1301 NE 100 St (7)Job Address /3et7/ iV-E /a St Tax Folio
Date /ol ///,,
Legal Description ,/
Owner/Lessee / Tenant /A L � (1)71t 9 104 i
Owner's Address /3 0/ AL6 . /ea T
Contractin Co. i? i s-- o f pia Z / ' G
Qualifier -5 )71_4 e/
A,K\%u
Historically Designated:
Signature of owner and/or Condo President Date
,.- 14 6�2 -E,3 2 _ -1 4 S - 3 LI4 -O — FIA -
Notary as t Owner and/or Condo President Date
My Commission Expires:
ll) l7Jl lJII IIINoIIImiimim
;;M:G'• Myriam Norena
E (
Notary Public, State of Florida ;
.;
... P � . Commission No CC 664087
. '''' . ?!.n 13/ 1. 18,4y
Bonded Tiirouah Fla. Notary Service 8c Bending
111111111111. `)611`.1))` \11N, - -
RADON
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
C.C.F/ 2 NOTARY
FEES: PERMIT
APPROVED:
r
Zoning Building �)' V' l J t l*
Mechanical Plumbing
Yes No
Master Permit # K
Phone 63 s9 9149 — O/
Address ZI A-2-6. a / � % e YYC1, (�, /WO
Phone (3°9 // 74 V
State # Municipal # Competency # /02 fa c, Ins. Co. 's - <o
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FE CE SIGN
WORK DESCRIPTION rri�sC`. ¢ t��lo� h'ow /of, 2� „�. !i ' -J !!i./4 f
10 (Vr&d .. �e •: L--„,57`)( 3/G6 be- . '-m ale z-
Square Ft. Estimated Cost (value) / z /f f
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 regul ting construction and zoning. Furthermore, I authorize the above -named contractor to do the ork stated.
ignature of Contractor or Owner- Builder Date
Notary to Contror orO wnBuilder
My Commissio act d 'rW moer- wn7�»ra�a�a e = -»,,,� :,+»»
> � ;x ; 4' , 1 A. m N er: '
( N ola- = tat.. .. da
T
> "'16/2001 '
Electrical
ti E >:•::ng co.
Date
BOND
O
TOTAL DUES a
Engineering
fruir
.a,onc
657 3 I Rc,csAo 6-
r(u.a goia_evc.
3 / 15 ea`i" c,
213Ardurtla
HP OfficeJet
Personal Printer /Fax /Copier /Scanner
Last Fax
Date Time Type Identification Duration Pages Result
Oct 1 9:46am Sent 3054469339 0:26 1 OK
Fax History Report for
ISMAEL SZYDLO
305- 652 -1452
Oct -1 -99 9:46am
ERI+IIKAL POST
Ise
re
Wt. pee (1.
•
Standard Ilees&dential glop braving
LINE POST
Site . Wiper 11.
1 5/1 or 2•
5111
TOP RAIL
1 3/1 or 1 5
• Slti -Is ovtsids dlmsnalon ■ Weight -le pounds per Ilneor fool
Wl. per 1*.
0•—...
HP OfficeJet
Personal Printer /Fax /Copier /Scanner
Fax History Report for
ISMAEL SZYDLO
305- 652 -1452
Oct -1 -99 12:56pm
Last Fax
Date Time Tyne Identification Duration Pages Result
Oct 1 12:55pm Sent 15024515075 1:00 1 OK
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date / q/ Job Address /3 0/ Ale loo 5-71- Tax Folio
Legal Description 1 -c w 5 " ,Jr 4r J o w i arch, Fr •s 1 !-iistorically Designated: Yes No
Owner/Lessee / Tenant
/3 0/ /Y / 00 S�. 0 //
Owner's Address e-e ✓ 621 .ez-i-
Contracting Co. „Fa/p, a/z 47/
Qualifier / 5 h-7 a e / -57.-70/k ss# Phone 3 O y)9, r- // 7t
State # Municipal # Competency # 292 cl Ins. Co. / 8 r2„7 f
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE / SIGN
WORK DESCRIPTION .LLrn /s' -r (l -/r o K �%�'(� V zn //vvic
WI 6 /e 1 5r' o le / — Gfo,Sin19 °,1 u- 4 ej.
