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290 NE 100 St (11)Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ob Address Tax Folio Legal Description / Historically Designated: Yes / No ✓_ Owner/Lessee / Tenant e'A f Q / .y 1 \ e ¢-)O Master Permit # 17144 6! Owners Address 20t O ) Phone 5 1ao 022 Z Contractin Co. Q W.. Address Qualifier SS# - Phone State # Mynicipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVIN WORK DESCRIPTION ' E v I G � 7 TO e e ) 6 \ N � Y C , i P V 2 P ' \ S ' P E A r k- ? Square Ft '2Z 1' 2 4 E 2 Estimated Cost (value) 1 -1-GOO 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 perfonned 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 re 7 ating d, z( 0-% 6024 00f o construction and zoning. Furthermore, I authorize the above -named contractor to do the wor stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date No My Commission Expires: FEES: PERMIT p RADON C.C. O NOTARY S APPROVED: ntractor o Si to Contractor o 'Owner - Builder My ommission Expires: Electrical Owner- Builder Date Date SIGN Mechanical Plumbing Structural Engineer O 4F1P-OXI MATE 6 TE LOCATION FENCE 6" OFF PROPERTY LINE STREET. CITY S W A L E i SIDEWALK A FENCE LAYOtlT FOR: K.tl i..i_ANt' RE 5;13Etk6 MIAMI SHORES, FLORIDA . Rw.. 11 I P_ESI DENCE FENCE POSTS 4' o.c. f FENCE 5' HT. TO h TALLFD LIWER THE 2ONIN6 ORDINANCE GORE FOR 1.11AMI SHORES LOGATIO* pF FENCE LAY LOGATlCM OF 1 ENGE'L%'P':VT 1 . 5' [IFF PROPER FENCE 5' OFF PROPE4=.TY 1 INF APPROXIMATE GATE LOGA'f1ON T5 4' 0G I f TY LIN11 f- w a H f 0 ' YF s' too" e . /22 rAi:44U'.S.t r" �.t.t + T1. A9 l „ I T ; 40,5' .46f1441.4 FavSDAF.t lj �d. ... j_. 16.5 0 U. eekNo 3 dad t), - MED � ✓ } °0.O' :� iFa, KR) -- 102.S' CO 10$..00073 ( . &LLET :X 5' t3s.\SI.I T) 00Th L-+Troti a if =K U 1N I0. } I5. _ r 5 =J 6 0 LJUGGnTiok�t 44P tAar To 9C44,L e. BOUNDARY SURVEY Legal Description: Lets 1 and 2, Block 33, Plat of AN AMiENDED PLAT OF MIAMI SHORES SECTION NO. 1, according . to the Plat thereof, as recorded in Plat Book 30, Page 70, of the Public Records of Miami Dade County. Florida. Certified to: Gary Hicks; Richard Gonmlez, P.A.; Attorney's Title Insurance Fund, lac.; Chase Manhattan Mortgage Corporation, its successors and/or assigns as their interest may appear. Panel: 0093 Flood zone: X Date of fieldwork: 09/17/99 Completion date: 09/17/99 Survey number: G -21384 Property Address: 290 N.E. 100 Street Miami Shores, Florida 33138 age 44707 RAR L ,j ray rc.e 5 • 0007051+ LSNICh A (Intr. Y ,77E0 ( O C 7 (1(50 rFO i{} 2 007 7 10. 2v 72+7110 5101(01 r 7 2 W .o 16740105 N 1(0 .11. M AD .47011 f.LP. 094070 RN 7 1/0 02.0. w 7 Y> 74 a WC 0t 705 65 . 1(2USPFM ut. 11nu 75576714 1(47 p.n.Y74 ae7 A1 wu r • 7,1. 10 0 Pal 1/7607.1•5 PP. 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((009171• FR. 0NS 45! 911 PN1f 70 6411 Ir ii 2097 1707. 1404 .216 ' NOr >O K !640 TM CCN$7101797/9 PIAW r7MG' 4(1751 LA` ANY 014111 1151 %neON1 re 60 14191447 or 05457 F0740017 2.04151075 NG • 7740 N.NT906.11 004 nSrSe C6 6026, 127■16 31156 0111)'171.3655 loo 437612 714.77 1072 North M.00. 9494, 11.11 Weal TWO 1910, P10 H6.13419 4361) 670.792 437 (561) 0474916 165191317 Ann.. Rd7 (1727, 71.09 33740 4967) 977.7016 099 (P971 777 11114'0117 9.,14..,6 AND AFFILIATED COMPANIES 0.90. Ch,64yy 31211 L. 6357 (FLORIDA) <63s) en 16333.x0 -Sm 41727.4761: 1510a1R111b6 00..: 1- 070.77/7•1360 First. Financial Surveyors, Inc. xg STATE OF FLORIDA, 1 COUNTY OF DADE. J ss rue MIAMI SHORES VILLAGE Registered Architect and /or Eri J7 Name and address of licensed contractor C ,, " .- �✓ e K . Locatio and legal description of lot to be ' t on: y� �/ / Lot l Block...__..._. Subdivision. a.� �L' �'1i / 61 4 ci ! is /13 - .. Street and Number where work is to be done_. .9 fl,l & • / 0 • / f 1 ' 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. / �j Date.. G / � ,J) , 19 / Owner's Name and Address.... L /��� No.. � 90 Street 1 - £ / 0 D •s�'y Date. St1 work to be done and purpose of building (by floors) / J-/ / ,//G , G and for no other purpose New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind j of foundation Roof Covering Estimated Total cost of improvements $._._ ,(.Ll. .. 7s .. Q -0 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 ' spection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such, ontr ctors on rk to berp7formed under this permit, as are licensed by Miami Shores Village. if Remarks (Signed).. --- a t /Q 0 ' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknpwledgments, 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 state 7 > Permit No._. /.. ...... . Read, Sworn to and Subscribed before me. Disapproved Date (Signed) uifd Inspe tor My Commission Expires PLANNING BOARD DATE Chainnan 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. Notary Public, State of Florida A v 1. •-• de, 4/ S ,290 <— /0 1 --> /lc / BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building 1^^ Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE._... ! f1Al l;...