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1351 NE 101 St (11)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY /� v ) E 1 (OWNER TO RETAIN COPY) Job Address 1 5 i , /0 S Tax Folio II 32Q6 CO?O Legal Description Iaster Permit # 3 /29P • ^ Lessee / Tena t E VL L T ju 10J5 Owner's Address c /N J O I S 1 phone 7L Contracting Co. IPA Fo cw. u Address () Oki AM) ) j s7 4 Qualifier JbsEP4 ,') !1 SS# Phone ST Square Ft. State# C4Cd b 90 7 Architect /Engineer Bonding Company Mortgagor Competency# 1 We../ Address Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING ( MECHANICAL )PAVING FENCE SIGN WORK DESCRIPTION r 619 LACE eg IS r ,44- (-1 N� t)'VS e- Ai Li 1- DA) cosk)i f S L 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 tINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO ICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated. 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 cotnpliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Sig ture of •'ner and /• *".ndo President Date: d / 0 7/ Notary s . fl ner a My Co i sion Expire * * PERMIT FEE: PS APPRO Zonin Mecha d /or Condo President Notary as to Contra w My Commission Expire.s COLMssION EX?IRiiS:FEB. 10. 1992: * * * OOrli4D THRU NARY PUDLIC.UNDERWRIT R6: * FMS �.Lrf'idll��J F1(p)?,11q 1 J p fa11i.`?. :Zfl Q'UJ r r.(; = ±',. o .. d� ED: 1'ird ' Building - Estimated Cost Ins. Co. /2 Other Electrical 1 Signature of Contra or or Owner-Builder Date: 1."\\S Engineering APPLICATION FOR BUILDING PERMIT Application is here • made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure h ein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, d all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Buildi g Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications ust be kept at building during progress of the work. Date - ��- 19. Owner's Name and Ad • ess (!."!r.. - No..' air, _4 ?Street---JQ /�� Name and address of 1i. nsed contractor? �L6 . 3y,.. • f - -2 �e -, Location and legal descn • tion of lot to be built on: Lot Block Subdivision Street and Number whe e work is to be done../ t7i 7 Z /494,&..d" - - „.. ' State wqrk t be done a d . urpose of building (by floors) " Mar, v+ "- _L s n ■ Registered Architect and /or Engineer New Building To be constructed of Estimated Total cost of . provements $ Zone cubage required Distance to next neares Maximum live load to b I hereby submit all be sent to The undersigned ap of labor under the Flori and has complied with t in the work to be perfor or notices as are require permit, as are licensed b Remarks STATE OF FLORIDA, COUNTY OF DADE. Before me, the and peared and who, being by me f' of the above described therein by him stated are j/ z Permit No Disapproved .. :L . 5)4._ (Signed) Chairman Member Member Council Approved NOTE: A charge o the Planning Board. A re- inspection fee materials and /or workm 7 ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Remodeling Building Ins r . or and for no other purpose. Repairs No. of Stories Roof govering Addition 1� Kind of foundation Amount (Signed) of Permit $ plan Cubage building Size of Building Lot borne by each floor e plans and specifications for said building. All notices with reference to the building and its construction may licant for this building permit does hereby certify that he understands and accepts his obligations as an employer a Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, e provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him ed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice by the Act. The undersigned agrees to employ only suc ntractors, on work to be performed under this Miami Shores Village. signed authority, a notary public, duly authorized to administer oaths and take acknowledgments; personally ap- to me well known, st duly sworn, upon oath deposes and says that he is the nstruction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts true. Date Read, Sworn to and Subscribed before me. to Notary Public, State of Florida My Commission Expires ANNING BOARD DATE Member Member Member Date Disapproved Date $1.00 will be made for making corrections or changes to this application after approval has been obtained from f $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty ship. SECTION UNti k 1.c,G.A1 - 1 , SCALE t•-)0k) fZ DWG. BY PgS !/ 237 B , . UU Iit i=i YA\) ms's t="( ? \VM 1 =Q CHt1.L1`s2 - v�c..;� 47c • 41 *Ri A 11tV 115723c. VGLTS .. Gc u c•••1 ♦. t PHAilf 1y f 1'� AN+c� F r - Acel - fs'Z - fAt -C GAS Fa2rGz � Aug - Mvoat- toc> • 3�(4 -S�? (opt INfai [' Str,D&Q OUr•Our tG2c.) eco. ,4�G l I vc Ts Gc' & c . 1 ANA %C 7 Ata. 7 s Ccc,Lin,�G t , �iti... • 04� Awr vic,,orL 48.407 46400 t6To ^z1 e5 Z S7W11111TIONI !M N. 1. 1226 Main MOM M I AA I. 110004 1r`n Sc K.) 0 &1 c v lo Sra �r DATEM t3, SHEET t-4 of ltu J.o. V b - :!A - SZt A.Z.E. I SECTION WIT TAO- SCALE c" DWG. �Y _ 4bZ PgS // 237 C�cXE'c /vC Ut.)1T - �N z G " , 46" coeczci'[d C14-,G I j 5 Opl & 164 N. I. MIA IJTMlT NoTm tam" ROMOA `1::%R. FFt O 1. 