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373 NE 101 St (2)Date Job Address 0 V1 I i ax Folio Legal Description Historically . gnated: Yes No Owner/Lessee / Tenant 1 P91KAge--`1 / % `� G Are Master Permit # 9,�-j Owner's Address Phone 4'-759- (.' 779 Contracting Co VA,14I3 Address Signature of owner and/or Condo President My Commission Expires: FEES: PERMIT PERMIT APPLICATION FOR MIAMI SHORES VILLAGE RADON Address Date Signa Phone Qualifier SS# State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Mortgagor Address Permit Type (circle on WORK DESCRIPTION ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Square Ft. Estimated Cost (value) -- 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. 63x3935-eidt" n _'- _v/ Notary as to Owner and/or Condo President Date No : as to Contractor or Owner- Builder _ Date M Commission Expires: GLAIA' J "t2 �►I3 gl 'Ainf T E.tC S�'A ? O: FL O 1DA CONMMISSION NO. CC 141Q3 MY COIAM 1Ci XP. MAR. 1,2032 C.C.F. (O 0 1-6 BOND APPROVED: l TOTAL DUE a -e "� ©/ G;J 'I L I A( Zoning Building /�`' Electrical Mechanical Plumbing Structural Engineer MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: ,cam d OWNER'S NA'k ADDRESS: a 3 NE • /D/ �T� 7 xx ".************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: W5— CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: -- ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. 1,4Nt PTonl ‘aND 4,,4-/Yr PTO/ a ,-N )7 Walls — Fascia gG Drip Cap/Drip Edge Soffit Roof Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal All brick (simulated or reg Stucco Banding Any other stucco features Accessory Buildings Other APPROVED: ar Building 0 icial Date PHONE: 3o. "Z V'-6 77? 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. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached 1 /4/ < < Si nature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 DATE: )( I, a / 24 -- a f Al OWNER'S NA E: l / l/A ADDRESS? MIAMI SHORES VILLAGE Paint Color Approval and Agreement * * * * * * ** ************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be ' ted and indicate the color to be painted. Walls A /p2 Fascia Drip Cap/Drip Edge Soffit Roof Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors ( "Fad Railings Fences Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other APPROVED: Building Official Date • HONE,-79 07 FULL Golden Field (3) La WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION • New Wheat (2) A -102 OWNER'S AFFIDAVIT: I certify that all the foregoing information is ccurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached sa i 74( ignature o Owner ate Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 4/23/01 i A -103 Issue Date: 2/8/2007 Owners Name: NICHOLAS NORDONE Permit Type: Roof Work Classification: Roof - Repair Job Address: 373 101 Street NE Contractor(s) DALEY ROOFING INC Phone (305)754 -9892 Primary Contractor Yes Additional Information Miami Shores, FL 33138 -2424 Expires: 08/07/2007 Type of Work: Repairs Classification: Residential Additional Info: 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 accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $0.60 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee - New Roof $100.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $111.30 Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Parcel #: Block: Section: Permit Status: APPROVED Permit Number: RF -2 -07 -215 Phone: 1132060135230 Lot: PB: Total Square Feet: 80 Total Valuation: $ 3,950.00 Reauired Inspections Roof in Progress Final Roof Invoice Number RF - 2 - 07 - 27459 Total: Pk. � 6039 Amt Due $111.30 Amt Paid 0 8Gr O NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. BUILDING PERMIT APPLICATION FBC 2004 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 02lozsl Permit Type (circle): Building Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) MCH0 (/.'/S /VQ/VE Phone # Owner's Address / `�, L 73 /tJ �S'7 /D/ City A/J/ai/ Jt/ th State s Zip 33/31 Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # 37 3 A/C /D/ S County Miami -Dade Is Building Historically Designated YES NO (/ Contractor's Company Name Contractor's Address 73,f 4/4) /D'7 - City AI itlili / State it.///971/ 7r/ Qualifier Name DC114 l a O A , State Certificate or Registration No. eo-aUS'1 O Certificate of Competency No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ 395 Type of Work: Describe Work: Phone # Perm Master Permit No. Zip / [O'S Phone # 7.7.