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144 NE 101 St (15)Date Nr 7 as to • er .. - . My Commission Ex FEES: PERMIT PERMIT ( A � PPLICAT f IO J N FOR MIAMI SHORES VILLAGE Job Address / Z' 7 1 " L � l sr Tax Folio Legal Description Z-O R.00.I� Is MS) Historically Designated: Yes No /Lessee / Tenant &)/)1v )1 S ildeld (,%N.e /MI" ( tit/1 Master Permit # 4/ 9 Z 90 Owner's Address i D1 W- 9.AS lAlke-- Phone CC1rJ --/ r." 62,2 w Contractin Co. AQ)Row Uk P hA PA-Vt41 Address / Y / 99 A/ 1 A / // 2 n// Qualifier / r I / G i 4 p,L I(14 11X & l / SS# Phone /PO '- ^ State # Municipal # Competency # 77266 Ins. Co. Address Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): DING ELECTRICAL LUMBING MECHANICAL ROOFING ' AVIN FENCE SIGN WORK DESCRIPTION /LJ ye_ l /./ — /J time, - / /1 ,Q! l-7 C1 RC() Giv2 6 / 2° / D / i°•J' l ` / ,, r `OTARY SEAL ate / 18iS e, ANGELA M BECKER = - S(' C; COMMISSION NUMBER 4r 111'• Q CC786697 • _Q uv COMMISSION EMPIRES e oF Fvo NOV. 13,2002 Square Ft. 2 Estimated Cost (value) 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. OWNERS AFFIDAVIT: I certify that all e foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construct .n and zoning. Furthermore, uthorize the above -named contractor to do the work stated. Si i ature of Contractor or Owner- Builder Notary as to Contractor or Owner- Builder My Commission Expires: RADON C.C.F. / lQ o NOTARY S Da BOND 9 0 ' 0, TOTAL DUE Date SHAWNOTOOLE * MY COMMISSION # DD 026739 11111 EXPIRES: July 10, 2005 ' co o Bonded 'Nu Budget Notary SeMces , '7 - ac - o Date APPROVED: Zoning �' &'C —A0 Building v(2t I Electrical Mechanical Plumbing Structural Engineer J . �� �� l 6 S � �� �: , .._ . ;: IS 5 0' n 1, „ / /� „ 22 23 14 (3 12 1 1 (O 8 7 6 11 ) IS 16 1 t ) to 0 2O 21 22 23 5b �' LEGAL DESCRIPTION: ORDER NO. 12747 F.B. 486 PG. 23 LOCAT 1 o N MAP sca�E : t A - iod LOT 9, OF BLOCK 15, OF "AN AMENDED PLAT OF MIAMI SHORES, SECTION NO. 1 ", ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 1 . 0 AT PAGE 70 OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA: BEING SITUATED IN THE. VILLAGE OF MIAMI SHORES, FLORIDA. SURVEYOR'S CERTIFICATION: WE HEREBY CERTIFY: WITH THE MINIMUM TECHNICAL STANDARDS FOR LAND FLORIDA, CHAPTER 472 OF THE FLORIDA STATUTES. A. R. TOUSSAINT & ASSOCIATES, INC. LAND SURVEYORS 620 N.E. 126 STREET, NORTH MIAMI, FL 33161 PH: (305) 891 -7340 FAX (305) 893 -0325 BY: HOWARD C. GAMBLE REGISTERED SURVEYOR & MAPPEP. NO. 1683 STATE OF FLORIDA V. PRES ,. DATE: JUNE 7, 2001 SCALE: AS SHOWN THAT THIS SURVEY COMPLIES SURVEYING IN THE STATE OF SURVEYOR'S NOTES: (1) ALL ELEVATIONS SHOWN HEREON BASED ON NATIONAL GEODETIC VERTICAL DATUM, (N.G.V.D.) (2) FEDERAL FLOOD INSURANCE DATA: COMMUNITY NO. 120652, PANEL/009j', ` SUFFIX "J ", FIRM INDEX DATE: 7- 17 -95, REVISED PANEL DATE: 2 Z(NE:. ", OUTSIDE 500 -YR FLOOD PLAIN. Fp.I. 0.35' c'-. 0.4-' GL. PD. I.P. • KE1TC1' -1 OF SURVEms( SCALE 1 11 = 20 i e ( n s. 0 � 101 6 ;ST, T ROADWAY 0 E(P`m, 1 N ` 0 . n,0 3L SLAB c.c.s. C3LOc) . ALUM -S-Eb 0 ED 5.78; 0 0 PD. 1.P. 1.1' CU. J J 3 0 0.35' L. SET 1.P. w /CAP Application is hereby wade 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... —$ _ _._. _...._...._._...._.... ,19.,.? Owner's Name and Address.. QA. viii... BkRE<_6..44.e.s..:-.-- -e..,..6 ta No.... y...4......... Street." LeV At. Registered Architect and /or Engineer V , ,.,....,., «..,, >. «.-,...... ., Name and address of licensed contrtctor... .../.U_!.)1.. ...JE .M. . .. 