51 QC?: \c..›1 STi2tacy` ,11 j t-ki Lis e C r N >< i2Q' 1Zt7�J GASaTurL. t )\ 1 4 S tS.4 .l 1 0 I Ls' WATk3�cZ. A.1C c' L Y "JO Cy;: 1'0 t1 \"c..00011.1._ w/ ~ A i� wA PL. I:I` c IU Su c..AT c 010 DATEA 13, 6, 2 SHIFT �. C�►vIF of 14 u A.F .E , BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ❑ PERMIT N? 14823 ij ❑ iNork to be performed under this Permit Architect Contractor or Builder Legal Lot II Bl. Description Address of Building herefor in strict compliance with all drawings, statements or specifications time if the work is not done in compli granted is the understanding that the CONTRACTOR OR BUI DER MIAMI SHORES VILLAGE, FLORIDA Signed• Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ This permit is granted to the cpntractor or builder named above to construct the building or to install the equipment or device described in the application rdinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, hat may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any nce with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is ontractor 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. BY` INSPECTOR In consideration of the issuanc 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 confor ity 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. BY AUTHORITY MIAMI SHORES VILLAGE BUILDIN INSPECTION DEPARTMEN' APPLICATION FOR BUILDING PERMIT Application is her made for the approval of the deL fled statemen• of the plans and specifications herewith submitted for the build- ing or o h• -ructure ier 1 described This imlicatic is made in compliance and con•o'm ty w,tli the Building Ordinance of Mia li Shores Villas e, or da and all pro. isions of the Laws c the State of f.h.rid. all o d nances if Mi .1u Shores Village- and all rules and regu a ion. of the Bull. ing Div.. i of lam Sho. illage 1- '1 ,e - •o, ipl.ed with, whether herein specified or not. A copy of approved plans and specificati •n' must be leer at building durin progress of tl.e wcrk. Date - -- • -- , 19 4' 3 Owner' Name and Ad res - -- -- _ -__ -- No Street_. S(14., Registered Architect an . /or Engineer___ f c Name nd address of li •en•.ed contractor. C. Location and legal desc 'ption of lot to be built on: Lot Block__ Street and Number wh - e work is to be done State work to be d e . nd purpose of building (b x floors) New Building To be constructed of_ Estimated " -,tal cost of Zone ^ubage required_ Distance to next neares Maxinmm live load to b hereby submit all be sent to The unde signed ap of 1 bor under he Flori and h s compl ed w :th in the wo k to be p rf or •otices as are requir d permit as are licensed b Remarks__ STATE OF FLORIDA, COUNTY OF DADE. peared Chairman Member Member - -- - - - - - -- - -- --- - and who, being by me f' of th abov. de .. ibed therein by him stated are Permit No 144 Disapproved (Signed) ---- -- Subdivision (Signed) PLANNING BOARD Member Member Member Date Disapproved Rernodeling__ ____ _ __. Addition____ ____ ___ _____ __ _ Repairs_ _ _ _ _ Kind of foundation mprovements $__ 02 ____DATE No. of Stories. Roof Cov'ring__ _. y Q-o Amount o ` Permit $__ _.Plan Cubage and for no other purpose. building__ . _ _ Size of Building Lot borne by each floor_ _ . _____ __ _. he plans and specirications for said building. All notices with reference to the building and its construction may li ant for th's building permit does hereby certify t'iat he understands and accepts his . bligations as an employer a Workmen's Compensation Act bc'ng S. -tion 5966 Coi p led Gen al Laws of Florida P r anen Sipple uent. e prov'uons thereof, and will require s•milar comp lance from all contractors or sub-contractors emplo .ed by him ed under th s pern it and ill post or cause to be posted for inspection on the site of the work su :h public noti e by the Act. The u. d. r ign. -d agrees to employ only such abcontr. ctors, on work to be perform d . der this M am. Shores \ il': ge. �ss. Before ine, the unde signed authority, a notary public, duly authorized to ado: :nister oaths and take acknowledgments, personally 'p- to me well known, t d. ly cworn, upon oath deposes and says that he is the istruction. t. . h has careially read the foregoing application, and that he did sign the same, and that all facts r ie. 3 ._ Date ___ ._'___ .! Read, Sworn to and Subscribed before me. \ Notary Public State of Florida Gilding Inspector My Commission Expires_ Council Approved Date NOTE: A charge of 1.00 will be made for making corrections or changes to this application 'ftrr approval h is been obtained from the Plans ng Board A re inspection fee o $1.00 will be charged when such re- inspection is m: .'re necessary by improper notice for inspe:•t•op or fa. Ity materials and /or workman hip.