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271 NE 101 St (8)Date Legal Description Architect/Engineer Bonding Company Mortgagor Square Ft. Signature of owner an y Commission Expires: FEES: PERMIT APPROVED: Zoning Mechani PERMIT APPLICATION FOR MIAMI SHORES VILLAGE b Address c 2 7 / A). • 6 • / b Tax Folio Owner/Lessee / Tenant 'RC) UL-S6 Owner's Address c7 / / / Contracting Co. / e v9. Qualifier t CL (/ ) (71: ei/'2_ State # 64 Gdaa T l �` • !ir, 4Q PresifBJltARD J. ANTE �.� ` = MY COMMISSION # CC 484505 I�� ; EXPIRES: September 2,1998 '•.P, f Vic," Bonded Tbru Notary Publc Undo,wlte a ot -. as to Owner and/or Condo President Date Municipal # RADON C.C.F. Building Plumbing Historically Designated: Yes No Address ss# atU c --Olo a 7 Competency # Address Address Address Master Permit # 3 8 5 9 I Phone i S / / w. 757 Permit Type (circle one): BUILDING ELECTRICAL PLUMBING nn WORK DESCRIPTION � D4Z I .3 / V LA''; • unP_A.4, I U N 1) • /(2/Jr/0 Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICI OF COMMENCEMENT AND YOUR FAILURE TO 1)0 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 instillation 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 -namd contractor to do the work stated. ?5q,-c -5�a Signature ontractor or Owner- Builder %ctiarci T. A r ne - ff� 73a a-ate J7. a. . vacpotAt...d.-p Notary as to Contractor or Owner-Builder Date My Commission Expires: 5 a r a.ra a: 5r rd v er r n - JC L 4 45 . 3- 7so -G1- 32/- NOTARY Ins. Co. Electrical OOFING PAVING FENCE SIGN Date OFFICIAL NOTARY SEAL BARBARA J BAUMGARDNER NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC210880 COMMISSION EXP. UNE 25,1996 6 TOTAL DUE W a Engineering STATE OF FLORIDA, COUNTY OF DADE. ss. Permit No.. Disapproved (Signed) MIAMI SHORES VILLAGE Building Inspector BUILDING INSPECTION DEPARTMENT APPLICATION FOR Dat D te PLANNING BOARD Chairman Member Member Member Member Member Council Approved Date Disapproved BUILDING PERMIT Application is hereby made for the approval of the detailed statLuient ot ore 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 V 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 specUied or not. A copy of approved plans and specifications niust be kept at building during progreu ofj the work. Date—m- Gl>6 19 ao . J2 str:ZiCi Owner's Name and Address Registered Architect and/or Engineer 4 ... 7 , 7 .. ; Name and address of licensed contractor . E Ailti Ds . / A / -Cv fttif Locatio nd lcges a dcription of lot to be bui on. Block .0 Subdivisicnrn .2 ge‹ 04 .- fi ,3 :7 Oe /3 / 7 / Pe LS Street and Number where work is to be done .z 71/ /1 State work o be done and purpose of building (by floors) &" . ,CA C,IC//.& 6 .F.. A i r/ RNst i 6 / 54/15 "7 Af. -I/ - 776 4'. 6 . '*( 1,to ff., ../ i 1 y H and for no other purpose. Addition Repairs No. of Stories (Signed) New Building Remodeling To be constructcd of Kin4 of foundation Estimated Total cost of improvements $ Amount of Permit '()) Zone cubage required _Plan Cubage Distance .to next newest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said buildin . All notices with reference to the building and its construction may be sent to. /94 4- 6n- /9- The undersigned applicant for this building permit does her 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 Siltlfleinent, 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 ins ection on the she of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such ors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks Rooi Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared . ' 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 arefully read the foregoing application, and that he:did sign the sanie, and that all facts therein by him state e true. to and S bscri je Notary Public, State of Florida My Commission Expires DATE NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Plannir.g Board. A re-Inspection fee of 31.00 will be charged when such re-inspection is made necessary by improper notice materials anti/or workmanship. to me well known, My Commission Expires Dec. 1991 Bonded Thru Troy Fain !Insurance loci t...... ............ Date has been obtained from for inspection rx faulty BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building - r PERMIT N° Architect Contractor or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA B Work to be performed under this Permit 3869 DATE 19 . Contractor's License No. • Subdi- vision Address of I ; ,,9, ..-_. y Value of c , Amount of Building . � Project $ . ,r x � [Permit $ This permit is granted to the contractor or builder named above to co struct 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 sp cifications and that he assumes respon- sibility for work done by his agents, servants or employees. P ^� r, v ; f Signed. :'/• ./ ' -• " •' � � INSPECTOR In consideration of the issuance to me of this permit I agree to perforth the work covered hereunder in compliance with'all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications s E mitted to proper authorities of Miami Shores Village. In ac• y cepting this permit I assume responsi for. all work done by either,,mysel my,,ag t , s 'uttnt "or e ee. A(// F;; ".� r r ''',' •.i, ' 4. . '' r , i • , / '$ r'' 'p�., 'y ' rte ✓/- CONTRACTOR OR BUILDER a ;'� r Bi AUTHORITY ABBOT PRINT MIAMI SHORES VILLAGE BUILDING INSP CTION 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 Sta e of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shal 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 Disapproved (Signed) Registered Architect. and /or Engineer --yy�� Name and address of licensed contractor.-/1 Location and legal description of lot to be built on: Lot Block y Sub /� Street and Number where work is to be done al 7 /�1 � State work to be done and purpose of building (by floors) . ". �� act and for no other purpose. New Building Remodeling A i loon r Repairs No. of Stories To be constructed of Kin of foundation Roof Covering Estimated Total cost of improvements $ ° A 1 • °' 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 Bui ?ding Inspector 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 rovisions thereof, and will require sin filar compliance from all contra rs or sub - contractors employed by him in the work to be performed under this permit; and will post or cluse to be posted for inspection the site of the work such public notice or notices as are required by the Act. The undersigned agrees to e ploy only such s contract on yoprk to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. J ss. Before me, the undersigned authority, a notary public, duly a peared C Date d -* _ 19 6� ar-ird jthorized 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 he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him state true. _ Permit No 3 S� Date 5 ' ' ' Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chainnan Member Member Member Member ._..._._.. Member Council Approved Dat 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- ittispection is made necessary by improper notice for inspection or faulty materials and /or workmanship.