(:?7,amml .9 3 it No. W 2 Zip 33/ 3 S Ki0 / h(G. Phone # 3/1S 75 9,9- Square / Linear Footage Of Work: Roofing ❑Addition ['Alteration ❑New /7/ + Repa/Replace ❑ Demolition / i/V Zoe /5 C'975 ,2 0266 f &7J7 7716 /2-67227r 1/5 1 O/Cy 75 - /od 'nt £ t/ ./ivy n /2,47-.774-6 U!t10ECL t moo 12 , l441.1.67 dl/LLE G/ 7 L E MR fZF no ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ees ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ *************************************** CCF $ 2 '40 CO /CC Notary $ 4 5 'On Training/Education Fee $ ' YO Technology Fee $ (2 .Z 3 Scanning $ -on Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 2627' 4 0 See Reverse side -* Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the per•cun whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. $ignatur GiJc � Z it& _ . gn c� �` ' � ' Signature P 1 ,, ,� r , , ,� Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of b( ( ' ( , 200 by 1\I, ()Ar,16t 5 NO(c� C'(\ - day of , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath NOTARY PUBLIC: NOTARY PUBLIC: a Pcy e 6686 m i n # DD566868 c Or P• Troy Fain • Insurance Inc 800.9854019 Sign; 9 Q . � te 1(- e. Print: My Commission * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 02/08/06) ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** • N7 00-07- 7 Sign: Print: My Commission Expires: Plans Examiner Engineer Zoning NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: 2. Description of improvement: jj_FP /1 S 3. Owner(s) name and address: /V/ltf1) /.i9S' /LO,G,b`7/I/E 3/73 Iii /p/ Sr /li/�mi srniven, R 33/3 Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: 5. Surety: (Payment bond required by owner from Name and address: Amount of bond $ 6. Lender's name and address: ,J ' 4 7. Persons within the state of Florida designated by Owner upon whom notices or other doc provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: differen tp is, pecifie o /20 .0 A/G7 l /C 73 Mt) /04 sr / TAT, OF LORIOA, CO I Y Ul uiku contra I RTIFY that !lusts a true c py of the or,sanal filed in is off' on day of Iro R lt 1\11 far 3 73/ /o / sr /-1 /,qm/ �}ftt 3 /4- 33/3.8 ,AO20 my and WITNESS Official Seal. HARV , of D.C. I111111IIIII11111111111I (11111111111111111111 CFN 20n7R.01 39225 OR Bk 25350 Ps 4240; Ups) RECORDED 02/08/2007 13 :45 :31 HARVEY RUVIN? CLERK OF COURT MIAMI -DADE COUNTYr FLORIDA LAST PAGE ments may be .served as 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 01e 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a ture of Owner (� I ` -Print Owner's Name t v 1 J4()1(s HJofdO >n ''Worn to and subscribed before me thisS day of Notary Public not Notary's Name I commission expires: 123.01 -52 PAGE 4 8/02 Prepared by 7)aNi6 �ajt1 r , 20 P1 M-C Address: "73 ef ti/) / S T 71/1-Ja -uL W 33/ . mission # DD566868 • SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. . Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) or the purpose of providing that the roofing system meets the wind resistance and water intrusion pe rmance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship pro isions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be ad ressed as part of the agreement between the owner and the contractor. _T2. Renailing Wood Decks: When replacing roofing, the e od'`rPot deck may have to be renailed in r cordance with the current provisions of Chapter 16 (High V: rri a ZQr qs) of the Florida Building (The roof deck is usually concealed prior to removing the e i • r s�$' m). rt _3. Common Roofs: Common roofs are those which ha ibiedelineatiorr between neighboring (i.e. townhouses, condominiums, etc.). In buildings with co . the o .f otii � ng contractor and/or owner t }r .... Id notify the occupants of adjacent units of roofing work to b „ r• l t ;: _4. Exposed Ceilings: Exposed, open beam ceilings ar :\ h ey u n o f rside of In jgof decking � aci be • �ewed from below. The owner may wish to maintain the arc �cturai appearance, roofini nail enetrations of the underside of the decking may not be acceptable. The Florida Buildu1a ode provides the • • • • opti n of maintaining this appearance. • •••• • •••• • • • 5. Ponding Water: The current roof system and /or deck of the building may 11 • drain well aad:may p e water to pond (accumulate) in low -lying areas of the roof. Ponding can be arl jgcFi9gtion of stnuctural • d'= ress and may require the review of a professional structural engineer. Ponding may: shorten the life •• expectancy and performance of the new roofing system. Ponding conditions may not be until•tfie original • ro• ng system is removed. Ponding conditions should be corrected. • • • • • •• • ••• • • • 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not erloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance wit e Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of 11 structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be neficial to consider additional venting which can result in extending the service life of the roof. Ow er's /Agent's Sig :ture 373 /b/ ,g" Property Address Permit Number Rev :112012005,Computer