46 NE 101 St (2)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 7i / 3 Job Address ‘ / 0c.... /0/ s/ Tax Folio //o/3/3 C
Legal Description ft'/ /Ani 5f - /aeC5 SEC / D P8 /6 7 0
/ Lessee / Tenant C--& ()iIJ �L)
Owner's Address / n/ � � (0/ ET
Contracting Co 1 4 1 /20/ cm( 4 sy,f74SJ Address ` 9k /U L� /63--
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Qualifier (302w 60iumiel SS4t Phone 77f
State 6060L Municipal # Competency # Ins.Co.
4/"Ce
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING IC ROOFING PAVING PENCE SIGN
WORK DESCRIPTION IS'j'MD/10 4 3 - 7t,nr CeoL /p 1,0414/ /a)c76,v-' - q '-
)4N h - q - PPI2o16' - C01-7%/ fld'T T
Square Ft. /2t2 O
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 constru ion and zoning. Furthermore, I
aut orizOve above -named contractor to do the work stated.
Al
Si
Da
er and /or Condo President
Notary as t r and /or Condo President
My Commis sion , xpires:
T _
NOTARY PUBLIC, STATE OF FLORIDA.
my C;I hmissia,,Y EXPIRES: MAR. 14, 1994a
BD 3 tH-RU NOTARY PUBLIC UNDERWRITERS;
** *� 7 ' * *
APPROVED:
Zoning
Mechanical
Estimated Cost(value)
Master Permit # iii'/f
e:
93
Phone
5A9
Signat e of Contractor or Owner- Builder
Notary as • Contractor or Owner-Builder
My Commission Expires:
NOTARY PUBLIC. STATE OF FLORIDA:
NY COMMISSION EXPIRES: MAR. 14. 1994.
tISI BED THRU NOTARY PUBLIC UNDERWRITERS.
4
FEES: ; ERMIsT / 1 r : RADON C.C.F. � NOTARY TOTAL DUE
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- 46—NORTHEAST 101 STR'EET - ------ - - --v— — -
--- MrAM I\S'HOR ES, FLORIDA '
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PERMIT NO. ]
STATE OF FLORIDA:
COUNTY OF 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.
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1. Legal description of property and stre t address:
.2. Description of improvement: VOW/Of/0'1 4i 3 7t'1 J' - tV'fZto,Z _ 41"7 17rLo��
046 c/, oij r ( tubmic 6 /12, DJ /7D 7/n b J
3. Owner(s) name and address:
5. Surety:(Payment bond
Name and address:
Amount of bond 5
6. Lender's name and address: 13
Signature or Own
Print Owners Name
NOTICE OF COMMENCEMENT
WA
Interest in property: 1-1:) V■S
Name and address of fee simple titleholder: j /A
TAX FOLIO NO. /J3z,J3/3tV
4. Contractor's name and address: bl - G' �G _ S f sree
S W - /6s / /0°60. .VA7.ra /fit
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SS my hand end Officiel Seal.
quired by owner from contractor, if any „ I A, Ei OF FLORIDA, COUNTY OF DADS
1 HEREBY CERTIFY That this is a Iru op • the
or
7. Persons within the State of Florida designated by Owner upon whom
by Section 713.13(1)(a)7., Florjda Statutes,
Name and address:
8. In addition to himself, Owner 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: 0 (/'
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is sr_cified)
Sworn to and subscfibed before me thisdday of ,9C , 19 9 3 .
Nctary Pub!i^
Print Notary'sName P i /p 7
My Cornmission Expire,: MO TARY S BUC. STA Rt O FLORIDA DQQ� y
BONDE THRU NOTARY PUBLIC UNDERWRITERS.
XO dL�iig (/
93R322656 1993 JUN 29 11:38
es or other documents may be served as provided
Prepared by:
Address:
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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
Registered Architect and /or Engineer
Disapproved Date
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Name and address of licensed contracto
Location and legal description of lot to be built on:
Lot Block /
Street and Number where work is to be done.. W.
Subdivision.-
- -- - . -.
State work to be done and pose building (by floors).. /..' .. -sf� ..
Date -. 1 1 ) 143
°7 f f No. al Street.
Notary Public, State of Florida
f
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
vG
Estimated Total cost of improvements $ Amount of Permit $..,rA •
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 su contractors, on work to be performed under this
permit, 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 �O Date 4i-- /P a - Read, Sworn to and Subscribed before me.
Building Insp 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.