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PAINT PERMITDate —\ A Job Address Legal Description Historically Designated: Yes No \/ Owner/Lessee / Tenant Master Permit # Phone j Owner's Address -- Vc■, \Q\ f \ Q� �\ O Contracting Co. t.�\1� Qualifier State # Municipal # Competency # 7y/f 00 .J2Sns. Co. Architect/Engmeer Address 36 2 3 Co�-o ��. TG /e C"oCO• u C°r� �.� Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN p _ ACr Roo F WORK DESCRIPTION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE "7 $ Ate /o (s7r' Tax Folio --m*co\c‘• Square Ft. 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 cons tion and zoning. F v/-rmore, I authorize the above -named contractor to do the work stated. - i and/or Con Signature o otary as to Owner and/or Condo President Date Not .as�t o-Contcacio � ^r C1 - R��ilder }o d ? A � GOTQRG e�'a6 My Commission Expires: My CommissionoE ifn OD FEES: PERMIT la RADON APPROVED: Zoning Mechanical President Date Address SS# - 2S Phone 65 ature of Contractor or Owner - Builder Date C.C.F. NOTARY Electrical TOTAL DUE J-Irr_, 7 Date y . 5 Building g Plumbing Engineering 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. STATE OF FLORIDA, COUNTY OF DADE. j ss Permit No Disapproved ( Signed) Chairman Member Member APPLICATION FOR BUILDING PERMIT 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 Block tibdivision Street and Number where work is to be done t( fly g " - / - d 1 12-4711--%-(/ State work to be done and purpose of building (by floors) !a y� ___ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Q 5 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) 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 - is the. of the above described construction, that he has carefully read the foreg ng application, and that he did sign the same, and that all facts therein by him stated are true. D Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date "`" 1 • PLANNING BO �1 Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. Date. c/fr O :4 7 S 7 ,19 No 7 4 Streetz/p- - .0-1 g"-°. to me well known, D om to and Subscribed before me. Member Member Member Disapproved Notary Public, State of Florida Commi ' • n Expires Date 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 BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 4669 Owner of Building Legal. Description Lot: e Architect Contractor ° or Builder Address of ""'"e ,/ Building CONTRACTOR OR BUILDER DATR Contractor's License No Work to be performed under this Permit .l 4 .,.e A 4 s Subdi- vision Value of Amount of Project $ Permit $ This permit is granted to the contractor or builder named above to construc 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 four 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 acid that he assumes responsibility for work done by his agents, servants or employees. p ' �' j f d , BY; r` Signed'. , e. 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY . UILDING :LECTRICAL 'LUMBING iOOFING )caner of wilding s '.rchitect ontractor ar Builder •egal )escription address of ; uilding Lot MIAMI SHORES VILLAGE. FLORIDA ❑ PERMIT N? 4456 v t = . f_ Signed. DATE ` ` 5 195 Contractor's License No. Work to be performed under this Permit Bl Subdi- vision Value of Project $ 2 +•? c Amount of Permit $ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application ■erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any me 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 ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work one by his agents, servants or employees. • f > INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hgiteunder in compliance with all ordinances and regulations ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- ;pting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY u„ 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. 19 Owner's Name and Add s .... .... _ _ _ E p - No Street ... _ a c Registered Architect and /or Engineer Name and address of licensed contractor ... - Location and legal description of lot to be built on: Lot Block Subdivision State work to be done and purpose of building (by floors) p‘i:'. .104,1-.4. Street and Number where work is to be done ._ .. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof 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 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 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). ._ - ai Date /0 STATE OF FLORIDA, COUNTY OF DADE. 1 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 has carefully read the forgoing application, and that he did sign the same, and that all facts therein by him s ed e Permit No._ � Date._ ./A41-3 Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector 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.