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490 NE 101 St (7)Date $77'3/ ? ? j o b • - 6� / r 1ol Legal Description q �j Owner / Lessee / Tenant �/ 9 • 7/ r�G C , iiUZ . 'Master Permit # 5 Owner's Address ,I 9 720 / v -- 7 L--- Contracting Co. %V2 £7 12 4,-7,,t, r Address 20 / C S / Qualifier SS# - - Phone gS 2 - - 4 7 -J? State # 096 - 0929,3 Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): U,LDING ELECTRICAL PLUMBING MECHAN CAL 3c747-,- /9 RK DESCRIPTION d o , /dam N•�ary s to Owner and / M Commission Expires: APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE i. ' O t • 2 j' Square Ft. Estimated Cost(value) Phone J/ Jove, ING 'AVING PENCE S GN 0 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 do the work stated i Signature of owner and /or Condo President Date : ,P 4/3 /6 1 "`e JOSEPHINE CHURCH Ida .r 4 v., • hire* • tap. Arod 30.1996 4t Na CC197545 Signature o 9 ontractor Date:-// • 4A arias to Coatr 4f ' My Commission Er.p uilder • JOSEPHINE CHURCH Notar Puouc, tile a (viva. C�isn let 199S • No. CC197545 * * * * * * * * * * * * * * * * * ** !f _/ FEES: PERMIT - J ,f RADON C.C.F. //D P NOTARY , 7 ` �� TOTAL DUE L5 7 Fire Other Zoning Buildin Electrical Y 3 lumbing. Engineering_ 7 76 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 building during progress of the work. Owner's Name and Address therein by him stated are true. Permit No._A. r v Disapproved (Signed) D Building Ins tor Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on -e='- • Date - 7 - 27 --C Chairman Member Member Council Approved Date Date Remarks _ ( Signed) No °` 9 /afitreet / 6 / Lot Block Subdivision Street and Number where work is to be done 7 ' e _ it -� l ".1' State work to be done and purpose of building (by floors) ______ a rl' Lt/'} Lt 6 4 .r �� �'°° ` ' �� •� �d�� 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 $ 2 °O ' - 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 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. '7 LANNING BOARD DATE Read, Sworn to and Subscribed before me. NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice materials and /or workmanship. ,f 2' !' ,196. t'` s -ccd 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 Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date has been obtained from for inspection or faulty �R s 6-e. 6 -4 I Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the bui4lng 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 Flofida, 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 j building during progress of work. /"- Owner's Name and Address , 7/- , • No Street r MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT o=2 v• 0 erhead Service Site Feeders Conduit Underground Type of Ins Ilation—Conduit Tubing _ e it( Amount of Permit $ labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub-contracti7s, on work to licensed by Miami Shores Village. (Signed) '% SS. (Signed) Date Main Sw Amps B.X.L Metal Moulding ; Registered Architect and/or,Engineer Employing Electrician's Name Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Main Fuses Amps / ,/ Electric. Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an emploi — of of Florida Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as are Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. eye, SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'Y'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. 1.7e ip ,... i - 4 :'.: MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO TOTA L 2 41---: CONTR. Lisr CHECK 6-e. 6 -4 I Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the bui4lng 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 Flofida, 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 j building during progress of work. /"- Owner's Name and Address , 7/- , • No Street r MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT o=2 v• 0 erhead Service Site Feeders Conduit Underground Type of Ins Ilation—Conduit Tubing _ e it( Amount of Permit $ labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub-contracti7s, on work to licensed by Miami Shores Village. (Signed) '% SS. (Signed) Date Main Sw Amps B.X.L Metal Moulding ; Registered Architect and/or,Engineer Employing Electrician's Name Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Main Fuses Amps / ,/ Electric. Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations an emploi — of of Florida Permanent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as are Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. eye, MIA 1 ORES VILLAGE, FLA. No 6 JOB INSPECTION TIME READY 1 / P.dC. - // A Y _ REMARKS • INSPECTOR._ DATE 1f BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ LI Owner of 1 ( Building J' t Contractor • or Builder ` Legal Lot Description Address of A ,- j f Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Architect ' r t Work to be performed under this Permit B1 N° 5546 Subdi- vision Value of Project $ ' e `0 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. Signed. ti +✓ / ? 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 ac• cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. DATE Contractor's License No. I' 1 7 BY AUTHORITY 19' . Amount of ! Permit $ •B BOT APPLICATION FOR Bid4424,1iNS B 4,1 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.__ .e_ J es /e Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision a ICP 1 State work to be done d p rpose of building (b o ors) .�__�__Y�'/,r� er-ehlc .--4241Z e c A.La Street and Number where work is to be done Disapproved (Signed) -- (J� Building Ins. ctor MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date ! wc ..f(' [1330 A A , 19 J Street__- / , 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 $ i9 e 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, 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, on work to be .erformed u z •r 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 state are true. Permit No D. to ?' f t Pt c Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires ANNING 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. BUILDING ELECTRICAL PLUMBING ROOFING. rte. Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot ' Bl. 4 ri CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 5841 Signed. Work to be performed under this Permit 1 6. Value of Project $ INSPECTOR DATF`' Contractor's License No. J r 195 r Subdi- vision Amount of ' 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 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 specification and that he assumes responsibility for work done by his agents, servants or employees. 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Owner's Name and Address.4c Registered Architect and /or Engineer Name and address of licensed contractor 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 building during progress of the work. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done.. l O Ey State work to be done and purpose of building (by floors) ( �D' Date.. 6----e• ,19' c' s No Street 2 / S G� 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 $ 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. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. J 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. —y Permit No. Q 67 y S Date S Y Read, Sworn to and Subscribed before me. Disapproved Date. 2 Notary Public, State of Florida (Signed) Building Insp tor 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.