Loading...
468 NE 100 St (13)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date VA 97 Job Address Gg N e Tax Folio Legal Description Owner/Lessee / Tenant r l d- ec rI CQ 13 v �G j Owners Address `7 b O ! 1— \ c� \ J Contractin co..Sect(S +90 ,AeJ Seev e Address ?o3 s, M; t i - r , oeer ie d Qualifier Jb*e r Crt r z v , Iel&efS Q n SS# Phone (- 3 Oo -`7F0 - a •"S State # CCr COS I, o(2 Architect/Engineer Bonding Company Mortgagor Square Ft 3 L OO Da a 2/9 Signature of owner and/or Condo Ptl: '<dent Date Municipal # Notary as to Owner d/or Condo President Date My Commission Expires: FEES: PERMIT l 2 ( . RADON APPROVED: Zoning OFFICIAL NOTARY SEAL DEBRA L SELLITTI NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC643809 MY COMMISSION EXP. MAY 1,2001 Mechanical Plumbing Bmiding mikion Historically Designated: Yes No f Address Master Permit # '/-( g �/ PhoneC 9 r'avillion Beige TWT Competf SW2031 _ Addre Addre U e TENT _ ` - 2 Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE ' SIGN WORK DESCRIPTION Ek4'r: O r TQ n +; n q Qr ) Estimated Cost (value) 1 / H 1 . 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 in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of Contractor or Owner- Builder Notary as to Contractor or Ovl4ner- Builder My Commission Expires: C.C.F. 4 1 NOTARY OFFICIAL NOTARY SEAL DEBRA L SELLITTI NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC643809 MY COMMISSION EXP. MAY 1 1 Electrical BOND //�� Date / ` 7 Date TOTAL DUE 1 8 Engineering Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE J o b A d d r e s s 7 g � i /PQ S " - - 7 ' Tax Folio 1 / - 3 2 . 0 4 - 0 1 7 — 0 . 5 V - 6 ©.'3 Legal Description Historically Designated: Yes No Owner/Lessee / Tenant i i 6 c v € SS 4-- co , t Q.t c :t 4 Master Permit # Owners Address /V i • 0 0� �T WI A ,r¢SC R. Phone ,tj = --�b.� 1 1 � 1 1 - 1 S 7,s7 23 ?t Contracting Co. Qualifie State # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUIL WORK DESC ' t! ON Square Ft. EARNEST JONES :4 MY COMMISSION it CC 763782 / EXPIRES: August 1 2002 Bonded Tim, Notary Public Undo/miters Signature of owner and/or Condo Pres" No My Commissio FEES: PERMIT APPROVED: Zoning Mechanical (CO RADON Municipal # Date Address /Phone Competency # Ins. Co. Address /3KZre -z t 'o Address L % `'/ � c �✓ rr Address ING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Estimated Cost (value WARNING TO OWNER: YOU MUST RE ' 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 in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Notary as to Contract. or Owner - Builder My Commission Expires: C.C.F. NOTARY c,‘ ture of Contractor or Owner - Builder Date "" EARNEST JONES ' MY COMMISSION N CC 763712 % /4pr h�# pon EXPIRES: i Titre otaly Public U r m roro BOND TOTAL DUE ,5 Dat , � R 1� Building ?`I 1 '/ LI Electrical Plumbing Structural Engineer BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING , _ ❑ Owner of Building Architect Contractor or Builder Legal Description Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA DATE " ' 15/ 195/ PERMIT N2 6971 Contractor's r License No. r Work to be performed under this Permit ` e B1 Signed ,� �', Address of Building a" 6 t Value of Project $ • Subdi- vision Amount of ,/, a Permit $ / This permit is granted 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 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 beefs 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 a cr in the statements or spe 1 cations and that he assumes responsibility for work done by his agents, servants or employees. BY • INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 6 <i. b 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. Owner's Name and Address.. 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 State work to be done and purpose of building (by floors) and for no other purpose. New Building Rernodeling. Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ & Oz f' 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, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint 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 j,erformed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed ).� STATE OF FLORIDA, COUNTY OF DADE. j ss MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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 Disapproved (Signed) 9v Date Date / rg Building Inspector Chainnan Member Member Council Approved NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. Member Member Member Date Disapproved Date / . , 19 No. 6 Street... -/..ve- ,lam to me well known, Read, Sworn to and Subscribed before me. PLANNING BOARD DATE or changes to this application after approval Notary Public, State of Florida My Commission Expires has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty Date