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BUILDING PERMITBUILDING p MIAMI SHORES VILLAGE, FLORIDA Date 1 " , i 19_ 7 ELECTRICAL ❑ PLUMBING ❑ PERMIT N? 9157 Contractor's 3,ars z . Owner of Building Architect Contractor or Builder Work to be performed under this Permit t 1 c ►.• 1 CONTRACT IR or BUILDE Rxr C +nc- •. �. A L Legal Lot Description 11 B1 Address of Building 3 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 show 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 _..6'' 66 ALE ` • BY In consideration of the issuance to me of this permit I agree to pert the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, state or specifications submitted to the proper authori 'es of Miami Shores Vi ge. In accepting this permit I assume responsibili for all work done by ei myself, my agent, servant or employ e. f YQ•; .r- ti'. f t 4. C, Subdi- vision Sq. Ft. Value of I Amount of Project $ � 1 Permit $ BY AUT L 4 C‘I t: :)& 6 *. 1 tcC E (r) J fi r T A L. CA. F a. "! � ez . 7e' ' • \. << it o 4- = y z - 1 4.7.54 L, 4; 777 P ° C C Z5 G$ c tf 9S 0 510 o - - - ' 3.5'8/ " 1011444.. F,t-c 94:-= l z Eon • 8.3 3 =- -1-Lo e rL 0 2 , 6'7 nEZ 'cc� � , 'rt. 1 1 c' r L+ E �$, 44'c E..: 1 c - rt) L i 9 4-4-5 4 1`1 --- 71 y VA LI J 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. Registered Architect and /or Engineer STATE OF FLORIDA, COUNTY OF DADE. ss. (Signed) -- - - - - - , Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT r-- Date , ' / '/ le/ Owner's Name and Address g 4 j -_,1 �.4-- _ -No Street Name and address of licensed contractor ? 419 ,; ! • 2y> 44_ Location and legal description of lot to be built on: Lot____ j _,__' '1! _ /I A °' Block Street and Number where work is to be done c _,.ia0 State work to be done and purpose of building (by floors). I '�ij Subdivision New Building. Lam— Remodeling AAddition j Repair s No. of Storigs,� To be constructed of � ! ___ Kind of found . ;<°,r'l_ "- V-4 =.2 oof Covering p __ Estimated Total cost of improvements $ 1/ it ":./' _Amount of Permit $ . c7;')/' and for no other purpose. Zone cubage required ' __________________ _________ _Plan Cuba e 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 • pection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s ontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. / (Signed) �a��.'� ✓'� <_4 rte" f Remarks 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. N' _:_ _.___i__ Dead, Sworn to and Subscribed before me. Permit No _ E D ate___% Disapproved _ r Date ,__ 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) . 4'• Ay Date Job Address 0 // / v �G r Tax Folio �f �o� ®� Legal Description °/1 o / *94// / 4/V Owner / Lessee / Tenant /7 /L////9/2 oso Master Permit 1f , AZ 20 - 7 Owner's Address 75 4'/ l ©/ .S' % m /i9• 5 ,VO/2C= S Phone Contracting Co. f5/ ...) C'(') /2 P Address 6'$.7 3"I" S 5 r Qualifier c7 V // --S ec.ZC-3 .5 9 7 State # Municipal #.2: Competency # Ins.Co. f722 780 CU Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /7 E= /1 9OW. - /ST//l/G' ,-77/f7 / ,v rAl L 6" if 2//-//e/2 O C Square Ft. Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo Pres identNiit t ype or stamp n My Commission Expires: Personally known Type and number of ** * * * * * * Zoning s G f /' zYD See.22 G T Building Estimated Cost(value) 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. - Si.•• -ture of Contractor or Owner - Builder ate: DID take an o th, or DILYNOT takk an oath. PEES: PERMIT 3 (4° RADON C.C.F. t C NOTARY APPROVED: Fire goo it 1 /2/. / /q /</ aG ./7' 4 1W - ion Ex e�`sw�t.,106EPHtI* CINJNd1 uce • • .- ;Wa Pubic, Sble 01 Arida VA ' No are ** 1 Other Electrical TOTAL DUE L'3 Mechanical Plumbing Engineering Note: Underyround encroachments ':and - •utilities i f any, not located. F LOOD ZO NL' ?X • ;r • G Tb. s property described as: loot 21.:' and'the West `'r of Lot 22, Block 1:1, AN :.•1M 461.0 :,P•LAT :OC. MIAMI SHORES. SJ CVON NO. according ther as record(dr i n Platt Book 10, Paje:'70 ,of: -the Public::-Recoris of hade "Co'untyy Flo rida;•. klE OC F1h1 G• ert T•.. 'F irS • I' inan.. Conpau,y;,o.l ;' :Coinpariy, Lis Diana: and R `:':Robert' ..and And Company , QV 'suc;epsors ' .ass; gns: . Title ida, urance rdson, aretten C., its or F I tid " tA @ A araaa,and I Robert, ' 5 N 1 .10isi. • ,