Square Ft. ,_.?"K Estimated Cost (value)
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 FIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regul. •ng construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
APPROVED:
Zoning
Mechanical
2:2, X
Signature of Contractor or Owner - Builder
c LanA 8 6,23 -5 6S -7 13
and/or Condo President Date
l� �Ulm D
Notary as to Owner and/•" Condo PreI Date
My Co ,, « ' . ?, y8y?>nn»»»m i
. My Commission M amNorena
> > -` o� �._.__.> ic_State ofFlorida
u bl
64087 •
A.] Commission No. CC 116/2001
>
Bonde lyhrough Fla. Notary Service & Bonding Co.
i 11N)N
FEES: PERMIT RADON
Building
LZ
PO?
Master Permit #
Electrical
Phone 630-9 9c19- ?c'o l
Address - a/a / r1 t ce /1 f //
/zW'P
y Notary as tti Contractor or Owi er- Builder
My vr mmm?m,m,m , :
> oiMr �y� .
> ' 1 Notary Public, State of Florida '
> 2o.:s "a/ Commission No. CC 664087
> ••• My Commission Exp.07 /16/2001
Bonded Through Fla. Notary Service & Bonding Co.
)1)N\ N X11)))15))1)).) 1)))))1NMMN)N)'
/ 4LO
C.C.F. 6 ' NOTARY BOND
(7 c3j ZZ17
Date
Date
o
TOTAL DUE
Plumbing Engineering
N
1.1 0
cc
Trtb;...
-
t.4* 7.17
SKETCH OF SLIRVEY
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OF THE PIJBtIC RECCROS OF '..7.1:tc fa: COVATY. ROMA
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it IP IMO IM1111.111)PLISID 111111•111MINIGY• SWUM. 11, 111•• ol pre
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A Mown MEE INSURVICT ITINa.
WASIRIgGTOW .4117UAL AVM r..4.
WEIATRAFB 1 "Eng:RAUB. PA
BAEZ & A6SOC1ATES,
LAND SUMEY0A LVI lAnNtie
S24 .W. Mr* swift 23144
Oat 13311265-1002 Fox (DOM 216541106
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PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
•
Date - 7/ /c' Job Address 10a/ ' N6 /00 ST Tax Folio
Legal Description /24CT L'702DD�t/ //2.¢,GTS l'LA�T S� /'i9�� 2-e.
Owner / Lessee / Tenant 70 E 4 /8 - 417-5 - 7 7 Z-4 0 Master Permit # 3
Owner's Address /250/ /VC X00 ST ' /4.1 5lk0A26 Phone
Contracting Co. 2oc,t 4/ / evAls7 Address 7 50 -AJ �?
Qualifier rJ
Architect /Engineer V; S -EA/ i /JET'/2 S
Mortgagor Address
Permit Type(circle one)
Signature of owner and /or C President
Date:
Zoning
SS# - - Phone ? 51 "
State # Municipal # Competency # Ins.Co.
Bonding Company Address
ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION Se1/-u)04 .-.6 '4-/2 — 7/ ia . .JC- .e S
Square Ft. Estimated Cost(value)
Address ■7v / , 41.1/ (PAZ Aa
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 contra tor to do the work stated.
** * * qt)'541, * * * * * * 1.156 ** * * * * * **
FEES : PERMIT RADON C.C.F. NOTARY TOTAL DUE qilit&;6i'
APPROVED:
Fire
Buildin
Signature o
Date:
Notary as to Owner and or Condo President Notary a to Contractor or Owner- Builder
My Commission Expires: My Commission Expires:
or Owner- Builder
Other
Electrical
Mechanical Plumbing Engineering
I 11
ate Job Address /30/ NE /00 S r
.e
gal .�
al Descri tion
g '"T� � 7�,a. � t ".Q0 5 5 / � 1t. ..',
I•
,...,c
►weer. ,/; Lessee / Tenant tip 1 •
'wner's Address / t§ 0 / ALE /DD ST. •/ 4 1/ a Yftp /22S
;ontracting Co. � OCte i /y1}C/dc £? ci VT Address 7 1 3� Z
SW I - :phone
ate # ' i Municipal # 1 Competency # I' Ins. '. I!