Services, Building Department 4SZ„ 4 7 /t7 Date Contractor's Signature Miami Shores Villa •:e APPROVED ZONING DEPT BLDG DEPT DATE SUBJECT TO COMPLIANCE F PAL MEN. PIP A'Fe A $ 9A Pro okrFo ts7 rt F pal" nom ,• P+ r ..S 1 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Master Permit No. I Contractors Name: Pikel , oOf-f, J wC. Section A (General Information) Process No. Job Address: 1 373 /0/ Roof Category E Low Slope E Mechanically Fastened Tile Fortar /Adhesive Set Tile I Asphaltic Shingles r Metal Panel/Shingles r Wood Shingles /Shakes r Prescriptive BUR -RAS 150 (- Other: 1 Roof Type E New Roof r Re- Roofing E Recovering pair E Maintenance Are there Gas Vent Stacks located on the roof? r Yes r No Roof System information Low slope roof area (ft. 1 Steep Sloped area (ft?) Section B (Roof Plan) If yes, what type? E Natural r LPGX • • • • • • • • • • • • •••• •• • •• • /� /� • • • • Total (ft.2) I • • • • • h a ; •••• •••• • •••• •• Page 1 of 1 Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow dfaige rtlude diMtRVor¢ of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. • • • • • • Comer Size (a• x e):1 Perimeter Width (e):1 • • • • • • •• .. file: / /C: \My %20Documents \appendix %20e.htm Page 2 • • 2/7/2007 • • • • • • • • • • • • • REPAIR APROX. 15 CAPS AND 20 FIELD TILE REMOVE APPROX. 75 -100 TILE. REPLACE ANY WOOD DAMAGE INTALL UNDELLAYMENT, VALLEY METAL, TILE WHERE REMOVED. QR 2 1 ZIT Passed 6 Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until 'Inspection Number INSP -39339 Permit Number RF -2-07 -215 Inspection Date: 03/20/2007 Inspector: Grande, Claudio Owner: NORDONE, NICHOLAS Project: <NONE> Monday, March 19, 2007 Job Address: 373 101 Street NE Miami Shores, FL 33138 -2424 Contractor: DALEY ROOFING INC Building Deaartment Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Final Roof Work Classification: Roof - Repair Phone Number Parcel Number 1132060135230 Lot: Phone: (305)754 -9892 Page 1 of 2 REPAIR APROX. 15 CAPS AND 20 FIELD TILE REMOVE APPROX. 75 -100 TILE. REPLACE ANY WOOD DAMAGE INTALL UNDELLAYMENT, VALLEY METAL, TILE WHERE REMOVED. spector Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number.' F -2 -07 -215 Inspection Number: IJ SP -39873 Inspection Date: 021x12007 Inspector: Grande, Claudio Owner: NORDONE, NICHOLAS Job Address: 373 101 Street NE Miami Shores, FL 33138 -2424 Project: <NONE> Contractor: DALEY ROOFING INC Building Department Comments Tuesday, February 13, 2007 Block: Permit Type: Roof Inspection Type: Roof in Progress Work Classification: Roof - Repair Phone Number Parcel Number 1132060135230 Lot: Phone: (305)754 -9892 Page 1 of 1 BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby upndc for the approval of the detailed statement cm toe 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. ® _... Oers Name and Address ti C o A v'5 _• NoS `' ».•__. Streets . ..�!°'F. Registered Architect and /or Engineer Name and address of licensed contractor Location nd legal descri tion pot to be Lot k /A-421 13�oc --jam -77 Su j m n Street and Number where work is to be done.. t bl `4e lu .7 State work to be done and purpose of building (by floors)... Disapproved (Signed) MIAMI SHORES VILLAGE Date. Building Inspector or :40":":16.6. TT IS MP &Pik-9 iev $ 5 -e r-} ,/__. _....._._.// 3?-' K9 ti .124C-D_ClAy and for no other purpose. f Ncw Bui!ding Remodeling Addition To be constructed of Kind g o ndation Roof / Co Estimated Total cost of improvements $ J..0 Amount of Permit S.. 11) r V 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 ssith 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 noticcs as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work t• • performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) Repairs No. of Stories ring GCS. o (f- 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 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 fads therein by him state are Permit No.._.. Date.......-1 ...!7 -..._._. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires to me well known, PLANNING BOARD DATE .Chairman Mcmbcr Member Member Member _....._......_..._. _ ...._....... Member Council Approved Date Disapproved Date NOTE: A charge of S1.00 will be made for making corrections or changes to this application after approval has hem obtained from the Pl. Board. A rc•in'pection fee of 51.00 will be charged when such re- inspection is made necessary by Improper notice for inspetitirm or faulty materials anti /or workmanship. Owner's Name and Address N • Nordone Registered Architect and /or Engineer Disapproved (Signed) 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. Name and address of licensed contractor Palmer r s Roofing Co., Inc. 1729 N. Miami Ave. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 371 N • • 10.1___.