950 NE 100 StLegal
** *
Description
Owner's Address
WORK DESCRIPTION
Notary a to �� � f t
My Commission 'xpir
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date /5 Job Address 75o / /00 s"
Lessee / Tenant / 47/. ' . `
Contracting Co. 1/ �' 72 ��v /A f Address 7.7 N' W ' /76'/
/`
Qualifier A / V ` ss# - - Phone c 'fr 3496
State # Municipal # t' ? 5/ Competency #
Architect /Engineer ) Address
Bonding Company /V A Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING
e /Dr' c). u-/
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Square Ft. co,2,0760 Estimated Cost(value) / 57.
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 al applicable laws regulating constructi• and zoning. Furthermore, I
authorize t c• trac or to do the work stated.
re of o er and
G7/ 4 7 _#4 /70 /4�M,.4? c.
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Condo President
Condo President
INGRID LOPEZ
Notary Public, State of Florida
My Comm. expires Feb 22,1999
* * N *. CC44099
Date:
FEES: PERMIT Y14 RADON C.C.F. NOTARY
APPROVED: Fire
Zoning Buildin
Mechanical Plumbing
Tax Folio
p
Master Permit # 75�
Phone 9/ •
Ins.Co.
/14-
PENCE SIGN
Notary as to Cont cto er- Builder
My Commission Expires:
ID LOPEZ
Notary Public, State of Florida
* * * * MySomm.ex,pires Feb 22,1999 .
' No. C440959 **
TOTAL DUE :
Other
Electrical
Engineering
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Not valid unless embossed
with Surveyor;. Seal.
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Note: Underground encroachments and
utilities, if any, not located.
A BOUNDARY SURVEY
1 hereby certify that the survey repre-
semed hereon meets the minimum
technical standards set forth by the
Board of Land Surveyors pursuant to
Section 472.027. Fla. Statutes There are
no encroachments. overlaps easements
appearing on the Plat. other n
shown hereto. _ /O /
Fla Res. Land Surveyor No 7
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FLOOD ZONE: X
Certified To: First Financial Title Company of Florida,
Ticor Title Insurance Company, Moody,,Robert and Kim and
Home Savings of America, F.A..
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PROPERTY OF: moody, Robert and Kim, 950 N.E. 100th Street, Miami Shores,
Florida.
LANNES and GARCIA, INC.
ENGINEERS - LAND SURVEYORS - LAND PLANNERS
Office address: 4080 S.W. 84th Avenue, Miami, Florida 33155
Mailing address: P.O. Box 561131, Miami. Florida 33156
DAT4 I SCALE
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This property described as:
. Lots 5, 6 and 7, Block 170,
`) SECTION 8 OF MIAMI SHORES,
.
according to the Plat
thereof, as recorded in
,N Plat Book 14, Page 33 '
V\ of the Public Records of
Dade County, Florida.
BEARINGS. IF ANY SHOWN. BASED ON
BUILDING MIAMI SHORES VILLAGE, FLORIDA /
ELECTRICAL ❑
PLUMBING ❑ PERMIT N° 8514
ROOFING ❑
Owner of
Building
Architect
Contractor ,
or Builder ! :.' et"ti,
Legal Lot
Description II B1
CONTRACTOR or BUILDER
Work to be performed under this Permit
t�.
tea
BY
Date .r / 7 19 7
Contractor's
License No.
f
k ),/ '
/2
_...e.647,
Subdi-
vision
Address of Sq Ft
Building Value of II Amount of
/co �� Project $ 11 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 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.
AUTHORITY
�-v
^1 ,,..rte,.
ra:
Signed ./././ L
In consideration of the issuance to me of this permit agree to perform the work covered hereunder in compliance with all ordinances and regulation,
pertaining thereto and in strict conformity with the plans, s ' awings, 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,jny agent, servant or employee.
I
""
(INSPECTOR) BY ,� - ' R
State work to be done and purpose of building (by floors)__
MIAMI SHORES VILLAGE
Bu' ng Inspector
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___ ,ba t
Registered Architect and /or Engineer
Name and address of licensed contractor_ a4.41
Location and legal description of lot to be built on:
Lot_— ________________________ Block Subdivision }
Street and Number where work is to be done 1�D �l' e ) o u____ - `
PLANNING BOARD
Chairman
Member
Member
Council Approved Date
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.
Date M/4 • lS , 19
No.__ .]__O Street 'e_� /0_0_
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ Amount of Permit $ Z S�
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
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 5988, 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 Jybcoptra ors, pn wOrk to be ,performed under this
permit, 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
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. ry
Permit No Date 3 -/7
Disapproved _ __ Date
( Signed) h)
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
DATE
2V- :2 cil •loos
Member
Member
Member
Disapproved
or changes to this application after approval
the building and its construction may
Date
has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
MIAMI SHO ES VILLAGE
BUILDING I N S E T I O N 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.
/' to
Owner's Name and Address )__.___ // `L____ /__:_/_ J � j Y__aS 2 _ tifik No " <.6
Registered Architect and /or Engineer / YY_ Ai
// C� Y
Name and address of licensed contractor 1,.�__,_t__1lL1_ _
Location and legal description of lot to be built on:
Lot t __rn 9 '7 Block 17 b
•
Subdivision se i " 8 c,S`,1 UY_ e,;-
1.
State work to be done and purpose of building (by floors)____ ,z,0__ i_Q - _Y�
Street and Number where work is to be done
and for no other purpose.
Addition Repairs No. of Stories_ ___- __ /
�!
To be constructed of / )' t� kL -IL Kind of foundation I �Ll1_v___ -. = Q - !i_cY__t _ .4- Roof Coovsring �<_�l__ // _
Estimated Total cost of improvements $ } si Q 0 • mount of Permit $
Zone cubage required _Plan Cubage___T&xc QtaB s". = i 6 `( - . u.. - "40 Z
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all � plans and spgciificat'ons for said building. All notices with reference to the building and its construction may
C1 - -- 1-Y_- -L - - "_ 4l O _a Pte -'- _ qti
New Building Remodeling
_
be sent to
STATE OF FLORIDA,
COUNTY OF DADE. ss
Disapproved
(Signed)
Date
`fro N . w
qz
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 .ublic notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, ory, work t be performe
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 tated are true.
Permit No 'O ? 3 Date 2 r -6..5
Read, Sworn to and Subscribed before me.
- 19 63
Street A' /00S 4,
Notary Public, State of Florida
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.
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