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94 NE 100 St• ,• Date Job Address _ WAX 1(�I ?J PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Tax Folio -/ 3 — //7 0 —j Legal Descriptionf - �,J 4. W d'^ / 17/!5 / /// Master Permit I r &-�' / / Lessee / Tenant fl��, Owner's Address Contracting Co. // QualifieriNfJ , 74fhvdc✓ WORK DESCRIPTION,/ bid) /Ver / �9 Signature Date: Notary as to Owner a My Commission Expire ** * APPROVED: State #(7g00 Municipal #(9,g43(.49 Competency # Ins.Co. (Asre it cape Asst . Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN C;emCV t [( ` 3v '7 4 O Square Ft. _24_ cgtbk 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 state • 11/ wner and /or Condo President !lLip - , 4 ? OFF CIAL NOTARY SEAL D OBENOUR / ▪ 31% • M Y COMMISSION EXP. MAR. 12,1997 .• I 'q Ne Act- J) Address 7357,)2m. & ss# Phone 7s7-e)-6 / FEES: PERMIT (02.0 RADON Estimated Cost(value) (_3 ( c )R . ( o Notary as to Contr My Commission Expi v)0 Phone t -44A c( Cgefte4 ld� gnature of Contractor or Owner- Builder Date: / Sri ✓� (51ArR �. • = T§WkRADA es :COMMISSION NO. CC265272 MY COMMISSION EXP. MAR. 12107 ** C.C.F. 7 /Qe) NOTARY TOTAL DUE (5/ tV Other Fire Zoning Building Mechanical Plumbing_ Engineering Electrical ate of Florida unty of Dade E UNDERSIGNED hereby gives notice that improvement will be made to certain real operty, and in accordance with Chapter 713, Florida Statutes, the following formation is provided in this Notice of Commencement. Description of property: (legal description of the property, and street address if q NC /CC" / J. 4 � 33/3 available) General description of impr AA (_ 414, :,)1000.." . 41,4 Viet- seer/1,47A) (Way.) /�RiJh ct Qfl i v (` ( (fr i0. 0P01,24} f eir, i4 CIAO/ Owner information: a. Name and. Address: b. Interest in property: Surety: a. Name and Address b. Amount of bond$ Lender: (nafile and address) Statutes: (name and address) orn to and subscribed 4,'Y)( N *ary Pub is pr44cued 1.)1,Qc D C!xnwUJz- tax 1 rvo. —/// -/ maw N('T CE OF COMMENCEMENT c. Name and address of fee simple titleholder(if other than owner): Contractor: (name and address)(4../ &Un DtogiAm9 7357 /(Jtz) tilad - (7 31/SC Persons with the State of Florida ,' designated. by. Owner upon . whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida 7. 5 7 AX.) (-172"-a... 0 L& 3 3/.61) In addition to himself, Owner designates to receive a copy of the Lienor's Notice as provided Florida Statutes. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different before me this SPn+,pe.A ) C) a' L M IVel y 1370 NE r03 Mr ri Sho3 � C- STATE OF FLORIDA, COUNTY OF DADE I HERESY CERTIFY Mot this is o rru, co; of rho original iii • in : , offico ,A W 1NESS m f , •••c! ^f 1:fni fe,. RUM CL!:RK, f c " C :ur:tyCo9:/D By ia.C. date is specified) Signature of wner/j4 T/ 4 Lr moevosAI day Commission of 9 3R 2006 19 19 APR 21 14:10 Expire of vly� . ,z',mray ad/ 3), . A in Section 713.13(1)(b), urrx.uL 1 l Y bEA SANDRA D OBENOUR NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC265272 MY COMMISSION EXP. MAR. 12,1997 Application is hereby made for the approval of the detailed statement or ere 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 e Street. Registered Architect and /or Engineer Name and address of licensed contactor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done /' Zl State work to be done urposc of building dc' by fl � _ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories.— To be constructed of Kind of foundation oof � Estimated Total cost of improvements $ /°'2 �' Amount of Permit S.... 4 DV 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 pennit, as are licensed by Miami Shores Village. Remarks __._.._ (Signed STATE OF FLORIDA, I . 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 ry tr 1� f Permit No.._.fJl/` Date.. Read, Sworn to and Subscribed before me. Disapproved (Signed) Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date _ t,t,t Rt•• -,. t•MINtt VA..•• 19tt. Notary Public, State of Florida My Commission Expires _... ...........to me well known, PLANNING BOARD DATE Chairman _ Member Member Member Member .. ... Member ...._ _..__... Council Approved Date Disapproved Date .NU T E: A -charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the I'l.u,nir.g 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. 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 O ncr'e Namo and Addroee „,,.tt_ „ Louis L. Zimmerman Registered Architect and /or Engineer Name and address of licensed contractor _A41.11g.- .QO£ixtg3 Tile CQ, Ine„ Miami 573 N. W. 71st St. