1480 NE 101 St (2)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date / O Job Address /4P /1 ' F /D/ 57: Tax Folio
Legal Description Historically Designated: Yes No
Owner's Address / 1Io /v • E // 5 T 44i S
/.2 ss#
Contracting Co.
Qualifier
State # egg ipo.a.7 5 Municipal #
Architect/Engineer
Bonding Company
Mortgagor Address
Signa
/ Tenant
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAI AVING FENCE SIGN
WORK DESCRIPTION
9 2"4Y Ave24 &4' le t7
Square Ft. c77.5
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
laws regulating construction and zoning. Furthermore, I authorize the above -named ontrktor to do th or
f•
r* I
lgnature of Contractor .r Owner-
e of owner an
Cho rdo Preside Date
tai /ice Vii/
No • as to Owner and/or ' , Indo President
commr
Yvonne Simpson
Notary Public, State of Florida
.}1% o Commission No. CC 416266
7'F OF n» My Commission Expires 12/06/98 ; <
1- 800 -3- NOTARY - Fla. Notary Service & Bonding Co. ; 4
)))))1)))11 a)111Y:`:.1): i iNVIO
FEES: PERMIT RADON
Building
e
4477
Competency #
Address
Address
Estimated Cost (value)
Not.
M
C.C.F. IS ° NOTARY
Master Permit #
x ' 757 -- 5
Address �• 2 J , e). /7 el
' '�'� i''/7 1776
Phone
APPROVED:
Zoning
Mechanical Plumbing
Electrical
/GG
Ins. Co.
to Contractor or Owner :uilder
Z--/ Z�
ompliance with all applicable
/der
■
' ' Il ieliNeW ieW/MAWllllllilleWM
o ��• °.s. Yvonne Simpson
Notary Public, State of Florida
Commission No. CC 416266
� r 'oF tt w My Commission Expires 12/06/98
1- 800.3- NOTARY - Fla. Notary Service & Bonding Co. ,
/Z
Date
TOTAL DUE 6 ( - F6
Engineering
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement or ►ne ptans and specifications herewith submitted for the build
inc or other structure herein described. This application is made in con►pliante and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws n( 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 progreu of the work. •
Decem6en / 8/ • O.vr►cr's Name and Address 4C�iCi: ��.. �JIlJt1 .Ci1. ».. »...._.......r..... ate No... , ».... . Street—
1737iLt .
Registered Architect and /or Engineer..
Oh envuh. 4 /70 0 �
..ame and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block
Street and Number where work is to be done
Stays r8 ck , . be 4,(.cr dpn� a an d p of bus itig y
e � e
New Building Remodeling
To be constructed of Kind of foundation
Estimated Total cost of improvements $ 62 .00 55
Zone cubage required
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_niay-
be sent to
peared
MIAMI SHORES VILLAGE
Building Inspector
BUILDING INSPECTION DEPARTMENT
.g Co. 7357 IV. l'. k L . t: ,.,..,.,,
Subdivision ...._. »»
/ emov e t Le wound 4 L.i glzt ae pLace / 30 L6 . felt
(;loofa). _.... ».. ».. .
•• d ._... » »... »........ for no ether purpose.
Ad itlon Repairs X No. of Stories
Roof Covering . 2 �� '
... .......
20.00
Amount of Permit a.
».., Cubage
The unriersitined applicant for this building permit does hereby certify that he undcraiands 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 S►►p u►
tleent,
and'h.►i complied %•uit the provision% 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 nonce
or notices as are required by the 'wt.The undersigned agrees to employ only, such subcontractors, op work to a performed under this
pcnnit, as are licensed by Miami' Shores . Village.
liein.uks (Signed ); .. . .
STATE OF FLORIDA.
COUNTY OF DADE. ss '
Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
)) 0 / Y
Permit No. a bate
/ ..3 ti,/........ »._.» Read, Sworn to and Subscribed before me.
Disapproved ` _.. ' . Date
(Signed)
Notary Public, State of Florida
My Commission Expires .... »._ ......
PLANNING BOARD .._._...DATE
Chairman • Member
Member Member —
Member»» ...». ._.._.......... »..:......._.... - ._._....._....... Member
Council Approved Date Disapproved ......_ ...............
Date
NOTE: A ch.irge of $1.00 will be made for making corrections or changes to this application after approval has hecn obtained from
tl'e 1'Lrnnir.;; Ito,rrd.
A rein• w•ction fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials anti/or workmanship.
