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150 NE 100 St (9)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address 150 N.E. 100th Street Tax Folio 11- 3206 - 013 -2140 Legal Description L 8 & 9 BLK 16 M Shores Sec 1 /AMD Master Permit # PB 10 /0 Owner / Lessee / Tenant Evelyn C. Shufelt Owner's Address 150 N.E. 100th Street phone 758 -1183 Contracting Co. Qualifier James T.. Laing State# RC 0021338 Competency# 00396 ins. Co. Capital Assurance Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIG WORK DESCRIPTION BISCAYNE ROOFING CO. RE-ROOF: Remove existing tile & Gravel roofs. Slope: Apply 1-30# & 1 -90# & White, flat tile. FLAT: 1 -30# 3 Fiberglass plys & Gravel: Square Ft. 2,188 Estimated Cost $5,350.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE T1 DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF Y01 INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated. I certif that all work will be performed to meet the standards of all laws regulating construction in thi jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all wor will be done in compliance with all applicable laws regulating construction and zoning Furthermore, 1.. authorize the above -named contractor to do the work stated. PERMIT FEE: APPROVED: N•tary as to Owner any /or C My Commission Expires: No * * * My of F My Com Zoning Mechanical do President o President bliC at Large on Expires * t .tober 4,1992 Fire Building Plumbing Address 5180 E. llth Ave. Hialeah, FL 33013 phone 688 - 4668 2 Nota y as to Cont actor'or My Commission Expires: ' ''" Other Electrical Engineering nature of Contrac I L3 I :o r - .o rya 11 tate of Flu?. My Comai — n Ex.; WOCt 4, E ame s;: _,T :, Laing r BuflEer PERMIT NO. STATE OF FLORIDA Sworn to and (Notary Public) 110 T nX FOLIO NO f/ 32 6 /3 -a j1OTIC$ OF COMR_NCEMKNT COUNTY OF DADE THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713,. Florida Statutes, the following information is provided in the Notice of Commencement. 1. Description of property: (legal description of the property, and street address if available) L 8 & 9 Blk 16 M Shores Sec 1 /AND PB 10 - 70 150 N.E. 100th St. 2. General 'description of improvement ROOFING 3. Owner information a. Name and address b. Interest in property c. Name and address of simple titleholder (if other than Owner) 4. Contractor (name and address) BISCAYNE K00FING CO. 5180 E. llth Ave. 5. Surety Hialeah, FL 33013 a. Name and address b. Amount of bond $ 6. Lender (name and address) 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida States (name and address) 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Not CO as . provided in Section 713.13(1)(b), Florida Statutes. 9. Expiration .da04 of notice of commencement (the expiration date is VIOSr- the date of recording unless a, different date is if ti r; f:mil be f re Evelyn C. Shufelt 150 N.E. 100th St. Miami Shores, FL'33138 Owner this 30th day of m , 19 91 My Commission Expires Notary Public State of Florida at Large fey Commission Expires: October 4, 1992 itA 444 / � e 7 o-70 Lofs B�� � K EVE* e-.ShAtreti--D ti� Ids 54d-- AA(014 ,?3/3.8 BUILDING ❑ MIAMI SHORES VILLAGE FLORIDA ELECTRICAL ❑ Date ��' 19Cte, PLUMBING ❑ PERMIT N? 9371 Contractor's ROOFING License No. 45 3174 Owner of Building 0 Architect Contractor ,,,1 '�� or Builder -*�+ ;y r """� t Legal Lat II Description f I B1 Subdi- vision Sq. Ft. Address of ) S f 'i Value of I I Amount of Building } > Project $ II 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 t e plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed • fir }S1?ECTOR) BY In consideration of the issuance to me of this permit I agr to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawing statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work dos y either, myself, my agent, servant or employee. CO RACTOR or BUILDE Work to be performed under this Permit BY AUTHORITY • 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._. P. I 171 .. S./t& Registered Architect and /or Engineer... _ �j Name and address of licensed contractor.. r-!,� Location and legal description of lot to be built on: Lot Chairman Member . Member Council Approved Block Street and Number where work is to be done Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT _e )7" Subdivision State work t4 be done and purpose of building (by floors ).- RatI.3. and for no other purpose. New Building .___ Remodeling__ ✓! ___ Addition Repairs.. No. of Stories t To be constructed of Kind of foundation___. Roof Covering Estimated Total cost of improvements $ ?VOL ad __ 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 foi said buildi notice with reference to the building and its construction may be sent to__ _ .S7 k _____ p G- r ff ^-' Date / J(3 ., No._ /S D. --° - -- Street. / ING BOARD__ __ . . . . DATE Member Member Member . _._..._ _Date Disapproved 1-3c f � s ' t The undersigned applicant for this building permit doc hereby certify that he understands and accepts his obligations as .an employer of labor under the Florida Workmen s Compensation Act, being Sec :ion 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 su' contractors, on work to be erformed under this Remarks ( Signed permit, as are licensed by Miami Shores Village. 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 mated are true. Permit No 37/ Date_ / (3 -7 ____ Read, Sworn to and Subscribed before me. Disapproved ____ _ Date_ (Signed) / Notary Public, State of Florida [( - - ''►.' ' My Commission Expires_ ... 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.