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FENCEDate Job AG L 4� / ill & / V 5 / Tax Folio t4 / P - Legal Description o"o+ 02O Owner/Lessee / Tenant /)'fL -b .� & ( / /)& /6/ y Phone , U� — 6 17 al/Laid di Cud Address C fob QG/,.J Phone 36 . 4, -- Co 2, _ S 63 ys Owner's Address Contracting Co. y� Cad Qualifier ` �C State # /v /I Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION q ' �' a/ s-, l / - Y v ` 21,a) ,2an.L -cam cc& aka/ , C2la.cf -& cd Square Ft. Estimated Cost (value) e 66 ' 6 U' 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 AFF laws regulating Notary as to Owner and/or Co My Commission Expires: / !/ D FEES: PERMIT T D APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Municipal # -b 2807 22 - Competency # 00007D9�s- Ins. Co. e-0 VQi1 AVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance wia11 applicable zoning. Furthermore, I authorize the above -named 'tor to do the work stated. a President a') , P 16g President Date RADON Buildin ature of Contractor or /S2 C.C.F. 0 NOTARY Historically Designated: Yes No Master Permit # 43 1 go/ /7LJ / Z'7 InIre -•„,• P33, iSt�CP'i�• Ih►,' C1 er- Builder ' - 37 7_© Date ` 3 � (a -- -. Note �5%41r�!!!►'f -�=' s /'')r:1 f, •:'•— ommission Exp • ,• 703 COMMISS • e }UL y ` rta ca ay^ cr<rs. aa, axq BOND 9 ,' Electrical Plumbing Engineering - 1., $ .'t 17 . 1 In , 13 �9I 1 I i . & 2 3 24 4 --- ( ' - ' ;` 30 57.589) VZ4:. ,,W. 44f11 Street SURVEY NUMULR 'l'lir. ��f�Iyt_...14�ui1..tss�t_L.c2t 1 J SURVEY OP itL1�.yC._1,C:h 21) :•n(1 1-h • Wear 17 nF LOt 21 *LOC .9L sunillrlslolf_ AMI:taI fl,.. PL/V -r OP r L\MT SlanRJ t SFY:TT(IN Wan 4 Acasrdloa f. filo Mot Tor••/ as t.sordad I. flat took No_ L5 At Peg* N.. 1 4 ttiklia ka eord• of. PLOP County. Worlds Pn1 81AA..1 1.91 1.21:h`2 461 N 1', 1 111 x I • , ti I• ..Miami Shnra.rl:l Wrier► ..e•IG,. b 't.h, %..1.s 1' 6. 1 50' 1 HI*UV C1tTIPY SW N. •tt•sd.. , rS 'O— Mash r.pr.ssof. • moat survey .•.. I% 14 i 1 0'. lid S T I. .sder my Ariake. sad b la..■d c... r. t1 �-- reef Pe Ho* best el ay baewbd0. !� = u I a• or a n u :50 I S ?� kslkl. •wrs, ore M •1111•set♦ •I.. 1 W , I j ; / RISI$TWD IMO SURVIVOR 1610 I I I ITATI OP WLVRIOA L.Il(:.VfL:U (.N : C rT : I.E' 14IA; -I 1. SIIORI.:; r Iv, ;A: cotIIVTyk'I.oi 1 t F.;. r Scale -1" 20' 1 0 1 St 1.31).-5,..11/0 ' T. 15' ALLEY -- E3' PAV' T. A O ( 'POW. 4 TEL) • 0.35 UIlfna.a.a 11 • Vffr1111 LAND SURVEYOR MIAMI, FLORIDA W z N.E. 101 s 75 Rs/ W ST. 20' PAV' T. • .ard Tsl.pl o u : 221.3416 to ‘ . 7 .4 Z 'bseij k e ` . pro YP.) BUILDING ELECTRICAL PLUMBING ' OOFING Owner of Building Architect _,ontractor - Jr Builder .egal Description PERMIT N? 6412 MIAMI SHORES VILLAGE. FLORIDA Lot Bl. Address of ,, ' CONTRACTCR OR BUILDER BY DATF 4 195 I Contractor's 3 License No. Work to be performed under this Permit ,ta' „c. ) of Subdi- vision . Value of ,- .,,,_._ . 1 Amount of X^ �' Project $ 1 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 application ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans lrawings, 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 cr in the1tatements or specifi ations and that he ass mes responsibility for work lone by his agents, servants or employees. Signed. .q _ �._ �..�. 377 — 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 'ertaining thereto and in strict conformity with the plans, drawings, statements or specifications st)'smitted to the proper authorities of Miami Shores Village. In ac• -opting this permit I assume responsibility for all work done by either, myself; my gent, servaid or employee. AUTHORITY APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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 speefied or not. A copy of approved plans and specifications must be kept at building during progress of the work. �� . • Date , C?C ‘ , 19.77 Owner's Name and Address.. jr //�.T ! ' vv 4 _x (5.vvet.�1�' h,? No. 4 A / Street..I e"../ /JT• $7 . Registered Architect and /or Engineer 7 � Name and address of licensed contractor i ,�l!f .FI�9 /IY /i✓et ../v_- .. / .... 4/ _.. TAY• ,4 /e • Location and legal description of lot to be built on: E /O � OF [ °T /7 AEG of Lor 20 9 Lot tO 1 Block 7/ Subdivision./WW/ Sefertej JU_'.. - .1 Street and Number where work is to be done 161 y ei State work to be done and purpose of building (by floors) ir Wag Wiete _ .FE.t/c 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 $..._ • 00 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 accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent 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. ef//i►ST,q /n/ FEA/e E Co , ( Signed ) / Remarks STATE OF FLORIDA, COUNTY OF DADE. j MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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. � S r Permit No 4? T t 7-- Date 1 (' � F — J Read, Swam to and Subscribed before me. Disapproved ,4 _ Dat Notary Public, State of Florida ( Signed) ._ Building Ins victor 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. /r/. E , / 0/ fi ,