59 NE 101 St (2)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date /leg /)- ' Job Address 57 Ield/ 1% Tax Folio
Legal Description LD % f' /q O /3 L.& 1/ Historically Designated: Yes No - V
Owner/Lessee / Tenant L L Lew lm 012,4 - 5fz /[ �XS S) 1 16204
Phone C3oS/ 75' - ,t/ OS
Owner's Address 51 "../e /0/ 5/
Contracting Co. a /1.4 L S /OGO ,
Qualifier 0 /ll / -5'
State # � -PP o q6 q' 3 / Municipal #
Archi ngin. yeAi /4- / (4_,✓4 5 pq 1 J P I
Bonding Company t/ Address
Mortgagor Address
Permit Type (circle one) BUILDING LECTRICAL PLUMBING MECHANICAL
WORK DESCRIPTION P,¢- t/G'IZ DAr�l�
Square Ft. / f) O O
Notary as to Own
My Commiss - xpires:
Condo President
Zoning / Building
Date
Address
ss#
/ Phone (Q 9q 6 J-/ 4' al
Address KSOO .g O o c�R-S' (t, `2 @ L-„: 1) d'24 /4.40i--)‘"
6 000
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 : t all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
ore, I authorize the above -named contractor to do the r stated.
constru
AhWif
to 4 . . i u I o on Date
Signatur Contractor or Owner- Builder
ROOFING PAVING FENCE SIGN
c, C
OIL `G -O,1 -4
Notary as to Con for or Owner - Builder Date
My
0 FlCIAL NOTARY SEAL
O.\ P ,(2Y PO S MARGARITA MONTIEL
m _ n OOMMISn' ON NUMBER
*, Q CC79727
-F v j. Q EV COMOSSION EXPIRES
' O F F\ P DEC. 17,2002
FEES: PERMIT5D RADON C.C.F. NOTARY BOND
APPROVED:
TOTAL DUE 5
Date
Mechanical Plumbing Structural Engineer
New Building
Permit No
Disapproved ____
(Signed) __
Chairman
Member
Member
Council Approved
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 regula-
tions 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__ 1& -- � �---------- - - - - -, 19_
Owner's Name and Address �� ,_�L G//.) P�S No !/E Street -1e / '
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot ___ f9;_ __o Block— // _______ Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
Remodeling_
Building Inspector
4 /e/ .0 .
To be constructed of______._ i ______ Kind of foundation
Estimated Total cost of improvements $____ ___L_ �__ . Amount of Permit
Date
Read, Sworn to and Subscribed before me.
My Commission Expir;s__
_ _and for no other purpose.
Addition___________ Repairs No. of Stories___— _________
_Ro.f Covering
Zone cubage required____ _Plan Cubage
Distance to next nearest building____________ __ _______Size Size of Building Lot
•°
/eg
Maximum live load to be borne by each floor -or e
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 tths_Act. The undersigned agrees to employ only such • ontrac work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
Notary Public, State of Florida
PLANNING BOARD DATE
Member _
Member
Member
Disapproved
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above de cribed onst ction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him de d t true
—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.
er
BUILDING
ELECTRICAL
PLUMBING
( 1
Archite .t
' r
/
-..
Contractor
or Builder
Legal
Description
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA !
DATE ! / / ---.
Contractor's
License No.
PERMIT N? 7261 ,
Wort to
e performed under this Permit
Owner of
Building
l
a
Bl.
Subdi-
vision
Address of < Value ,o
Project
Building _/ - `
This permit granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli
cation herefor in s ict compliance with all ordinances pertaining thereto and w th 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, assunvaktlie responsibility for a thorough knowlde of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans o drawings or in the statements or s iff'cations and khathe as mes respon-
sibility for work done by his agents, servants or employees. - '• ,��! : ` i
Si � � . erV 4-- 9'��„r:. �� By rl \f
" INSPECTOR
BY
1
F 194
In consideration of the issuance to me of this permit I agree per# ofm the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawinstStements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by S either mxself, my agent, servant or employee.
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
PERMIT N9 1129
Work to be performed under this Permit
Architect
Contractor
or Builder /
Legal Lot ,,�• : Bl. rr'
Description / j-
Address of
Building "
ON•t
MIAMI SHORES VILLAGE, FLORIDA
Subdi-
vision
Value of
Project
BY
DATE - ` 194 ,
Contractor's
License No
Amt. of
Permit
f
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 ,plays or drawings qt in the statements of isp i,ications and
that he assumes responsibility for work done by his agents, servants or employees. r - 1 ',,,
Signed • r ✓ B f ,! ' /
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 regula-
tions pertaining thereto aridin strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepti . tirg permit I assume responsibility for all work done by either myself, my agent, servant or employee.
..t• �; ,.
AUTHORITY