990 NE 100 St (10)`
Date
Legal Description
/ Tenant
u
�. W.. ei's Address 9
N i 5 VI
Contracting Co. ail b1CVYS A I W 66 4 +
Qualifier JOULAL
State # CmCO o DO O
PERMIT APPLICATION FOR MIAMI SH0 ML G
Job Address ( PO NI E 166 ar Tax Folio
.S - to/4 s 1 O (x
FEES: PERMIT X RADON
APPROVED:
Zoning
Mechanical
Building
d gb
Historically Designated: Yes No
ss# 12?) _2 - U74 Phone 3Z 65 3 2 5&)
Municipal # Competency # Ins. Co.
Address
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING T NG ELECT PLUMB 1 ' MECHANICAL R 1 O PAVING FENCE SIGN
WORK DESCRIPTION p[UIG6 CXi lc l 1p w A r -1 Ili It r 1 �� W f der / 111 I
1
Address
Address
Square Ft 20o0 Estimated Cost (value) 3000
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 -n ed contractor to do the workstated.
i afore weer- dl ' ` ate
a . R E on Fo R 727260 ARY
� COMMISION D # CC tgq
EXPIRES MAR 23, 2002 /
7l�N��C TNR `j
Notary as t wne and/or (; o ' t�?a en'I / Dat ` 721 6 - Builder
4 'OF
My Commission Expires: I' "' 4 3 ; 2002
9 BONDED TNRU
Ti$ ATLANTIC BONDING CO., INC.
C.C.F. / J NOTARY
Phone 36 75(0- 1 Z
Master Permit #
Address 1%0 ,E J 1 `Vv
Electrical
BOND
Plumbing Engineering
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
I1320 C.0
PERMIT NO. TAX FOLIO NO
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real properly, 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: ' � 0 NE 10 &tr e+
YYl i�vrti aorN 3 1 33Rt
2. Description of Improvement: Re
3. Owner(s) name and address: 1 . O u 910 14 f. ob S+r 4- •
Interest In property: ryw fie
Name and address of fee simple titleholder:
4. Contractor's name and address:
rit .► /.4 1]
5. Surety:(Payment bond required by owner from contractor, If any)
Name and address:
Amount of bond S
6. Lender's name and address:
,A
LI s lat
99R227295 1999 MAY 03 15:05
'N. AVE
IMAM I 3 311,Z
7. Persons within 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 Statutes,
Name and address: M.I1=
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Uenor's Notice as provided In
Section 713.13(1)(b), Florida G
rida Statutes.
Name and address: NO t
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date Is specified)
O.mr
Print Owners Name S - L Vt. L� �Tt n Q
Sworn to and subscribed before me this 20 day of np t I 19 1 I .
Notary Public Q r /J p��
Print Notary's Name IC . REED
My Commission Expires:
..stVP(, R. REED FRARY
COMws10N I CC 727260
. '` EXPIRES MAR 23, 2002 ft. ATLANTIC BONDING CO., INC.
an.mtp II.
Prepared by: g`
F FLORION, COUNT 0 : DOE
S�A'7E 0 00, Ir 'IN dO o f
MERE 9Y CERTIFY Oa (
vied! CI I , p 19 M�
Soa , °.%9
. u^tycoo.
of Circuit °nd Co
Address: 11E NE 5 AYE
rnIAm 1,. 2 3316
VIO
By
ReDED G
12301.52 2A3
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 Nfiami
Shores Village, Florida. and all provisions of the Laws of the State of Honda, 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.
Owners Name and Address AZ.3
No.... 1 d Str C.r._..1120
R egistered Architect and /or Engineer ..... .......... . Tr? .rI..,.„<,,.,....,- .......
I •
Name and address of licensed contrpctor....40s..... ..V-t( t 10.14.11/5 5
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done _ _.._._ ... _.. 0‘,a..2
State work to be done and purpose of building (by floors) 4-R
_..__ and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Co g
Estimated Total cost of improvements $ • C° o ® Amount of Permit $. 1 b —
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 work to be performed under this
perrnit, 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
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. _- _____ /Q — S C CO Dte ' 7 Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Building Inspector My Commission Expires
Chairman
Member
Member — - - — -
Notary Public, State of Florida
PLANNING t OARD DATE
Member
Member
Member
Council Approved Dat 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.
BUILDING p MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL ❑ oQ
PLUMBING CI PERMIT N° 9866 Contractor's
ROOFING 0 License No.
Owner of
Building t C c ` L ( 01
CONTRACTOR or BUILDER
Work to be performed under this Permit 1#1.1.1 AM - 4 , A 1 ` r TA4
e � a.f 11.1.,14,„, , 11,24 e *.ti1
a ..L.ze-i Lap
Date 19 4x
Architect
Contractor A r .. — .�
or Builder . 4 �". i !' .Y .. �` c 1 i 4" , . • s x 9 4
Legal Lot � � Subdi-
Description Bl vision
Sq Ft
Address of /�p •� ' ,.rt., Value of se` � Amount of .-4
Building � I ' L Project $ l e 0 e • • ' ' I I 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.
,�•�
(
1 ( •e+ - :is `Vx ° .r' (INSPECTOR) BY
In consideration of the issuance to me of this permit I'dgree 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.
BY AUTHORITY
MIAMI SHORES VILLAGE
Location and legal description of lot to be built on:
BUILDING INSPECTION D.EF
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 Apr_il___2_, ,19 68
Owner's Name and Address Dr A, Zighelboim _ No 990 Street NE 100 St.
Registered Architect and /or Engineer
Name and address of licensed contractor _ AINf:E , _Inc_.
Existing Home
Lot_________ Block Subdivision
Street and Number where work is to be done same ___ as____ above
_____
State work to be done and purpose of building (by floors)____ IIIS_t alla. ti_ On___ _of___5__S_an___Heat___Pump
fduc t_ .wnrk--- per_ - -.c ode.
and for no other purpose.
New Building Remodeling X Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $__150Q_._Q0 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 ublic 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 r ( Signed ) _ �__
STATE OF FLORIDA,
COUNTY OF DADE. J
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. G l�
Permit No Z ir Cr Date �C ° Read, Sworn to and Subscribed before me.
Disapproved Date
( Signed) w
a Notary Public, State of Florida
B ing Inspector My Commission Expires
to me well known,
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.