Application is hereby mode for the approval of the detailed statement ur me 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 L ,, 19.. �!
Owner's Name and Address .. 1`/1 C Q •
..... No -1'e/ Street.--Z d l JTa-
Registered Architect and /or Engineer
Fame and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block
Street and Number where work is to be done
State w rk to
1 ` /h1,{ .. ....
New Building
STATE OF FLORIDA, i .
COUNTY OF DADE. ss.
APPLICATION FOR BUILDING PERMIT
MIAMI SHORES VILLAGE
Building Inspector
BUILDING INSPECTION DEPARTMENT
s ue
To be constructed of Kind of foundation
Estimated Total cost of improvements $ / 3 j.. , ;00
PLANNING BOARD DATE
tie- •tt,.,,ttttttttttt•t• T•tt
Subdivision /. „. ._._
4/44
—1
done.an purpose of building ( y floors)... �! ��° t /
r M / dl�. .� -._�! '� yam` .2i
Remodeling Addition Repairi No. of Stories
oof Covering
and for no other purpose.
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 p does hereby certify that he understands and accepts his obligations as an employer
of labor under the 'Florida \Vorkrnen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
anti has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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 arc required by the Act. The undersigned agrees to employ only su - subcontractors, on work to be performed under this
pennit, as are licensed by Miami Shores Village. „ U
Remarks (Signed)
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 careful jy read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are e.
Permit No.. f P Date _ .....
�`� � � � � � ...._._._ Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Notary Public, State of Florida
My Commission Expires _ „........ _ ..� _ _
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
tic 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 anti /or workmanship.
te-Q
Owner's Name and Address
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 .1 —
Date
Building Insp ctor
' LANNING BOARD
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done � /1
State work to be done and purpose of building (by floors) G
Date
No ( Street
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundat�n Roof Covering
Estimated Total cost of improvements $ 3 Amount of Permit $ glo
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 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 sub ntractors, on work to be perfP{rned under this
permit, as are licensed by Miami Shores Village.
Remarks ( Signed)
STATE OF FLORIDA,
COUNTY OF DADE. 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 t
Disapproved
(Signed)
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
DATE
/ / z
,1957
My Commission Expires
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 51.00 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
Owner of M k . R A c
Building
Architect
Contractor
or Builder
Legal
Description
PERMIT N° 6174
0
e
Address of
Building 1 t=9 (4_
This permit is granted to the contractor or
herefor in strict compliance with all ordinances
drawings, statements or specifications that may
time if the work is not done in compliance with
granted is the understanding that the contractor
pertaining to the work covered hereby whether
done by his agents, servants or employees.
Lot
CCINTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
B1
Signed.
Work to be performed under this Permit
C.
Value of
Project $
f I
DATF ` " 195
Contractor's
License No.
it. to
Subdi-
vision
Amount of / -3
Permit $
builder named above to construct the building or to install the equipment or device described in the application
pertaining thereto and with the understanding that the work will be performed in compliance with any plans
have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
shown on the plans or drawings or in the statements or specifications and that l assumes responsibility for work
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereu r : er in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specific . pons submitted the proper authorities of Miami Shores Village. In ac•
cepting t s permit I assum, responsibility f r all work done by ei , myse r y ag t servant or fiemployee.
BY AUTHORITY
gpIIIITIAMI SHORES VILLAGE
— BUILDING INSPECTIC N'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 April 1, , 19 55
Owner's Name and Address Sue1nlav 0QxL9_t_ructiQn___ No 10231 Street N. E, 13th Aye.
Registered Architect and /or Engineer
Name and address of licensed contractor She et
Location and legal description of lot to be built on:
Lot 11 & 14V.50' 12 Block 1
Street and Number where work is to be done
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Met - C _o_._,__ -_ 5 . 7 . 3 N •�V. 71a St • , �i am i--5 Fla .
snbdivision____ [iami �hnr__�s___Bag_ _ParkEstate
1480 N. E. 101st Street
State work to be done and purpose of building (by floors) ing___on___n_e_w_ DI1CC
and for no other purpose.
New Building X Remodeling Addition Repairs No. of Stories One
To be constructed of 0 • B • 3 • Kind of foundation Roof Covering t 11 e
Estimated Total cost of improvements 986.00 Amount of Permit $ .5.1.10
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 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 COMPANY
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 �' °� Read, Sworn to and Subscribed before me.
Disapproved Date
( Signed)
Bui ng Inspector
Notary Public, State of Florida
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 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.