4:.. U. . ...._ Location and legal description of lot to be built on: / Lot Block Subdivision Street and Number where work is to be done C' 1=' P _ r ._...._.. _..._. State work to be done and purpose of building (by floors) 4 .L./: Q_A /' M(t1. 6 .,`' -C Disapproved (Signed) MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT BUILDING INSPECTION DEPARTMENT and for no other purpose. New Building Remodeling Addition Repairs No. of Stories _ To be constructed of Kind of foundation Roof Covering A te, V Estimated Total cost of improvements $.... L., - - 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 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 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 Q""' f�_? °______ „ Date .. Building Inspector Chairman Member Member ....... Member Member Member 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._____ r -7 Date.._ 1 1 / Read, Sworn to and Subscribed before me. P ANNINC BOARD DATE Notary Public, State of Florida My Commission Expires 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 inspectiom or faulty materials and /or workmanship. F 91. ?.- ra 6.l hr__ BUILDING ELECTRICAL PLUMBING ROOFING Owner of ji Building ❑ MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N? 8402 0 Architect d/i 41. -/'r .'> ,' if. Contractor l � r- or Builder {i� .. 1 G.. l ii t /1.4.. t— r a..t c., t 3 it .t.;' 2° ..` .,Z t 4 -Co Work to be performed under this Permit Date Contractor's c° T 4 License No. Legal Lot I I Subdi- Description BI vision Sq Ft Address of 1x1 Al ., S cr P Value of , , `~' Amount of Building � F Project $ I I 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 the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, se v;� { nts or e Ioyees.,/ ;' Signed' " �.,....: ' r?EC. R) BY In consideration of the issuance to me of this permit I agree •erform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings of ements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work don y either, myself, my agent, ^ t' employee. • �a CONTRACTOR or BUILDER BY AUTHORITY 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 herei specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date f/. !� /.3 -� , 19.6> Owner's Name and Address. __ /74___()IA(.� / 7-- CA rFA/- No. __� y_ NStreet_.__I 11 /_-fi Registered Architect and /or Engineer cr.' ._ hte- e _g_f-___ - 0 -. A-41.6 C.. - Name and address of licensed contractor__1 1(A14..____ !?a- Ael_6.>el... 4L_LZ"PN-- __ C,c, /Arc ../40.4 ._z_ .y- .S7-4y.mO/,11e Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to b one _ itii_IQ /0 / 1 T State work to be done and purpose of building (by floors) 4 .I..&& 'A.D(c. (._C_.t/ -plies v —cam Oco c/L EY- 7, v.4 c - 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 $ / Amount of Permit $ /Go — 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 eference 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 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 on the to of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such, suI)icontracto s, ork to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 — y to me well known, and who, being by me first duly sworn, upon oath deposes and says that hetis 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 Mate 1 are true. Permit No Date Disapproved (Signed) — 3— 6 27 Read, iSwom to and Subscribed before me. Date Buil. ing Inspector Notary Public, State of Florida My Commission Expires PL • , NING 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 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.