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431 NE 100 St (3)A ,. • Date 7yc i WORK DESCRIPTION Square Ft. ( 0 0 ( be done in c author' FEES: PERMIT I/O' DS APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address V 3/ X/ t /U(/f r Tax Folio // c/ P Gb / / ° V Legal Description /6 ` 1 / ", Owner / ;Lesee / Tenant /J //� /,1 t1 C° t-Z- ?l C Owner's Address ( 3( ✓i t^ /dOd'r Contracting Co. /G /,r / '}R ► f (/C-' dc-c-- Qualifier 1ViV SS# .-Phone f V ? 7.-Cl f State #�_ 0r C ` 4d3d Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL A PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN Z/cr itA 6 1) L��Cv vc Ci « .f r «Ja .,1 w.rryt - (/ 8 0 Ta w e a 0 dJt 1-(/ 7'c i&" 'TARNING 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 liance with all applicable laws regulating construction and zoning. Furthermore, I e -named contractor to do the work stated. • 11 • •. - E�.•. Signa ' of owner ;and/or Condo President Dat - ' - • VaiC /ed 6g2A-4a-- ' Notary as to Owner and /or Condo President My Commission Expires: C/9AOL 6- Q'1 M GtflTARV PUBLIC STATE OF FLORIDA CY C0: �;7ISSION EXP JULY 14 ** * * 001 THOU iENERAL IV S. UND * RADON C.C.F. 71 Mechanical Plumbing 1,k5 Master Permit # Address % 7 G ✓' /d�Z�ci /tic JQU ,rU. /j1 Estimated Cost(value) / C O Phone ature -- Owner- Builder ate: a (, .3 C.� 9 � 1 — s Notary as to Contractor or Owner-Builder My Commiss- i-on -- Expires: •E_A4106 6 -44' 1 ;OTARV PUBLIC STATE OF FLORIDA MY MISSION EXP JULY 14„1993 * * * * BONDEDt THRU GRERAL X . UNDO* ** NOTARY ( TOTAL DUE a7 4249 4249 Fire Other Zoning uildi Electrical Engineering STATE OF FLORIDA, COUNTY Or DADE 1 HEREBY 1 :ER1 :FY f' o +hi/ is a true opr of • Oilyinolbled fJ ts li :e on WITNESS my hund Of:iciol Sual. HARV I VIi�f;�l E 6 f Circulf ondenimty 11 y 1 1 ±,11/ A. OG FLA. 1987 LAWS FS 7111.13 State of Florida County of The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accord- ance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property 4 Id.f.'.1/1..G Owner.. /C / / / e/i' F z` 4-V Address 9 3 N � LQ.Q.. General description of improvements Owner's interest in site of the improvement (ay. Fee Simple Title holder (if other than owner) Name Address fiwt f.`r/..d kae, �} � < n Address �,2.� ✓ 10 4p/� /� G• !r? =f.. /F17/ ?3/1/ Surety (if any) Address Amount of bond S Name of person within the Stale of Florida designated by owner upon whom notices or other documents may be served: r---- Contractor Name Address. Name Address , A 0 ‘e# of THIS SPACE FOR RECORDER'S USE ONLY /AC C L, ,6 e'4- 1 7 c i 0 /tiOM »s 11-c1 tit tit t eG } NOTICE OF COMMENCEMENT / I IN DUPLICATE) .5/ 3 / Q. E /Q 93R2020 1993 APR 22 11:06 In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). Sworn to and subscribed before me this day of e. 0 f� • SEMINOLE FORM 408 19 NOTARY PUBLIC STATE OF FLORIDA Notary Public c. Q• "17-4 MY COMMISSION EXP JULY' 14,1993 BONDED THRU GENERAL INS. UND. 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..._..._ . September 13 0.978_ Owner's Name and Address. Miami Shores Realty__IW, Beaagi.) No.... 43a.._......... Street_.. E..1....1.00 S . Registered Architect and /or Engineer ...._ _ .... .. ........ .- <..,.,,. :..,.,._ -. Name and address of licensed contractor .... RQ..of..Dag.... &....Imp.t.o V C.Q.. 430Q E... 11 �J7 ......___._.. Location and legal description of lot to be built on: Lot Block Subdivision _.. _...._ _ ._.._ 431 N. E x_ 1Q2 ....St..._ �..._..� Street and Number where work is to be done State work to be done and purpose of building (by floors)....R.epaiLSi_ wood oR west ... side ....ftore fxQD of house, Approx. ._.L.. 5 . Q . ...._... $ . 225, 00 and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories To be constructed of Kind of foundation Roof Covering tile Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building 225„QQ Amount of Permit S plan Cubage 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 Andrews -. -. Roofing ---.&..-. Imp. rov ...... Co. .......4 11....Ave. Hialeah ... 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 Sup lenient, 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 r inspection • the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only su bcontra s, on ork t. . . rfo ed under this pennit, as are licensed by Miami Shores Village. Remarks .__._.__ (Signe 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 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. ._ f 9 Z Date ..9)Y') s fr Disapproved . Date (Signed) Member Member Member Read, Sworn to and Subscribed before me. PLANNING BOARD _.._......DATE Chairman Member Member Council Approved Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice materials and /or workmanship. to me well known, Notary Public, State of Florida Building Inspector My Commission Expires Date has been obtained from for inspection or faulty 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. C' Date , 19 Owner's Name and Address No. 3.1 Street______ ,44 __ Registered Architect and/or Engineer Name and address of licensed contractor / ,01.1.. /Lt. 5 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done ___ ie:____ / 0 ®__ , State work to be done and purpose of building (by oors) g s i F • Disapproved +____t__ Date (Signed) Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date 7- 1.s.- 4 - ti Nauy;t and for no other purpose. New Building Remodeling Addition Repairs No. of St i To be constructed of Kind of foundation Roof Covering_ , Q es Estimated Total cost of improvements $ - 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, 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 subcontractgrs, on work to be performed under this permit, as are licensed by Miami Shores Village. ��++ Remarks (Signed) C22 - - - - -- 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 AT a e e Permit No Q / 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 Read, Sworn to and Subscribed before me. 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 Ile 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 aterials and /or workmanship.