&t.. State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 4.3.0 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 i the plans and specifications for said building. All notices with reference to the building and its construction may be sent to Palmer s Roofing Co., i nc., 1729 N. Miami Ave. The undersigned applicant for this building permit does hereby certify that he understands and accepts h of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fl and has complied with the provisions thereof, and will require similar compliance ..m a contr in the work to be performed under this permit; and will post or cause to be poste for in •ectj or notices as are required by the Act. The undersigned agrees to employ only suc • f • .. ntra permit, as are licensed by Miami Shores Village. Remarks (Signe 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 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 1 ' � ' �. Date '73_A Read, Sworn to and Subscribed before me. Date August 6 , No 3 ? 3 N . 101 St. Repairs to roofing, eto or s on the s, on • • ork is gations as an en loyer a, Permanent Sup. •ment, - contractors employ =. by him ' e work suc ublic notice b%e e• under this 0 Notary Public, State of Florida lg 65 Buildin nspector 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. i I BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description MIAMI SHORES VILLAGE, FLORIDA PERMIT Lot CONTRACTOR OR BUILDER Work to be performed under this Permit B1 Address of Building t ^ f_f N9 6735 l :, Subdi- vision Value of Project $ i DATE '- Amount of Permit $ BY AUTHORITY 19 t" Contractor's License No. 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 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 specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliancd 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 as ceptinq this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. ABBOT . MIAMI SHORES VILLAGE. FLORIDA BUILDING El , DATE — , k. , 19 ELECTRICAL El PLUMBING 0 PERMIT N9 8570 ROOFING El 0 Work to be performed under this Permit Owner of Building Address of Building Architect Contractor or Builder 4 ( Legal Lot Description • CONTRACTOR OR BUILDER Bl. 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 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 specifications and that he assumes responsibility for work done by his agents, servants or employees. ' Signed -"" 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Subdi- vision if , Sa. Ft Value of Project Contractor's License No Amt. of Permit $ BY AUTHORITY ' " w wner of ilding r! . ;'-* .-...mot.• -s-L .4. rchitect ontractor°� t �- f r- �r Builder s °.L +L , f `-z- ..egal Lot BL 'description ij _'address of -�, Building 6 73 %./ l s MIAMI SHORES VILLAGE, FLORIDA LING ❑ DATE J + 1951_ LECIIIICAL f 1 PERMIT IT? 11010 contractor ILUMB1 NG n License No 1OOFING LW Work p be performed under this Permit CONTRACTOR OR BUILDER Subdi- vision Value of Project $ 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 lerefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, .irawings, 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 re ulationcl -. pertaining to the work covered hereby whether shown on the plans or drawings or in the statements . specifications and that he assumes responsibility for %%ea. done by his agents, servants or employees. -- a Signed • .r /, _ ar `:= - — BY T In consideration of the issuance to me of this permit I a re / perform the work covered hereunder in compliance with all ordinances and regulations aertaining thereto and in strict conformity with the plans, dra • statements or specifications submitted to the proper authorities of Miami Shores Village. fn accepting this permit I assume responsibility for all work d by either, myself, my agent, servant or employee / // i 7Wee4 ti AUTHORITY INNS BY Amt. of Permit � �G /l 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. Owner's Name and Address - No Street Registered Architect and /or Engineer t - 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 3 ! 3 ,V State work to be done and purpose of building (by floors)_ Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor MIAMI SHORES VILLAGE Date and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of • Kind of foundation Roof Covering Amount of Permit $ _Plan Cubage _Size of Building Lot 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 subco tors, on wo to be performed under this pennit, as are licensed by Miami Shores Village. Remarks yL/ } - ��� (Signed)___ / STATE OF FLORIDA, COUNTY OF DADE. ss. Notary Public, State of Florida ,19 J/ 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) Building Inspector 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.