306 NE 102 St (2)Date
Legal Description
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address .30(a A / e /6 2 i �"• Tax Folio
'l -- -r S- /roc ^e ' �513e
/ ,�n�.�,� �jC7���c - Historically Designated: Yes
Owner /Lessee / Tenant NA jot, - / ,e 2f; ,
Owner's Address ?& 1'L • In 2 .c-&-1' I;(; iwx i S ‘. 38.e.- -- Phone 4 .3p 5 '75 7 — C1(1-g
Contracting Co. OW A(F Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
L/hl.'r,
WORK DESCRIP'T'ION P rt,� "7-4 4 1 ►��
Square Ft. 02.10 D
WARNING TO OWNER: YOU MUST
RESULT IN YOUR PAYING TWICE FOI
CONSULT WITH YOUR LENDER OR
Application is hereby made to obtain a per
certify that all work will be performed to it
permits are required for ELECTRICAL, P.',U
Si a ure of owner and/or Condo P sident 'Date
Notary as to Owner and/or Condo President
My Commission Expires:
FEES: PERMIT / /a • RADON
APPROVED:
Zoning
Mechanical
7 . ( ?0 1-7 >D
Building
in 'roan Whit: SVJ 1S00
Hat
-
000
Address 22a44, _ J4 .
OWNER'S AFFIDAVIT: I certify that all the foregoing mtormauon is ac Anri that all wnrk will he done in comnliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -narr
Date
Plumbing
q7
Signat
Notar
My C(
C.C.F. 60 NOTARY
Cost (value) 4--5
.MENCEME
.t PROPERTY
CORDING YO
Master Permit #
• idicated above
ing construct
'G and MECFr
Electrical
No
•
rDOSOMAY
1 FINANCING,
MENT.)
if applicable). I
Lod that separate
Date
Date
BOND
TOTAL DUE 4 /5 . C �
Engineering
Legal Description
Owner / l,essee
Owner's Address
Contracting Co.
WORK DESCRIPTION
Square Ft. Estimated Cost(value) / 'G
** *
FEES: PERMIT
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address ..36Z /i 7 6:3 / ' Tax Folio
)27 (
of owner:jend /Or Con
Signature President
Date:
Notary as to Owner and
My Commission Expires:
*
Zoning
RADON
o OFFICIAL NOTARY SEAL
ei BARBARA ANN FUOAZZI
* COMMISSION NUMBER
• CC360191
9j _ COMMIsks1ON EX.
C.C.F.
Fire
Buildin
Mechanical Plumbing
b
Phone
Signature of Contractor or Owner- Builder
Date:
Notary as to Contractor or Owner- Builder
My Commission Expires:
* *
* * *
VI NOTARY V TOTAL DUE ( 045
Master Permit # a- I S , S _
/ giant / >/. 74
1 /4 / `� ‘-S 1
r�
eir S /V / / /VT/ /V7 ' 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 PENCE SIGN
7 4/../v / �Cj,2 T. =, ( Fi 1 )
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.
**
Other
Electrical
Engineering
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 building 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 / G 19 t 7
Owner's Name and Address '91 e ' -' f L J ' / � ../ No. 6 Street N X ` `
7 .
Registered Architect and/or Engineer ���r
Name and address of licensed contractor
.5 /F - 4 4/4/62 ,
Location and legal description of lot to be built on:
L ` elf !J- 9 /0 Lot "� Block � Subdivision / r� f1
Street and Number where work is to be done e6 /, , _1 1 % 3
State work to be done and purpose of building (by floors), state exterior colors (submit samples)
/ /1/1:4 7 4 1 /.0 /,- , - 6.4i/r' f/ o h' f - S/IlkP /i o fiA/iJ /%eb - /iY%C /0A
// ,544 /g 1774
l
/is / /k T //v6
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering"
c
Estimated Total cost of improvements S Amount of Permit st1f .V
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 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 obligatons 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)
STATE OF FLORIDA
COUNTY OF DADE. } ss.
Before me. the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments. personally' appeared
to me well known .
and who, being by me first duly sworn, upon oath deposes and says tha he is the
of the above described construction, that he has carefully read the foregoi -g application, and that he did sign the same, and that all facts therein by him stated are true.
Vito ID
Date
Permit No.
Disapproved Date
(Signed)
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member -
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship