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456 NE 101 St (12)Date I'I / ?/'Z Job Address - T31) Ile. MI �k Tax Folio I I 3`/lo t - o f W 1 ) Legal Description -5 Owner's Address ** * * * APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 90s j g. Ad. Lessee / Tenant �� Y1 Master Permit it (.5 5 4 10 N 1 tE )U I Jk Phone Address 3680 N.W. 135th Street Contracting Co. A.B. MARTIN ROOFING, INC. Qualifier A.B. Martin State # RC- 0021590 Municipal # Competency # CC -7200 Ins.Co. Architect /Engineer Address Bonding Company - Address - - Mortgagor Address Permit Type(circle one ) ELEC CAL PLUM HANICAL ROOPING PAVING FENCE SIGN WORK DESCRIPTION s_1 Bud-1 op c rGu I. Square Ft. 7 0. Estimated Cost(value) $ ' , k016 l 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 an the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Purthel I authorize the above -named contractor to do the work staed. r. Signature of owner`and /or Condo President Date :: (/= )...() r-9 Notary as to Owner and /or Condo President My Commission Expires: NOTARY PUBLIC STATE OF FLORIDA QED COIIIISSIGN GENERAL INS. 9� * * * * FEES: PERMIT 0 RADON Fire Zoning L Buildin Mechanical Plumbing ss# Phone 681 -2852 Signature of Date: - V\`paN Notary as My Commission C . C . F . I • ° NOTARY TOTAL DUE✓ /'Od Contractor or Owner- Builder 1 o , [DD • N NOISSIMOD *Qf3 210 a,Lv.s Dnand Auv,IoN ow [� ,K �S AmY�M� A V I�JJ.�,,,�,,, * * * ** Other Electrical Engineering Application is hereby wade for the appro\•al of the detailed statement ut me plans and specifications herewith submitted for the build • in 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 progreu of the work. Owner's Name and Address 1k1\ \ I.f 4.. Q' (s .o — D ate ....• „,„• Registered Architect and /or Engineer.. `'acne and address of licensed contractor Location and legal description of lot to be t on: /� 3 e,�• D d / e 14.4e Lot � Block Subdivisio .. .. /.: ti.l! � ^ M 4, c � .J 1r Street and Number where work is to be done work to be done and purpose of building (by floors) (S STATE OF FLORIDA, COUNTY OF DADE. ss• Disapproved.._.�� ._._ (Signed) 254 ! it ..... MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT �Y1 S Date. Building Inspco( NOTE: A charge of $1.00 will be made for tic Planning Board. A re-inspection fce of $1.00 will be charged materials anti /or workmanship. Chairman \Icrnber Member .. Council Approved 1v l .............. . Street— (33 1 34- Read UM* •Ct••err• rtnner••e and for no other purpose. New Building Remodeling Addition Repairs. ✓- No.sf Stories 1 To be constructed of Kind of foundation Roof Covering k. \Sl...4 ...Q I Estimated Total cost of improvements $ Sts Oar-) 3t. Amount of Permit $. Zone cubage required plan Cubage Distance•to next nearest building Size of Building Lot lfaxiunum 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 Leber 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks... (Signed)_.. 7- 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, ind that all facts therein by him started are truce.. p / Permit No. 6 .1 0 J Date r1/11.�4 orn to and Subscri for e'ni'e ary Public, State � f FIoric' . pi �il�:, State,o Ra My Commission E■ A ires....{ 4 p� .. Ei97i�tti(ssivfi•E"Jtliires „r6 �; �`—• t7� PLANNING BOARD DATE bonuaa f h1u I,oy F&n - Insu,unco, Inc. Member Member Member Date Disapproved Date / 33 ... ........... _.._.. -_ 3 AS te / to me well known, making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty BUILDING ❑ ELECTRICAL ❑ PERMIT N9 PLUMBING ❑ N• 9 0 9 8 ROOFING Owner of Building ,. Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. BI. 7 Work to be performed under this Permit ;e Subdi- vision A.( FLORIDA DATE Sq. Ft Value of Project $ t w Contractor's License No 2 t it F Amt. of Permit $ BY AUTHORITY 1954_ 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 • I ° 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 17 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. Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. j ss • Permit No Disapproved (Signed) 905 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 15,( ice; - -•- ' "✓ Building Inspe t P ANNING BOARD Date Date. Date No /OAS Owner's Name and Address.- - Registered Architect and /or Engineer... -.. - -.- -. Name and address of licensed contracto / -. � .__ f-( e' Location and legal description of lot to be built on: Lot Block Subdivi ion A/E. /O /7 State work to be done and purpose of building (by floors) —' O — g — 1 . " New Building . Remodeling Addition Repairs No. of Stoi4 To be constructed of Kind of foundation Roof Covering 1 Total cost of improvements $ -7°''0 ' at/ 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 pennit does hereby certify that he understands and a of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Law and has complied with the provisions thereof, and will require similar compliance from all contra :. in the work to be performed under this permit; and will post or cause to be posted for i• pectio 1 th or notices as are required by the Act. The undersigned agrees to employ only . uch s b ontra permit, as are licensed by Miami Shores Village. Remarks (Signed) ..... DATE ,19 treat 8s Read, Sworn to and Subscribed before me. r e and for no other purpose. epts his obligations as an em of Florida, Permanent SuPpl r su.- contractors employed f the work such o be pe e r n u otice r this Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ackn•wledgments, 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/ Notary Public, State of Florida My Commission Expires 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.