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260 NE 102 St (3)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE D ate / / Job Address ® / J C� /4 c/K, ( Tax Folio 1/ .1. 4 /-1 Y- 75 Legal Description 4.5 ` 7,t &e,/ G 05wner / Lessee / Tenant - i 1Y!; R 5,7;(>9 6 O f 2/"2fl Master Permit #54 t,dwner's Address 7V/0 ®CZ-AA) tj Contracting Co. � WO') ( " 4A - � 1 � Phone S46'237/ �3 `� Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN l/4IORK DESCRIPTION pG Square Ft. Estimated Cost(value) 7t2 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 state Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: FEES: PERMIT .ZO 160 RADON Zoning l ati4 ,674/ Asta# Mechanical G d ��� ryras to C c C ommission * * * N C.C.F. F � �a NOTARY Fire Buildin Signatur of ,f' --- Owner- Builder Date: / 77vg 0 22 �s /.� Plumbing .� rr.;• * SEPHINHURCH j,,�/ . n� p o�ta , r o E NE CH ig 0[ � C � �'ft� INN 40, 41.6.0 � x� � "F n r. ry�Y L y oriplimison • ,47Z2 TOTAL DUE S.- : le Other Electrical Engineering Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Disapproved (Signed) 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. t. Building Inspector Date.. — . ! /.. _.._..._ .. ...._ �OL�INC- ._ No...... ! J G....__. Street._ ..... S� . CA I1i... Fi C-- Date. ._...._.L New Building Remodeling To be constructed of Kind of Estimated Total cost of improvements $ c983 do Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of bill din /1 a Amount of Permit $. ....•.........y....,,.....t,.y, sr. " 321 N/. w....7 _ tic NE /off ST- by floors) /2 ,E -g"r — } L2 . 1 vi,-J4 / - to ,. i p Mon 77 Le and for no other purpose. Addition Repairs L.7 No. of Stories _ foundation Roof Covering C -ail ✓K d" Tit 7 &o /- 3 1 , a ; I (,�PlJvEC 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 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 theFlorida 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 ubcontractors, on wor to be performed un er this pennit, as are licensed by Miami Shores Village. Remarks to the building and its construction may 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 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 .__ ` Date // Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNIG 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. 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. Date May 25th 19.67 Owner's Name and Address Mrs. T. R , Gates N 260 Street 102nd !Y ei Registered Architect and/or Engineer Name and address of licensed contractor ----- Lang Roofing & Tile Co. Inc. 573 N. W. 71st St • Miami, F la. Location and legal description of lot to be built on: Lot_. Block Subdivision Street and Number where work is to be done 260 N 1 02nd _Street State work to be done and purpose of building (by floors) Re — roof with 1 - 30# felt tin capped to sheathing Mop 1 - 90# slate with hot asphalt. - - -- and for no other purpose. New Building Remodeling Addition Repairs X No. of Stones 1 To be constructed of Kind of foundation Roof Covering 90 # .. .slate Estimated Total cost of improvements $ 235.00 Amount of Permit $ 5. 00 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 subcontrac.•js, on work to be rformed under this permit, as are licensed by Miami Shores Village. /i� Remarks (Signed) , _ i�S ` 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 stated are true. / Permit No �' Z_2i2___.________.__ Date s-- 0 _- ` ___7 Read, Sworn to and Subscribed before me. Disapproved D. to (Signed) 4f .0 L CG Buildin_ nspector My Commission Expires Notary Public, State of Florida 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. BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ PERMIT N9 ROOFING Owner of �''�''� J Building f . Architect Contractor � or Builder f %`� C' 4 Legal Lat� II Description Bl Address of ff,, / 4/ - MIAMI Building L j' f `6' 2: SHORES VILLAGE, FLORIDA Date 3 lit i 9 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 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. Signed' (INSPECTOR) BY In consideration of the issuance to me of this permit I ree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, dr "ings, 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, myseif,rmy agent, servant or employee. 1r i • ac. ` f� CONTRACTOR or BUILDER BY AUTHORITY 8790 Work to be performed under this Permit Contractor's License No. r Subdi- vision Sq Ft. Value of I Amount of r . . ,f .. Project $ 7 I I Permit $ . ) BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building MIAMI SHORES VILLAGE, FLORIDA o DATE to / ec 19 ° PERMIT N9 6 560 Contractor's � J o License No d / ' ❑ Work to be performed under this Permit . k Lot CONTRACTOR OR BUILDER B1 7100 II ./ 0 A ,( +" BY Subdi- vision Value of L - 4 Amount of .5""1 ,� Project $ f "'"''� 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 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 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. Signed. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance wi all ordinances asd regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. AUTHORITY AS DOT - 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. Owner's Name and Address Mrs. Flore Gates Registered Architect and /or Engineer Name and address of licensed contractor State work to be done and purpose of building (by floors Approx. 8 sqs. re- roofing ( partial j on residence. hot asphalt. Estimated Total cost of improvements $ 175 , 00 Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor STATE OF FLORIDA, COUNTY OF DADE. ss. Permit No 5h. d Date F' -(g (2 S Disapproved Date ( Signed) Council Approved NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. MIAMI SHORES VILLAGE Date June 16th, 196 No 260 Street N . E . 102 St .' Lang Roofing & Tile Co., Inc., 573 N. W. 71st St., Location and legal description of lot to be built on: Lot____ Block Subdivision Street and Number where work is to be done N. E. 102nd St., Miami Shores, Fla. Cover with 90# slate mopped and for no other purpose. New Building Remodeling Addition Repairs_ _ Fts?__roof____ No. of Stories To be constructed of Kind of foundation Roof Covering 90# slate Amount of Permit $ 5.00 __'Ian Cubage __Size of Building Lot 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 or notices r as t are required by the Act. The undersigned agrees to employ suc bcontractors workoto f the be performed permit, as are licensed by Miami Shores Village. Remarks (Signed) _ eph Martin, Vice President. 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. Read, Sworn to and Subscribed before me. Notary Public, State of Florida 759 Lf on with to me well known, Building Inspector V My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Date Disapproved Date making corrections 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