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1450 NE 101 StPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ' I 3 Job Address / I' ? t /0/ Sl Legal Description o g 4 g / S-96 - ( . AtyAa (d. Owner / Lessee / Tenant /4S PDgga / Qti /` Master Permit ig��g Owner's Address /#10 T & /c CSi Q Contracting Co brOa., t l.tiTlA Address d957 Qualifier 7) (1+e(X 4 .- Phone 2o ? 6/� C tM 3'M > o ( v4SS State unicipal ` , Competency # Ins.Co. C . • Architect /Engineer Bonding Company Mortgagor Sig atur o r e and /or Condo President Date' gf ,/7 APPROVED: Zoning Notary as to Owner and /or Condo President My Commission Ex3ire3aFFICIALNOTARYSEAL CATHERINE A DUFFIN NOTARY PUBLIC STATE OF FLORIDA COMMISSION TO. CC25251 ** * * _ MY COMMISSION ap. PEI 181997 FEES: PERMIT /w RADON Mechanical * C.C.F. Fire My Tax Ncstary- as -- -t-o -- Con•trac -t FIiio�Z OS 2 OO Phone Address Address Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE' SIGN WORK DESCRIPTION Q Yov - P4 ek ` i rc-C 7/*1 CA /G-is/al/ nf'l .c/ Colo 41O(i3A c47 7r, Square Ft. .606 Estimated Cost(value) 7v 0 v 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 i- accurate and that all work will be done in compliance with all applicable laws regulating const tion and zoning. Furthermore, I authorize th above -named contractor to do the work state... ignature o Contract AllO Date or Owner- Builder er- Builder C . L NOTARY SEAL NOTARY US CATHERINE SATE OFF ORIDA * COMMISSION $10. CC2651 MY COMMISSION EXP. FEB. 181997 r TOTAL DUES NOTARY * ** Other Electrical Plumbing Engineering NOTICE OF COMMENCEMENT ` 93R 173 1.:l 1993 APR 08 15:08 PERMIT NO. TAX FOLIO NO. % �5 bd - O v dO STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided r in this Notice of Commencement. 1. Legal description of property and street address: J'^o T A- ' 14 SAD v E ) 01 E t- � 1 Ate', S (, c re P( 3 3/ 5K 2. Description of improvement: W Ybc, + (n � ev1 t'l o L r4-/A 4't 1 C 3. Owner(s) name and address: )--fir J lP Cif q U 1 14 SD Yl g- 11 J I/ft-Awl Interest in property: (hW V��, Name and address of fee simple titleholder: F W'1 C_ 4. Contractor's name and address: D19(4 g 5. Surety:(Payment bond required by o ner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713:13(1)(a)7., Florida Status s. I� Name and address: JP riles �.P.t(101 e. r 3 5) {l w LA I A iu i G( 1 .4 ( R7 331 M 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of !his Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Sig . ure of Owner Print Owners Name Notary Public My Commission Expires: S ,9 Y`.) •14► Sworn to and subscribed before me this v\ o■ e- Print Notary's Name /-eki/Ne i _ day of 3-13, ICIA NOTARY E ' L CATHERINE A DUFFIN ', / ION NO. CC265251 N EXi_ FI B. 181997 i � 0 d • z ° „ v e 0 CI • • , ,.:`: } • ' t • 0 0; m Prepared d J4 Address: /Cv 3 123.0152 2/93 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. April 21 Date..._..._......._....__.._ ._......_...._......__......... 9.._ Owner's Name and Address Mr. S Kleinfeld �. _ — No 1450 . Street.. -• E. lOStSt. Registered Architect and /or Engineer el .. B ..,, ....,.„<,.,,,:,,,...K Name and address of licensed contractor O b e n o u r Roofing Co. 7347 N. W. I Miami Ct. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1450 N. E. 101st St. State work to be done and purpose of building (b floors ) ...Remove the existing roof and replace w� ai 1 -30 lb. felt, 1 -90 lb. s gale. flashings and uificte 1 ingr tTIe — and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories To be constructed of Kind of foundation Roof Covering 45 s q s . Estimated Total cost of improvements $ 6,400.00 Amount of Permit $. 12.50 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 Sjip dement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em. "oyed 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 ypublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontracyoys, on w k to ed under this pennit, as are licensed by Miami Shores Village. Remarks ( SigEted a"7/• p� STATE OF FLORIDA, COUNTY OF DADE. ss Date 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. > t� Permit No.___.__ Q ._r._ 7 Date G� 7 _ Read, Sworn to and Subscribed before me. Disapproved o (Signed) Building Inspe My Commission Expires Notary Public, State of Florida LANNING BOARD DATE Chairman ember 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. STATE OF FLORIDA, COUNTY OF DADE. ss Disapproved z ! ate (Signed) 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 June 8 , , 19 54 Owner's Name and Address R. V. Guernsey No 10231 Street N. E. 13th Ave. Registered Architect and /or Engineer �,_ Name and address of licensed contractor Sheet Metal Specialty C o . s 573 N. C7. 71st Street, Miami Location and legal description of lot to be built on: Lot 8 Block 1 Subdivision__ Miami Shan' es Pay Park Esti tes Street and Number where work is to be done 1450N_. E. 101s t Street State work to be done and purpose of building (by floors)._ r esidence roofing on new C. B. S. structur. and for no other purpose. New Building X Remodeling Addition Repairs No. of Stories One To be constructed of Kind of foundation Roof Covering tile Estimated Total cost of improvements $ 505.00 Amount of Permit $ 5.00 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 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 permit, as are licensed by Miami Shores Village. Remarks (Signed) Sheet Metal Specialty Co. 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 ` Date A Read, Sworn to and Subscribed before me. Notary Public, State of Florida Buildin spector v 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 from the Planning B. rd. A re -i p :' ection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty material n. /or workmanship.