268 NE 102 St (3)Date s' / 5/ Job Address Z 6 ' it/476/6) Z S T Tax Folio #-3204-613- Y72b
Legal Description Owne /1/291-R 1'
/ Lessee / Tenant /L. C ` 74PF'FRA/A4J Master Permit 4i , 3a /
Owner's Address Z4 e / 1 1 / M' /A/ le/' 3 ?/?S' Phone 7s 7 e///
Contracting Co.
WORK DESCRIPTION
** *
APPROVED:
Zoning
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
es/n0 S S /Q1 r Co.A//1,10X,',la � /F3.? 7 S 8•e ►
Qualifier 46/: Zfr e-''$ /9. 4/2 V SS# / Phone Z J ri 1.
CA-C..4) 2 ' 1" 1 " /
//
State # PC/1. Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBIN1 'OOFING PAVING FENCE SIGN
:e P 49-<s2_, 2- r 17). ) ,/ c v hit - ,,dLv2 -- CP- -c/ r
7 skw
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 ij compliance with all applicable laws regulating construction and zoning. Furthermore, I
a •• z =:the above -n• ed contractor to do the work stated.
1 /'
Sign.ture o owner and /or Condo President
Dat .
Notary as to Owner and /oar C Fil
My Commission Expires:1"111 181.1
Mechan44l
* * * * *
RADON C.C.F. « 6 NOTARY
Signatu
Date:
*
*
tor or Owner- Builder
Notary as to Co «• = or r Atit�A0lilbder
My Commission E "e -': 1 " "1:1 uee EXPIRES
s ' ;;;c; TNR
' •- BONDED U TROY S N INSURANCE. INC.
*
*
**
TOTAL DUE '^ 2
Fire Other
Building Electrical
P lumbing Engineering
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY) JJ �� ,/
Date (0 \41 q I Job Address 2. g 0E o Z � � Tax Folio /f J,6 /3 . 1 fl
Legal Description 1.,97 -, a.C33' /44),A, C - /4*/) Master Permit #
Owner / Lessee / Tenant
Phone _7 s /
Contracting Co. M e o s S (cJ Address I 3 3 3 S Lt) 8 O P•--L
Qualifier ( . ZA-L .11 ■ C , q4 L ) SS# /' Phone cl X V
Owner's Address - t 0 ?—
State #
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING PAVING FENCE SIGN
WORK DESCRIPTION b Z 5 YV 1 Q., -st Q
- tf.c 3 ti/ 3 i Sf; Efa, '
Square Ft. Estimated Cost y 7 S d
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 constr+.ip ion - and zoning.
Furthermore, I authorize the above -named contractor to do the work stated. ~ '
Nd' tary as to Owner andiffa 5t frkftT t DA Notar as to Contractor or Owner- Builder
. My Commission Expires: RAY COMMi IOh EXPIR,�S 5109/9 My omission Expires !mew. n4StatfFforidtl *,
'Bonded thru ten blewjau s $.Swe Cotmnn Em'sres Mardi 7, 1994
Other Bonded Thru Troy Fain • Inouranco Inc.
PERMIT FEE: APPROVED: Fire
Zoning
Condo President
04.
Competency# CA C o C i O
Address
Address
Address
Building
Signatu
Date:
Electrical
/Owner—=Builder
Mechanical �TlI pl um bing Engineering
Street and Number where work is to be done
Estimated Total cost of improvements $
STATE OF FLORIDA, .
COUNTY OF DADE. SS '
Chainnrn
Member
Member ... _....._......_..._._...._....._
Council Approved Date
NOTE: A charge of $1.00 will be made for
the Planning llu.trd.
A rc•inspection fee of $1.00 will be charged
materials anti /or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby wade for the approval of the detailed statement or 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 Divisinn 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 . � � ._._ --
_......_.... ,19..—
Owner's Name and Address .... 5 ...2.Q -s.'!� _ .... .........._ ._ No. ...
. .... ... ... Sir ' � . C� .
i ... " L A .
Registered Architect and /or Engineer
Name and address of licensed contractor «- .. Q.....-1EDNf/Y ( --4 e A – . L\!_.. t
Location and legal description of lot to be built on:
Lot Block Subdivision ._ .�
_...� , t ,.... 1. C _....
State work to be done and purpose of building (by floors)....– `�taiz 1 ic.,,,,... _ S
ate..
Permit No. •/1 Date 16 1 '6 / 4 1
Disapproved
(Signed)
,,:,,• • •••,TI • ••,,,• t„71111T,rMT.. •tttt,tt,
and for no other purpose.
Ncw Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind 9f foundation Roof Covering
(Signed)
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspector My Commission Expires
PLANNING BOARD DATE
Amount of Permit t
Zone cubage required plan Cubage
Distance .to next ne.uest 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 Leber under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
clement,
and has complied with the provisions thereof, and will require similar compliance from all contractors • •- contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted f. pection on a site •f•the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such tractors, •n woj • be performed under this
permit, as are licensed by Miami Shores Village
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
thcrcin by him stated are e .
Mcmbcr
Member
Member
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
State work o be done an
STATE OF FLORIDA,
COUNTY OF DADE. ss •
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement o r toe plans and specifications herewith submitted for the build •
in 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 thc 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...------------.---....,1 ---
Owner's Name and Address .
No
• Street-- -
Registered Architect and/or Engineer N•A•IN!.2. Itt• ,,, ,
......
ITIMIT•1•11, ttttt
Name and address of licensed contractor 1.1
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
purpose of uilding (by floor) —
• ■= ‘
A t • .and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
fi
To be constructed of Kind of foundation Roof vexing
Estimated Total cost of improvements $ Q D , eD tz,
Amount of Permit S. 1.1
Zone cubage required _Plan Cubage
Distance .to next ne.uest 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 fo! on the s th ork such public notice
or notices as are required by the Act. The undersigned agrees to employ only such 4bc�ttactors. on 4. rformed under this
pcnnit. 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 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 tru
Permit No. XiX/ Date Read, Sworn to and Subscribed before me.