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 94 N. E. 100th Street State work to be done and purpose of building (by floors )- _T1ax_Q 'f exi iting roof,. tin cap 1_.30# felt mop 1-90 slate on tile section and cover with a layer of white cement tile. Gravel section, mop 2 -15# felts over 30# and cover with a layer of pea gravel embedded into hot aid for no other purpose. \ New Building Remodeling Addition Repairs' Reroof No. of Stories 1 _. To be constructed of Kind of foundation Roof Covering Cement tile & _gravel Estimated Total cost of improvements $ ^3175•00 Amount of Permit $\ 7 00 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 inspe ion on the s' f the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subco to ,, on orJ(to be performed under this permit, as are licensed by Miami Shores Village. v, y Remarks 301u. (Signed)..,/ - -� - • - 1�al.�!ri . MIAMI SHORES VILLAGE November 30th, 1971 N®. „_.,,. 94 ..,,, ,_.,, 8ttt:,.. E. 100th , . , ,.1,,.._, Read, Sworn to and Subscribed before me. Disapproved Date__ L ( Signed) - ( t. Buil�ing Inspector My Commission Expires Notary Public, State of Florida 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 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 [3(1(.3 Date 12 — 1—'71 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. ;UILDING ❑ ;LECTRICAL ❑ P E R MM I T N? 7805 3LUMBING ❑ GOOFING )caner of luilding .rchitect : ontractor , r Builder 1i + ,egal )escription address of luilding Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. Is Bl. Work to be performed under this Permit Subdi- vision Sq. Ft „r • Value of Project $ x r C 4 FLORIDA DATE Y 4 Contractor's License No Amt. of Permit $ 7 195 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 ,erefor 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 ime 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 ;ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ,ertaining to the work covered hereby whether shown on the plans or drawings in the statements or specifications and that he assumes responsibility for work lone by his agents, servants or employees. Signed BY INSPECTOR consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations ,ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 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 7- 3 / — 19 4 a Owner's Name and Address ._..gre.,Z- <-y7vr7, . rc ,,,„ No Street Registered Architect and /or Engineer Name and address of licensed contractor.. /._+ ,e.�n� s `y -..� S --tea+- /4/ DD7/U - o Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. ss. Subdivision 2 to v Sttje work to done 4-, and purpose of building (by floors) /',I o . -/ ✓`� � boa and for no other purpose. New Building Remodeling Addition 4.-- Repairs No. of Stories 1 To be constructed of Kind of foundation Roof Covering t.- O Estimated Total cost of improvements $ .A5- b Amount of Permit $ 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 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)__ 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 °�' `c 7 Date 1 -. 6 Read, Sworn to and Subscribed before me. Disapproved Dat (Signed) u'�' /4 Notary Public, State of Florida - -.k. Bui •ing Inspec. My Commission Expires ANNING 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. Owner's Name and Address Distance to next nearest building 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. !" , .- ... .ar.A.00.. No Date 1S Registered Architect and /or Engineer — Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block isior Street and Number where work is to be done State work to be done and purpose of building (by floors) tt ,, and for no other purpose. New Buil g v Remodeling Addition Repairs No. of St ' s r To be constructed of Kind of foundation �. Roof Covering- -. -... t e Estimated Total cost of improvements $► Amount of Permit $ Zone cubage required plan Cubage Size of Building Lot Rfri44-0-ine c6- 19,78 street -M- ...o.o.. St Maximum live load to be borne by each floor I hereby submit all t ns a ;•� •ecificati ns for building. notices with reference to the building and its construction may be sent to fi-- k: �'4'lt, r � � I' 4 /-1.s l�•1•• - -� /" ..... The undersigned applicant for this building pennit does hereby ertify t 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 ins . ction on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su. .tractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed). 1 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.. - -.nr Date. 9 /P.- Read, Sworn to and Subscribed before me. Disapproved D Notary Public, State of Florida (Signed) Building ector My Commission Expires l PLANNING BOARD DATE Chainnan 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.