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553 NE 101 St (2)Date I Job Address.3 -5 3 2/ /0/9 Tax Folio I r7O / 7 / / �/ Legal Descriptio � O 4 1o1 / / / and l �' `6 , 5-e � / I .s. Owner Lessee / Tenant 1M Z 4 ikA Zs BY-LAce_ Master Permit Owner's Address ��3 // e Contracting Co. C od 1( l_n,,, s4vv.c-Rnz !I c . Address 91/ 4.) ? 14u�• Cc),. 203 Qualifier o b b SS# Phone 7 -4 y 4 State IP 0,0)38404-Municipal 4f Competency # Ins.Co. 116 t'— a_5[_ Architect /Engineer N / A Address Bonding Company 0 /A Address Mortgagor 1 Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. 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 be done in compliance with all applicable laws regulating cons authorize the above -named contractor to do the work stated Date: ,£owner Date: / No ry a to Owner and My ommission Expires: Zonin PERMIT APPLICATION FOR MIAMI SHORES VILLAGE .. _-,. sd It b r «k p a.ue.rs c Su.) �,.� t_r Gc� r J DC) 0 Estimated Cost(value) and /or Condo President 4 JOSEPHINE CHURCH .Notary Public, State of Flonda rimERp. April 30. 1996 No. CC197545 Si Date: N ary .s to Co M• Commission E Phone 7 St. - 0'7 4 r 1 rirlU ecac„�/ 2, Obn. ° O urate and that all work will rthermore, I ** * * * * * * * * / * * * * * * * FEES: PERMIT .17 RADON C.C.F. / ` NOTARY .7 . A TOTAL DUE q �S APPROVED: Fire Other Electrical Mechanical Plumbing Engineering ** cr, ; tl!r. • • h 3/4' P /PE REF F BOOK Cry 307- G 8 27.42' 3/ 85' 33 55' st et: D.NOLE 'Zoe). 1 v " O 'L 5 . CO lVG• /5' ALLEY _/ 0 � � 75.00' "' f N / STY C.�S• ' N atOG. .� 27. /1 70 ° r 1 . 3 .! N 32 20 ° o io zs CONC. J,'EP— r: °• 0 2 ?3. ti ti - 25.8 CONC. • • !l. ?5 • - 14.55' • • o c o , / STY. C.B.S. O; -, 5 RES. ^ ° p 19.45' h 14.77 i 8.5• / 5' , , , V 0 z � 1. • 75.00' WA L K r • 7.0' 1 .., f !Q - NEl - /0 /5T... 5r r /9.0' PA V' T. 3/4 " HOLE 0 N , REviSED D 5 CA 0 N 3.36 95 , SURVEYED 3- /7-8/ 4/L /'- 20' ON ON , UPDATED , FINAL' kkj !3 /4 /0 /3 /G e /7 7 NE /Q /s r -93- /O2wO s 10 2/ 3 2 27 23 2¢ 5T Prepared by DONALD W. MCINTOSH ASSOCIATES, INC. 581 NE 91etSTREEr MIAMI SHORES, FLORIDA. 33138 J tcl 57: LOCATION SKETCH A PORTION OF SEC. 6 TWP. 53 RGE. 42c' SCALE : 7": 200' SKETCH OF SURVEY EAST 1 /2 OF LOT /8 AA/0 ALL OF LOT /9 BL ocK 94 — AMENDED RZAr OF MM Ml 5/-/ORE 5 - SECT /ON No. 4 VILLA GC OF M/AMI SNORES OADE COUN%Y, FLA . A ccoRD /NG ro PLA T BOOK / PAGE /4 OF ;NE PURL /C RECORDS OF DAD COUN rY, FLOR /OA. NOTE ALL RIGHTS OF WAY. EASEMENTS, SET BACK AND ZONING :NFORMATION MUST BE CONFIRMED BY ARCHITECT AND /OR OWNER BASED UPON DESIGN USAGE CERTIFICATION WE HEREBY CERTIFY THAT THE ATTACHED SKETCH OF SURVEY OF THE ABOVE DESCRIBED PROPERTY IS TRUE AND CORRECT TO THE BEST OF OUR KNOWLEDGE AND 8E.L-fEf AS RECENTLY SURVEYED UNDER OUR DIRECTION. DON�A `0 ,W. Mc. INTOS ASSOC., INC. DANIEL C FORTIN , :ICE PRESIDENT PROF LAND SURVEYOR No 2833 STATE OF FLORIDA "NOT VALID UNLESS SEALED" SK. No.: CS 81 -080 Registered Architect and /or Engineer Locati nd legal description of lot to be built on: Lott /0 % /9 Block 9 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 building 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. " �� fo / argil S 74". Date Owner's Name and Address �' 1 Ct� No. Street 11 Name and address of licensed contractor Subdivision Street and Number where work is to be done .3 Permit No. Disapproved (Signed) Building Inspector Date o / State work to be done and purpose of building (by floors), state exterior colors (submit samples) Et- 6/4 4 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of CD/1 L_—r 'te-- Kind of foundation Roof Covering o_ VI w Estimated Total cost of improvements S .'�0 U Amount of Permit $ l vim/ 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 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 obligatons 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. 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 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, that he has carefully read the f orego ng application, and that he did sign the same. and that all facts therein by him stated are true. 1 �j q �//� / / Date ` f3�p Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. TV , • 5ECTIoN . WEST E.L5VATION fi 1 -1.1 L 7 3 /I • • • I 14i I sT & 1 EX.1 sTiN G AleW Lods 1 , • 4 • 1. I : ‘1111.■ I • S /./...;;77" ..: .2. :314;5 -- 5 t //.25 W/: H/ -ifiPE 1;1411.is' x • tTJ t , z - ExIsT/NG • ‘- : • J . 1 f • 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 budding during progress of the work. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot !i �' 4 viz, Block —1 © Street and Number where work is to be done State work to be done and purpose of building (by and for no other purpose. New Building R Addition Repair; No. of Stories To be constructed of -C1t* Lj-� °of'foundation Roof Covering Estimated Total cost of improvements $ „./-0 0 . 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 4 contractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, ss. 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. Permit No. .___/ � 4.0 Date ° Read, Sworn to and Subscribed before me. Disapproved (Signed) 7 , Date .._. Building Inspector / Chairman Member Member .. -.... Council Approved NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. Subdivision h .tds7n.1. t t.a` `t Q— floors). /6 If- PLANIIINC BOARD DATE Date.. . � j n 3 C to me well known, Notary Public, State of Florida My Commission Expires Member Member Member .._._ -- - - - - -- Date Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty l .4== 24' 4 "' tie-, 3t==k tra�� 84 Y, i®fry M c a c* 1