1351 NE 101 St (2)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date .2// /ffJobAress /35 /A/t /Q / Tax Folio
Legal Description Historically Designated: Yes No
/ tAs: £r' LG /
Owner/Lessee / Tenant .S � �ONO� Ma ster Permit # �l T 7i
Owner's Address /3S , /e/ /� / Phone
Contracting Co. \ Thh.) t . ) 9 J w e— Address 3,6 Y NG /7/ .
Qualifier SS# Phone YdX 95 O 3 73
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING " � ELECTRICAL - �J
WORK DESCRIPTION d.��y! o �'' GOl'oelider-- e 4ArrklZ
Square Ft.
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 contractor to do the work stated.
./1 /
Signature of owner and/or Condo P ON nt Date /
v
or ConH6 ARY SIIIe
CASANDRA B STEPHENS
'NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC542901
MY COMMISSION EXP. APR. 7,2000
otary as to Owner and
My Commission Expire
FEES: PERMIT RADON
PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
APPROVED:
■ 4 .
Zoning gam, !'/ �✓ 1 Electrical
Mechanical Plumbing Engineering
(value) 4 , / /
Estimated Cost
Signature of Contractor or Owner- Builder Date
Notary as to Contractor or Owner - Builder Date
My Commission Expires:
C.C.F. i• D NOTARY —O r BOND
TOTAL DUE
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 Pi
Registered Architect and/or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on: c� (�
Lot / Block Subdivision //1 _
Street and Number where work is to be done 4557 79 G' /O2/
S•.te work to be d
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
New Building Remodeling
Street
19 9C/
and purpose of building (by floors. sta
To be constructed of
Estimated Total cost of i v :epts $
Zone cubage required 3.1A 2
Distance to next nearest building
Maximum live load to be borne by each floor
I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to
Remarks (Signed)
}SS.
or no other purpose.
Addition Repairs No. of Stories
Kind qfendation Roof Covering •
terior colors (su
t samples)
Amount of Permit S
No.
Date •—•""
/1 t52 a.3 Of
.39
Plan Cubage
Size of Building Lot
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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 su ch subcontractors. on work to be performed
under this permit, as are licensed by Miami Shores Village.
C
STATE OF FLORIDA
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared
P4010
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. 4 / � 7 Date /96 Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.
Notary Public, State of Florida
STATE OF FLORIDA,
COUNTY OF DADE. i ss.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement or ine plans and specifications herewith submitted for the build •
in or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florid.t. 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...M.d _ 5.2.,4 _�_..._._ ,19.. L-
No... /.., ./...__.. street4x,
Owner's Name and Address N\ SOS e s
Registered Architect and /or Engineer c` p `� , .)
Name and address of licensed contractor.. t.l . ;.... t�. .... ......... �7 ..O.. SO ,zttt.(N.i... 4 Q2 �`! /�
✓e '
Location and legal description of lot to be built on:
Lot Block /I , Subdiv ! /. / _..
Street and Number where work is to be done .( S 1._. 1`i.l_l�.,� , S ° .._ 5.1.Y..t°i. _.. . .. .. -
State work to be done and purpose of building (by floors) l� ► l!_ �..L &AV i... :....O D . .
and for no other purpose.
Repairs No. of Stories
New Building Remodeling Addition L
To be constructed of Kind of f u d tion
Estimate Total cost of improvements $ � � Amount of Permit S. 1
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 ith the provisions thereof, and will require similar compliance from all contract • s 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 .• the ' e of or -k -such public notice
or notices as arc required by the Act. The undersigned agrees to employ only suc ntract . on __�1. performed under this
pertnit, as are licensed by Miami Shores Village.
Remarks __. __ (Signed
Roof Covering
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
and who, being by me firs duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has cafefully read the foregoing application, and that he did sign the same, end that all facts
therein by him stated aare e. I I
Permit No t! :L!�" Date ( l.9......._._ Read, Sworn to and Subscribed before me.
Disapproved /bate Notary Public, State of Florida
to me well known,
ng nspcctor 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 (min
the 1'I.tnnir.g Board.
A re in.iit ction fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Disapproved ate
(Signed) e - f
Buildin Inspector
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 Feb*. 1956 , 19
Owner's Name and Address...Dr Mario ._S1;8fdiffi0 No.1351 ILE. Street--101_.Street
Registered Architect and /or Engineer
Name and address of licensed contractor_ Pool- Roof ZAo • of 21 la'lfli.,.,_R111j Ponce de Leon, C oral Gables
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done.... 353,.. E,...1Q1._
State work to be done and purpose of building (by floors) c].e an..& nd __ mat _..raof,...rasidentia,.1
and for no other purpose.
New Building Remodeling. Addition Repairs No. of Stories 3.
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $__.360_.LQ1) 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 pennit 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
pennit, as are licensed by Miami Shores Village.
Remarks (Signed)___Cool;.. Roof - -Ine Alan&
STATE OF FLORIDA, I
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
Chainnan
Member
- - - - -- 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 6 ' 1(5— Date -- / 2 - Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE, FLORIDA
❑ a
1.1 DATF 195
❑ PERMIT N? 6854 Contractor's
License No.
ID
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder - ' `'
Legal
Description
Lot
Address of
Building
CONTRACTOR OR BUILDER
,
Bl
Subdi-
vision
Value of
Project
$ �t
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 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
- assit 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
grantec1 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 $ tatements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. �'
Signed-
INSPECTOR
f
In consideration of the issuance 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 conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my • agent, servant or employee.
BY AUTHORITY
BUILDING ❑
ELECTRICAL ❑ PERMIT N?
PLUMBING ❑
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot II Bl.
Description
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
15806
Subdi-
vision
Value of
Project $ ✓
DATE
❑ Work to be performed under this Permit
Amt. of
Permit $
195
Contractor's
License No
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 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.
Signed • �I i ` BY
INSPECTOR
In consideration of the issuance 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 conformity 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
❑ PERMIT N? 14810
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Bi.
Subdi-
vision
DATE
El-- Work Work to be performed under this Permit
Value of
Project $
Contractor's
License No
Amt. of
Permit $
195
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 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.
Signed: BY
INSPECTOlt
In consideration of the issuance 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 conformity 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