BUILDIMG PERMIT7- 5g' 4 C.bIJ
1IU UST DE WINKLER
CIVIL ENGINEER
NORTH MIAMI. FLORIDA
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PERMIT APPL- ICATTON FOR MUNICIPALITIES
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Legal Description q I' '{ o�,J 9/ /v`3 "Master
Date
5/16/91 Job Address
Owner / Lessee / Tenant
. Owner's Address
Contracting Co. SECURITY WINDOWS.
Qualifier SEYMOUR GOTHELF (CBC 9454)
State# . CBC 9454
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION REPLACING 3 WOOD DOORS WITH 3 ALUM DOORS IN EXISTING OPENINGS.
NO STRUCTURAL CHANGES.
Square Ft. 59.67
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 -named contractor to Bo the work stated.
nature
iota as
iy Commiss
�k *
?ERMIT FEE:
,9- 5 ---
' 2/5O
- 1 ,/
j7 Al • DENNIS PAVEY.
f Owner ar Condo President
1
A4/ -- LAWRENCE BLOCK
to Owner and /or Condo President
ion ExpireteTAf3Y PUBLIC STATE OF FLORIDA
* BACONNISSION AP JULY 25,*31 I *
BOWED THRU gEHE2AL IEJS. U.
APPROVED: F ire
Zoning
DENNIS PAVEY
471 N.E. 101 STREET,MIAMI SHORES.
Competency v
SSA Phone 591 -8990
lding
Mechanical Plumbing
Address
CBC 9454
Address
Address
Address
%CfLz -- LAWRENCE BLOCK.
Notary as to Contractor or Owner - Builder
My Commission Expires :ROTARY PUBLIC STATE OF FLORIDA
* * * t' *Y CO U4ISSI* EXP JULY *,1991 *
BONDED THAU GENERAL INS. ONO.
Other
Estimated Cost 1495.00
1
OF DADE COUNTY
Folio I1- 3di, -0/2-
o&gb -(2
Permit # ∎/eZ /t,
FLORIDA Phone 758 -0299
5100 N.W. 72 AVE. MIAMI, FLA. 33166
Ins. Co.
ature of Contractor or Owner- Builder
I7 // Electrical
Engineering
(CBC 9454)
BUILDING
ELECTRICAL ❑
PLUMBING
ROOFING ❑
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
DATE d- ! (-
Contractor's
License No
❑ PERMIT N9 8578
Owner of
Building • r ' .
Bl.
Work to be performed under this Permit
y
Subdi-
vision
Sq. Ft
Value of
r
Project $ e9s' *
Signed BY
INSPECTOR
Amt. of
Permit $
7"..' /
BY AUTHORITY
195
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 cohd'tion upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility, for a thorough knowledge of t •rdinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or int the statements or specifications and that he assum esponsibility for work
done by his agents, servants or employees.
, e
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula ions
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
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 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 b iilding during progress of the work.
Y „ No
Owner's Name and Address .-- ......1
■
Registered Architect and /or En ineer • , ,
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done `'Y t £ . ` 0 \, t
State oorkto be done and purpose of building (by floors)._ .t • .-- t
'
' J arfd for no other purpose.
New Building Remodeling Addition Repairs _.,.1/ . No. of Stories
To be constructed of Kind of foundat o Roof Covering
Estimated Total cost of improvements $ 4 0 b 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
! a
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 fo spection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such s be, tractors n ; ■' rk to be p rformed under this
permit, as are licensed by Miami Shores Village. ( -
\
Remarks (Sign
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 ca fully read the foregoing application, and that he did sign the same, and that all facts
therein by him stat d are true.
Permit No `�' 7 Y Date - Read, Sworn to and Subscribed before me.
Disapproved ./f_ Date
(Signed)
Chairman
Member
Member Member
Date
I`1
- 1
Street
�+ ,I g
\ \. S
Notary Public, State of Florida
Building Inspector W Afy Expires
PANNING BOARD DATE
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.