- .01:6 195j Contractor's License No ❑ PERMIT V ork to b ' I N° 14866 erformed under this Permit Project Subdi- vision ' I Value of (!,✓ � /C $ / Signed• BY let t ,6 ✓ 7; Amt. of ' <C ' - Permit $ ,,,, ` ` This permit is gra ed 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 compli ce with all ordinances 'pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements o 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 p . ns are chap granted is the understanding that the contractor or builder named above a sumes the r pertaining to the work covered hereby whether shown on the plans or dr ings done by his agents, servants or employees. 6. without authorization. A further condition upon which this permit is ponsibility for a thorough knowledge of the ordinances and regulations e statements or specifications and that he assumes responsibility for work SPECTOR Q In consideration of the issuance to me of this pet$nit I agree perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans drawings tatements or specifications submitted to the proper authoritie of Miami Shores Village. In accepting this permit I assume responsibility for all w. k do . .y either, myself, my agent, servant or employee. AUTHORITY APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the deviled statenem of the plans and specifica herewith submitted for the build- ing or o Ir, -ructure her i described This rplicatic is made in compliance and con o'm.ty w.th the Building Ordinance of Mia ii Shores Village or da, and all pro isions of the Laws t f the State of ff krid. all o d nances ,f Mi ni Shores Village and all rules and regu a i . of the Building Div.. i of .tam Shop illage 1- '1 e o ipl.ed with, whether herein specified or not. A copy of approved plans a ti .ns• mu. .1 key at building durin, progress of tl.e wcrk. Owner' Name and Address Location and legal description of lot to be built on: Lot ._ Block___ ___. Subdivision Street and Number where work is to be done_ State work to be done and purpose of building (by floors New Building_ To be constructed of Remarks_ STATE OF FLORIDA, COUNTY OF DADE. ss. Permit No Disapproved (Signed) Chairman Member ___ __ _ _ Member _ Council Approved MIAMI SHORES VILLAGE Remodeling__ Kind of foundation Date_ mg Inspect r BUILDIN INSPECTION DEPARTMEN' Z. 5' Registered Architect and /or Engineer._ Name nd address of licem,ed contractor. PLANNING BOARD __DATE Member Member Member .Date Disapproved Date �- 19 Street_. Roof Cov of Permit $... 2. cml _.. Read, Sworn to and Subscribed before me. Notary Public State of Florida My Com :nission Expires_ and for no other purpose. Addition____ ____ ___ _____ __ _ Repairs.. No. of S t o r i e s / v - -- Estimated ^. ;tal cost of improvements $__ Zone ^ubage required __. __Plan Cubage Distance to next nearest building__ - _ _ Size of Building Lot Maximum live load to be borne by each floor _ ..... hereby submit all the plans and specifications for said building. All notices with reference to the budding and its construction may be sent to The unde signed appli ant for di 's budding permit does hereby certify :?fat he understands and accepts his obligations as an employer of 1 bor under he Florida Workmen's Compensation Act being S. -tion 5966 Col p led Gen al Laws of Florida P r anon. S•Ipplt Went. and h s compl ed w :th he prov' cons thereof, and will require sanilar coma lance from all contractors or sub - contractors cmplo .ed by him in the wo k to be p rf med under th s pern it and ill post or cause to be posted for inspection on the site of the work su :h zmblic not. c or •otites as are requir d by the Act. The u. d. r ign d agrees to employ only such abcontr. ctors, pn work to be perform d . der this permit as are licensed by M am, Shores ‘1,1!: ge. (Signed' 4 Before me, the undersigned authority, a notary public, duly authorized to administer oaths ..nd take acknowledgments, personally ap- peared _ . to me well known, and who, being by me first d. ly sworn, upo th deposes and says that he is the of th abov de ibed • I sttruction t. h 1 as careially read the foregoing application, and that he did sign the sane, and that all facts therein by him sta Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval h is been obtained from the Plans ng Board A re- inspection fee of $1.00 will be charged when such re- inspection is mr_'te necessary by improper notice for inspe :•t'or or fa. Ity materials and /or workmanship. .*/ kith Ki L ■ 5 \ - I