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553 NE 101 St (8)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address SS 3 N), 1 0 1 ST, Tax Folio // i 0 / 7 //° Legal Description 4/ f°1 /9 / T Y/ /1!/ kAdter Permit # 10 Mr, Yore Owner's Address 553 k.£. 101 ST, Contracting Co. (), q pt-. r\c e_ \ Address Owner / Lessee / Tenant Qualifier e p , c 1 1 7 5 N c oc_In o SSIf _ phone ' 7 c I -40 3 R - State # RcorsS(p aZ Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): 1= UILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION �e � P_ � fico � C1/4' l el S on 4-i e- SOO a n ;03) 11 / f ' 1 ge /vGr��r c t Ua II ( Pt L4.1 / Lurf/' roo .`,� ens ?Jcc eeih 1 And rep e Squar1 t • 30 17/e-5 PaciI UQ I ley Estimated Cost 41 5bo OQ 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.° 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. o Pre.s -ident % MY CO 'ISSION�M714214 lad 41 EXPIRES: October 10,1 Buildin Signature of Contractor or Owner - Builder Date: �A , / .4 L. /L � ontrac , • - Expire MYCOMMISSION.#M?I4Yt. * `s : 0 *EXPIRES: 00/104 10, 1999w � A(,t' \' ` liondoillnKMOOkUWOmitam Other S D 4. Notary as to owner .,and /. My Commission ExpAres`: * * * *. PERMIT FEE: APPROVED: 3ag° ri ,30 Zoning Mechanical Competency /fr Plumbing phone S I - D 3Y as) 13,LO, c l ° 1 ST'c Ins. Co. Electrical Engineering MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby wade 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 J 1 M IA ....... No —. Street._... S N ( JO ( .."1 - 1 .!t : .0 4)A tS Registered Architect and /or Engineer .. . Name and address of licensed contractor C.IY. ...S Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done S3 4) - jQ . l. S7- . State work to be done and purpose of building (by floors )...__../Q.t W.._ CvN C 7 • STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned ss. BUILDING INSPECTION DEPARTMENT. peared PLANNING BOARD DATE Chairman Member Member Member Member pecukal-- zscV2J0 3 and for no other purpose. New Building Remodeling Addition V Repairs No. of Stories ?OO i Covering Read, Sworn to and Subscribed before me. To be constructed of Kind of foundation Estimated Total cost of improvements $ 1.00 r Amount of Permit S Zone cubage required . ........... 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 an specifications for said building. All notices with reference to th b ' ing and its construction may 3 0 l=r The undersigne applicant for this building permit does hereby ccr rfy 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, Pennanynt Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors erttployed by him in the work to be performed under this permit; and will post or cause to be posted for inspection t ite of the work' such public, notice or notices as are required by the Act. The undersigned agrees to employ only such subcontract • ,work to be performed under this permit, as are licensed by Miami Shores Village. Remarks... (Signed) NOTARI PUBLIC STATE OF FLOO..4D [MY COMMISSI EXPIRES JAN 12 r4:.- bONC THRU GENERAL INSURANCE 1. ND authority, a notary public, duly authorized to admi Notary Public, State of Florida My Commission Expires be sent to M:s� 4 r C' ,I b n?Q jr o -- te a &) t er oaths and take 'acknowledgments, personally ap- 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- _ .4_111. Date Disapproved .. it Date (Signed) _...... Building Inspector Member ...._ Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or the plans and specifications herewith submitted for the build • ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions, of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address STATE OF FLORIDA, 1 . COUNTY OF DADE. j SS' Disapproved (Signed) Registered Architect and /or Engineer ,,,,, ,,,,, ,,,,,,,,,„,,,,,, „..,, •.,, Name and address of licensed contractor , /�.4:pi 0 S °i'C "4/4 �_`�._. _ » . . Location and legal description of lot to be built on: Lot Block Subdivision ..._»_... ...._...._ Street and Number where work is to be done � S 3 /1/ �'� / S'T / I �:1 M: Sys9 z Stato work to be done and purpose of building (by floors) ... »_ �e �. o F 50 0 rer2 , sfa , ,e$'4si'? c-L - r - I . (&S es 0 y47 Remarks (Signed) Date Date-------- 19..2 2 :.:.:••• •• No. E�740•....... StreeLm&a ✓...©1 S T .. _ »... ».:...... for no other purpose. New Building Remodeling Addition Repairs No. of Stories II •• _ To be constructed of Kind of foundatioon. Roof Covering. I t (¢.,a) ._..__ Estimated Total cost of improvements $ 2 7 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 dots 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 subcon cto en work to be performed under this pcnnit, as are licensed by Miami Shores Village. e_ y7p77 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 fads therein by him stated are true. Permit No.. - 7.... Date l 1>!" ._ Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires....... _.. ..._ .......... _...._..._._..