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Legal Description o i < ! o< I4 in M-9 P a.e�- /1�p�,,� .Sr�tz z i P 1p, PG �j
(Owner) Lessee / Tenant °JPg a tai cf44 Master Permit �6 -Y0�0/ a
Owner's Address I ci o Ajw iw / htir -L 33/6? Phone 6 9‘Z7
Contracting Co. l e 1/e.) �Si L I S ,,� 5 Address 5:0
Qualifier rl �9 C457711 f+��SS�� - Phone ( - 5 1
State # Municipal ! Competency #
Ins .Co /✓lfyr A' -174 //" Cs �2P
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIG!
WORK DESCRIPTION S'Cif.Z/g/
Square Ft.
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENT
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, an
on the attached addendum (if applicable). I certify that all work will be performed to meet th
standards of all laws regulating construction in this jurisdiction. I understand that separat(
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 wil.
be done in compliance with all applicable laws regulating construction and oning. Furthermore,
authorize the above -named contractor to do the work sta
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
** * * * * * * * *
Estimated Cost(value)
Signature
e : May
!ih..-<_.0 /t /s
Notary as to Contractor or Owner- Builder
My Commission Expires: ! / e , -k r e c . 14.6741h
NOTARY PUBLIC STATE OF FLORIDA
MY COMMISSION EXPIRES 5/09/94
* * * Bonded thru Sembier-Adims & Sweet **
FEES: PERMIT 3 RADON C.C.F. /• 00 NOTARY - 5-1170 TOTAL DUE ik °
APPROVED: Fire
Zoning
Mechanical Plumbing Engineering
G�-
•
Contractor or Owner- Builder
9 Q
Other
4 t/ Electrical
This property described as:
Lots 6 and 7, Block 14, '
AN AMENDED PLAT OF MIAMI SHORES J -.. • so
SECTION NO. 1,
according to the Plat 1 10 '
thereof, as recorded in . FLOOD ZONE: X
Plat Book 10, Page 70 , 114r..; 7
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of the Public Records of .-1...ct4s-90,4 1 /2 P) , tr. - A 1
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Macera, ..frederic • 4-.- and., Mitlene C. am:1. -7....: --.. c-
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MIAMI SHORES VILLAGE
IflUILDING INSPECTION DEPARTMENT
/ ge 21. APPLIpATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement ut ine 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 ...o�►.� .I Si v`^& c> _ _ No...JGJ 52.._....... sire tb E- J 0.2.s t •
Registered Architect and /or Engineer ,,,,. ...•••,,.• .,,,,,,..„..• <.. +,.,..,_..,7.*
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot 3.43 Block 35
Street and Number where work is to be done _ Sfi
State work to be done and purpose of building (by floors) Crrt.ce - �4 '^� P1 ItT f• . -�`� �'
New Building Remodeling
To be constructed of `� Kinnd of foundation
Estimated Total cost of improvements $ C,0 ° o
Zone cubage required
Distance .to next nearest building ...
Maximum live load to be borne by each floor
Disapproved 1y. Da t
(Signed)
Building Inspector
Subdivision
Chairman
\lembcr
Member .. ..
Council Approved Date
NOTE: A charge of $1.00 will be made for making corrections
the Plannir.g Board.
A re.impection fee of $1.00 will be charged
materials anti /or workmanship.
__..._........ for no other purpose.
Addition Repairs No. of Stories _
oof Covering
Amount of Permit S.
.Plan Cubage
Size of Building Lot 46. 1.0.1 11
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 5960, Compiled General Laws of Florida, Permanent Sup element,
and has complied ssith 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 noticcs as are required by the Act. The undersigned agrees to employ only such bcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)..
STATE OF FLORIDA,
COUNTY OF DADE. i 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 9 Date Read, Sworn to and Subscribed before me..
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Member
Member
Member sass
Disapproved
to me well known,
Date
or changes to this application after approval has heen obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
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 `L,l OP `r # ®`� I L
Registered Architect and /or Engineer
Name and address of licensed contra
Location and legal description of lot to be built on:
Lot Block Subdivisio
Street and Number where work is to be done 16. ev N
State work to be done and pu ose of building (by floors)
C IKg v 7 A/ V EW 3 >1 09,6:4
447 /e£
New uilding Remo
Estimated Total cost of improvements $
Zone cubage required
Distance to next nearest building
Maximum live load to be borne by each floor
Permit No
Disapproved
(Signed)
APPLICATION FOR BUILDING PERMIT
and for no other purpose.
Repairs No. of Stories
s P1� 6 L ind of foundation
91. 27,5 ° iVe
Date.
Building Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Y_' iv �- 9
Date
/OZ ■r
Addition
Date
No
Amount of Permit $
plan Cubage
Size of Building Lot
mo w/ 1T
Street.! • e .s7`.
04,e&-itiv 4 ki4
Read, Sworn to and Subscribed before me.
Roof Cover
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 5968, 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 sub on work o be P9 formed under this
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
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 state ed /I are true.
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.
•
;
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