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1310 NE 101 St (7)Date 9- 30 -92. Legal Description Owner / Lessee / Tenant Qualifier 0.1 gt Ai PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 1310 N.E. 101 STREET Owner's Address Contracting Co. A & P AIR CONDITIONING Bonding Company Mortgagor Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION INSTALLATION OF A/C EQUIPMENT Square Ft. Estimated Cost(value) $8,021.00 Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: ** * * * * * * * * MR. & MRS. RICARDO ROMAN, M.D. Master Permit # 32 -332 i 107sB eft SS# Phone 556 -7849 Address Tax Folio /l gaps a3 00/o ,O NE IA/ Phone Address 7376 W. 20 AVE #143 / I .5 5,/,6 OCTAVIO J. FIGUEROA State # CAC041128 G Municipal # Competency # Ins.Co. Architect /Engineer Address Address PAVING FENCE SIGN 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 on the attached addendum (if applicable). I certify that all work will be standards of all laws regulating construction in this jurisdiction. permits are required for ELECTRICAL, PLUMBING, SIGNS, P00 OWNER'S AFFIDAVIT: I certify that all the foregoing informa be done in compliance with all applicable laws regulatin authorize the above -named contractor to do the work state as indicated above, and erformed to meet the nd that separate CAL WORK. tary as to Contract •r or Owner- Builder My Commission Expires: 5-Z S -9 %. FEES: PERMIT / ) RADON C.C.F. NOTARY TOTAL DUE //0 APPROVED: Fire Other Zoning Building Electrical Mechanical 1 xplumbing_ Engineering_ From the desk of .. . Isabelle Roman PA"' 62J (4 /9qo I i6rrat_ c.„61, F AT A / 4. /ajd fg 0/ (5)4L0 /6/3A- %� . /t /a/ Location and legal description of lot to be built on: Lot I Street and Number where work is to be done MIAMI SHORES VILLAGE Block BUILDING INSPECTION DEPARTMENT _o E o/ S1- APPLIC ATION FOR BUILDING PERMIT / 3 1,.3 / o0/3 V M s eA- y es 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 A, 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. M. • �� AA �` Date.... ` � _ _ ._._....... _ _�... .__ sass. ,19.L3 Owners Name and Address ...M tl�. G- . .�._.. _ No...1 LO_... Streets •E. 0 Registered Architect and /or Engineer Name and address of licensed contractor.. - 1\. ._.. State work to be done and purpose of building (by floors ) - _ ...__..._. _.. _.. AT sass... sass_ 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 $ 3•© ® Amount of Permit $, 2 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, Pennanent Sup element, 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 tinder 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 subcottract9s,n work to be performed under this permit, as are licensed by Miami Shores Village. Remarks Subdivision.. . *.1.1.....J ' E TN S (Signe Notary Public, State of Florida My Commission Expires 5111 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 are true. Permit No.. L. 3 Date 3 43 1 Read, Sworn to and Subscribed before me. Disapproved % Date (Signed) W Building Inspector PLANNING BOARD DATE Chairman Member Member Member Member sass.. - ------- ---- ._.--- ._.__.__._.__ 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. BUILDING CI Date SHORES VILLAGE FLORIDA ELECTRICAL Date f t9� PLUMBING o PERMIT N? 10017 ROOFING ❑ Owner of Building CI Architect Contractor or Builder r -Z6 Legal Lot Description I I Bl. Address of ,..- !f °, °i Building" — "�" Contractor's License No. Work to be performed under this Permit Subdi- vision Sq Ft Value of Project $ Amount . Permit of BY AUTHORITY 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 know 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 respon- sibility for work done by his agents, servants or employees. e Signed. • r , f �g"'� (INSPECTOR) BYs c * R L+'' ' , ,r In consideration of the issuance to me of this permit agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, d awings, 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. " le:' . 1 .v e I . 4 .CONTRACTOR or BUILDER MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- a' 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 ___,, of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved IP" plans and specifications must be kept at building during progress of the work. OW4..'r's Name and Address Mi 4 - 4 ---/ Ai- I< WA,/ C No. /31. ° Street_ r. 10/ a.17 Regiftered Architect and/or Engineer Name and address of licensed contractor '5 A 08 / - Location and legal description of lot to be built on: Lot__ Block Street and Number where work is to be done /3/0 / 7-7- State work to be done and purpose of building (by floors) ii? 9 -— A' le- 0.0 p)1-77o , gy s A-% p n zgz.'S a /psi cc_ ekt) E7=4 A-Le— 4,0 rzi ./..0 CO knd for no other pose. New Building Remodeling Addition To be constructed of Kind of joundation _ Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor___ I hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may be sent toL: 62 -69 1 06; /e - 2-40/ Ak-CA'. 62, 5 . T. 5 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, 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 o site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcon acto , on ork 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 to fluter 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 e. Permit No Date (s Read, Sworn to and Subscribed before me. Disapproved D e ( Signed) Building Inspe or Date Subdivision (2,0 £ Amount of Permit $ _Plan Cubage__ Size of Building Lot Repairs No. of Stories R Covering. 69 0 Notary Public, State of Florida My Commission Expires ,19 ANNING BOARD DATE Chaiiman 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.