� �._. PLANNING BOARD DATE Chairman _. Member Member — Member Member .. ... _.....__...-- -..._. .....» Member ... Council Approved Date Disapproved Dale 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 hoard. 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 anti /or workmanship. ) 2/ Mr) b /1 " ) /S or-e-c9t /e (94Lly APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statc,s u► me 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 progreu of the work. ,19.h. nn Date ..._..._...__.. .._._ ._..__L. Owner's Name and Address ...,J A 1`�,E� r "! - )[ _ _ No.., .. .�....... Str r....L. ...�. . Registered Architect and /or Engineer t" -• ,,,,, „ "..... ^„•,^ „ •• Name and address of licensed contractor Location and Legal description of lot to be built on: Lot Block Subdivision »_._....._. Street and Nu . mber where work is to be done . 33 ��'._..l_a. _�...... 5 ... J_...._ .� .... »...»__. State work to be done and purpose of building (by floors).. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories ! To be constructed of Kind of foundation RoomsCovering Estimated Total cost of improvements $ / 0. 0 . 0..0 J 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 hercby 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 °U tile work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such su• •ntractors, on wor performed under this pcnnit, as are licensed by Miami Shores Village. Re►nuks _ __._..__ (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 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. Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commiuion Expires to me well known, PLANNING BOARD ._.._......DATE Chairman Member Member Member Ni ember .. .. _....._......_..._._...._....._ 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 fmtn the Planning Board. A re-inspection Ice of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials anti /or workmanship. 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 Enieer Name and address of licensed contractor and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done ,..4 State work to be one and purpose of bpild''ng (by floors efr ...„.00, STATE OF FLORIDA, COUNTY OF DADE. APPLICATION FOR BUILDING PERMIT ss. New Building Remodeling MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT To be constructed of Kind of foundation...., Estimated Total cost of improvements $ cubage required Distance to next nearest building Date 5 7- e 0 Building Inspector y No.- S S 3 Street Ai --- /.F. r" Date A we- iTfe-f2- Roof covering Amount of Permit $ -. - -4 ; O Plan Cubage Size of Building Lot Read, Sworn to and Subscribed before me. 4 and for no other purpose. Addition Repairs fI No. of Stories 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 hint 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. -G' Remarks (Signed) !Y fi ). -, 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 1 h 7 Disapproved Da (Signed) 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 $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. 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. Date , 19 Owner's Name and Address. A40°' � �a 4 5 Street Registered Architect and /or Engineer Name and address of licensed contractor 4 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State w to be d and purpose of ilding (by floors ) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constru ed of Kind of foundation Roof Covering ,y •G Estimated Total cost of improvements $ /_Q.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 subcon actors, ow work to be perform under thj 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 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 `f' 3 Date ?- - 0 Read, Sworn to and Subscribed before me. Disapproved _ Date _ ____._ ` / Notary Public, State of Florida (Signed) Z� `.- -- Building Inspecto 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. to me well known, MIAMI SHORES VILLAGE Owner's Name and Address .r / kj ;1 S 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. Date Registered Architect and /or Engineer Name and address of licensed contractor c i< 0 C- Olt -c .. (e a Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done .. C 7? /O / State work to be done and purpose of building (by floors) STATE OF FLORIDA, COUNTY OF DADE. ss fit . — / No S‘ d l:°..d/.1-1;:g 3 sS 5 1? ?p o Notary Public, State of Florida 19S t and for no other purpose. New Building Remodeling Addition Repairs No. of Stones To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ /,l- 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 the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontr *ctors, on w¢rk to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 ' 5 cr Date � ' /, Read, Sworn to and Subscribed before me. Disapproved (Signed) ... Building ector 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.