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636 NE 101 St (12)Legal Description Historically Designated: Yes No Owner/Lessee / Tenant algrin `' J,,44(dtfeS 4sp Zavi/ Master Permit # � ( ;J Owner's Address 6,3 4 // Jo) AM $ )I'P-‘) Phone 3(28-17S- 9 -- C44, 7 Contracting Co. le- ✓ �r4 �� 1 i.-.1 la , ) /JQ Address , L5 1 � /� Qualifier 7 v 1.4-66 ss# 'Phone ,. 'c ,4 - L State # Municipal # Competency # 0E967 7 ✓; Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPT ION - 'Swr°/�. r P 7)//c-,/,(7 PII1�/e /AV Square Ft. /5 6 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 ail 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. OWNERS AFFIDAVIT: I • ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zo jf urthermore, I authorize the above -named contractor to do the work stated. S gnature of owner and/or Condo President 0440 Notary as to Date My Commi 4LMA A. CHAPMAN My Com Exp. 7/1/2002 No. CC 760717 ersimaly Known 1 I ONwr I.D. FEES: PERMIT (/ RADON APPROVED: Zoning a" Building Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 6'6 4'I , Ali $7 • Tax Folio Date 1 0 fre Estimated Cost (value) Signature of Contractor or -Builder Date Notary as to Contractor or pWAer;Bui14 A. CHAPMAN ' to My Commission Expires: i . ''..A ; ti• Comm Exp . / /No. CC 75 / 0717 r • .•� ( /r Persar\apy Known I !Other I.D. C.C.F. ° 0 NOTARY BOND 3aC .i TOTAL D S Electrical Plumbing Structural Engineer LOTS 6 AND 7,.. AND TIM WE 1l2'•OF. ;.j.O,7 Sv Iri °.:'BJ;,QCK . 103 bP ANPNDED PLAT SHORES gECT.toN; No.. 4,... il,CCDRD N( +TO .THE t* .. TN.BREOP. 'AS SECORDED IN PLAT AT PAGE 14 , OF TEi.E� :PUBLI a :' D�IDS _C�aUt�TY i .: ` . TI:OR ID7►.. • ► . 101 ►COTE cmTQerrna S41ALL ESTABI ISM 4 TWE EXACT LOCATION OF Un- ,A AT THE Y _AGENCY N � ARANCE • BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 8701 Work to be performed under this Permit Owner of ! / Building Architect Contractor or Builder Legal Description Lot CONTRACTOR OR BUILDER Bl. Subdi- vision DATE Contractor's License No. Address of / 3 / r Value of Amt. of Building (� p Project `/'' r 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 appli- cation 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. / / �,. i Signed /' - ' C (. - By / !- 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 accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY } 194 f 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 $ r , 19t / / �_, Street2 _e •..��f 1 _,. -- Owner's Name and Address __4_ __ ._ , c-C � No.__ Registered Architect and /or Engineer ./ Name and address of licensed contractor__ f Y ' � _ ca 27 „!`, ". It ) _s;:- h/ :.e - . _ c Location and legal description of lot to be built on: , ,. Lot Block Subdivision Street and Number where work is to be done ___ a__ /l_.d___,___+ e f ________ State work to be done and purpose of building (by floors)__ l• tend for no other purpose. New Building____ Remodeling__ Addition Repairs No. of Stories To be constructed of_____ Kind of foundation Roo 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 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. Remarks (Signed), A - . 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 as carefully read the foregoing application, and that he did sign the same, and that all facts therein by him sta d are true. Permit No. 7 Date _ ' _`__ __ Read, Sworn to and Subscribed before me. Disapproved ! Date ( Signed) i lk 4 1' Building Inspecto MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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. r