Disapproved U! Date
Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
(
to me well known,
PLANNING BOARD DATE
Chairinan 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 apprnsal has been obtained from
the Plannilig Board.
A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspevtion or faulty
materials and/or workmanship.
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NOTES
5
P, 115 v, 1 FI-IA5 GIZ6U11
eN (. ar1i.ET5,
C- FOR lfz (-‘441
HEATER-. 1NM
clgairr C FOR-A/W_ GONPI
J.) gA 'AAP 4M P5
) ,6.Aps. 1.4. MIN CIVOJti
IZE
A5 N5' Fz 4t17 Laws.
A V. Cz-1 P . 4 GS-4 5E -
-4,
1
I 11 li t,
--r-v...1cAt., row__ FAN
A
L.7
A..5 NAL. F
-.
•\ •••••••i
— 17 t 0C
: 0 •••■ C.. :
ak-av
- T. ) F-FL C
w T aro :;•.,
cow vskl5ft-ic -
t - rN - rt 4 aniz = 7, 3;
s P/ slc.1 4-
WALL SECTIOt‘IS ELECTRI.,-
AAP 7- 1
ORAwN C■4tCKE0
OATE OF
ISSUE l'5/1
sTROJECT
N•JNISILIS
43025"
P
4 1 104E1T
1
• r
F4 Id tit liteNenimin\
/
R-mY E '4 \t-i it s 4
c l o ,
NO.
I-;q-st
OATE
acOucep 5,0vC(LHAI-tq
REMARKS
R Evi SiONS
/
\
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ti
1
NOTES
5
P, 115 v, 1 FI-IA5 GIZ6U11
eN (. ar1i.ET5,
C- FOR lfz (-‘441
HEATER-. 1NM
clgairr C FOR-A/W_ GONPI
J.) gA 'AAP 4M P5
) ,6.Aps. 1.4. MIN CIVOJti
IZE
A5 N5' Fz 4t17 Laws.
A V. Cz-1 P . 4 GS-4 5E -
-4,
1
I 11 li t,
--r-v...1cAt., row__ FAN
A
L.7
A..5 NAL. F
-.
•\ •••••••i
— 17 t 0C
: 0 •••■ C.. :
ak-av
- T. ) F-FL C
w T aro :;•.,
cow vskl5ft-ic -
t - rN - rt 4 aniz = 7, 3;
s P/ slc.1 4-
WALL SECTIOt‘IS ELECTRI.,-
AAP 7- 1
ORAwN C■4tCKE0
OATE OF
ISSUE l'5/1
sTROJECT
N•JNISILIS
43025"
P
4 1 104E1T
1
• r
F4 Id tit liteNenimin\
Application is hereby uindc for the approval of the detailed statement ut 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..
Owner's Name and Address q.•..?ns.S �t Street
_ No..l? `!:'r��,. L�. .��
Registered Architect and /or Engineer
Name and address of licensed contractor ..........�_"� N...�1A.y -
Location and legal description of lot to be built on: M' C2" 1 4 Za t.
Lot Block Subdivision
Street and Number where work is to be done
State work to be done
Ncw Building
To be constructed of
Estimated Total cost of
Zone cubage required
Distance to next nearest building Size of Building Lot
Maxirnum 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,
anei has complied Stith the provisions thereof, and will require similar compliance from all contractors • sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be poste o ' nspection • to of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only s • ntractors •r k to be performed under this
pcnnit, as are licensed by Miami Shores Village.
Remuks (Signed
STATE OF FLORIDA,
COUNTY OF DADE. Ss.
Before me, the undersigned authority, a notary public, duly authorizcd 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
Permit No.._. % � Date ) Read, Sworn to and Subscribed before me.
Disapproved .__.
(Signed)
and purpose of buil
"(4
1 a..c..4A
Remodeling
Building Inspector
° lam s�
MIAMI SHORES VILLAGE
.r..._....... Date.
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Kind of foundation
improvements $ 3.. .o* emtp
din (by floors)
Cam.... -- mss,... a'C�,' �a.ta �v >
�..__ and for no other purpose.
Ciiair:r an
Member
Member ..
Council Approved
NOTE: A charge of $1.00 will be made for making
the I'IanniNg Board.
A re- inspection fee of $1.00 will be charged
materials and /or workmanship.
.Plan Cubage
Addition Repairs No. of Stories
Roof Covering
Amount of Permit 5,......l. at
PLANNING BOARD DATE
Member
Member
Member
Date Disapproved
corrections or changes to this application after approval h
to me well known,
Notary Public, State of Florida
My Commission Expires
Date
as hero obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
Owner's Name and Address -e% Pt,0,"( .-!
Registered Architect and /or Engineer /4
Name and address of licensed contractor___L�
Location and legal description of lot to be buil o
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
STATE OF FLORIDA,
COUNTY OF DADE. J ss
is
• 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.
Lot 3 a Block 2v Subdivision
\
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation a \ Roof Covering
Estimated Total cost of improvements $__- _>�S4�L! � "Zr Amount of Permit $, a' Q
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 notice ith reference to the building and its construction may
be sent to 0 t�4r���
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 subcontrac ors 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 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 Fd5 \ Read, Sworn to and Subscribed before me.
Disapproved Date___ r
(Signed) C%J Notary Public, State of Florida
ti's = - -�
Building Inspector , — My Commission Expires
DATE
PLANNING BOARD
Date..._ ....... 1 -- sue___._
No
13 X34''
Street...
and for no other purpose.
to me well known,
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 fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.