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1310 NE 101 St (10)• PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7/0/ Job Address /3/0 He /o /ter _ Tax Folio Legal Description ,(' Pt ard` oS. �owY,�n gvldisa 1�2 �, f�� n "'Owner / Lessee / Tenant Master Permit # 36 Phone 7 -r 7',l'6 tle 7 Address l.3 /Q N. /01 5 Contracting Co.4iv'744,e&S � �.4/ ‘ Address 3)st gi/Afe. �Roe.iJ b? M / ',3 O)J / - WORK DESCRIPTION � WAI Leh. 5 /V 4 / ed4 Square Ft. Lin' a ` ' L v Estimated Cost(value) /lv 9P ys 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 V uthorize the above -named contractor to do the work stated Signature of owner and Date:, . r Condo President 1t?n_ ar_.y agZ r and /or C•'ndo President- M•- Conni's s i on T u 1 ** Brpires: NOTARY PUBLIC STATE OF FLORIDA MY COMMISSION EXP. APR. 40995 BONDED THRU GENERAL INS. UM.) :C * * * * * *' * FEES: PERMIT J �;/" RADON C.C.F. APPROVED: Zoning Fire Sig Da 1;. Notary as to My Commission * NOTARY A e( BARBARA ANN FUGAZ.ZI �c � :� * COMMISSION NUMBER CC360191 OF Fly' MY .MI2 m 99 913 EXP. * TOTAL DUE r racto or Owner- Builder 2//a./9y Other Buildin Mechanical Plumbing Engineering Electrical Date requested: July 30, 1993 Time: 10:30 AM Job Name: Roman Address: 1310 N.E. 101 Street Miami Shores, Florida Contractor: Stanley Roofing 7070 N.W. 9th Street Miami, Florida Roof Type Clay Tiles Remarks: CHRIS MURRAY ARCHITECTS 4836 s.w. 74th court, miami, fl 33155 tel. (305) 662 -9661 fax (305) 669 -1073 Roofing Final Inspection ® Approved 0 Disapproved Date performed: August 3, 1993 Master Permit No. 33308 Inspection at above address meets South Florida Building Code specification and therefore is approved. 8 • '3 93 Architect. Florida Registration # 8616 1 ST pa! e / Z °I2_ _ Job Address /3/0 /01 Legal Description CDT/ #f J / Lessee / Tenant Ro/ICL/( GG ,,2 54. Phone Owner's Address 131 0 /VL 77,44Address 7g X) S• L/ q sf- Co. cc l '\I 1 L " IKOD 1'iL CC7 4/A425 II6 SS4f . Phone 26F 12S State 4 k Municipal # Competency# 039 V Ins .Co . (Ji e s Contracting Qualifier Architect /Engineer Bonding Company Mortgagor Permit Type(circle one): BUILDING WORK DESCRIPTION MO Cq P .. 1P5 4 4, e Square Pt ....__YEQC) Signature o Date: ** * owner and /or Condo President • r . • , do res Notary a =1► �,� p : '� Co MY mmi t 01,044:1 � fU�VtZilA N 1" �aLaot4 NO CC16110 MM I IS S5 ' 0.P, F1 ' 1996 PR l'PLICATION FOR MIAMI SHORES FEES: PERMIT '4/4 RADON APPROVED: Zoning Mechanical Tax Pol 3vZos -D-3-0010-0 Address Addres s Address ELECTRICAL PLUMBING MECHANICAL 30 q5 4 ho 1 �► G°_°�e. Master Permit }i Estimated Cest(value) )9 /11, 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF ,C MMENCEMENT AND YOUR FAILURE TO DO SC MAY RESULT IN YOUR PAYING TWICE FOR IMPROMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING.. CONSULT WITH YOUR LEND 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. at all work will Furthermore, 1 * * OWNER S AFFIDAVIT: I certify that all the foregoing information is accurate a be done in compliance with all applicable laws regulating con tion and authorize the,Rbove contractor to do the work stated. Si_ = tur =.= --' actor or Owner - Builder Go s. IfNCO YSBRI. SLIZABBTH RODRIGUEZ NOTARY PUBIC STATE OF FLORIDA comk 1 NO. C0818.59 M'Y ISBION 'I (P. FEB. 15,1996 C.C. F . NOTARY TOTAL DUE 0 1) Fire Building Plumbing Engineering_ Other Electrical PAVING FENCE SIGN ko-t lNS� �l ✓ems I t ( VseiVZve I q- 4„19),\411 BUILDING ELECTRICAL PLUMBING ROOFING Owner of f Building .1 MIAMI SHORES VILLAGE. FLORIDA ❑ DATE /— 4 (4 ' PERMIT 1T° 3020 Contractors � License No. f�l & '' a a t .. . Architect Contractor or Builder `f- L - Legal Lot Description Bl 1310 n.3 . � � ► Address of Building In consideration of the issuance to me pertaining thereto and in strict conformity with zepting this permit I assume responsibility for CONTRACTOR OR BUILDER Work to be performed under this Permit rew Me, /1.1ci) C L t 1,, Subdi- vision Value of Project $ Amount of Permit $ r _} -. ti v 195 This permit is granted to the contractor or builder named above to construc 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. tt__ ##J Signed. Lk.,) ( INSPECTOR of this permit I agree to perform the work covered '.Thereunder in compliance with all ordinances and regulations the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- all work done by either, myself, my agent,':gervant or employee. 1 BY AUTHORITY a 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 October. 19, ,19 53 Owner's Name and. •Address Raymond V. Guernsey No 10231 Street N.E. 13th Ave. • Registered Architect and /or Engineer Name and address of licensed contractor Sh_e_et___Mew al ____Spey- _ia_1- ty - - - -C p Location and legal description of lot to be built on: Lot 1 Block 1 Subdivision Miami Shores Bauer Shores Estates Street and Number where work is to be done 131 N • E • 101st Street State work to be done and purpose of building (by floors) __ — New structure roof and for no other purpose. New Building X Remodeling Addition Repairs No. of Stories one To be constructed of Kind of foundation Roof Covering Tile Estimated Total cost of improvements $ 952.00 Amount of Permit $ 5 : 00 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed) Sheet Metal S pA ci lty _ O Qapi ny 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 J Date e. Read, Sworn to and Subscribed before me. Disapproved r 1 Date (Signed) v Notary Public, State of Florida � ` � wilding Inspector 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 f r$1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or manship.