49 Street-- . --. ., I c. _ St
Owner's Name and Address........� .. _ ...t._...._....
R egistered Architect and /or Engineer CI:,.. .1.1...,,...1,2,:222,. 1.1,1.1 -.1
Fame and address of licensed contractor _1111.
Location and legal description of lot to be built on:
Lot Block Subdivision _1_111
Street and Number where work is to be done .. .C-
State work to be done and urpose of building (by floors) ' f .
--Is 4: e..C;
. K.. cr- ._ _�"�L.-.._ w -
LT 14 ._.. --
., 1 111.
BUILDING INSPECTION DEPARTMENT
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Coverin
Z Z-
Estimated Total cost of improvements $ 2_5‘ & 0 Amount of Permit $.
Zone cubage required plan Cubage
Distance to next nearest building. Size of Building Lot
tq Maximum live load to be borne by each floor
1 hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
f(1-11 be sent to
The undersigned applicant for this building pennit 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, Pennanent 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,.oa -wail to be performed under this
pennit, 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 a. minister oaths and take acknowledgments, personally ap-
peared
Notary Public, State of Florida
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.
Disapproved Date.
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairinan 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 hecn obtained from
the Planning hoard.
A re fce of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
i
t So
z S 74
BUILDING ❑
ELECTRICAL ❑
PLUMBING ❑
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
DATE in <.
PERMIT N?
L
Bl.
7951
Work to be performed under this Permit
Subdi-
vision
Contractor's
License No
Sq. Ft
Value of
Project $, <r
Amt. of
Permit $
BY AUTHORITY
195
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 responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed• BY
INSPECTOR
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,'servant or employee.
n
Owner's Name and Address
Permit No
Disapproved Date
(Signed)
Building Inspector
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 Oct. 22 I9 58
r. Sturart Kelley N01140 Street NE 100th St.
Registered Architect and /or Engineer
Name and address of licensed contractor Art Calvert 48 E. 2nd 5 t. Hialeah, Fla.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done.. 1140 ....A7._.__._H.__,_10.Qt.h
State work to be done and rpose o building (by floors)
Install H eat Heat (air conditioning) 3 ton
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 $ 1 Amount of Permit $ 66.00
Zone cubage required .Plan Cubage
Distance to next nearest building @ 20 t 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 P_. Q_.____ BAx_._7.__ Hialeah, .__Fla.
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 subcontra ors, 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 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.
Date Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
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.
i
II'' IIIII!IIIIIIIIIII]IIIIIIIII
CABLE ADDRESS - CALVERT
Chief Building Inspector
Town Hall, 10050 N. E. 2nd St.
Miami Shores, Florida
Dear Sir:
ac /fv
C
INDUSTRIES, INC.
P. 0. BOX 7, HIALEAH, FLORIDA. U. S. A.
October 22, 1958
This letter will confirm my offer to correct any objectionable
noise in regards to an air conditioning installation at 1140 N. E.
100th Street, to the satisfaction of the Chief Building Inspector
of the Village of Miami Shores.
Very truly yours,
1
TUXEDO 7 -2082