�t 1
I
rchitect /EngiBper ' J.'V /S ,t/0 Aiee,4 S ' I h' Address ' 7i E :d- /er!/ , c14 , G D .
f1 ■ i i
; ooding Company ' ilddr I II !
.. f-g""N.. iAddres
ermit Type(circle one)• BUILDIN ELECTRICAL PLUMBING MECHANICAL 'ROOFING;
Sees► -mod& .e, : 2 ' ' ? / 1 ,�O I
!ualifier /"A 1 ' 1A/ V-10 A/
Iortgagor
'ORK DESCRIPTION
I I
quare Pt• Estimated Cost(value
ARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILUR TO, DO
0 MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS.TO YOUR PROPERTY (IF YOU INTEND
O OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN:ATTORNEY BEFORE RECORDING YOUR
()TICE OF COMMENCEMENT). I
pplication is hereby made to obtain a permit to do work and installation as indicated above, and
n the attached addendum (if applicable). I certify that all work willibe performed to meet the
tandards of all laws regulating construction in this jurisdiction. understand that separate
ermits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, and MECHANICAL WORK., •
I
WNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and t = all work will
e done in compliance with all applicable laws regulating constructi. =nd Izonin : Furthermore, I
uthoriz- the above ntractor to do the work stated.
OIL/ / Ar
�i 41 iL_, .
Signatu a of 'ractor or Owner - Builder ,
of owner and
ignat
ate:
otary - as to Q ner and /or Condo
Y c; on IPR4C7�Ail� SEAL
' MAX r LARSON
�+ I t y Cgrnmission Expired
k
to 4 F I ep,prll 7, *996 *
VOFsef,"• Comm. No. CC 191462
RADON C.C.P.
BES:' PERMIT
?PROVED:
!ERMIT APPLICATION FOR MIAMI SHORES
r Condo President
President
* * *
Fire
•i
Zoning Building
Mechanical Plumbing
Tax
Folio
Lee
! I.
I i
I,
Notary'as to Contactor or Owner-Builder
My Commisl •' 4pireejFFICIAL SEAL
'CAROL S PIPPINS
My Com sloe x
Epi
sprtl mi 7 � 39 ' *
Comm. No, CC 191491
Master Permit # :
'Phone I. i 1 11
V ILLAGE . f
Other
ElIctrical
Engineering
PAVING If FENCE SIGN
nI,
**
1
TOTAL DUE
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑
ELECTRICAL ❑ PERMIT
PLUMBING ❑
ROOFING ❑
Owner of '
Building
Architect
Contractor
or Builder (.. /: F r
Legal Lot
Description Bl
N° 7962
/
Address of f Value of
Building / s . k Project $
CONTRACTOR OR BUILDER
DATE.
Contractor's z .
License No. '`
Work to be performed under this Permit
BY
et l `
19
Subdi-
vision
Amount of
Permit $
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 applica-
tion 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 it specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. • ;'
t
Signed' a ,, o ; tom,. ? t. c _ INSPEC;fOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance witb all ordinances 'aid regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao
cepting this pens yi+assume responsibility for ell work done by eitl;etf, myself, my agent, servant or employee.
g } I / a [ I
6 ^
AUTHORITY ♦oeor '
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. 9 a
MIAMI SHORES VILLAGE
Registered Architect and /or ngineer ��
Name and address of licensed contractor /(/L 2 ,(
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done J I.2 �
State work to be done and purpose of building (by floors) 1:
Disapproved ) Date
(Signed)
Date
! L y� , 19.!O 6
No LaO1- Street- _-_ 3e E 1Qa .
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 $ 679 "1/ 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 dement
and has complied with the provisions thereof, and will require similar compliance from all contracto , r sub- contractors mployed by him
in the work to be per under this permit; and will post or cause to be posted for inspection o 'e s'te of the wor such public notice
or notices as are required by the Act. The undersigned agrees to employ only such su. o It - - � .rk to be p formed 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.
Permit No Date 9•-• ',- Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspector My Commission Expires
PL :d`` ING 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.