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37 NE 101 St (15)Date 5A /qt./ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 3 N. E. 101 Legal Description Owner / Lessee / Tenant I Sheehan Tax Folio Owner's Address 3 N F 101 T 3 31 3 6 Phone 15 R — R(o $ Contracting Co. ' \(Ct I +nn &r V i(.LS J-.CC' . Address I o � O' at) 111 C4 Qualifier e if leS '14. WG.I -Un SS4# Phone a.6Co — ..).1 CO State # Municipal # Competency #CC COI1SdI Ins.Co. Architect /Engineer N / A Address Bonding Company N 1 Address Mortgagor N /A Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION -- R00-41rj rep ecir3 -+p bo gy Or S/V1. v Het Square Ft. c; Estimated Cost(value) $55D. 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 construption and zoning. Furthermore, I authorise the above -named contractor to do the work stated. Signature of °licher nd /or Condo President Date: Notary' as to Owner and /or Condo President My Cor i Expires ARy pu09.Ic STATE OF FLORIDA NY common EXP. JULY 791495 MIMED THRU GENERAL INS, UND, i FEES: PERMIT APPROVED: RADON C.C.F. Fire Zoning Buildin Mechanical Plumbing GLIGal Master Permit # 34 Signature of Contractor or Owne Builder Date: £2 jM Notary as to Contrac H + My Commission Expire OMI : E XP. 12 I9 � CO�9ISSIQ�T EXP. ��LY- 71495 BODED THRU CZ ERAb:4US. ONO. 1 * * * * * * ** NOTARY TOTAL DUE Other Electrical Engineering 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. July 21 76 Owner's Name and Address . Bob Reed ���� N.E. 101st Street No.. 37 .. Str _.. _ Registered Architect and/or Engineer ,•,.... -,= .... =Tt Fame and address of licensed contractor Biscayne Roofing Co. 5180 E. 11th Ave. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 37 N.E. 101st Street State work to be done and purpose of building (by floors) Remove eixstin roof. Tin ca 1- 0 felt. solid mop 1-90# felt, Install 2" "_..ga],y. eave .... �r�. p_ ansi..lay....>Nrhtte....barr.e11 tile. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation . Roof Covering Barre 11 tile 20 S Q S Estimated Total cost of improvements $ 4 ' 000 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 . ntractors, on work to be performed under this pennit, 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 - -- 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. o// Permit No .._.,C 6 .2 1 , /1 / / Read, Sworn to and Subscribed before me. Disapproved (Signed) MIAMI SHORES VILLAGE Date Date. Building Inspc BUILDING INSPECTION DEPARTMENT. PLANNING BOARD Chairman Mcrr4ber 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 Notary Public, State of Florida My Commission Expires or changes to this application after approval to me well known, Date has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty 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 Addressl�- 1 Registered Architect and /or Engineer Name and address of licensed contractor �?7 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT ,y���s�.�✓ Date Location and legal description of lot to be buil on: • Lot Block Street and Number where work is to be done State vgork to be 4one and purpose of building (by floors New Building Remodeling To be constructed of Kind of foundation Estimated Total cost of improvements $ °e No. Subdivision tree Roof Covering Gam/ elev 2) i�- and for no other purpose. Addition Repairs — No. of Stories I 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 subcontractors, on work to be performed 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 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) i t Date ate 3 -7. 6 -5, 1 to me well known, worn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Com uission Expires PLANN BOARD DATE Chairman Member Member Member Member .......... Council Approved Date Member 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.